Patient-Matched Acetabular Alignment Tool with Adjustable Legs

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Solution Overview

Problem

Current systems for aligning acetabular implants in hip replacement surgeries often result in misalignment due to anatomical differences and patient position variability, leading to leg length discrepancies and the need for additional surgeries, which are time-consuming and costly.

Innovation Solution

A patient-matched acetabular alignment tool with adjustable leg members that correspond to specific anatomical landmarks, allowing for precise alignment of the implant axis based on patient-specific anatomy, using data from X-rays, CT scans, or MRI scans to determine the desired implant angle and orientation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If a generalized X-bar positioning system is used for aligning acetabular implants, then the alignment process is simplified and can be applied to all patients, but misalignment occurs due to anatomical differences between patients

Engineering Contradiction:
Improveapplicability to all patientsVSAvoidalignment precision
Core Design Contradiction:
Adaptability or versatilityVSManufacturing precision

Solution Approach 1:

The alignment tool is segmented into multiple components including a mounting member and multiple leg members that can be independently configured. Each leg member can be selectively positioned to contact different anatomic landmark sites, allowing the tool to be adapted to various patient anatomies while maintaining precise alignment

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The leg members are made movable relative to the mounting member, allowing dynamic adjustment of the tool's configuration. This enables the alignment tool to adapt to different patient anatomies by positioning leg members at appropriate anatomic landmarks, thereby achieving precise alignment for each individual patient

Inventive Principle:
Principle #15Dynamics

2Device complexity

If a fixed configuration alignment tool is used, then the device structure is simplified, but it cannot accommodate anatomical variations and patient position differences

Engineering Contradiction:
Improvetool structureVSAvoidaccommodation of anatomical differences
Core Design Contradiction:
Device complexityVSAdaptability or versatility

Solution Approach 1:

The alignment tool incorporates movable leg members that can be repositioned relative to the mounting member. This dynamic configuration allows the tool to adapt to various anatomical landmarks and patient positions without requiring completely different tools for each case

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The alignment tool is designed with multiple leg members that can contact different anatomic landmark sites, making it a universal tool capable of accommodating various patient anatomies. The same tool can be used across different patients by adjusting which leg members contact which landmarks

Inventive Principle:
Principle #6Universality (Multi-functionality)

3Reliability

If misalignment occurs due to anatomical differences, then additional revision surgeries are required to correct the error, but this increases surgical time, cost, and patient risk

Engineering Contradiction:
Improvealignment accuracyVSAvoidsurgical time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The alignment tool is configured based on preoperative imaging data to predict and account for anatomical variations before surgery. By establishing the correct alignment configuration in advance, the tool ensures accurate implant placement during surgery, eliminating the need for time-consuming revision procedures

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS9278010B2Patient-matched acetabular alignment tool
Publication Date: 2016.03.08 SMITH & NEPHEW INC
  • US9278010B2 patent drawing
  • US9278010B2 patent drawing
  • US9278010B2 patent drawing

AI summary

Systems, devices, and methods are provided for aligning acetabular implants. A patient-matched acetabular alignment tool is used to orient tools and implants intraoperatively. The patient-matched acetabular alignment tool includes a mounting member and leg members which are configured based on the particular patient's anatomic landmark sites (e.g., acetabular bony landmarks). The leg members are attached to the mounting member and configured to connect with a respective anatomic landmark site to achieve a desired implant angle and axis. For example, the leg members may form a tripod support base through which an acetabular shell may be inserted into the patient's acetabulum at desired angles of version and inclination. In some embodiments, the leg members may be retractable and expandable with respect to the mounting member, thereby providing a tool with reduced profile for inserting the device in the patient's soft tissue.