Systems and methods for navigating a pin guide driver

Patent metadata

Field	Value
Publication number	US-12408929-B2
Application number	US-202217657387-A
Country	US
Kind code	B2
Filing date	Mar 31, 2022
Priority date	Sep 27, 2019
Publication date	Sep 9, 2025
Grant date	Sep 9, 2025

Abstract

Systems and methods for resecting a knee joint using a navigated pin guide driver system. The navigated pin guide driver system communicates with a navigation system to aid a user in placing cut block pins into the knee joint. The navigated pin guide driver system may include a handle, a reference element that electronically communicates with the navigation system, one or more pin guide tubes that may correspond to one or more cut blocks, and a distal tip that is configured to attach to the bone.

First claim

What is claimed is:

1. A method for performing a total knee arthroplasty surgery using a navigated pin guide driver system, the method comprising: registering a knee of a patient to a navigation system for tracking position of the knee; aligning the navigated pin guide driver system to a target area of the knee of the patient using the navigation system, the navigated pin guide driver system including: a handle; a first pin guide tube attached to the handle and having a through hole for receiving a first pin, the through hole extending along a longitudinal axis of the first pin guide tube; a reference array of markers arranged in a predetermined pattern and attached to the first pin guide tube, the reference array configured to be tracked by the navigation system; and a tubular distal tip coupled to a distal end of the first pin guide tube, the tubular distal tip having a through hole for receiving the first pin and configured to dock into cortical bone; a bridge having a first end attached to the first pin guide tube; and a second pin guide tube attached to other end of the bridge, and having a through hole for receiving a second pin and spaced from the first pin guide tube such that the first and second pins receive corresponding holes in a cut block for cutting a femur or tibia, wherein the bridge and the reference array are configured to rotate about the longitudinal axis of the first pin guide tube; driving the first and second pins into the knee through the first and second pin guide tubes while being guided by the navigation system; placing the cut block over the driven pins; and performing cuts to the target area using the placed cut block.

2. The method of claim 1 , wherein the first pin guide tube is parallel to the second pin guide tube.

3. The method of claim 2 , wherein the second pin guide extends upwardly from the bridge without extending downwardly from the bridge.

4. The method of claim 3 , wherein the tubular distal tip extends downwardly from the bridge.

5. The method of claim 4 , wherein the bridge is configured to maintain a spacing between the first pin guide tube and the second pin guide tube.

6. The method of claim 1 , wherein the cut block is a 4 in 1 cut block.

7. The method of claim 1 , wherein the cut block is a proximal tibial cut block.

8. The method of claim 1 , wherein the reference array includes a plurality of optical tracking markers that are visible to the navigation system.

9. The method of claim 8 , wherein the reference array includes four tracking markers visible to the navigation system.

10. The method of claim 1 , wherein the handle extends laterally from the longitudinal axis of the first pin guide tube.

11. A method for performing a total knee arthroplasty surgery using a navigated pin guide driver system, the method comprising: registering a knee of a patient to a navigation system for tracking position of the knee; aligning the navigated pin guide driver system to a target area of the knee of the patient using the navigation system, the navigated pin guide driver system including: a handle; a first pin guide tube attached to the handle and having a through hole for receiving a first pin, the through hole extending along a longitudinal axis of the first pin guide tube; a reference array of markers arranged in a predetermined pattern and rigidly attached to the first pin guide tube, the reference array configured to be tracked by the navigation system; and a tubular distal tip coupled to a distal end of the first pin guide tube, the tubular distal tip having a through hole for receiving the first pin and configured to dock into cortical bone; a bridge having a first end attached to the first pin guide tube; a second pin guide tube attached to a second end of the bridge and spaced from the first pin guide and having a through hole for receiving a second pin such that the first and second pins receive corresponding holes in a cut block for cutting a femur or tibia, wherein the bridge and the reference array are configured to rotate about the longitudinal axis of the first pin guide tube; driving the first and second pins into the knee through the first and second pin guide tubes while being guided by the navigation system; placing the cut block over the driven pins; and performing cuts to the target area using the placed cut block.

12. The method of claim 11 , wherein the navigated pin guide driver system includes a bridge connected between first and second pin guide tubes, and the second pin guide tube extends upwardly from the bridge without extending downwardly from the bridge.

13. The method of claim 12 , wherein the tubular distal tip extends downwardly from the bridge.

14. The method of claim 13 , wherein the bridge is configured to maintain a spacing between the first pin guide tube and the second pin guide tube.

15. The method of claim 11 , wherein the cut block is a 4 in 1 cut block.

16. The method of claim 11 , wherein the cut block is a proximal tibial cut block.

17. The method of claim 11 , wherein the reference array includes a plurality of optical tracking markers that are visible to the navigation system.

18. The method of claim 17 , wherein the reference array includes four and only four tracking markers arranged in a predetermined pattern and visible to the navigation system.

19. The method of claim 11 , wherein the handle extends laterally from the longitudinal axis of the first pin guide tube.

Assignees

• Globus Medical Inc

Inventors

• Chappuis Olivier
• Kostrzewski Szymon
• Blackwell Timothy
• Cameron Hayden
• Cicchini Stephen
• Eckert Peter
• Kanagasegar Keerthighaan
• Zappacosta Jason
• Pham Khiem

Classifications

• A61B2034/2055

  Optical tracking systems · CPC title

• A61B34/20

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

• A61B17/142

  with reciprocating saw blades, e.g. with cutting edges at the distal end of the saw blades · CPC title

• A61B17/154 Primary

  for preparing bone for knee prosthesis · CPC title

• A61B2090/5025

  with a counter-balancing mechanism · CPC title