Orthopedic Impaction Force Sensing for Controlled Broach Installation
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Solution Overview
Problem
Surgeons face challenges in controlling the broaching and implant installation process during orthopedic surgeries, leading to complications such as bone fractures due to unpredictable impact forces from manual mallets and inefficiencies in existing impactor systems.
Innovation Solution
The use of force transducers and accelerometers to measure and analyze resistive and acceleration forces during the broaching process, generating real-time feedback to ensure controlled and safe implant installation, with optional displays and wireless communication for data recording and analysis.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If manual mallets are used for broaching and implant installation, then surgical flexibility is maintained, but impact forces become unpredictable leading to bone fractures
Solution Approach 1:
The system incorporates force transducers and accelerometers that provide real-time feedback on impact forces during broaching and implant installation. This feedback loop allows surgeons to monitor and adjust their technique to maintain safe force levels, combining manual flexibility with quantitative control data to prevent bone fractures.
Solution Approach 2:
The patent replaces purely manual mechanical impact delivery with an instrumented system that uses sensors (force transducers and accelerometers) to measure and quantify impact forces. This substitution transforms uncontrolled manual striking into a monitored process where mechanical actions are augmented by electronic measurement and data feedback.
2Productivity
If existing impactor systems are used, then implant installation is achieved, but lack of force measurement leads to peri-prosthetic fractures
Solution Approach 1:
Real-time force measurement feedback from transducers and accelerometers provides surgeons with quantitative data on impact forces during implant installation. This enables continuous monitoring to ensure forces remain within safe thresholds, preventing peri-prosthetic fractures while maintaining installation efficiency.
Solution Approach 2:
Force transducers and accelerometers act as intermediary devices between the manual mallet and the bone-implant system. These sensors mediate the interaction by measuring forces before they reach the bone, providing a buffer of information that allows surgeons to adjust their technique and prevent harmful force transmission.
3Reliability
If force transducers and accelerometers are integrated into the impaction system, then impact force control is improved, but device complexity increases
Solution Approach 1:
The force transducer and accelerometer system serves multiple functions: measuring impact forces, providing real-time feedback, recording data for later analysis, and alerting surgeons to dangerous force levels. This multi-functionality justifies the added complexity by delivering comprehensive control and monitoring capabilities in a single integrated system.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
This approach reduces the risk of bone fractures by providing precise control over impact forces, improving surgical outcomes and reducing the need for costly revision surgeries.
Implementation Method 1
a force transducer configured to measure a resistive force of at least one of: a broach, an implant, or a broach/implant handle
Implementation Method 2
an accelerometer configured to measure acceleration of a portion of a manual impaction device and at least one of: a broach, an implant, or a broach/implant handle
Implementation Method 3
a force transducer configured to measure an impact force between the manual impaction device and at least one of: the broach, the implant, or the broach/implant handle
Data Source
AI summary
An impaction device that may include a force transducer and optional accelerometer to measure an impact force between an impactor device and broach/implant or broach/implant handle. The impaction device may include a microcontroller electrically coupled to memory and the force transducer and optional accelerometer, wherein the microcontroller is configured to execute operations stored in the memory, the operations comprising: receiving resistive force data and acceleration data to calculate resistance for each impaction and generate a resistance curve for output to a display.


