Telescopic Osteodistraction Device for Bone Lengthening
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Solution Overview
Problem
Current bone lengthening techniques, such as external fixators and intramedullary implants, are either painful and inconvenient or expensive and inaccessible, often requiring multiple surgeries and lacking torsional and axial stability, with high risks of infection and complications.
Innovation Solution
A hybrid solution involving an intra-corporal telescopic osteodistraction device with unidirectional movement and external force production, allowing for controlled bone lengthening with axial, torsional, and bending stability, and a method that requires only one surgery, using a telescopic implantable nail with an external device for lengthening and locking, minimizing invasiveness and complications.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of manufacture
If external fixators are used for bone lengthening, then the treatment is low cost and accessible, but the treatment becomes painful and inconvenient for the patient with high infection rates
Solution Approach 1:
The device separates the force production function (external battery pack worn on clothing) from the implantable part (telescopic mechanism inside bone), allowing the external components to be removed during sleep and physiotherapy while maintaining the internal stabilization structure
Solution Approach 2:
The device transitions from static external fixators to a dynamic system where the external battery pack can be attached and removed as needed, and the internal telescopic mechanism provides controlled dynamic lengthening while maintaining stability
2Ease of operation
If intramedullary implants are used for bone lengthening, then the treatment is more convenient and causes less complications, but the treatment becomes very expensive with low accessibility
Solution Approach 1:
The device is divided into two separate components: an implantable telescopic mechanism inside the bone and an external battery pack worn on clothing, allowing the expensive implantable part to be simple and durable while the external part handles the complex power and control functions
Solution Approach 2:
A wireless power and data transmission system acts as an intermediary between the external battery pack and the implantable telescopic mechanism, enabling communication and energy transfer without physical connections that would compromise sterility or comfort
3Adaptability or versatility
If hybrid solutions like Lengthening Over Nail (LON) are used, then the treatment combines implantable and external components, but the treatment requires two surgeries with high risk of severe infections
Solution Approach 1:
The intramedullary nail with telescopic mechanism is implanted first and prepared for future lengthening, then the external battery pack is attached later when the surgical wound has healed, eliminating the need for reaming and distal screw fixation surgeries
Solution Approach 2:
The distal locking screws and reaming procedures are completely removed from the treatment protocol, leaving only the essential intramedullary nail implantation and external battery attachment, thereby reducing infection pathways
4Stability of the object's composition
If traditional intramedullary implants are used, then the treatment provides stable fixation, but the treatment does not allow full weight bearing and extensive physiotherapy
Solution Approach 1:
The fixed-length intramedullary nail is replaced with a telescopic mechanism that can dynamically extend during lengthening while maintaining structural integrity, allowing the bone to heal in a lengthened position without compromising stability or restricting rehabilitation activities
Data Source
AI summary
The present invention is about an intra-corporal telescopic osteodistraction device 1 for locking the length of the bone 3 and for providing axial, torsional and bending stability; an extra-corporal force producing device 4a, 4b for producing a force for extension causing a lengthening of the intra-corporal device 1 and the bone 3; a method for bone lengthening and a bone lengthening arrangement utilizing the devices 1 and 4a, 4b of the invention.

