Polyaxial Fastener Deformable Head Bone Plate Fixation

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Solution Overview

Problem

Current bone plating systems lack the ability to securely fixate bone fragments at varying angles, leading to misalignment and instability, particularly in comminuted fractures, as existing locking screws are limited to a single angular configuration and non-locking screws do not provide a stable construct.

Innovation Solution

The development of polyaxial fasteners with a deformable portion that forms a secure fit with the bone plate threads upon insertion at any desired angle, allowing for polyaxial fixation and reducing the likelihood of fastener loosening.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If locking screws are used with pre-determined angular orientation, then rigid fixation and stability are achieved, but versatility and adaptability to various fracture configurations are limited

Engineering Contradiction:
Improvefixation stabilityVSAvoidangular orientation flexibility
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The fastener system transitions from a fixed angular configuration to a dynamic polyaxial configuration. The fastener head can rotate freely within the plate opening during insertion, allowing adaptation to various angular orientations. After insertion, the fastener becomes locked in place, providing stable fixation. This dynamic capability resolves the contradiction between initial flexibility and final stability.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The invention adds an angular dimension of freedom to the traditional uniaxial locking screw. Instead of being constrained to a single predetermined angle, the fastener can be inserted at multiple angles (polyaxial) while still achieving secure fixation. This dimensional change in freedom of orientation resolves the contradiction between angular flexibility and fixation stability.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Adaptability or versatility

If non-locking screws are used to allow various insertion angles, then angular flexibility is improved, but fixation stability and resistance to loosening deteriorate

Engineering Contradiction:
Improveinsertion angle flexibilityVSAvoidfixation stability
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The fastener system transitions from a fixed angular configuration to a dynamic polyaxial configuration. The fastener head can rotate freely within the plate opening during insertion, allowing adaptation to various angular orientations. After insertion, the fastener becomes locked in place, providing stable fixation. This dynamic capability resolves the contradiction between initial flexibility and final stability.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The invention adds an angular dimension of freedom to the traditional uniaxial locking screw. Instead of being constrained to a single predetermined angle, the fastener can be inserted at multiple angles (polyaxial) while still achieving secure fixation. This dimensional change in freedom of orientation resolves the contradiction between angular flexibility and fixation stability.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

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

Enables secure fixation of bone fragments at various angles, providing a stable connection and reducing the risk of fastener detachment, thus improving fracture stabilization and healing outcomes.

Implementation Method 1

the deformable portion comes into contact with a set of threads within the opening. The threads are made from a material that is harder than the deformable portion of the fastener. Thus, the threads cut into and deform the deformable portion, forming a secure fit between the polyaxial fastener and the plate.

Methodology Applied
Scientific EffectDeformation: Deformation

Data Source

PatentUS9125699B2Polyaxial fastener systems and methods
Publication Date: 2015.09.08 SMITH & NEPHEW INC
  • US9125699B2 patent drawing
  • US9125699B2 patent drawing
  • US9125699B2 patent drawing

AI summary

Systems for reducing a fracture in a bone, comprising a bone plate and a polyaxial fastener. In some examples the head of the polyaxial fastener has a deformable portion. As a fastener is inserted into an opening of a bone plate, threads located within the opening deform the deformable portion to secure the fastener in place at a desired angle within the opening. The head of the fastener also includes a bottom portion that bears against a portion of the opening to move the bone plate relative to the underlying tissue. A securing member or other structure may be included at the interface of the head and the deformable portion to secure the deformable portion to the head. At least one flute may be included on the deformable portion that provides a lead-in for the threads within the opening to cut into the deformable portion.