Method for optimizing implant designs

Patent metadata

Field	Value
Publication number	US-11324598-B2
Application number	US-202016743746-A
Country	US
Kind code	B2
Filing date	Jan 15, 2020
Priority date	Aug 30, 2013
Publication date	May 10, 2022
Grant date	May 10, 2022

Abstract

Methods are disclosed for designing a tibial implant to minimize cortical impingement of a keel or other fixation structure when the tibial implant is implanted in the tibia bone. The design of the keel or other fixation structure on the tibial baseplate can be based on determining a common area between defined cancellous regions of at least two tibia bones. Methods are disclosed for designing a femoral component having a stem extension such that the stem can be sufficiently placed in the diaphysis of the femur when the femoral component is implanted. The method includes determining a canal axis in a femur that creates adequate engagement between a reamer and the diaphysis of the femur.

First claim

The claimed invention is:

1. A system comprising:
at least one cylinder configured to represent a reamer; and
an implant component of a single standard size in an implant family; the implant component having a fixation feature with a position determined as a function of an axis of a canal of a bone and configured for implantation into the canal of the bone, wherein the axis of the canal of the bone is determined using the at least one cylinder to simulate a fit between the reamer and a diaphysis of the bone.

2. The system of claim 1 , wherein the fixation feature comprises a stem extension and the implant component comprises a femoral component configured to be secured with aid of the fixation feature to a resected femur.

3. The system of claim 2 , wherein the position of the stem extension on the femoral component is determined by measuring a distance between the axis of the canal and an anterior cortex in a distal cut plane of the resected femur.

4. The system of claim 1 , wherein the bone comprises a plurality of bones of a comparable size and the position of the fixation feature is determined by determining the axis of the canal of each of the plurality of bones, wherein the comparable size of the plurality of bones allows any of the plurality of bones to receive the single standard size of the implant component in the implant family.

5. The system of claim 4 , wherein the position of the fixation feature on the implant component is determined for each of the plurality of femurs and averaged to determine the position of the fixation feature on the implant component for the single standard size of the implant component in the implant family.

6. The system of claim 1 , wherein the position of the fixation feature on the implant component is determined by measuring a distance between the axis of the canal and an anterior cortex of the bone.

7. The system of claim 1 , further comprising a computer configured to determine the axis of the canal of the bone using a virtual representation of the bone and reamer to simulate the fit between the reamer and the diaphysis of the bone.

8. The system of claim 1 , wherein the at least one cylinder includes a first cylinder and a second cylinder, wherein the first cylinder has a diameter that differs from a diameter of the second cylinder, and wherein the second cylinder represents a second reamer and the diameter of the second cylinder corresponds to a diameter of the second reamer.

9. A method of designing a stem extension for an implant component of a single standard size, the method comprising:
determining a canal axis of a plurality of bones of comparable size using at least one cylinder to simulate a fit between a reamer and a diaphysis of each of the plurality of bones; and
determining a position of the stem extension on the implant component as a function of the canal axis of the plurality of bones.

10. The method of claim 9 , wherein the position of the stem extension on the implant component is determined by measuring a distance between the canal axis and an anterior cortex in a distal cut plane for each of the plurality of bones.

11. The method of claim 9 , wherein determining the canal axis of the plurality of bones includes:
(a) providing two or more cylinders each having a different diameter and each representing one of two or more reamers configured for use in preparing one or more of the plurality of bones for the implant component;
(h) inserting a first cylinder of the two or more cylinders, having a first diameter, into a canal of one of the plurality of bones;
(c) if a depth achievable with the first cylinder is less than a predetermined reaming depth, inserting the first cylinder of the two or more cylinders into the canal to a maximum reaming depth that the first cylinder is able to fit in the canal;
(d) if the depth achievable by the first cylinder is equal to or greater than the predetermined reaming depth and the first cylinder is not seated against an inner cortex of the one of the plurality of bones, inserting a second cylinder of the two or more cylinders, having a second diameter greater than the first diameter of the first cylinder into the canal of the one of the plurality of bones to the predetermined reaming depth, wherein the second cylinder is seated in the canal to the predetermined reaming depth and is seated against the inner cortex of the one of the plurality of bones; and
(e) determining a most desired cylinder position based on step (c) or (d), wherein the canal axis is determined based on a position of a longitudinal axis of either the first cylinder or the second cylinder of the two or more cylinders.

12. The method of claim 11 , wherein step (e) further includes adjusting an entry point for inserting the first cylinder and the second cylinder of the two or more cylinders in a distal end of a femur in at least one of an anterior/posterior direction and a medial/lateral direction.

13. The method of claim 9 , wherein the position of the stem extension on the implant component is determined for each of the plurality of bones and averaged to determine the position of the stem extension on the implant component.

14. A system of implant components of an implant family, the system comprising:
a first implant component of a first standard size in the implant family, the first implant component having a first fixation feature configured for implantation into a canal of a first bone of a first size;
a second implant component of a second standard size in the implant family that is larger than the first implant component of the first standard size, the second implant component having a second fixation feature configured for implantation into a canal of a second bone of a second size, wherein the second fixation feature is positioned relatively more posterior on the second implant component than the first fixation feature is on the first implant component; and
at least one cylinder configured to simulate a fit between a reamer and a diaphysis of either the first bone or the second bone, and wherein an axis of the canal of the first bone and the second bone is determined using the at least one cylinder.

15. The system of claim 14 , wherein the first fixation feature has a position determined as a function of the axis of the canal of the first bone of the first size, and wherein the second fixation feature has a position determined as a function of the axis of the canal of the second bone of the second size.

16. The system of claim 15 , wherein the first bone comprises a plurality of bones of the first size, wherein the position of the first fixation feature on the first implant component is determined from averaging the axis of the canal of each of the plurality of bones.

17. The system claim 16 , wherein the second bone comprises a second plurality of bones of the second size, wherein the position of the second fixation feature on the second implant component is determined from averaging the axis of the canal of each of the second plurality of bones.

18. The system of claim 14 , wherein for the implant family a position of each fixation feature including the first fixation feature and the second fixation feature increases progressively posterior with an increase in size of the implant component of the implant family.

19. The system of claim 14 , wherein at least a position of the first fixation feature on the first implant component is determined by measuring a distance between an axis of the canal and an anterior cortex of the first bone.

Assignees

• Zimmer Inc

Inventors

• Dai Yifei
• Schaerer Christine
• Todd Dwight T
• Bischoff Jeffrey E
• Henderson Adam D

Classifications

• A61F2002/30878

  with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts · CPC title

• A61F2/38

  for elbows or knees · CPC title

• A61B5/1076

  for measuring dimensions inside body cavities, e.g. using catheters (A61B3/1005 takes precedence) · CPC title

• A61F2/3868

  with sliding tibial bearing · CPC title

• A61F2002/30884

  Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity · CPC title