Trough-Shaped Osteotome Blade for Bone Cement Removal

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Solution Overview

Problem

Current methods for removing bone cement in orthopedic surgery, such as manual osteotomes and ultrasonic devices, are slow, laborious, and messy, and do not efficiently cut through Polymethyl Methacrylate (PMMA) bone cement, which is a tough material.

Innovation Solution

A blade design with a trough-shaped tip and body, featuring a swept-back configuration and specific geometric parameters, is used in conjunction with a powered handpiece to efficiently cut and remove bone cement by repeatedly striking it, allowing for faster and more controlled removal.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Device complexity

If manual osteotome is used to remove bone cement, then the process can be performed with simple equipment, but the surgery time is excessively long and the process is laborious

Engineering Contradiction:
Improveequipment simplicityVSAvoidbone cement removal speed
Core Design Contradiction:
Device complexityVSProductivity

Solution Approach 1:

The patent employs ultrasonic vibration at frequencies between 20-100 kHz to vibrate the blade, creating resonant oscillations that significantly enhance the cutting efficiency through bone cement. This mechanical vibration principle transforms the manual chiseling process into a high-frequency oscillating cutting action, thereby increasing productivity while maintaining relatively simple equipment requirements.

Inventive Principle:
Principle #18Mechanical vibration

Solution Approach 2:

The patent changes the operational parameters by introducing controlled ultrasonic vibration frequencies (20-100 kHz) and amplitudes (1-10 micrometers) to the blade. These parameter changes enable the blade to efficiently fracture and remove bone cement through resonant oscillations, resolving the contradiction between equipment simplicity and removal speed.

Inventive Principle:
Principle #35Parameter changes

2Productivity

If ultrasonic device is used to remove bone cement, then the cutting speed is improved through vibration, but the process becomes messy and produces noxious odors

Engineering Contradiction:
Improvebone cement removal speedVSAvoidmessiness and noxious odors
Core Design Contradiction:
ProductivityVSObject-generated harmful factors

Solution Approach 1:

The patent applies local quality by concentrating the ultrasonic vibration energy precisely at the blade tip where cutting occurs, rather than vibrating the entire blade uniformly. This localized vibration application improves cutting efficiency at the point of contact while minimizing overall device vibration and associated messiness. The blade geometry is also optimized with specific tip configurations to contain debris and reduce splattering.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The patent converts the potentially harmful high-frequency vibration that could cause excessive heat and material degradation into a beneficial cutting mechanism by operating within controlled frequency (20-100 kHz) and amplitude (1-10 micrometers) ranges. The vibration energy is harnessed to efficiently fracture bone cement through resonant oscillations, transforming what could be a source of heat and mess into a controlled, effective cutting action.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

3Temperature

If blade vibration frequency is matched to natural frequency of bone cement, then heat is produced to soften and melt the cement, but the process becomes slow and laborious

Engineering Contradiction:
Improvebone cement softening temperatureVSAvoidbone cement removal speed
Core Design Contradiction:
TemperatureVSProductivity

Solution Approach 1:

The patent employs ultrasonic vibration at frequencies between 20-100 kHz to vibrate the blade, creating resonant oscillations that significantly enhance the cutting efficiency through bone cement. This mechanical vibration principle transforms the manual chiseling process into a high-frequency oscillating cutting action, thereby increasing productivity while maintaining relatively simple equipment requirements.

Inventive Principle:
Principle #18Mechanical vibration

Solution Approach 2:

The patent replaces the thermal softening mechanism (which relies on heat generation to melt cement) with a mechanical vibration-based cutting mechanism. Instead of using heat to soften and melt bone cement slowly, the ultrasonic-vibrated blade directly fractures and removes cement through high-frequency mechanical oscillations, dramatically increasing removal speed while eliminating the need for thermal processing.

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

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

The blade design significantly reduces the time required for bone cement removal during surgery, providing better control and efficiency compared to existing methods, while maintaining the structural integrity of the bone.

Implementation Method 1

The frequency of the blade vibrations is matched to the natural frequency of the bone cement. This produces heat which causes the softening and/or melting of the bone cement

Methodology Applied
Scientific EffectUltrasonic vibration: Ultrasonic Vibration

Implementation Method 2

The frequency of the blade vibrations is matched to the natural frequency of the bone cement

Methodology Applied
Scientific EffectResonance: Resonance

Implementation Method 3

This produces heat which causes the softening and/or melting of the bone cement

Methodology Applied
Scientific EffectFrictional heating: Viscous Heating

Implementation Method 4

the tip has a distal edge having a suitable sharpness and hardness to cut a material of interest

Methodology Applied
Scientific EffectMechanical cutting: Fracture Mechanics

Data Source

PatentUS12127749B1Cement removal blade for osteotome
Publication Date: 2024.10.29 HENRY SCHEIN INC
  • US12127749B1 patent drawing
  • US12127749B1 patent drawing
  • US12127749B1 patent drawing

AI summary

An osteotome blade that is optimized for cutting and removal of bone cement such as from an intramedullary canal during revision surgery. The blade may have a body and a tip, wherein the body cross-section and tip are trough-shaped and the tip has a swept-back configuration. Further away from the cutting region, the blade may have a transition region and a hub suitable to be grasped in a power tool. There may also be provided a scoring blade, and a method may comprise scoring grooves into bone cement using the scoring blade, followed by removal of bone cement using the cement removal blade.