Registration of intramedulary canal during revision total knee arthroplasty
US-2024245412-A1 · Jul 25, 2024 · US
US2016367264A1 · US · A1
| Field | Value |
|---|---|
| Publication number | US-2016367264-A1 |
| Application number | US-201615236451-A |
| Country | US |
| Kind code | A1 |
| Filing date | Aug 14, 2016 |
| Priority date | Feb 13, 2014 |
| Publication date | Dec 22, 2016 |
| Grant date | — |
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The present application relates to adaptive surface surgical guiding apparatuses, tools, devices, or guides including stability and/or verification elements for use in surgical applications. In one embodiment, a surgical guiding apparatus comprises one or more rigid portions configured to attach to a first region of an underlying anatomical surface; a variable deformable portion coupled to the one or more rigid portions, the variable deformable portion configured to conform to a shape of a second region of the underlying anatomical surface; and a soft-tissue piercing element configured to pierce soft-tissue overlying a third region of the underlying anatomical surface and to attach to the underlying anatomical surface.
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1 . A surgical guide comprising: a surgical guiding apparatus, comprising one or more rigid portions configured to attach to a first region of an underlying anatomical surface; a soft tissue-piercing element configured to pierce soft tissue overlying a second region of the underlying anatomical surface and to attach to the underlying anatomical surface; and a soft tissue-piercing element attachment. 2 . The surgical guide of claim 1 , wherein the surgical guiding apparatus further comprises a variable deformable portion, the variable deformable portion configured to conform to a shape of a third region of the underlying anatomical surface. 3 . The surgical guide of claim 1 , wherein the soft tissue-piercing element attachment comprises an aperture configured for manually inserting the soft tissue-piercing element. 4 . The surgical guide of claim 3 , wherein the soft tissue-piercing element comprises a depth indicator. 5 . The surgical guide of claim 4 , wherein the depth indicator comprises markings on the soft tissue-piercing element. 6 . The surgical guide of claim 3 , wherein the soft tissue-piercing element attachment comprises a depth indicator. 7 . The surgical guide of claim 6 , wherein the depth indicator comprises markings on the soft tissue-piercing element attachment. 8 . The surgical guide of claim 1 , wherein the soft tissue-piercing element comprises a pin. 9 . The surgical guide of claim 1 , wherein the soft tissue-piercing element attachment is integral to the surgical guiding apparatus. 10 . The surgical guide of claim 1 , wherein the soft tissue-piercing element attachment is integral to the soft tissue-piercing element. 11 . The surgical guide of claim 10 , wherein the soft tissue-piercing element and soft tissue-piercing element attachment are an off-the-shelf device. 12 . The surgical guide of claim 10 , wherein the soft tissue-piercing element and soft tissue-piercing element attachment are a patient-specific device. 13 . The surgical guide of claim 1 , wherein the soft tissue-piercing element attachment is removably affixed to the surgical guiding apparatus. 14 . The surgical guide of claim 13 , wherein the soft tissue-piercing element attachment is removably affixed to the surgical guiding apparatus by a slot in the surgical guiding apparatus. 15 . The surgical guide of claim 1 , wherein the soft tissue-piercing element attachment comprises a deformable member. 16 . The surgical guide of claim 15 , wherein the deformable member is a spring. 17 . The surgical guide of claim 1 , wherein the soft tissue comprises at least one of cartilage, muscles, tendons, ligaments and fat tissue. 18 . The surgical guide of claim 1 , wherein the soft tissue is not dermis or epidermis. 19 . The surgical guide of claim 1 , wherein the surgical guiding apparatus comprises a material suitable for additive manufacturing, and the soft tissue-piercing element comprises one of stainless steel and titanium. 20 . A method of using a surgical guide in a surgical procedure on an anatomical subject, the method comprising: the method comprising: attaching a surgical guiding apparatus to a first region of an anatomical surface of the anatomical subject; inserting a soft tissue-piercing element through an aperture of a soft tissue-piercing element attachment; piercing soft tissue overlying a second region of the anatomical surface with the soft tissue-piercing element; attaching the soft tissue-piercing element to the second region of the anatomical surface; verifying the position of the surgical guiding apparatus using a depth indicator associated with the soft tissue-piercing element attachment.
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