Improving Surgical Precision with an Advanced Bone Cement Mixing Method

Introduction

Bone cement plays a critical role in orthopedic surgeries, especially for joint replacements such as hip and knee surgeries. Its proper preparation is essential to ensure long-term stability and success of the implanted prosthesis. However, achieving the ideal consistency and uniformity can be challenging with traditional mixing methods, which may lead to weaker bonds or uneven application during surgery. Our method of mixing bone cement with two paddles provides an innovative solution to improve the quality of bone cement while simplifying the surgical process.

The Challenge

In orthopedic procedures, surgeons rely on bone cement to secure implants in place. However, traditional single-paddle mixing methods can often produce inconsistencies in the cement’s texture and homogeneity. These inconsistencies increase the risk of implant failure, loosening, or reduced durability over time, leading to revision surgeries and extended recovery periods for patients. Additionally, mixing bone cement with a single paddle requires more time and effort, which can extend operating times and increase the risk of complications during surgery.

The Solution

Our patented dual-paddle mixing method addresses these challenges by introducing a more effective approach to preparing bone cement. The two-paddle system ensures that the cement is mixed evenly and thoroughly, achieving optimal consistency in less time than traditional methods. This approach reduces the risk of air bubbles and uneven distribution, providing a stronger, more reliable bond between the implant and bone.

This method not only improves the quality of the bone cement but also enhances the efficiency of the mixing process. With faster preparation times, surgeons can apply the cement more quickly, reducing operating time and minimizing the risks associated with prolonged surgeries. The dual-paddle design is also easy to implement in surgical settings, making it accessible for healthcare teams.

Key Benefits

  1. Enhanced Cement Quality: Achieve uniform consistency and reduced air bubbles, resulting in a stronger and more durable bond between the bone and implant.
  2. Reduced Operating Time: The dual-paddle system speeds up the mixing process, allowing for quicker application during surgery, improving surgical efficiency.
  3. Improved Patient Outcomes: By ensuring optimal bone cement preparation, this method reduces the likelihood of implant loosening or failure, leading to faster recovery and fewer revision surgeries.
  4. Easy Integration: The method is simple to integrate into existing surgical workflows, requiring minimal adjustments for healthcare providers.

Why License This Technology?

By licensing this method, you will offer surgeons a more efficient and reliable way to prepare bone cement, improving patient outcomes and surgical success. It provides an opportunity to elevate the standard of care in orthopedic surgery, ensuring stronger bonds, quicker procedures, and lasting results for patients.

A mixing assembly for mixing bone cement includes a housing, a lid, a handle, and two mixing paddles, a first and a second mixing paddle. The lid is removably attachable to the housing. The handle has a portion that extends through the lid and that is rotatable in a first rotational direction. The first mixing paddle is operatively coupled to the portion of the handle. As a result, the first mixing paddle rotates with the portion of the handle in the first rotational direction. The second mixing paddle is operatively coupled to the first mixing paddle for rotating opposite the portion. As such, when the portion of the handle and the first mixing paddle rotate in the first rotational direction, the second mixing paddle rotates in a second rotational direction that is opposite the first rotational direction.

1. A method of mixing bone cement, said method including the steps of:

placing components forming the bone cement in a housing, the housing being part of a mixer that includes first and second paddles disposed in the housing that are spaced apart from each other, the first paddle having a shaft from which first and second vanes extend, the first vane shaped to have an outer edge in close proximity with an interior wall of the housing and the second vane shaped to have an outer edge spaced from the housing interior wall, the second paddle having a shaft and a vane positioned between the second paddle shaft and the first paddle vanes and positioned to rotate towards and away from the first paddle shaft;

simultaneously rotating both the first and second paddles so that, simultaneously:

the rotation of the first paddle first vane scrapes the bone cement under formation from the housing interior wall;
the rotation of the first paddle second vane smears the bone cement under formation around the housing interior wall; and
the rotation of the second paddle vane towards and away from the first paddle shaft pushes the bone cement under formation towards and then away from the first paddle shaft.

2. The method of mixing bone cement of claim 1, wherein:

each first paddle vane has an inner edge that is located inwardly from the outer edge of the first paddle vane and spaced outwardly away from the first paddle shaft;
the second paddle is further shaped so that the second paddle vane is located between the first paddle shaft and the inner edges of the first paddle vanes; and
during said simultaneous rotation of the paddles, the second paddle is further rotated so that the second paddle vane rotates towards and away from the inner edges of the first paddle vanes to push the bone cement under formation around the first paddle vanes.

3. The method of mixing bone cement of claim 1, wherein:

each first paddle vane has an inner edge that is located inwardly from the outer edge of the first paddle vane and spaced outwardly away from the first paddle shaft;
the second paddle is further shaped so that the second paddle vane is located between the first paddle shaft and the inner edges of the first paddle vanes; and
the paddles are further arranged so that, during said simultaneous rotation of the paddles, there is at least one instance in which the first paddle vanes and the second paddle vane are coplanar.

4. The method of mixing bone cement of claim 1, wherein:

each first paddle vane has an inner edge that is located inwardly from the outer edge of the first paddle vane and spaced outwardly away from the first paddle shaft;
the second paddle is further shaped to have a first vane and a second vane, both second paddle vanes being located radially outward from the second paddle shaft and inwardly of the inner edges of the first paddle vanes; and
during said simultaneous rotation of the paddles, the first of the second paddle vanes pushes bone cement under formation towards or away from the first paddle shaft while, simultaneously therewith, the second of the second paddle vanes rotates towards and away from one of the first paddle vanes so as to push bone cement under formation around the one of the first paddle vanes.

5. The method of mixing bone cement of claim 1, wherein:

each first paddle vane has an inner edge that is located inwardly from the outer edge of the first paddle vane and spaced outwardly away from the first paddle shaft;
the second paddle is further shaped to have a first vane and a second vane, both second paddle vanes being located radially outward from the second paddle shaft and inwardly of the inner edges of the first paddle vanes;
during said simultaneous rotation of the paddles, the first of the second paddle vanes pushes bone cement under formation towards or away from the first paddle shaft while, simultaneously therewith, the second of the second paddle vanes rotates towards and away from one of the first paddle vanes so as to push bone cement under formation around the one of the first paddle vanes; and
the paddles are further arranged so that, during said simultaneous rotation of the paddles, there is at least one instance in which the first paddle vanes and the second paddle vanes are coplanar.

6. The method of mixing bone cement of claim 1, wherein:

the housing has a bottom;
at least the first paddle first vane has a bottom section that, during said simultaneous rotation of the paddles, scrapes bone cement under formation from off the housing bottom; and
the second paddle vane is shaped to have a bottom section that is located above the first paddle first vane bottom section that, during said simultaneous rotation of the paddles, crosses over the first paddle first vane bottom section to push bone cement under formation off the first paddle first vane bottom section.
7. The method of mixing bone cement of claim 1, wherein, during said simultaneous rotation of the paddles, the paddles are rotated in opposed directions.
8. The method of mixing bone cement of claim 1, wherein, during said simultaneous rotation of the paddles, the paddles are rotated so that the second paddle rotates at 2 times the rotational rate of the first paddle.

9. A method of mixing bone cement, said method including the steps of:

placing bone cement forming components in a housing, the housing having an interior wall that defines an interior space;
rotating a first paddle in the housing interior space, the first paddle having a shaft from which first and second vanes extend radially outwardly, the first vane having an outer edge positioned close to the housing interior wall so that, as the first paddle is rotated, the first vane scrapes the bone cement under formation from the housing interior wall, the second vane having an outer edge positioned away from the housing interior wall so that as the first paddle is rotated, the second vane smears the bone cement under formation around the housing interior wall and each vane has an inner edge located inward of the outer edge and that is radially spaced away from the first paddle shaft so as to define a space between the first paddle shaft and the vane; and
simultaneously with the rotation of the first paddle, rotating a second paddle in the housing interior space, the second paddle having a shaft that is spaced radially from the first paddle shaft and a vane that is spaced radially from the second paddle shaft, the second paddle positioned so as to rotate within the space between the first paddle shaft and the first paddle vanes, the second paddle further shaped so that, as the second paddle rotates, the second paddle vane initially rotates towards and away from the first paddle shaft to push bone cement under formation towards and away from the first paddle shaft and then rotates towards and away from one of the first paddle vanes to push bone cement under formation around the one of the first paddle vanes.

10. The method of mixing bone cement of claim 9, wherein:

the second paddle is further shaped to have first and second vanes, each second paddle vane having an outer edge that is located radially away from the second paddle shaft; and
during said simultaneous rotation of the paddles, the second paddle is rotated so that, as the first of the second paddle vanes pushes the bone cement under formation towards or away from the first paddle shaft, the second of the second paddle vanes pushes the bone cement under formation around one of the first paddle vanes.

11. The method of mixing bone cement of claim 9, wherein:

the second paddle is further shaped to have a first vane and a second vane, both second paddle vanes being located radially outward from the second paddle shaft and inwardly of the inner edges of the first paddle vanes; and
the paddles are further arranged so that, during said simultaneous rotation of the paddles, there is at least one instance in which the first paddle vanes and the second paddle vanes are coplanar.

12. The method of mixing bone cement of claim 9, wherein:

the housing interior wall has a base section that defines a bottom of the housing interior space;
at least the first paddle first vane is shaped to have a base section positioned to abut the housing interior wall base section so that, during said simultaneous rotation of the paddles, the first paddle first vane base section scrapes bone cement forming material from the base section of the housing interior wall; and

the second paddle is shaped so as to have: first and second vanes that are spaced apart, both second paddle vanes being located between the first paddle shaft and the inner edges of the first paddle vanes; and a cross beam that connects the second paddle vanes, the cross beam being located above space occupied by the first paddle first vane base section, so that during said simultaneous rotation of the paddles:

the first of the second paddle vanes pushes bone cement under formation towards or away from the first paddle shaft;
the second of the second paddle vanes pushes bone cement under formation around the first paddle first vane; and
the second paddle cross beam pushes the bone cement under formation off the first paddle first vane base section.
13. The method of mixing bone cement of claim 9, wherein, during said simultaneous rotation of the paddles, the paddles are rotated so that the second paddle rotates at 2 times the rotational rate of the first paddle.

14. The method of mixing bone cement of claim 9, wherein:

the housing interior wall has a base section that defines a bottom of the housing interior space;
at least the first paddle first vane is shaped to have a base section positioned to abut the housing interior wall base section so that, during said simultaneous rotation of the paddles, the first paddle first vane base section scrapes bone cement forming material from the housing interior wall base section; and

the second paddle vane is shaped to have:

a vertical section that, during said simultaneous rotation of the paddles, is the portion of the second paddle vane that pushes bone cement under formation towards and away from the first paddle shaft and around the first paddle vanes; and
a horizontal section that extends from the vertical section so that, during said simultaneous rotation of the paddles, the second paddle vane horizontal section crosses above the first paddle first vane base section to push bone cement under formation off the first paddle first vane base section.

15. The method of mixing bone cement of claim 14, wherein:

both paddles are rotatably mounted to a lid that is disposed over the housing and both paddles are able to move longitudinally relative to the lid; and
after said step of placing the bone cement forming components in the housing, the lid, including the paddles, is placed over the housing so as to position the paddles in the housing interior space wherein during said step of placing the lid over the housing:
the first paddle is positioned so that the first paddle first vane abuts the housing interior wall; and
the second paddle is positioned so that the second paddle vane is spaced away from the first paddle first vane.

16. A method of mixing bone cement, said method including the steps of:

placing bone cement forming components in a housing, the housing having an interior wall that defines an interior space, the housing interior wall having a base section that defines a bottom of the housing interior space and a side section located above the base section that defines sides of the housing interior space wherein the bone cement-forming components are placed in the housing interior space;
rotating a first paddle in the housing interior space, the first paddle having a shaft with an end disposed in the housing and first and second vanes that extend radially away from the end of the shaft, both vanes having an outer edge that extends from the shaft above the base section of the housing interior wall and upwardly along the side section of the interior wall and an inner edge located inward of the outer edge so as to define a space between the vane and the shaft, the first vane outer edge located close to the housing interior wall so that, as the first paddle is rotated, the first vane scrapes bone cement under formation from both the base section and side section of the housing interior wall, the second vane outer edge positioned away from the housing interior wall so that as the first paddle is rotated, the second vane smears the bone cement under formation around the housing interior wall; and

simultaneously with said rotation of the first paddle, rotating a second paddle in the housing interior space, the second paddle having a shaft that is radially offset from the first paddle shaft and at least one vane that is connected to and radially offset from the second paddle shaft, the second paddle vane shaped and positioned so that, as the second paddle is rotated, the second paddle vane rotates between the first paddle shaft and the first paddle vanes and, during said rotation:

rotates towards and away from the first paddle shaft to push bone cement under formation towards and away from the first paddle shaft; and
crosses over the first paddle first vane to push bone cement under formation off a portion of the first paddle first vane that scrapes bone cement under formation off the base section of the housing interior wall.

17. The method of mixing bone cement of claim 16, wherein the second paddle vane is shaped to have:

an upper section that extends from the second paddle shaft that is shaped relative to the second paddle shaft so that, during said simultaneous rotation of the paddles, the second paddle vane upper section first rotates towards and away from the first paddle shaft to push bone cement under formation towards and away from the first paddle shaft and then towards and away from the first paddle first vane to push bone cement under formation around a section of the first paddle first vane that scrapes bone cement under formation off the side section of the housing interior wall; and
a lower section that extends from the upper section that is located above a section of the first paddle first vane that scrapes the bone cement under formation off the base section of the housing interior wall, the second paddle vane upper section positioned so that, during said simultaneous rotation of the paddles, the second paddle vane lower section crosses over the section of the first paddle first vane that scrapes bone cement under formation off the base section of the housing interior wall to push the bone cement under formation off the first paddle first vane section.

18. The method of mixing bone cement of claim 16, wherein the second paddle is shaped to have:

a first vane that extends vertically, that is connected to and located radially away from the second paddle shaft;
a crossbeam that extends horizontally from the second paddle first vane that is located above a section of the first paddle first vane that scrapes the bone cement under formation off the base section of the housing interior wall, the crossbeam positioned so that, during said simultaneous rotation of the paddles, the crossbeam crosses over the section of the first paddle first vane that scrapes bone cement under formation off the base section of the housing interior wall so as to push the bone cement under formation off the first paddle first vane section; and
a second vane that extends vertically, the second paddle first and second vanes being positioned so that as one of the second paddle vanes pushes bone cement under formation towards or away from the first paddle shaft, the other of the second paddle vanes pushes the bone cement under formation from the first paddle first vane.
19. The method of mixing bone cement of claim 16, wherein the paddles are shaped and are arranged, so that, during said simultaneous rotation of the paddles, there is at least one instance in which the first paddle vanes and the second paddle vane are coplanar.

20. The method of mixing bone cement of claim 16, wherein:

both paddles are rotatably mounted to a lid that is disposed over the housing and both paddles are able to move longitudinally relative to the lid; and
after said step of placing the bone cement forming component in the housing, the lid, including the paddles is placed over the housing so as to position the paddles in the housing interior space wherein during said step of placing the lid over the housing:
the first paddle is positioned so that the first paddle first vane abuts the housing interior wall; and
the second paddle is positioned so that the second paddle vane is spaced away from the first paddle first vane.

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Title

Method of mixing bone cement with two mixing paddles

Inventor(s)

Christopher Matthew Tague, Richard F. Huyser, Jared Paul Coffeen, Christopher Scott Brockman

Assignee(s)

Stryker Corp

Patent #

7645066

Patent Date

January 12, 2010

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