Hip Stem Alignment Guide for Joint Prosthesis Positioning

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Solution Overview

Problem

Current joint arthroplasty procedures face challenges in ensuring the accurate positioning and orientation of artificial joint prostheses before bone cement curing, particularly in procedures lacking reliable multi-dimensional alignment methods.

Innovation Solution

The use of an alignment guide system comprising a guide body, an alignment member, and a locking member to secure the alignment member in a fixed position, allowing for precise alignment of the prosthesis relative to the bone before cement curing, facilitating adjustments in height, varus/valgus, and version alignment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If bone cement is used to secure the prosthesis, then the prosthesis can be firmly attached to the bone, but movement between the prosthesis and bone occurs until the cement cures, making it difficult to maintain proper positioning and orientation

Engineering Contradiction:
Improvesecure attachment of prosthesisVSAvoidpositioning control during cementing
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The alignment guide acts as an intermediary device between the prosthesis and the bone, providing a mechanical reference system that maintains proper alignment during the cementing process. The guide includes alignment members with indicators that extend through the prosthesis stem, allowing the surgeon to visually verify and maintain correct positioning and orientation while the bone cement cures.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Manufacturing precision

If the prosthesis is inserted without an alignment guide, then the procedure is simpler and faster, but accurate multi-dimensional positioning and orientation cannot be ensured

Engineering Contradiction:
Improvealignment precisionVSAvoidalignment guide system
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The alignment guide is segmented into multiple functional components: a guide body that interfaces with the prosthesis, alignment members that extend through the stem, and indicators that provide visual feedback. This segmentation allows each component to perform its specific function while maintaining overall simplicity. The alignment members are positioned at specific orientations to control different degrees of freedom, providing precise multi-dimensional positioning without requiring a complex system.

Inventive Principle:
Principle #1Segmentation

3Manufacturing precision

If the alignment guide includes multiple adjustment capabilities, then precise multi-dimensional alignment can be achieved, but the device becomes more complex and difficult to operate

Engineering Contradiction:
Improvemulti-dimensional alignmentVSAvoidadjustment complexity
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The alignment guide incorporates dynamic adjustment capabilities through the alignment members that can be positioned at different heights and orientations within the prosthesis stem. The indicators on these members can be adjusted to match desired alignment parameters. This dynamic adjustability allows precise control of multi-dimensional alignment (varus/valgus, anteversion, inclination) while maintaining ease of operation through intuitive visual feedback and simple mechanical adjustments.

Inventive Principle:
Principle #15Dynamics

Data Source

PatentUS20230277334A1Hip Stem Alignment Guide
Publication Date: 2023.09.07 HOWMEDICA OSTEONICS CORP
  • US20230277334A1 patent drawing
  • US20230277334A1 patent drawing
  • US20230277334A1 patent drawing

AI summary

A prosthesis alignment guide includes a guide body that has an opening that extends at least partially therein and a first alignment hole extending entirely therethrough. The opening is configured to receive a trunnion of a joint prosthesis for mounting the guide body to the joint prosthesis. An alignment member is disposed within the first alignment hole and is axially moveable therein. A locking member is engaged to the guide body and moveable from a first position in which the locking member is disengaged from the alignment member and a second position in which the locking member engages the alignment member and secures it from axial movement within the first alignment hole.