Systems and methods for planning, performing, and assessing spinal correction during surgery

Patent metadata

Field	Value
Publication number	US-10709509-B2
Application number	US-201515318823-A
Country	US
Kind code	B2
Filing date	Jun 17, 2015
Priority date	Jun 17, 2014
Publication date	Jul 14, 2020
Grant date	Jul 14, 2020

Abstract

Methods are provided for planning, performing, and assessing of surgical correction to the spine during a spinal surgical procedure. These methods are implemented by a control unit through a GUI to digitize screw locations, digitize anatomical reference points, accept one or more correction inputs, and generate one or more rod solution outputs shaped to engage the screws at locations distinct from the originally digitized locations.

First claim

We claim:

1. A system for intraoperative planning and assessment of spinal deformity correction during a surgical spinal procedure, the system comprising:
a spatial tracking system comprising an IR sensor and an IR tracking array, said IR tracking array being arranged along a proximal end of a surgical pointer tool capable of digitizing the location of an implanted surgical device and relaying to the spatial tracking system via the IR sensor;
a control unit comprising a touch screen display and a processing unit, wherein the processing unit comprises a machine readable storage medium that includes one or more instructions configured to receive one or more digital signals from the spatial tracking system, wherein the one or more instructions are configured to:
(a) receive, via a port of the processing unit, digitized location data of a plurality of implanted surgical devices;
(b) accept, via the touch screen display, one or more spine correction inputs, wherein at least one of the spine correction input is at least one desired angle corresponding to a rotational deformity of the spine in the axial plane; and
(c) generating at least one rod solution output shaped to engage the surgical devices at locations distinct from the digitized location data.

2. The system of claim 1 , wherein the control unit is further configured to generate at least one measurement value based on digitized location data of at least two digitized surgical device locations.

3. The system of claim 2 , wherein the measurement value is a rotational deformity angle.

4. The system of claim 3 , wherein the spine input for the axial correction comprises adjusting the rotational deformity angle for at least one spinal level.

5. The system of claim 1 , wherein the spine correction input is at least one spinal correction in the coronal plane.

6. The system of claim 5 , wherein the control unit is further configured to generate at least one measurement value based on at least one of an anatomically-based reference point and one or more digitized surgical device locations.

7. The system of claim 6 , wherein the measurement value is a coronal Cobb angle.

8. The system of claim 7 , wherein the spine correction input is an adjustment in the coronal Cobb angle value.

9. The system of claim 6 , wherein the at least one anatomically-based reference point is a virtual line extending between bilateral digitized surgical device locations on a superior vertebrae and a virtual line extending between bilateral digitized surgical device locations on an inferior vertebrae.

10. The system of claim 5 , wherein the spine correction input is an adjustment of compression or distraction of a digitized surgical device location.

11. The system of claim 5 , further wherein the control unit is configured to receive digitized location data of at least one anatomical reference point and generate at least one virtual anatomical reference line based on the digitized location data of said at least one anatomical reference point.

12. The system of claim 11 , wherein the virtual anatomic reference line is the central sacral vertical line.

13. The system of claim 12 , wherein the spine correction input comprises aligning all of the digitized surgical device locations relative to the central sacral vertical line in the coronal plane.

14. The system of claim 13 , wherein the spine correction input comprises aligning all of the digitized surgical device locations relative to the central sacral vertical line in the coronal plane.

15. The system of claim 12 , wherein the rod solution output is a vertically straight rod along at least a portion of the length.

16. The system of claim 1 , wherein the spine correction input is at least one spine correction in the sagittal plane.

17. The system of claim 1 , wherein the control unit is further configured to generate at least one measurement value based on one or more digitized surgical device locations.

18. The system of claim 17 , wherein the spine correction input is an adjustment in the Cobb angle value.

19. The system of claim 1 , wherein generating at least one rod solution output shaped to engage the surgical device at locations distinct from the digitized location further comprises overlaying a stress map onto the rod solution.

20. The system of claim 1 , wherein the implanted surgical device is a screw.

Assignees

• Nuvasive Inc

Inventors

• Scholl Thomas
• Isaacs Robert E
• White Shannon
• Pothier Albert
• German Robert
• Finley Eric
• Gharib James E
• Peterson Mark

Classifications

• G16H40/63

  for local operation · CPC title

• G16H20/40

  relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture · CPC title

• A61B90/39

  Markers, e.g. radio-opaque or breast lesions markers · CPC title

• A61B2034/2055

  Optical tracking systems · CPC title

• A61B34/20 Primary

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title