Defect Gauge Instrument for Bone Defect Measurement

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Solution Overview

Problem

Current methods for repairing bone defects, such as those on articular surfaces, lack effective tools for accurately evaluating and preparing the surgical site to ensure proper graft sizing and positioning, leading to potential instability and pain due to incomplete or misaligned bone reconstruction.

Innovation Solution

A defect gauge instrument with a housing, angle and thickness legs, and pivotable components that allow for precise measurement of retroversion angles and thicknesses of bone defects, enabling accurate dimensioning of grafts and implants to match the defect's characteristics.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If traditional bone grafting methods are used without precise measurement tools, then the surgical procedure is simpler and faster, but the accuracy of graft sizing and positioning deteriorates, leading to joint instability and pain

Engineering Contradiction:
Improveaccuracy of graft sizing and positioningVSAvoidcomplexity of surgical instrumentation
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The defect gauge instrument is divided into separate functional components: a housing with channels, an angle leg with actuation pin, a thickness leg, and pivotable arms. Each component performs a specific measurement function (angle measurement via angular ruler, thickness measurement via thickness indicator), allowing the complex measurement task to be broken into manageable segments that can be operated independently yet integrated together.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The instrument introduces intermediary measurement elements (angular ruler, thickness indicator, guide pins) that mediate between the surgeon's needs and the bone defect characteristics. These intermediaries translate complex geometric parameters of the bone defect into readable measurements, enabling accurate graft dimensioning without requiring the surgeon to directly measure the defect with multiple separate tools.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Adaptability or versatility

If a fixed measurement tool is used for bone defects, then the device structure is simpler, but the adaptability to different defect geometries and locations deteriorates

Engineering Contradiction:
Improveadaptability to different defect geometriesVSAvoidstructural complexity of measurement instrument
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The instrument incorporates dynamic elements including pivotable arms that can rotate to align with different defect orientations, slideable thickness legs that adjust to varying defect depths, and actuation pins that move along slots to accommodate different angle measurements. This dynamic design allows the same instrument to adapt to various defect geometries and locations on the articular surface without requiring multiple specialized tools.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The defect gauge instrument is designed as a universal measurement tool that can measure multiple parameters (retroversion angle, defect thickness, orientation) at different locations on the bone. The combination of pivotable components, adjustable legs, and multiple rulers enables a single instrument to perform functions that would otherwise require several different measurement devices, making it versatile for various defect types and locations.

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

3Manufacturing precision

If detailed measurements of bone defects are taken, then the graft placement accuracy is improved, but the time required for surgical site evaluation increases

Engineering Contradiction:
Improveprecision of graft dimensioningVSAvoidtime for surgical site evaluation
Core Design Contradiction:
Manufacturing precisionVSLoss of time

Solution Approach 1:

The instrument merges multiple measurement functions into a single integrated device. The angle leg, thickness leg, and pivotable arms with their respective rulers can all be operated simultaneously or in sequence from one positioned platform on the bone surface. This consolidation allows the surgeon to obtain comprehensive measurements (angle, thickness, orientation) in a single evaluation step rather than requiring multiple separate measurement procedures, reducing total evaluation time while maintaining precision.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The instrument is designed to be positioned on guide pins that are inserted into the bone surface before detailed measurements are taken. This preliminary positioning establishes a stable reference framework that enables subsequent rapid and accurate measurements. The pre-positioned guide pins and the stable platform they create allow the measurement legs and indicators to be quickly read without requiring repeated positioning or adjustment, thus reducing measurement time while ensuring precision.

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentEP4027878B1Defect gauge instrument for preparation of surgical sites
Publication Date: 2024.01.24 ARTHREX INC
  • EP4027878B1 patent drawingFigure 1
  • EP4027878B1 patent drawingFigure 2~3
  • EP4027878B1 patent drawingFigure 4~5

AI summary

This disclosure relates to a defect gauge instrument and method for repairing bone defects. The defect gauge instrument disclosed herein may be utilized to determine one or more characteristics of a bone defect prior to positioning a graft and/or implant at a surgical site.