Targeting Guide for Intramedullary Nail and Bone Plate Alignment

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Solution Overview

Problem

Current surgical procedures for implanting intramedullary nails and bone plates in bones lack precise alignment and stabilization methods, leading to suboptimal structural support and stability during bone fracture treatment.

Innovation Solution

A targeting guide system that aligns and holds drill guides and bone plates relative to intramedullary nails, ensuring coaxial screw placement and forming a strong structural framework by using a handle with threaded members and offset mechanisms for precise alignment and attachment.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If conventional surgical procedures are used for implanting intramedullary nails and bone plates, then the surgical process can be performed with simple tools, but precise alignment and stabilization are difficult to achieve

Engineering Contradiction:
Improvealignment precisionVSAvoidalignment device complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

A targeting guide is introduced as an intermediary device between the surgeon and the implantation process. The targeting guide includes a handle with threaded members that engage with the intramedullary nail, and offset mechanisms that position drill guides relative to the nail axis. This intermediary device enables precise alignment and stabilization without requiring complex direct control mechanisms from the surgeon.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The targeting guide is attached to the intramedullary nail before the bone plate implantation process begins. The offset mechanisms are pre-positioned to establish the correct spatial relationship between the nail and the drill guides. This preliminary setup ensures that when the bone plate is attached to the drill guides, the screw holes will be coaxial with the nail, eliminating the need for complex real-time alignment adjustments during screw insertion.

Inventive Principle:
Principle #10Preliminary action

2Manufacturing precision

If drill guides are aligned manually without a targeting guide, then the surgical procedure is simpler, but coaxial alignment of screw holes is difficult to achieve

Engineering Contradiction:
Improvecoaxial alignment precisionVSAvoidalignment operation ease
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The targeting guide serves as a mediator that automatically establishes coaxial alignment between the intramedullary nail and the drill guides. The offset mechanisms are designed with specific dimensions that correspond to the required distance between the nail axis and the screw hole axes. When the targeting guide is attached to the nail and the drill guides are positioned in the offset mechanisms, the geometry of the device ensures that the screw holes will be coaxial with the nail, eliminating the need for complex manual alignment procedures.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Strength

If bone plates are attached directly to the bone without drill guide alignment, then the attachment process is faster, but structural stability and load distribution are compromised

Engineering Contradiction:
Improvestructural stabilityVSAvoidimplantation time
Core Design Contradiction:
StrengthVSLoss of time

Solution Approach 1:

The targeting guide is attached to the intramedullary nail before the bone plate implantation process begins. The offset mechanisms are pre-positioned to establish the correct spatial relationship between the nail and the drill guides. This preliminary setup ensures that when the bone plate is attached to the drill guides, the screw holes will be coaxial with the nail, eliminating the need for complex real-time alignment adjustments during screw insertion.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The drill guides act as intermediaries between the intramedullary nail and the bone plate. The targeting guide ensures that the drill guides are positioned at the correct offset from the nail axis, and the drill guides then serve as precise alignment references for attaching the bone plate. This intermediary system ensures that the bone plate screws will be coaxial with the nail, providing optimal structural stability and load distribution while maintaining a relatively simple attachment process.

Inventive Principle:
Principle #24Intermediary (Mediator)

Data Source

PatentUS20230371963A1Targeting guide and method for an implant
Publication Date: 2023.11.23 WRIGHT MEDICAL TECHNOLOGY INC
  • US20230371963A1 patent drawing
  • US20230371963A1 patent drawing
  • US20230371963A1 patent drawing

AI summary

A system is provided that includes a first implant including first and second screw receiving holes having respective first and second longitudinal axes. A second implant includes third and fourth screw receiving holes having respective third and fourth longitudinal axes. At least one drill guide has respective fifth and sixth longitudinal axes. A targeting guide is provided for aligning the drill guides with each of the first and second implants simultaneously, so that the first, third and fifth longitudinal axes lie along a same line as each other, and the second, fourth and sixth longitudinal axes lie along a same line as each other.