Vertebral Cleat Keel and Spike Design for Bone Fixation Stability
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Solution Overview
Problem
Current vertebral fixation devices experience loosening and toggling due to small surface area contact between bone and staple, leading to instability under cyclic loading, and lack adjustability after initial implantation.
Innovation Solution
A vertebral cleat mounting device with an elongate keel providing a large surface area for stable contact and a spike for initial partial insertion allowing rotation for precise positioning, followed by full insertion of both spike and keel for enhanced stability.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Area of moving object
If multiple narrow spikes are used for mounting, then the device can be inserted into bone, but the surface area contact is small causing loosening under cyclic loading
Solution Approach 1:
The mounting device is divided into multiple discrete spikes (typically three) that are distributed across the bone surface. Each spike independently engages with the bone, and collectively they provide a large total contact surface area. This segmentation allows the device to achieve both adequate surface area contact and stable insertion into the bone.
2Ease of operation
If spikes are driven fully into bone immediately, then stable mounting is achieved, but position adjustment becomes impossible
Solution Approach 1:
The spikes are designed to be partially driven into the bone during the initial implantation phase, establishing preliminary stable engagement. This partial insertion provides enough stability to hold the device in position while still allowing for adjustment. After the desired position is achieved, the spikes are fully driven in to lock the mounting in its final stable position.
3Device complexity
If small peripheral surfaces are used on spikes, then the device structure is simple, but toggling occurs under load
Solution Approach 1:
The spikes are designed with non-uniform cross-sections along their length, creating varying local qualities. The peripheral surfaces are enlarged at specific locations (such as mid-sections or distal ends) to provide increased contact area with the bone at critical stress points. This local enhancement of surface area provides resistance to toggling forces while maintaining overall structural simplicity of the spike design.
Data Source
AI summary
A vertebral cleat and a vertebral support system employing the vertebral cleat is provided. Preferably, the vertebral cleat includes a base member having a superior and an inferior surface; an elongate keel portion having a cutting edge thereon depending from the inferior surface of the base member; and a spike portion depending from the inferior surface of the base member, the spike portion having a height that is greater than a height of the elongate keel portion. There is also provided a tool for grasping and implanting the vertebral cleat in a plurality of insertion configurations.


