The Concept of Reducing Complexity

The Concept of Reducing Complexity

The Bonebridge concept

The Bonebridge concept is based on our firm belief that less is usually more. All our efforts revolve around reducing complexity – a concept which requires identifying and eliminating redundancy and saying no to projects with no or too little patient benefit.

bridge

Fracture care

Some fifty years ago, the then new implants for fracture care developed by the AO/ASIF Foundation in Switzerland, drove a paradigm shift from conservative to operative fracture fixation and thus allowed for better and more efficient fracture care.

Today we know that fractures generally heal well. Healing depends on many factors. The patients and their possible co-morbidities, as well as the site and type of fracture are most important. Decision making, indication and technical care by the surgeon are probably second. The implants themselves still do play a role, but today it’s mainly their easiness and appropriateness of use that is important.

Innovation by reducing complexity

Today improvements to the already very sophisticated products in the market are still being made, they are however, generally incremental.

Therefore, until a truly disruptive approach - that can change the current practice of Orthopaedic Trauma for less complexity, more reproducibility and thereby increased patient safety; which potentially eradicates plates, screws and nails – is established, our improvements should focus on providing high standard clinical performance in a most efficient manner and thus pave the way for affordable and sustainable care.

To achieve this, we must do more with less. At Bonebridge we try to keep our osteosynthesis systems as simple as possible, and we provide minimal yet comprehensive instrument sets for their application. Furthermore, we keep our processes within our company lean and simple and allow for the most direct interaction with physicians and hospital staff possible to increase patient benefit.

It is of outmost importance for Bonebridge to remain close to clinical practice, to be constantly aware of clinical problems. The constant exchange with clinical practice not only is the basis for any product improvements but it is the most important element to develop new products addressing a clinical problem.

The concept in practice

DESIGN & DEVELOPMENT

1

arrow-button
Reducing complexity in Design & Development

To reduce complexity in Design & Development we work in small development teams incorporating expert surgeons. We look for surgeons that have a demonstrated clinical as well as academic record in the field concerned. We feel that small teams with highly capable team members are more likely to agree on a new concept (e.g. TAMINA TF) then larger development teams that tend to look for broad consensus. The close interaction between the clinical expert group and our experienced development team helps to substantially speed up the process from a clinical problem to a marketable product. Depending on regulatory approval we aim to get clearance within one year of the project kick-off.

arrow-button

IMPLANTS

2

arrow-button
Reducing complexity at the level of the implants

The number of stock keeping units in orthopaedic trauma is high. Lots of different variants of the same implant are made available to specifically address every imaginable fracture pattern. This in turn puts a high burden on hospital logistics and imposes substantial cost. Bonebridge tries to carefully minimise the number of variants by trying to design its implants in a way that many fracture patterns can reproducibly be addressed with only a very limited number of implant variants. This is a cornerstone of our concept and needs to be addressed with our users as we may not have a super specific solution for a particular fracture pattern but we may be able to show how the fracture pattern can be addressed with what we have.

arrow-button

OPERATING ROOM

3

arrow-button
Reducing complexity in the OR

Instrumentation has become a business model itself and instrument sets in orthopaedic trauma have become extensive. While some of the many instruments may be useful for particular procedures, we feel that instrument sets should be designed to cover a maximum of different indications with a minimum of instruments. This in turn increases instrument turn-over, reduces errors, increases reproducibility and allows for a steep learning curve for both surgical residents and the nursing staff.

arrow-button

INTERACTION

4

arrow-button
Reducing complexity be- tween clinicians & the company

Bonebridge is a physician led company and committed to be and remain close to clinical practice. Interaction between clinicians and the decision making bodies at Bonebridge must be kept as easy and as direct as possible. Bonebridge is to remain easily approachable and open for any ideas and improvements as long as they address a clinical problem.

arrow-button

THE ELEMENTS OF THE CONCEPT

PLATES

Bonebridge implants are designed to reduce complexity. We offer a simplified implant portfolio ready to treat the most common fracture patterns.

SCREWS

Bonebridge screws are made of stainless steel and are available in two diameters, 2.5mm and 3.5mm to match the corresponding plates in the Bonebridge portfolio.

INSTRUMENTS

Bonebridge instrument sets are optimized to provide the surgeon with exactly what is needed to place the implants — and not more.