Adjustable Tibial Sizer for Faster Knee Implant Sizing

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Solution Overview

Problem

The existing methods for selecting a tibial base plate in unicompartmental knee replacement surgery involve the use of multiple sized templates, which are cumbersome, costly, and prolong surgical time due to the need for frequent template swaps and manual tracking.

Innovation Solution

An adjustable tibial sizer with a two-part body and a connection element allowing simultaneous movement in anterior-posterior and medial-lateral directions, featuring ramp surfaces and a handle with indicia for size indication, facilitating precise sizing without template swaps.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If multiple sized templates are used for tibial base plate sizing, then sizing accuracy is improved, but device complexity and surgical time increase

Engineering Contradiction:
Improvesizing accuracyVSAvoiddevice complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The sizer comprises two body portions that can move relative to each other along a connection element, allowing the sizer to dynamically adjust between different sizes. This dynamic mechanism replaces the need for multiple static templates, enabling a single device to provide multiple sizing options while maintaining accuracy.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The adjustable sizer serves multiple functions by providing a range of sizes within a single device. The two body portions can be positioned at different locations along the connection element to accommodate various tibial base plate sizes, making one universal tool replace multiple specialized templates.

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

2Measurement precision

If multiple sized templates are used for tibial base plate sizing, then sizing accuracy is improved, but surgical time increases

Engineering Contradiction:
Improvesizing accuracyVSAvoidsurgical time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The dynamic adjustment mechanism allows the surgeon to quickly change the sizer configuration by simply moving the body portions along the connection element, eliminating the time-consuming process of swapping between multiple templates during surgery.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The invention combines multiple template functions into a single integrated device. By merging the functionality of multiple sized templates into one adjustable sizer, the surgical workflow is simplified and time is reduced while maintaining comprehensive sizing capability.

Inventive Principle:
Principle #5Merging (Combining)

3Adaptability or versatility

If multiple sized templates are included in the instrument tray, then sizing options are improved, but weight and cost increase

Engineering Contradiction:
Improvesizing optionsVSAvoidinstrument tray weight
Core Design Contradiction:
Adaptability or versatilityVSWeight of moving object

Solution Approach 1:

The single adjustable sizer provides universal applicability for multiple tibial base plate sizes, replacing the need to transport multiple individual templates. This reduces the overall weight of the instrument tray while maintaining full sizing versatility.

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

Solution Approach 2:

The dynamic resizing capability allows one lightweight sizer to replace multiple heavier templates. The ability to adjust the sizer dimensions on-demand reduces the total mass of sizing instruments needed in the surgical tray.

Inventive Principle:
Principle #15Dynamics

4Adaptability or versatility

If multiple sized templates are used for tibial base plate sizing, then sizing options are improved, but ease of operation decreases

Engineering Contradiction:
Improvesizing optionsVSAvoidease of operation
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

By combining multiple template functions into one device, the surgeon only needs to manage and track a single sizer rather than multiple templates. This merging simplifies the operational workflow and reduces the cognitive load during surgery.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The dynamic adjustment mechanism provides ease of operation through simple movement of body portions along the connection element. This eliminates the complex process of selecting, swapping, and tracking multiple static templates, making the sizing process more intuitive and easier to execute.

Inventive Principle:
Principle #15Dynamics

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Reduces surgical complexity and time by enabling quick and accurate determination of the appropriate tibial base plate size, minimizing template usage and weight of surgical instruments.

Implementation Method 1

The ramp surfaces provided on the first and second body portions may be in sliding contact

Methodology Applied
Scientific EffectFriction: Friction

Data Source

PatentUS12471802B2Method of using an adjustable tibial sizer
Publication Date: 2025.11.18 DEPUY (IRELAND) LTD
  • US12471802B2 patent drawing
  • US12471802B2 patent drawing
  • US12471802B2 patent drawing

AI summary

This disclosure relates to a method of using an adjustable tibial sizer for use in knee arthroplasty. The sizer includes a two-part body comprising: a first body portion, a second body portion, and a connection element extending therebetween.