Systems, devices, and methods for designing and forming a surgical implant

Patent metadata

Field	Value
Publication number	US-11931795-B2
Application number	US-202217898271-A
Country	US
Kind code	B2
Filing date	Aug 29, 2022
Priority date	Apr 4, 2008
Publication date	Mar 19, 2024
Grant date	Mar 19, 2024

Abstract

A method is provided for determining the shape of a surgical linking device that is to be attached to a bony body structure such as the spinal column based on digitized locations of a plurality of attachment elements engaged to the bony structure. The method is implemented by a computer system through a GUI to generate an initial bend curve to mate with the plurality of attachment elements. The initial bend curve may be simplified based on user input to the GUI to reduce the number of bends necessary to produce a well-fitting linking device and may be altered to help obtain the goals of surgery.

First claim

What is claimed is:

1. A spinal rod for a patient's spine, the spinal rod having a plurality of bend points along a length of the spinal rod, wherein the plurality of bend points are determined by:
(a) obtaining data for a plurality of locations relative to the patient's spine;
(b) generating a bend curve having the plurality of bend points along the length of the spinal rod, wherein the bend curve is based on the data for the plurality of locations and wherein the bend curve is adapted to: address abnormalities in alignment of the patient's spine, straighten abnormalities in alignment of the patient's spine, alter abnormalities in alignment of the patient's spine create a deformity in the patient's spine, lessen a deformity in the patient's spine, eliminate deformities in the patient's spine, impose changes in alignment of the patient's spine, add stress to the patient's spine, or reduce stress to the patient's spine; and
(c) generating bending instructions for bends to be performed on the spinal rod by a bending tool at each of the plurality of bend points.

2. The spinal rod of claim 1 ,
wherein the spinal rod is for engagement to a plurality of pedicle screws engaged within the patient's spine, each of the plurality of pedicle screws having an engagement portion for engagement with the spinal rod; and
wherein the plurality of bend points are further determined by developing a curve function to approximate a desired location of each of the plurality of pedicle screws along the length.

3. The spinal rod of claim 2 , wherein the plurality of bend points are further determined by calculating a location of the spinal rod shaped according to the curve function at the desired location of each of the plurality of pedicle screws.

4. The spinal rod of claim 3 , wherein the plurality of bend points are further determined by calculating an error based on a difference in the calculated location of the spinal rod and the desired location of each of the plurality of pedicle screws and determining if the error exceeds a tolerance range.

5. The spinal rod of claim 4 , wherein the plurality of bend points are further determined by eliminating bend points when the calculated error exceeds the tolerance range.

6. The spinal rod of claim 4 , wherein calculating the error comprises applying a least mean squares approach over all of the desired locations of each of the plurality of pedicle screws.

7. The spinal rod of claim 1 ,
wherein generating the bend curve includes generating a plurality of bend curves; and
wherein each of the plurality of bend curves are in different non-coplanar planes.

8. The spinal rod of claim 7 , wherein generating the bend curve includes generating a plurality of bend curves, wherein at least two of the plurality of bend curves occur in planes orthogonal to one another.

9. A spinal rod for a patient's spine, the spinal rod having a length having one or more curves between a first end of the spinal rod and a second end of the spinal rod, wherein the spinal rod is formed by:
determining data representing a plurality of locations along the patient's spine;
developing a curve function based on the plurality of locations along the patient's spine;
generating a bend curve according to the curve function and having a plurality of bend points along the length of the spinal rod, wherein the bend curve is based on the data representing the plurality of locations along the patient's spine, and wherein the bend curve is adapted to address abnormalities in alignment of the patient's spine, straighten abnormalities in alignment of the patient's spine, alter abnormalities in alignment of the patient's spine, create deformities in the patient's spine, lessen deformities in the patient's spine, eliminate deformities in the patient's spine, impose changes in alignment of the patient's spine, add stresses to the patient's spine, or reduce stresses to the patient's spine;
generating bending instructions for bends to be performed on the spinal rod by a bending tool at each of the plurality of bend points; and
bending the spinal rod according to the bend instructions using the bending tool.

10. The spinal rod of claim 9 , wherein the plurality of bend points are further determined by calculating an error based on a difference between a calculated location of the spinal rod and a desired location of each of a plurality of pedicle screws and determining if such error exceeds a tolerance range.

11. The spinal rod of claim 10 , wherein the plurality of bend points are further determined by eliminating bend points when a calculated error exceeds the tolerance range.

12. The spinal rod of claim 10 ,
wherein the spinal rod is configured to be received in a channel of a head portion of one or more of the plurality of pedicle screws; and
wherein the plurality of bend points are further determined by determining a tolerance range based on a maximum angle through which the head portion may pivot relative to a bony structure of the patient's spine.

13. The spinal rod of claim 9 , wherein the plurality of locations are based on anatomical points that must be avoided by the spinal rod when the spinal rod is engaged with the plurality of pedicle screws.

14. The spinal rod of claim 9 , wherein the plurality of bend points are further determined by applying a smoothing function to the curve function.

15. A spinal rod customized for a patient's spine, the spinal rod having a plurality of curves along a length of the spinal rod, wherein the plurality of curves are determined by:
generating the plurality of curves based on a desired location of at least one pedicle screw in the patient's spine, and wherein the plurality of curves are adapted to alter alignment of the patient's spine; and
generating bending instructions for bends to be performed on the spinal rod by a bending tool to achieve the plurality of curves.

16. The spinal rod of claim 15 , wherein generating the plurality of curves is based on digitized data of a location of the at least one pedicle screw.

17. The spinal rod of claim 15 , wherein the plurality of curves are further determined by developing a curve function to approximate the desired location of each of the at least one pedicle screw.

18. The spinal rod of claim 17 , wherein the plurality of curves are further determined by calculating a location of the spinal rod shaped according to the curve function at the desired location of the at least one pedicle screw.

19. The spinal rod of claim 18 , wherein the plurality of curves are further determined by calculating an error based on a difference in the calculated location of the spinal rod and the desired location of each of the at least one pedicle screw and determining if such error exceeds a tolerance range.

20. The spinal rod of claim 17 , wherein the plurality of curves are further determined by applying a smoothing function to the curve function.

Assignees

• Nuvasive Inc

Inventors

• Isaacs Robert E

Classifications

• B21F45/008 Primary

  of medical instruments, e.g. stents or corneal rings · CPC title

• A61B1/32

  Devices for opening or enlarging the visual field, e.g. of a tube of the body · CPC title

• A61B5/24

  Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof · CPC title

• A61B5/4836

  Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence) · CPC title

• A61B17/02

  for holding wounds open, e.g. retractors; Tractors · CPC title