Spinal Rod Bend Planning for Precise 6-DOF Implant Shaping
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Solution Overview
Problem
Current methods for bending spinal rods in orthopedic surgery are laborious, require significant skill, and often result in mechanical failures due to arbitrary bending and metal fatigue, as they do not account for the six degrees of freedom necessary for precise anatomical alignment.
Innovation Solution
A system that determines the relative spatial location of attachment points on the spine, converts this information into a digital format, and uses a computer to calculate and output the necessary shape parameters for the spinal rod, allowing for precise bending with a lever-based device that measures bend position, angle, and rotation, enabling accurate attachment to bony structures.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of manufacture
If manual bending methods like French Bender are used, then the rod can be bent with available tools, but the bending process becomes arbitrary and time-consuming, increasing the risk of mechanical failure
Solution Approach 1:
The system performs preliminary digital planning and calculation of bend parameters before actual rod bending. The computer calculates precise bend location, angle, and rotation based on attachment point coordinates, allowing the surgeon to execute bends accurately without arbitrary manual adjustments that cause metal fatigue
Solution Approach 2:
The system incorporates feedback through digital measurement of attachment point locations and computer-calculated bend parameters. The measured coordinates feed into the calculation algorithm, which outputs specific bend instructions that can be verified and adjusted before implementation, creating a closed-loop system that reduces errors
2Device complexity
If manual bending with French Bender is used, then the tool is simple and available, but the process requires significant skill and time, increasing operating room duration
Solution Approach 1:
The system replaces manual mechanical judgment and skill-based bending with an automated computer calculation system. The computer automatically calculates bend parameters based on input coordinates, eliminating the need for surgeon skill in estimating bend geometry and significantly reducing the time required
Solution Approach 2:
The computer acts as an intermediary between the measured attachment point coordinates and the final bend execution. It translates raw coordinate data into processed bend instructions (location, angle, rotation), serving as a mediator that bridges measurement and implementation while improving accuracy and speed
3Adaptability or versatility
If arbitrary bending is performed, then the rod can be shaped to fit attachment points, but mistakes require rebending that imposes metal fatigue and stress risers
Solution Approach 1:
The system performs preliminary digital planning and calculation of bend parameters before actual rod bending. The computer calculates precise bend location, angle, and rotation based on attachment point coordinates, allowing the surgeon to execute bends accurately without arbitrary manual adjustments that cause metal fatigue
Solution Approach 2:
The system incorporates feedback through digital measurement of attachment point locations and computer-calculated bend parameters. The measured coordinates feed into the calculation algorithm, which outputs specific bend instructions that can be verified and adjusted before implementation, creating a closed-loop system that reduces errors
4Measurement precision
If six degrees of freedom calculation is implemented, then precise anatomical alignment is achieved, but the system complexity increases with digital measurement and computer calculation
Solution Approach 1:
The system uses universal coordinate geometry and mathematical algorithms that can handle any spatial configuration of attachment points. The computer calculation method is universally applicable to different spinal regions and patient anatomies, providing precise six-degree-of-freedom alignment without requiring complex specialized equipment for each case
Data Source
AI summary
A method is provided for determining the shape of a surgical linking device that is to be attached to a bony body structure such as the spinal column based on digitized locations of a plurality of attachment elements engaged to the bony structure. The method is implemented by a computer system through a GUI to generate an initial bend curve to mate with the plurality of attachment elements. The initial bend curve may be simplified based on user input to the GUI to reduce the number of bends necessary to produce a well-fitting linking device and may be altered to help obtain the goals of surgery.


