Bone Anchor Receiver Tooling for Percutaneous Rod Reduction
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Solution Overview
Problem
Existing implant deployment and insertion tools for spinal surgery are bulky and invasive, causing tissue trauma and complicating percutaneous procedures due to insufficient clearance and tool manipulation requirements.
Innovation Solution
A rotate-on and rotate-off tool assembly with a partially tubular structure that engages both inner and outer surfaces of a bone anchor receiver, allowing for easy rotation and fixation of a longitudinal connecting member, even when a rod is present, using a cap and helical threads to secure the tool to the bone anchor.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If traditional open surgery tools are used for percutaneous surgery, then the implantation process is simplified, but tissue trauma increases due to bulky tools and insufficient clearance
Solution Approach 1:
The tool is divided into distinct functional segments: a slender shaft for percutaneous insertion, a receiver engagement structure at the distal end, and a rod reduction mechanism. This segmentation allows each component to be optimized for its specific function while maintaining overall tool compactness suitable for minimally invasive surgery.
Solution Approach 2:
The tool transitions from a bulky three-dimensional structure to a slender, elongated form factor that can be inserted through small incisions. The rod reduction mechanism uses a cam-like structure that converts rotational motion into linear displacement, enabling rod compression within the constrained space of the receiver.
2Force
If bulky tools are used for rod reduction, then the reduction force is sufficient, but the tool cannot fit within the limited space of percutaneous surgery
Solution Approach 1:
The tool replaces manual compression force with a mechanical cam mechanism that converts rotational motion into linear rod compression. The cam profile is designed to provide progressive reduction force as the tool is rotated, enabling sufficient reduction force within a compact tool geometry suitable for percutaneous insertion.
3Reliability
If irregular surfaces or protrusions are added to tools for better engagement, then the holding capability improves, but the tool causes additional tissue trauma
Solution Approach 1:
The tool features smooth, polished surfaces along the shaft and engagement surfaces to minimize tissue trauma during insertion and manipulation. The receiver engagement structure includes localized protrusions and cam surfaces that provide reliable mechanical engagement with the rod and receiver, concentrating the irregular surfaces only where needed for function rather than along the entire tool length.
4Power
If a projecting actuator arm is used for rod reduction, then the mechanical advantage is improved, but there is insufficient clearance in percutaneous surgery
Solution Approach 1:
The cam mechanism for rod reduction is nested within the receiver engagement structure, with the cam surface formed as an integral part of the tool body rather than as a separate projecting arm. This nested configuration provides the necessary mechanical advantage for rod reduction while maintaining a compact overall tool size that can be inserted through small percutaneous incisions.
Data Source
AI summary
A method of assembling a bone anchor system for securing an elongate rod to a head of a shank includes positioning a lower attachment portion of tooling onto an upper end of a receiver having a pair of integral upright arms extending upward from a base portion. The lower attachment portion includes a discontinuous inner convex cylindrical surface of a downwardly-opening discontinuous recess that is closely received by inner concave cylindrical surfaces extending downward from arcuate top inner edges of the upright arms, simultaneous with a pair of opposing inwardly-directed protrusions of the lower attachment portion below the recess being closely received within horizontally-extending tool engagement grooves formed below upper outer surfaces the upright arms.


