SI Joint Drill Guide Placement for Accurate Fusion Implants
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Solution Overview
Problem
Current minimally invasive SI joint fusion surgeries face challenges with improper implant placement due to complex instrumentation and anatomical variations, leading to post-operative complications.
Innovation Solution
A minimally invasive method using an elongated blunt-tipped pin with a cannulated interior, accompanied by a dilator and drill guide, to accurately locate and stabilize the sacroiliac joint, allowing precise implant placement through a small incision.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If complex instrumentation (needles, Q-wires, bendable guidewires) is used to access the SI joint, then the procedure can be performed minimally invasively, but the instrumentation may result in improper implant placement due to dysfunctional anatomy or sacral dysmorphism
Solution Approach 1:
The patent introduces a stylet as an intermediary tool that serves as both a guide and a reference for implant placement. The stylet is inserted through the sacroiliac joint and extends into the sacrum, providing a stable reference point that eliminates the bending and positioning errors associated with bendable guidewires. The stylet acts as a mediator between the minimally invasive approach and the precise implant placement, ensuring accuracy while maintaining the benefits of minimal invasiveness.
Solution Approach 2:
The patent replaces the traditional mechanical bendable guidewires and Q-wires with a rigid stylet that has a fixed, non-bending shaft. This substitution eliminates the mechanical flexibility that causes imprecision in implant placement. The rigid stylet provides a stable, predictable path that directly translates to accurate implant positioning, while still allowing minimally invasive access through the sacroiliac joint.
2Ease of operation
If bendable guidewires are used to navigate to the SI joint, then the procedure is minimally invasive, but the guidewires may bend or position incorrectly resulting in post-operative complications
Solution Approach 1:
The stylet serves as a reliable intermediary that maintains its position and shape throughout the procedure. Unlike bendable guidewires that may shift or bend, the rigid stylet provides a consistent reference that ensures reliable implant placement. The stylet's rigidity eliminates the variability and unpredictability associated with bendable instruments, thereby improving procedure reliability while preserving minimally invasive access.
Solution Approach 2:
The patent substitutes bendable mechanical guidewires with a rigid stylet that maintains a fixed geometry. This replacement eliminates the mechanical bending and positioning errors that compromise reliability. The rigid stylet provides a stable, predictable path that directly translates to reliable implant placement, eliminating post-operative complications caused by instrument deformation.
3Manufacturing precision
If traditional SI joint fusion procedures are performed, then implant placement can be achieved, but the procedures are complicated and require complex instrumentation
Solution Approach 1:
The patent extracts and eliminates unnecessary complex instrumentation from the SI joint fusion procedure. By using a simple, rigid stylet instead of complex bendable guidewires, Q-wires, and multiple guiding instruments, the procedure is simplified while maintaining implant placement precision. The stylet alone serves as both the guide and the reference, removing the need for multiple complex devices and reducing overall procedural complexity.
Solution Approach 2:
The stylet performs multiple functions that were previously requires separate instruments: it serves as the guide wire, the reference marker, the positioning tool, and the implant placement guide. This multi-functionality eliminates the need for complex instrumentation while maintaining precision in implant placement, thereby reducing device complexity without sacrificing manufacturing precision.
Data Source
AI summary
A joint stabilization method is disclosed. The method includes placing an elongated blunt-tipped pin within a joint of a human, the blunt-tipped pin including a cannulated interior, placing at least one of contrast and medicine within the cannulated interior of the elongated blunt-tipped pin, placing a dilator having a substantially hollow interior over the elongated blunt-tipped pin, while the elongated blunt-tipped pin remains inserted within the joint, placing a drill guide over the dilator and the elongated blunt-tipped pin, the drill guide having a substantially hollow interior section, removing the dilator and the elongated blunt-tipped pin, leaving the drill guide, drilling through the interior of the drill guide to provide a pathway for an implant, and placing the implant within the pathway, the implant to reside within the joint.


