Surgical Angulation Measurement for Precise Pedicle Screw Alignment

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Solution Overview

Problem

Existing pedicle screw fixation procedures in spine surgery are prone to misalignment due to operator-dependent orientation determination, leading to potential spinal cord injury, increased surgical time, and excessive fluoroscopy exposure, which is costly and risky.

Innovation Solution

A surgical angulation measurement instrument with a positioning measurer and reader that attaches to orthopedic tools, providing precise angle measurements and alignment notifications for pedicle screws, reducing misalignment and fluoroscopy use.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If fluoroscopy guidance is used to determine pedicle screw orientation, then measurement precision is improved, but loss of time and use of energy increase due to multiple images and long surgical time

Engineering Contradiction:
Improvepedicle screw orientation measurementVSAvoidsurgical time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The surgical template is prepared in advance with pre-calculated drill hole positions and orientations based on the patient's anatomy. During surgery, the template is simply positioned on the vertebrae surface, and the pre-marked guide holes provide immediate orientation guidance without requiring multiple fluoroscopic images or complex intraoperative measurements.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The invention creates a physical copy or model of the patient's vertebral anatomy using the surgical template that replicates the optimal screw trajectories. This template copy contains pre-determined guide holes that mirror the desired screw paths, allowing direct transfer of the planned orientation to the actual surgery without repeated imaging.

Inventive Principle:
Principle #26Copying

2Reliability

If fluoroscopy guidance is used to ensure pedicle screw alignment, then reliability is improved, but object-affected harmful factors increase due to excessive fluoroscopy exposure

Engineering Contradiction:
Improvepedicle screw alignmentVSAvoidfluoroscopy exposure
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The optimal screw trajectories and drill guide orientations are calculated and incorporated into the surgical template before the surgery begins. This preliminary preparation eliminates the need for repeated fluoroscopic imaging during the procedure, as the template itself provides all necessary alignment guidance through its pre-configured guide holes.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The surgical template acts as an intermediary device between the surgical plan and the actual screw insertion. It translates the planned trajectory into physical guide holes that directly guide the drill and screw, serving as a mediator that eliminates the need for continuous fluoroscopic verification and reduces radiation exposure.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Device complexity

If operator experience is used to determine pedicle screw orientation, then device complexity is reduced, but manufacturing precision deteriorates due to operator-dependent determination

Engineering Contradiction:
Improveinstrumentation systemVSAvoidpedicle screw orientation
Core Design Contradiction:
Device complexityVSManufacturing precision

Solution Approach 1:

The surgical template is designed to be self-aligning and self-guiding. It automatically positions itself on the vertebrae surface and provides pre-determined guide holes that self-correct for anatomical variations. The template itself performs the function of determining optimal orientation without requiring operator interpretation or experience-based judgment.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The template incorporates adjustable parameters and customizable guide hole configurations that can be adapted to different vertebral anatomies. By changing the physical parameters of the template (such as guide hole positions and angles) based on pre-operative planning, the system achieves high precision without requiring complex real-time adjustment by the operator.

Inventive Principle:
Principle #35Parameter changes

4Measurement precision

If multiple fluoroscopic images are obtained to confirm screw placement, then measurement precision is improved, but loss of time and productivity decrease

Engineering Contradiction:
Improvescrew placement confirmationVSAvoidsurgical efficiency
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The surgical template provides pre-determined guide holes with correct orientations and positions before surgery begins. This preliminary preparation ensures that the first screw placement is correct without requiring multiple fluoroscopic confirmations, thereby improving both precision and surgical efficiency simultaneously.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The template provides immediate visual and tactile feedback through its physical structure - the guide holes clearly indicate the correct drill path and angle. This built-in feedback mechanism eliminates the need for repeated imaging to confirm placement, as the template itself continuously guides the operator throughout the procedure.

Inventive Principle:
Principle #23Feedback

Data Source

PatentUS12458462B2Surgical angulation measurement instrument for orthopedic instumentation system
Publication Date: 2025.11.04 ELMORE RANELL
  • US12458462B2 patent drawing
  • US12458462B2 patent drawing
  • US12458462B2 patent drawing

AI summary

A surgical angulation measurement instrument of the instant invention includes a positioning measurer and a positioning reader linked to the positioning measurer. The positioning measurer detachably couples with a tool which is used to implant the pedicle screw. In response to the orientation of the tool, the orientation of the pedicle screw is measured by the positioning measurer with respect to a pedicle axis of screw placement. The positioning reader indicates the orientation of the pedicle screw and notifies the orientation of the pedicle screw being aligned with the pedicle axis of screw placement.