Adaptive Cutting Guide for Knee Arthroplasty

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Solution Overview

Problem

Current surgical practices face challenges in efficiently preparing bones for orthopedic implant procedures due to variations in patient anatomy, leading to inefficiencies, potential vascular damage, and complications such as increased tourniquet time and wear debris.

Innovation Solution

The development of adaptive surgeon-specific instrumentation and customized cutting guides that can be tailored to individual surgeons' preferences and optimized for specific surgical techniques, allowing for better alignment with the surgeon's preferred tools and techniques.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If a wide array of surgical instrumentation is maintained to satisfy every surgeon's preferences, then surgeon-specific requirements are met, but inventory management and storage become unwieldy

Engineering Contradiction:
Improvesurgeon-specific instrumentation requirementsVSAvoidinventory management complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The cutting guide is designed with multiple features that can accommodate different surgeons' preferences and various surgical techniques. The guide includes adjustable components and multiple positioning options that allow a single instrument to serve multiple functions and satisfy diverse surgical requirements without needing separate instruments for each surgeon.

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

Solution Approach 2:

The cutting guide incorporates dynamic and adjustable features that allow modification during surgery to match different surgeons' techniques. The instrumentation can be adapted on-demand rather than requiring fixed, pre-configured sets for each surgeon, enabling flexibility without increasing overall inventory complexity.

Inventive Principle:
Principle #15Dynamics

2Manufacturing precision

If surgeon-specific techniques and preferences are accommodated, then surgical precision is improved, but surgical efficiency and tourniquet time are reduced

Engineering Contradiction:
Improvebone cut precisionVSAvoidsurgical efficiency
Core Design Contradiction:
Manufacturing precisionVSProductivity

Solution Approach 1:

The cutting guide is pre-configured with multiple features and adjustment mechanisms that allow surgeons to quickly adapt to their preferred techniques without time-consuming intraoperative adjustments. The guide's design anticipates different surgical approaches and provides pre-built options for various cutting angles, depths, and orientations, enabling precision without sacrificing efficiency.

Inventive Principle:
Principle #10Preliminary action

3Device complexity

If standard surgical trays are used, then inventory management is simplified, but surgeon technique alignment is compromised

Engineering Contradiction:
Improveinventory management simplicityVSAvoidsurgeon technique alignment
Core Design Contradiction:
Device complexityVSEase of operation

Solution Approach 1:

The cutting guide serves as a universal instrument that can accommodate multiple surgical techniques and surgeon preferences within a single standardized tray configuration. The guide's multi-functional design allows it to support various cutting approaches, making it compatible with different surgeon methodologies without requiring custom instrumentation for each technique.

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

4Adaptability or versatility

If bone preparatory procedures are performed without pre-planning, then surgical flexibility is maintained, but complications such as vascular damage and recuts increase

Engineering Contradiction:
Improvesurgical flexibilityVSAvoidsurgical outcome reliability
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The cutting guide incorporates pre-planned features and positioning mechanisms that allow for accurate bone preparation before the surgical procedure begins. The guide's design includes pre-determined cutting paths, depth markers, and alignment features that ensure reliable outcomes while maintaining the ability to adjust for individual patient anatomies during surgery.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS12201371B2Orthopedic systems, components, and methods
Publication Date: 2025.01.21 SMITH & NEPHEW INC
  • US12201371B2 patent drawing
  • US12201371B2 patent drawing
  • US12201371B2 patent drawing

AI summary

Embodiments of the present application provide technologies related to adaptive surgeon-specific instrumentation, unique preparatory tools and procedures for bone resection and implant devices, and systems for selection of implantation preparatory tools for implantation procedures. The embodiments described herein may, for example, be utilized in connection with knee arthroplasty procedures.