Systems and methods for surgical planning of arthroplasty procedures

Patent metadata

Field	Value
Publication number	US-10575875-B2
Application number	US-201916522281-A
Country	US
Kind code	B2
Filing date	Jul 25, 2019
Priority date	Dec 18, 2007
Publication date	Mar 3, 2020
Grant date	Mar 3, 2020

Abstract

A method for planning an arthroplasty procedure on a patient bone. The method may include accessing generic bone data stored in a memory of a computer, using the computer to generate modified bone data by modifying the generic bone data according to medical imaging data of the patient bone, using the computer to derive a location of non-bone tissue data relative to the modified bone data, and superimposing implant data and the modified bone data in defining a resection of an arthroplasty target region of the patient bone.

First claim

What is claimed is:

1. A method for planning an arthroplasty procedure on a patient bone, the method comprising:
accessing generic bone data stored in a memory of a computer;
using the computer to generate modified bone data by modifying the generic bone data according to medical imaging data of the patient bone;
using the computer to derive a location of non-bone tissue data relative to the modified bone data; and
superimposing implant data and the modified bone data in defining a resection of an arthroplasty target region of the patient bone.

2. The method of claim 1 , wherein the non-bone tissue data includes a contour of the non-bone tissue data.

3. The method of claim 2 , wherein the non-bone tissue data pertains to cartilage.

4. The method of claim 1 , wherein the non-bone tissue data comprises modified non-bone tissue data that is computer generated by accessing generic non-bone tissue data stored in the memory and using the computer to modify the generic non-bone tissue data according to the medical imaging data of the patient bone.

5. The method of claim 4 , wherein the modified non-bone tissue data includes a contour of the non-bone tissue data.

6. The method of claim 5 , wherein the modified non-bone tissue data pertains to cartilage.

7. The method of claim 1 , wherein the contour of the non-bone tissue data is used in registering the resection with the patient bone.

8. A surgical method according to claim 7 and further comprising resecting the resection into the patient bone.

9. The method of claim 7 , wherein the contour of the non-bone tissue data is used in defining a registration surface of an arthroplasty jig, the registration surface registering the arthroplasty jig with the patient bone when the arthroplasty jig is used to guide the resection in the arthroplasty target region of the patient bone.

10. A manufacturing method according to claim 9 and further comprising manufacturing the arthroplasty jig to comprise the registration surface and a resection guide capable of guiding the resection when the registration surface interdigitates with the patient bone.

11. The method of claim 1 , further comprising comparing the modified bone data to candidate implant models stored in the memory of the computer.

12. The method of claim 11 , further comprising recommending an implant model based on the comparison of the modified bone data to the candidate implant models.

13. The method of claim 1 , further comprising presenting the defined resection to a surgeon for review.

14. A method for planning an arthroplasty procedure on a joint region of a patient bone, the method comprising:
constructing a virtual bone model of the joint region of the patient bone, the virtual bone model comprising a contour of soft tissue and a bone surface;
determining a location and configuration of the soft tissue relative to the bone surface of the virtual bone model;
identifying a registration surface including at least part of the location and configuration of the soft tissue;
superimposing a virtual implant model over the bone surface of the virtual bone model;
determining a resection relative to the bone surface of the virtual bone model based on the superimposing, the resection being adapted to facilitate an implant being implanted on the patient bone as part of the arthroplasty procedure, the implant corresponding to the virtual implant model; and
referencing the resection to the registration surface.

15. The method of claim 14 , wherein the soft tissue includes cartilage.

16. The method of claim 1 , wherein the virtual bone model is computer generated by accessing a generic bone model stored in a memory and using a computer to modify the generic bone model according to medical imaging data of the joint region of the patient bone.

17. The method of claim 1 , further comprising comparing the virtual bone model to candidate implant models stored in a memory of a computer.

18. The method of claim 17 , further comprising recommending an implant model based on the comparison of the virtual bone model to the candidate implant models.

19. The method of claim 1 , further comprising presenting the resection to a surgeon for review.

20. The method of claim 1 , wherein the virtual bone model includes a bone and cartilage model and a bone-only model.

21. A surgical method according to claim 14 and further comprising resecting the resection into the patient bone.

22. A manufacturing method according to claim 14 and further comprising manufacturing an arthroplasty jig to comprise a mating surface and a resection guide, the mating surface adapted to interdigitate with the registration surface, and the resection guide capable of guiding the resection when the mating surface interdigitates with the patient bone.

Assignees

• Howmedica Osteonics Corp

Inventors

• Pavlovskaia Elena
• Mishin Oleg
• Shpungin Boris E
• Park Ilwhan
• Sarva Venkata Surya
• Choi Irene Min

Classifications

• A61B5/055 Primary

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title

• A61B17/7013 Primary

  the shape of the element being adjustable before use (adjustable length plates A61B17/7014) · CPC title

• G06T2219/008

  Cut plane or projection plane definition · CPC title

• G06T2210/41

  Medical · CPC title

• G06T19/00

  Manipulating three-dimensional [3D] models or images for computer graphics · CPC title