Spinal Reduction Apparatus with Threaded Knob

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Solution Overview

Problem

Conventional spinal surgical procedures for reducing vertebral bodies are limited by a restricted range of operation, lack of adaptability to patient anatomy, and require continuous surgeon intervention, leading to tissue trauma and extended recovery times.

Innovation Solution

The development of a reduction apparatus comprising a sleeve and a knob with threaded portions, allowing incremental and controlled reduction of vertebral bodies through a system that includes an extender and a reducer, enabling quick-coupling and adaptability to patient anatomy without continuous manual intervention.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If conventional spinal surgical procedures are used for reducing vertebral bodies, then the surgeon can perform the reduction, but the range of operation is restricted and adaptability to patient anatomy is limited

Engineering Contradiction:
Improveadaptability to patient anatomyVSAvoiddevice complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The reduction apparatus is divided into multiple separable components including a reducer, extender, and various coupling mechanisms. This segmentation allows the system to be adapted to different patient anatomies by selecting and combining appropriate components, while also simplifying the overall device complexity through modular design.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The apparatus incorporates dynamic elements such as threaded portions allowing incremental adjustment, releasable couplings that can be engaged or disengaged, and mechanisms that allow continuous adaptation during the surgical procedure to match patient-specific anatomical variations.

Inventive Principle:
Principle #15Dynamics

2Object-affected harmful factors

If conventional reduction methods are used, then vertebral bodies can be reduced, but continuous surgeon intervention is required leading to tissue trauma and extended recovery times

Engineering Contradiction:
Improvetissue traumaVSAvoidease of operation
Core Design Contradiction:
Object-affected harmful factorsVSEase of operation

Solution Approach 1:

The reduction apparatus is designed to maintain vertebral body reduction through self-retaining mechanisms including threaded portions that lock in position and releasable couplings that automatically secure components. This eliminates the need for continuous surgeon intervention, reduces tissue trauma from repeated manipulation, and allows the device to maintain reduction independently once positioned.

Inventive Principle:
Principle #25Self-service

3Loss of time

If minimally invasive procedures are used, then recovery time is reduced and tissue trauma is minimized, but flexibility of operation and range of reduction are limited

Engineering Contradiction:
Improverecovery timeVSAvoidflexibility of operation
Core Design Contradiction:
Loss of timeVSAdaptability or versatility

Solution Approach 1:

The modular segmented design enables minimally invasive insertion while maintaining operational flexibility. Each component can be inserted through small incisions and then assembled in situ, combining the benefits of minimally invasive approach with the adaptability of a complex reduction system.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The dynamic adjustment mechanisms including threaded portions and releasable couplings allow the apparatus to provide full range of reduction movements while maintaining minimally invasive access, enabling flexible operation without requiring large incisions or extensive tissue disruption.

Inventive Principle:
Principle #15Dynamics

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

This solution provides a flexible and adaptable method for vertebral body reduction, reducing tissue trauma and shortening recovery times by allowing incremental adjustments and increased range of operation without constant surgeon intervention.

Implementation Method 1

The sleeve has a threaded portion. Similarly, the knob has a threaded portion that is in engagement with the threaded portion of the sleeve to provide reduction of the vertebra or vertebral body.

Methodology Applied
Scientific EffectScrew: Screw

Data Source

PatentUS11039863B2Apparatus and methods for reduction of vertebral bodies in a spine
Publication Date: 2021.06.22 HIGHRIDGE MEDICAL LLC
  • US11039863B2 patent drawing
  • US11039863B2 patent drawing
  • US11039863B2 patent drawing

AI summary

A system for reduction of vertebral bodies (or vertebrae) various embodiments includes a reducer, and extender, and a hollow tube. The reducer couples to the extender, which in turn couples to an elongated member, such as a rod, and to a bone fastener assembly. The reducer allows reduction of the vertebral body incrementally, and by a desired amount. The reducer may include or may be used in conjunction with a holding device or holder in order to hold or keep the amount of reduction constant or steady once the desired amount of reduction has been obtained. The reducer may use one of several embodiments, including embodiments that use threaded assemblies or members, inclining members or wedges, offset cams, scissor jacks, and/or levers.