Smart Surgical Screwdriver With Real-Time Fixation Feedback

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Solution Overview

Problem

Existing surgical screw installation methods lack real-time feedback on torque and energy measurements, leading to a high incidence of post-operative screw loosening, which necessitates further surgical intervention.

Innovation Solution

A surgical tool system equipped with sensors to measure torque, rotational acceleration, and time, a microcontroller to calculate optimal ranges, and a feedback mechanism to ensure real-time compliance with these ranges during fixator installation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional surgical screw installation methods are used without real-time monitoring, then the surgical procedure is simple and quick, but the screw fixation reliability is poor leading to post-operative loosening

Engineering Contradiction:
Improvescrew fixation reliabilityVSAvoidsurgical tool system complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements real-time feedback by measuring torque and rotational acceleration during screw installation, comparing these measurements against optimal ranges, and providing immediate feedback to the surgeon through visual or tactile signals. This closed-loop feedback system ensures screws are installed within optimal parameters to prevent loosening, directly resolving the contradiction between reliability and complexity by making the system adaptive rather than statically complex.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent replaces traditional purely mechanical screw installation with a system that incorporates electronic sensors (torque sensor, rotational accelerometer), microcontrollers for data processing, and electronic feedback mechanisms. This substitution of mechanical systems with electronic measurement and control systems enables precise monitoring of installation parameters without significantly increasing operational complexity for the surgeon.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Manufacturing precision

If real-time torque and energy measurement is implemented during screw installation, then the screw installation precision is improved, but the device complexity increases due to multiple sensors and microcontroller

Engineering Contradiction:
Improvescrew installation precisionVSAvoidsensor and control system complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent merges multiple measurement functions (torque sensing and rotational acceleration measurement) into a single integrated surgical tool system. The torque sensor and rotational accelerometer are combined in one device, along with the microcontroller and feedback mechanism, creating a unified system rather than separate components. This merging reduces overall system complexity while maintaining high installation precision through multi-parameter monitoring.

Inventive Principle:
Principle #5Merging (Combining)

3Measurement precision

If peak insertional torque is used as the sole indicator for screw installation success, then the evaluation process is simple, but the assessment accuracy is insufficient leading to screw loosening

Engineering Contradiction:
Improvescrew installation assessment accuracyVSAvoidmeasurement system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent transitions from a single-dimension assessment (peak torque only) to a multi-dimensional assessment by incorporating rotational acceleration measurements alongside torque. This adds a temporal and dynamic dimension to the evaluation, capturing the installation process characteristics beyond just the final torque value. The combination of torque and rotational acceleration data provides comprehensive assessment of installation quality, preventing loosening while maintaining manageable system complexity.

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

Reduces the likelihood of screw loosening by providing real-time feedback on torque and energy parameters, ensuring optimal installation and improving surgical outcomes.

Implementation Method 1

a first sensor configured to obtain torque measurements

Methodology Applied
Scientific EffectTorque measurement: Torque

Implementation Method 2

a second sensor configured to obtain one or more rotational acceleration measurements during the installation

Methodology Applied
Scientific EffectRotational acceleration measurement: Gyroscope

Data Source

PatentUS12458422B2Smart surgical screwdriver
Publication Date: 2025.11.04 WAKE FOREST UNIVERSITY HEALTH SCIENCES INC
  • US12458422B2 patent drawing
  • US12458422B2 patent drawing
  • US12458422B2 patent drawing

AI summary

Disclosed are surgical tool systems and methods for installing a fixator in biological tissue with precision and efficiency. These systems are designed to measure torque and rotational velocity accurately while providing real-time feedback to the user during surgical procedures. Utilizing integrated sensors, the system calculates torque and energy-rotation parameters, including mean torque, mean rotational velocity, mean power, and total energy. Based on these measurements, the system generates a Property I value—a weighted combination of these parameters—to assess whether the operation falls within optimal ranges. If the Property I values deviate from these ranges, the system generates corrective signals and adjusts the tool's operation to ensure optimal performance. In some cases, this iterative process continues until the fixator installation is successfully completed, enhancing surgical accuracy and reducing the risk of errors.