{"id":154812,"date":"2024-05-03T11:00:51","date_gmt":"2024-05-03T15:00:51","guid":{"rendered":"https:\/\/www.hajim.rochester.edu\/senior-design-day\/?p=154812"},"modified":"2025-05-02T14:46:00","modified_gmt":"2025-05-02T18:46:00","slug":"sherpa-pro-orif-precision-drill-guide-device","status":"publish","type":"post","link":"https:\/\/www.hajim.rochester.edu\/senior-design-day\/sherpa-pro-orif-precision-drill-guide-device\/","title":{"rendered":"Sherpa Pro &#8211; ORIF Precision Drill Guide Device"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"389\" height=\"403\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Sherpa-Pro-Logo-1.jpg\" alt=\"\" class=\"wp-image-165852\" style=\"width:215px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Sherpa-Pro-Logo-1.jpg 389w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Sherpa-Pro-Logo-1-290x300.jpg 290w\" sizes=\"auto, (max-width: 389px) 100vw, 389px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Orthopedic Trauma Surgery Team<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Team Members<\/h2>\n\n\n\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-8cf370e7 wp-block-group-is-layout-flex\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"277\" height=\"369\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Dietrich-edited.jpg\" alt=\"\" class=\"wp-image-165372\" style=\"width:257px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Dietrich-edited.jpg 277w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Dietrich-edited-225x300.jpg 225w\" sizes=\"auto, (max-width: 277px) 100vw, 277px\" \/><figcaption class=\"wp-element-caption\"><strong><em>Garrett Dietrich<\/em><\/strong> | <strong><a href=\"https:\/\/www.linkedin.com\/in\/garrett-dietrich-2546b6210\/\" target=\"_blank\" rel=\"noopener\">Linkedin<\/a><\/strong><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1152\" height=\"1536\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/CMTI-Headshot-edited.jpg\" alt=\"\" class=\"wp-image-165362\" style=\"width:257px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/CMTI-Headshot-edited.jpg 1152w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/CMTI-Headshot-edited-225x300.jpg 225w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/CMTI-Headshot-edited-768x1024.jpg 768w\" sizes=\"auto, (max-width: 1152px) 100vw, 1152px\" \/><figcaption class=\"wp-element-caption\"><strong><em>Ben Hulbert<\/em><\/strong> | <a href=\"https:\/\/www.linkedin.com\/in\/ben-hulbert\" target=\"_blank\" rel=\"noopener\">LinkedIn<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Background<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"466\" height=\"475\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture1-6.png\" alt=\"\" class=\"wp-image-166092\" style=\"width:219px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture1-6.png 466w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture1-6-294x300.png 294w\" sizes=\"auto, (max-width: 466px) 100vw, 466px\" \/><\/figure>\n<\/div>\n\n\n<p>During our time in the orthopedic trauma operating rooms at Strong Memorial Hospital, our team identified the issue of cross-threading during open reduction, internal fixation (ORIF) procedures. This surgery is required when a fracture cannot be repaired externally, with tools such as a brace or a cast. During these procedures, a locking fracture fixation plate is utilized. These plates feature a threaded hole and a uniquely designed screw that has primary threads that engage with the bone but also threads on the head of the screw which articulate with the threaded hole in the plate. To insert these screws, a threaded drill guide is used, which locks into the threaded hole in the fracture plate so that the clinicians may drill the pilot hole at the correct angle. This drill guide often cross-threads, meaning the threads of the drill guide do not articulate properly with the threads of the hole.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"263\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture2-4-1024x263.png\" alt=\"\" class=\"wp-image-166072\" style=\"width:840px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture2-4-1024x263.png 1024w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture2-4-300x77.png 300w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture2-4-768x197.png 768w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture2-4.png 1224w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><em>Figure A displays properly inserted screws in a proximal humerus. Figure B shows cross-threaded screws in the same region. The heads of the improperly placed screws can be seen in the red circle, as the heads are not flush with the top of the plate as they were intended to be.<\/em><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical Problem<\/h2>\n\n\n\n<p>Initially, we were primarily invested in solving the issue of cross-threading. However, after<br>taking a step back, we identified that the problem itself is truly a <strong>Human-Factors<\/strong> related issue.<br>With the current technology, the clinicians do not have the necessary tactile feedback to<br>recognize that the drill guide is not placed correctly. Additionally, the threads on the drill guides<br>for the smaller diameter plates (2.4mm and 2.6mm) are extremely small, meaning only a half to<br>full turn is required to insert it. Lastly, the drill guide has to be constantly inserted and removed<br>so that each pilot hole can be drilled to insert the locking screws required.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"587\" src=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture4-3-1024x587.png\" alt=\"\" class=\"wp-image-166162\" style=\"width:572px;height:auto\" srcset=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture4-3-1024x587.png 1024w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture4-3-300x172.png 300w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture4-3-768x440.png 768w, https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Picture4-3.png 1190w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Biodesign Statement<\/h2>\n\n\n\n<p class=\"has-text-align-center has-times-new-roman-font-family has-custom-font\" style=\"font-family:Times New Roman\"><mark style=\"background-color: #ffffff;\" class=\"has-inline-color has-black-color\"><strong><em>To design a system that simplifies the process of\u00a0drilling pilot holes and ensures proper alignment of\u00a0locking screws in ORIF procedures.<\/em><\/strong><\/mark><mark style=\"background-color: rgba(0, 0, 0, 0);\" class=\"has-inline-color has-black-color\"><strong><em>\u00a0<\/em><\/strong><\/mark><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Design Methodology<\/h2>\n\n\n\n<p>The Sherpa Pro orthopedic device simplifies the process for the insertion of locking screws during ORIF procedures. The device features two components, the guide block and the spring-loaded drill bit. The guide block utilizes registration holes to attach to the fracture fixation plate. The holes on the guide block are designed to be at the predetermined angles of the fracture fixation plate, so that the holes of the guide block and plate are concentric. The pilot holes and locking screws can be inserted without needing remove the guide block, further simplifying the process.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p>Our testing revealed that the Sherpa Pro was able to drill the required pilot holes under the<br>critical cross-threading angle. Due to limitations in available materials and time, we have<br>reached the final stage of prototyping. In the future, we would manufacture the spring-<br>loaded drill bit and guide block with biocompatible materials, such as surgical-grade stainless<br>steel. Overall, we have designed a system that eliminates the human-factor-related issues when<br>inserting locking screws, which as a result eliminates the threat of cross-threading.<\/p>\n\n\n\n<p><br>In the future, we seek to design a better attachment system for the guide block to the plate. It<br>would also be beneficial to refine our testing procedures to eliminate noise and sources of error.<br>Lastly, conducting testing with trained orthopedic residents and clinicians would allow for more<br>voice of customer feedback and more improved designs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Acknowledgements<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dr. Greg Gdowski<\/strong>\n<ul class=\"wp-block-list\">\n<li>CMTI Executive Director<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Martin Gira<\/strong>\n<ul class=\"wp-block-list\">\n<li>CMTI Senior Research Engineer<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Mahlett Beyene<\/strong>\n<ul class=\"wp-block-list\">\n<li>CMTI Graduate Program Coordinator<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Dr. David DiStefano<\/strong>\n<ul class=\"wp-block-list\">\n<li>Orthopedic Surgeon<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Orthopedic Trauma Surgery Team Team Members Background During our time in the orthopedic trauma operating rooms at Strong Memorial Hospital, our team identified the issue of cross-threading during open reduction,&hellip;<\/p>\n","protected":false},"author":6242,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4442,86],"tags":[],"coauthors":[8612],"class_list":["post-154812","post","type-post","status-publish","format-standard","hentry","category-archive","category-cmti-archive"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sherpa Pro - ORIF Precision Drill Guide Device - Senior Design Day<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/sherpa-pro-orif-precision-drill-guide-device\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sherpa Pro - ORIF Precision Drill Guide Device - Senior Design Day\" \/>\n<meta property=\"og:description\" content=\"Orthopedic Trauma Surgery Team Team Members Background During our time in the orthopedic trauma operating rooms at Strong Memorial Hospital, our team identified the issue of cross-threading during open reduction,&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/sherpa-pro-orif-precision-drill-guide-device\/\" \/>\n<meta property=\"og:site_name\" content=\"Senior Design Day\" \/>\n<meta property=\"article:published_time\" content=\"2024-05-03T15:00:51+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-02T18:46:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.hajim.rochester.edu\/senior-design-day\/wp-content\/uploads\/2024\/04\/Sherpa-Pro-Logo-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"389\" \/>\n\t<meta property=\"og:image:height\" content=\"403\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.hajim.rochester.edu\\\/senior-design-day\\\/sherpa-pro-orif-precision-drill-guide-device\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.hajim.rochester.edu\\\/senior-design-day\\\/sherpa-pro-orif-precision-drill-guide-device\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/www.hajim.rochester.edu\\\/senior-design-day\\\/#\\\/schema\\\/person\\\/351018fbcf84ed8cac6d8072ba5b347c\"},\"headline\":\"Sherpa Pro &#8211; 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