Spinal Plate Alignment Instrument for Lateral Spine Surgery

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Solution Overview

Problem

In spine surgery, particularly through lateral access to the lumbar spine, aligning a spinal plate with respect to a spacer without mechanical coupling is challenging due to limited visualization and retracted tissue, making optimal alignment difficult.

Innovation Solution

A system comprising a plate with specific hole configurations and a fastening mechanism, along with an alignment instrument featuring a leading portion and an alignment prong that extends beyond the plate to provide tactile feedback for precise positioning, allows for the alignment of the plate relative to the vertebrae without mechanical coupling to the spacer.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Object-affected harmful factors

If lateral access to the lumbar spine is used, then risks to the patient are reduced, but alignment of the plate with respect to the spacer becomes difficult due to limited visualization and retracted tissue

Engineering Contradiction:
Improvepatient risksVSAvoidplate alignment precision
Core Design Contradiction:
Object-affected harmful factorsVSManufacturing precision

Solution Approach 1:

The patent introduces an alignment instrument as an intermediary tool between the surgeon and the implant components. This instrument includes alignment features that physically guide the plate to the correct position relative to the spacer, compensating for the limited visualization caused by lateral access surgery. The alignment instrument acts as a mediator that translates the surgeon's intent into precise component placement despite poor direct visibility.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces visual alignment methods with mechanical alignment methods. Instead of relying on the surgeon's visual assessment (which is limited in lateral access), the system uses mechanical features such as alignment guides, registration pins, and physical constraints that automatically ensure proper plate-to-spacer alignment through tactile and geometric relationships.

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

2Manufacturing precision

If the plate is mechanically coupled to the spacer, then proper alignment is achieved, but the surgical complexity and number of steps increase

Engineering Contradiction:
Improveplate alignment precisionVSAvoidsurgical procedure complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent divides the alignment function into separate components: the spacer has alignment features, the plate has corresponding alignment features, and a separate alignment instrument facilitates their association. This segmentation allows each component to be optimized independently while maintaining precise alignment through their interlocking features, reducing the need for complex mechanical coupling mechanisms.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The alignment features on the spacer and plate are designed to self-align and self-position relative to each other through their geometric relationships. The components essentially align themselves when brought into proximity, eliminating the need for complex external alignment mechanisms or multiple adjustment steps during surgery.

Inventive Principle:
Principle #25Self-service

3Object-affected harmful factors

If tissue is retracted for lateral access, then surgical risks are reduced, but visualization is limited making optimal alignment difficult

Engineering Contradiction:
Improvesurgical risksVSAvoidalignment visualization difficulty
Core Design Contradiction:
Object-affected harmful factorsVSDifficulty of detecting and measuring

Solution Approach 1:

The alignment instrument serves as a mediator that provides tactile and mechanical feedback to the surgeon, compensating for the lack of visual information. The instrument's alignment features physically indicate when proper positioning is achieved, allowing the surgeon to proceed without relying on direct visualization of the alignment relationship between components.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS9375237B2System and method for stabilizing vertebrae in spine surgery through a lateral access channel
Publication Date: 2016.06.28 DEPUY SYNTHES PROD INC
  • US9375237B2 patent drawing
  • US9375237B2 patent drawing
  • US9375237B2 patent drawing

AI summary

A system for stabilizing a superior vertebra relative to an inferior vertebra includes a plate having a first surface for mating with the superior and inferior vertebra and a second surface opposite the first surface. The plate has a first hole configured for overlying the superior vertebra and a second hole configured for overlying the inferior vertebra. An alignment instrument has a leading portion and a trailing portion. The leading portion has a securing mechanism configured for removable attachment to a fastening mechanism of the plate. The alignment instrument also includes an alignment prong extending past the first surface of the plate when the plate is attached to the fastening mechanism. The alignment prong provides tactile information to the trailing portion of the alignment instrument for use in positioning the plate with respect to the superior and inferior vertebra.