Folding Surgical Guide for Tissue-Protective Bone Resection
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Solution Overview
Problem
Existing orthopaedic procedures face challenges in efficiently resecting bone defects while minimizing damage to surrounding tissues, particularly in procedures like total shoulder arthroplasty, where the subscapularis and rotator cuff tissues are at risk from conventional cutting instruments.
Innovation Solution
A surgical guide with pivotable shield portions and a housing that can transition between folded and deployed positions, allowing compact insertion through soft tissues and unfolding to encircle the bone for precise resection, while incorporating a resection slot to guide cutting instruments and protect surrounding tissues.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Object-affected harmful factors
If a conventional cutting instrument is used to resect bone, then bone resection can be performed, but surrounding soft tissues (subscapularis and rotator cuff) are at risk of damage
Solution Approach 1:
A surgical guide acts as an intermediary device between the cutting instrument and the surrounding soft tissues. The guide includes a shield with a resection slot that directs the cutting instrument along a predetermined path, allowing bone resection while physically blocking and protecting the subscapularis and rotator cuff tissues from direct contact with the cutting instrument.
Solution Approach 2:
The surgical guide is divided into multiple segments including a shield portion and a housing portion that can move relative to each other. This segmentation allows the device to be collapsed into a compact configuration for insertion through soft tissues, then deployed to encircle the bone and provide protection during resection.
2Object-affected harmful factors
If the surgical guide is designed with a large shield to protect tissues, then tissue protection is improved, but the device becomes difficult to insert through soft tissues
Solution Approach 1:
The surgical guide incorporates dynamic movement between its shield portion and housing portion. The housing can rotate relative to the shield, enabling the device to transition from a compact folded state for insertion to an expanded deployed state for tissue protection and bone resection. This dynamic configuration allows the large shield to be inserted through soft tissues in a compact form.
Solution Approach 2:
The surgical guide employs a nesting mechanism where the shield portion can be positioned inside or alongside the housing portion in a collapsed configuration. This nesting allows the large protective shield to be contained within a smaller overall package during insertion, then deployed outward to encircle the bone and provide full tissue protection.
Data Source
AI summary
This disclosure relates to surgical devices and methods. The disclosed surgical device and method may be used to resect, cut or otherwise remove tissue during an orthopaedic procedure. The surgical device may be reconfigured to reduce a size of the surgical device during placement in the patient.


