Bone Screw Targeting Guide for Accurate K-Wire Trajectory

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Solution Overview

Problem

Achieving accurate trajectory of K-wires during minimally invasive Chevron and Akin osteotomy procedures for correcting hallux valgus deformity is challenging due to the difficulty in setting the desired trajectory for screw fixation.

Innovation Solution

A targeting guide comprising an anchoring portion, targeting portion, and fulcrum, with a curved body section and sliding targeting portion, allows for precise alignment and adjustment of guide wires and drill holes for screw fixation, ensuring accurate placement of screws in the metatarsal bone.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If traditional K-wires are used to hold the metatarsal head during pre-drilling, then the procedure can be performed, but achieving the desired K-wire trajectory is difficult and inaccurate

Engineering Contradiction:
ImproveK-wire trajectory accuracyVSAvoidDifficulty in setting desired trajectory
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The patent introduces a targeting guide as an intermediary instrument between the surgeon and the K-wire drilling process. This guide includes a body with a curved section that receives the metatarsal head, a targeting portion with targeting holes that define the desired K-wire trajectory, and a fulcrum that provides stable positioning. The targeting guide serves as a mediator to translate the surgical goal into precise mechanical guidance, solving the difficulty of directly achieving accurate K-wire trajectories without such an intermediary tool.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The targeting guide is positioned and secured to the metatarsal bone before the actual K-wire drilling begins. The guide is pre-aligned using the curved section that receives the metatarsal head, and the targeting holes are pre-configured to indicate the exact trajectory needed. This preliminary setup ensures that when drilling starts, the correct trajectory is already established, eliminating the difficulty of setting the desired trajectory during the procedure.

Inventive Principle:
Principle #10Preliminary action

2Manufacturing precision

If a targeting guide with fixed positions is used, then trajectory accuracy is improved, but adaptability to different metatarsal positions is reduced

Engineering Contradiction:
ImproveTrajectory accuracyVSAvoidAdjustment to different metatarsal positions
Core Design Contradiction:
Manufacturing precisionVSAdaptability or versatility

Solution Approach 1:

The targeting guide incorporates a curved section with a radius of curvature that allows the targeting portion to be positioned at multiple locations along the curve. The fulcrum can be adjusted to different positions on the curved section, enabling the guide to adapt to various metatarsal head positions and orientations. This dynamic positioning capability maintains trajectory accuracy while providing versatility for different surgical scenarios.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The targeting guide is divided into distinct functional segments: the curved section for receiving and positioning the metatarsal head, the targeting portion with targeting holes for defining trajectory, and the fulcrum for stable support. This segmentation allows each component to independently perform its function while collectively providing both precision and adaptability. The curved section can accommodate different metatarsal positions, while the targeting portion maintains accurate trajectory guidance.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS20250380955A1Targeting guide and methods of using the targeting guide
Publication Date: 2025.12.18 WRIGHT MEDICAL TECHNOLOGY INC
  • US20250380955A1 patent drawing
  • US20250380955A1 patent drawing
  • US20250380955A1 patent drawing

AI summary

Disclosed are bone screw drill targeting guides and methods for using such targeting guides that are useful in surgical procedures for correcting hallux valgus deformity.