A device for bone adjustment in a mammal. The device comprising two or more anchoring devices adapted to implanted intramedullary and attached to a bone in said mammal and an adjustment device for exerting force on said anchoring devices, said adjustment device being adapted to postoperatively adjust at least one of the distance between or orientation of, at least two of said anchoring devices. The operation device further comprises a motor and said operation device is adapted to operate said adjustment device. The operation device further comprises a gearbox connected to the motor, wherein an outgoing speed from the gear box is lower than the speed by the motor alone, accomplished by the gearbox, and wherein the outgoing speed of the gearbox is less than 10 turn per second during normal operation. The device also comprises a control device adapted to control the operation device, wherein the control device is: programmed to control the device according to a pre-programmed time-schedule, and programmed to control the device based on input from a sensor or measuring device sensing any possible physical parameter of the patient or any functional parameter of the system.

According to some embodiments, systems and methods are provided for non-invasively detecting the force generated by a non-invasively adjustable implantable medical device and/or a change in dimension of a non-invasively adjustable implantable medical device. Some of the systems include a non-invasively adjustable implant, which includes a driven magnet, and an external adjustment device, which includes one or more driving magnets and one or more Hall effect sensors. The Hall effect sensors of the external adjustment device are configured to detect changes in the magnetic field between the driven magnet of the non-invasively adjustable implant and the driving magnet(s) of the external adjustment device. Changes in the magnetic fields may be used to calculate the force generated by and/or a change in dimension of the non-invasively adjustable implantable medical device.

A system for moving a portion of a patient's body including a housing having a first cavity extending along a longitudinal axis, a first distraction rod having a proximal end and a distal end, the first distraction rod and the housing being telescopically displaceable with respect to each other along the longitudinal axis, the first distraction rod having a cavity extending along the longitudinal axis, a second distraction rod having a proximal end and a distal end and configured to be telescopically displaceable from within the second cavity along the longitudinal axis, and a drive system configured to move the first distraction rod in relation to the housing and to move the second distraction rod in relation to the first distraction rod.

A system for moving a portion of a patient's body including a housing having a first cavity extending along a longitudinal axis, a first distraction rod having a proximal end and a distal end, the first distraction rod and the housing being telescopically displaceable with respect to each other along the longitudinal axis, the first distraction rod having a cavity extending along the longitudinal axis, a second distraction rod having a proximal end and a distal end and configured to be telescopically displaceable from within the second cavity along the longitudinal axis, and a drive system configured to move the first distraction rod in relation to the housing and to move the second distraction rod in relation to the first distraction rod.

A reconfigurable bone adjustment device includes a first member configured for attachment to a first bone fragment, portion, etc., a second member configured for attachment to a second bone fragment, portion, etc., a drive mechanism configured to move the second member relative to the first member, a threaded rod having a proximal end operatively coupled to the drive mechanism and a distal end operatively coupled to the second member so that rotation of the drive mechanism rotates the threaded rod and moves the second member relative to the first member, and a dynamic segment positioned between the first and second members to enable compression of the second member relative to the first member to stimulate bone growth. The dynamic segment may be a silicone/rubber compressible member or assembly, a metallic spring, a non-metallic shock absorbing material or washer, or the like.

A multi-layer, fiber-reinforced composite orthopaedic fixation device having a design selected based on a desired characteristic of the orthopaedic fixation device. The design may be selected according to a model of the device, the model defining design constraints, and the design may comprise a pattern of the fiber angle for each layer. The selection of a design may be analyzed using finite element analysis to determine whether the design will comprise the desired characteristic.

A reconfigurable bone adjustment device includes a first member configured for attachment to a first bone fragment, a second member configured for attachment to a second bone fragment, the second member including an elongated slot formed therein; a drive mechanism configured to move the second member relative to the first member; a threaded block fixedly coupled to the first member, the threaded block positioned within the elongated slot; and a threaded rod having a proximal end operatively coupled to the drive mechanism, an intermediate portion threadably coupled to the threaded block, and a distal end operatively coupled to the second member so that rotation of the drive mechanism rotates the threaded rod and moves the second member relative to the first member. The second member being adapted and configured to provide increased strength so that the device can withstand increased patient weight bearing.

A bidirectional thermally actuated component includes a heating element and wax material provided in an enclosed housing wherein the heating element is activated to melt the wax which expands to cause movement of the housing or an element mounted therein. When the heating element is deactivated, the was hardens and constricts to allow for movement in the opposite direction based on application of a force in the opposite direction, which may be provided by a biasing spring or a second actuator. An adjustable medical device may include the thermally actuated component to control adjustment of the device.

The present invention relates to a system for evaluating the evolution of the structure of a bone of a subject, said system comprising an implantable medical device comprising a distraction body and at least one reflector coupled to the distraction body, said distraction body being configured to distract osteotomically separated bone section bodies and comprising a first block for implantation and attachment to a first bone section, a second block for implantation and attachment to a second bone section separated from the first bone section by an osteotomy, an actuator configured to adjust the space between the first block and the second block when activated, enabling distraction between the first bone section and the second bone section, wherein said at least one reflector is configured to reflect an electromagnetic signal and is embedded in a surrounding tissue of the subject when the distraction body is attached to the bone of the subject, a calculation module configured to compute a parameter representative of the structure of the bone of the subject surrounding the bone distraction device, said parameter being computed from a reflected signal corresponding to a reflection, on the reflector embedded in the surrounding tissue of the subject, of an excitation signal comprising at least one frequency in the characteristic frequency range of the reflector, said reflected signal being representative of a dielectric constant of the surrounding tissue.

A device, method, and system for treatment or fixation of a fractured, damaged, or deteriorating bone or bones in a mid-foot region. The device comprising an implant with both proximal and distal fastener holes, along with fastener slots in a central elongated body, for securing the implant to the appropriate osseous cortical structures of the foot. The method for treatment or fixation of fractured, damaged, or deteriorating bones in the medial column of the foot with use of a device such as an intramedullary nail that attaches to either the talus or first metatarsal bones to secure the medial cuneiform and navicular bones in place.