Orthognathic biomechanical simulation

Patent metadata

Field	Value
Publication number	US-10631877-B2
Application number	US-201415100241-A
Country	US
Kind code	B2
Filing date	Nov 26, 2014
Priority date	Nov 29, 2013
Publication date	Apr 28, 2020
Grant date	Apr 28, 2020

Abstract

Disclosed is a method of simulating mastication. The method includes obtaining computer-readable three-dimensional representations of a first skeletal fragment including a portion of at least one of a mandible and a maxilla and of a recipient skeletal fragment including a portion of at least one of a mandible and a maxilla. The method also includes obtaining placement data and obtaining muscle insertion data. The method also includes simulating a contraction of a muscle positioned according to the muscle insertion data in a representation of a surgical hybrid comprising at least a portion of the first skeletal fragment positioned according to the placement data relative to at least a portion of the recipient skeletal fragment. The method also includes outputting a representation of mastication represented by the simulating.

First claim

What is claimed is:

1. A method of simulating mastication, the method comprising:
obtaining a computer-readable three-dimensional representation of a first skeletal fragment comprising a portion of at least one of a mandible and a maxilla;
obtaining a computer readable three-dimensional representation of a recipient skeletal fragment comprising a portion of at least one of a mandible and a maxilla;
positioning a tracker to track a position of at least a portion of the first skeletal fragment, wherein the tracker is configured to be in communication with a computer workstation via a communications link;
obtaining from the tracker placement data representing a position of at least a portion of the first skeletal fragment relative to at least a portion of the recipient skeletal fragment, wherein the obtaining placement data comprises at least tracking a position of at least a portion of the first skeletal fragment during a surgery;
obtaining cephalometric landmark locations during the surgery in real time based on the obtained tracker placement data, wherein the cephalometric landmark locations comprise one or more of: Gonion (“Go”), Nasion (“N”), A point (“A”), B point (“B”), Sella (“S”), Menton (“M”), left/right Zygoma (“ZY”), or Os occipital (“OCC”);
calculating, during surgery, an orientation value of the first skeletal fragment with respect to the recipient skeletal fragment based upon two of the obtained cephalometric landmark locations;
outputting the determined orientation value in real time during the surgery;
obtaining muscle insertion data representing at least one muscle insertion location on at least one of the first skeletal fragment and the recipient skeletal fragment;
simulating a contraction of a muscle positioned according to the muscle insertion data in a representation of a surgical hybrid comprising at least a portion of the first skeletal fragment positioned according to the placement data relative to at least a portion of the recipient skeletal fragment; and
outputting a representation of mastication represented by the simulating.

2. The method of claim 1 , wherein the obtaining placement data comprises obtaining placement data prior to a surgery to transplant at least a portion of the first skeletal fragment into a recipient.

3. The method of claim 1 , further comprising obtaining muscle activation data representing at least one muscle contraction, wherein the simulating comprises simulating a contraction of a muscle according to the muscle activation data.

4. A method of simulating mastication, the method comprising:
obtaining a computer-readable three-dimensional representation of an osseointegrative implant comprising a portion of at least one of a mandible and a maxilla;
obtaining a computer readable three-dimensional representation of a recipient skeletal fragment comprising a portion of at least one of a mandible and a maxilla;
positioning a tracker to track a position of at least a portion of the osseointegrative implant, wherein the tracker is configured to be in communication with a computer workstation via a communications link;
obtaining from the tracker placement data representing a position of at least a portion of the osseointegrative implant relative to at least a portion of the recipient skeletal fragment, wherein the obtaining placement data comprises at least obtaining placement data during a surgery to implant at least a portion of the osseointegrative implant into a recipient;
obtaining cephalometric landmark locations during the surgery in real time based on the obtained tracker placement data, wherein the cephalometric landmark locations comprise one or more of: Gonion (“Go”), Nasion (“N”), A point (“A”), B point (“B”), Sella (“S”), Menton (“M”), left/right Zygoma (“ZY”), or Os occipital (“OCC”);
calculating, during surgery, an orientation value of the osseointegrative implant with respect to the recipient skeletal fragment based upon two of the obtained cephalometric landmark locations;
outputting the determined orientation value in real time during the surgery;
obtaining muscle insertion data representing at least one muscle insertion location on at least one of the osseointegrative implant and the recipient skeletal fragment;
simulating a contraction of a muscle positioned according to the muscle insertion data in a representation of a surgical hybrid comprising at least a portion of the osseointegrative implant positioned according to the placement data relative to at least a portion of the recipient skeletal fragment; and
outputting a representation of mastication represented by the simulating.

5. The method of claim 4 , wherein the obtaining placement data comprises obtaining placement data prior to a surgery to implant at least a portion of the osseointegrative implant into a recipient.

6. The method of claim 4 , further comprising obtaining muscle activation data representing at least one muscle contraction, wherein the simulating comprises simulating a contraction of a muscle according to the muscle activation data.

7. A system for simulating mastication, the system comprising at least one electronic memory and at least one electronic processor, the at least one electronic memory including instructions which, when executed by the at least one electronic processor, cause the at least one electronic processor to perform a method comprising:
obtaining a computer-readable three-dimensional representation of a first skeletal fragment comprising a portion of at least one of a mandible and a maxilla;
obtaining a computer readable three-dimensional representation of a recipient skeletal fragment comprising a portion of at least one of a mandible and a maxilla;
positioning a tracker to track a position of at least a portion of the first skeletal fragment, wherein the tracker is configured to be in communication with a computer workstation via a communications link;
obtaining from the tracker placement data representing a position of at least a portion of the first skeletal fragment relative to at least a portion of the recipient skeletal fragment, wherein the obtaining placement data comprises at least tracking a position of at least a portion of the first skeletal fragment during a surgery;
obtaining cephalometric landmark locations during the surgery in real time based on the obtained tracker placement data, wherein the cephalometric landmark locations comprise one or more of: Gonion (“Go”), Nasion (“N”), A point (“A”), B point (“B”), Sella (“S”), Menton (“M”), left/right Zygoma (“ZY”), or Os occipital (“OCC”);
calculating, during surgery, an orientation value of the first skeletal fragment with respect to the recipient skeletal fragment based upon two of the obtained cephalometric landmark locations;
outputting the determined orientation value in real time during the surgery;
obtaining muscle insertion data representing at least one muscle insertion location on at least one of the first skeletal fragment and the recipient skeletal fragment;
simulating a contraction of a muscle positioned according to the muscle insertion data in a representation of a surgical hybrid comprising at least a portion of the first skeletal fragment positioned according to the placement data relative to at least a portion of the recipient skeletal fragment; and
outputting a representation of mastication represented by the simulating.

8. The system of claim 7 , wherein the obtaining placement data comprises obtaining placement data during a surgery to transplant at least a portion of the first skeletal fragment into a recipient.

9. The system of claim 7 , wherein the at least one electronic memory further comprises instructions which, when executed by the at least one electronic processor,

Assignees

• Univ Johns Hopkins
• Us Navy
• The Us Secretary Of The Defense

Inventors

• Murphy Ryan
• Basafa Ehsan
• Armand Mehran
• Gordon Chad
• Grant Gerald
• Liacouras Peter

Classifications

• A61B2034/2055

  Optical tracking systems · CPC title

• A61B2034/108

  Computer aided selection or customisation of medical implants or cutting guides · CPC title

• A61B17/176

  for the jaw · CPC title

• A61B17/1739

  specially adapted for particular parts of the body · CPC title

• A61B17/1695

  Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull · CPC title