System and method for preparing bone

Patent metadata

Field	Value
Publication number	US-2021282872-A1
Application number	US-202117334092-A
Country	US
Kind code	A1
Filing date	May 28, 2021
Priority date	Feb 24, 2009
Publication date	Sep 16, 2021
Grant date	—

Abstract

A robotic system for preparing a bone to repair a bone fracture, includes a controllable guide structure configured to guide preparation of at least one bone piece during execution of a surgical plan and a control system configured to define the surgical plan. Defining the surgical plan includes determining a desired relationship between at least a first bone piece and a second bone piece that are separated by the bone fracture and planning preparation of the first bone piece to include a prepared anatomical structure configured to align the first bone piece with the second bone piece such that when aligned, the first bone piece and the second bone piece will achieve the desired relationship. The control system is further configured to control the controllable guide structure according to the surgical plan.

First claim

What is claimed is:

1 . A system for preparing a bone to receive a prosthetic device, the system comprising:
a controllable guide structure configured to guide a bone resection during execution of a surgical plan; and a control system configured to control the controllable guide structure in accordance with a bone-cutting pattern defined by the surgical plan, wherein performance of the bone resection in accordance with the bone-cutting pattern sculpts a portion of the bone into an interlock projection configured to engage with a channel of the prosthetic device.

2 . The system of claim 1 , wherein the interlock projection extends vertically upward from a modified surface of the bone and includes an outer surface and an angled surface, wherein the outer surface is configured to directly mate to an inner surface of the channel of the prosthetic device and the angled surface is configured to directly mate to a recess surface of the channel of the prosthetic device.

3 . The system of claim 2 , wherein the angled surface includes a substantially planar portion that extends at an acute angle relative to the modified surface of the bone.

4 . The system of claim 1 , wherein the interlock projection is configured to constrain the prosthetic device in at least two translational degrees of freedom when engaged with the channel of the prosthetic device.

5 . The system of claim 1 , wherein the interlock projection has a dovetail shape.

6 . The system of claim 1 , wherein performance of the bone resection in accordance with the bone-cutting pattern further sculpts the portion of the bone into an additional interlock projection configured to engage with an additional channel of the prosthetic device.

7 . The system of claim 6 , wherein the interlock projection is a first size and the additional interlock projection is a second size.

8 . The system of claim 7 , wherein the first size and the second size are different.

9 . The system of claim 1 , wherein the interlock projection has a cross shape.

10 . The system of claim 1 , wherein performance of the bone resection in accordance with the bone-cutting pattern further sculpts the portion of the bone into a plurality of additional interlock projections that extend vertically upward from a modified surface of the bone.

11 . The system of claim 10 , wherein each of the plurality of additional interlock projections comprises a top surface and a sloped surface, wherein the top surface is substantially flat and configured to directly mate to an inner surface of the prosthetic device and the sloped surface is curved and configured to directly mate to a recess surface of the prosthetic device.

12 . A method, comprising:
planning a bone-cutting pattern based on a planned installation of a prosthetic device on a bone; controlling a controllable guide structure to guide a cutting tool based on the bone-cutting pattern; sculpting the bone with the cutting tool guided by the controllable guide structure, wherein sculpting the bone provides the bone with an interlock projection extending from a modified surface of the bone; and installing the prosthetic device on the bone by engaging the interlock projection with a channel of the prosthetic device.

13 . The method of claim 12 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure forms the interlock projection such that the interlock projection extends vertically upward from the modified surface of the bone and includes an outer surface and an angled surface, wherein the outer surface is configured to mate to an inner surface of the channel of the prosthetic device and the angled surface is configured to mate to a recess surface of the channel.

14 . The method of claim 13 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure provides the angled surface with a substantially planar portion that extends at an acute angle relative to the modified surface of the bone.

15 . The method of claim 12 , wherein installing the prosthetic device on the bone by engaging the interlock projection with the channel of the prosthetic device constrains the prosthetic device relative to the bone in at least two translational degrees of freedom.

16 . The method of claim 12 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure provides the interlock projection as a dovetail shape.

17 . The method of claim 12 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure further provides the bone with an additional interlock projection extending from the modified surface of the bone.

18 . The method of claim 17 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure provides the interlock projection with a first size and the additional interlock projection with a second size.

19 . The method of claim 12 , wherein sculpting the bone with the cutting tool guided by the controllable guide structure provides the interlock projection as a cross shape.

20 . A system comprising,
a prosthetic device for installation on a bone; a robotic device configured to guide a bone resection during execution of a surgical plan; and a control system configured to control the robotic device in accordance with a bone-cutting pattern defined by the surgical plan, the bone-cutting pattern configured to sculpt a portion of the bone into an interlock projection; wherein the prosthetic device comprises a channel configured to receive and engage with the interlock projection such that the interlock projection prevents translational movement of the prosthetic device relative to the bone in at least two degrees of freedom.

21 . The system of claim 20 , wherein a shape of the channel matches a shape of the interlock projection.

22 . The system of claim 20 , wherein the interlock projection extends vertically upward from a modified surface of the bone.

23 . The system of claim 20 , wherein the interlock projection has a dovetail shape.

24 . The system of claim 20 , wherein performance of the bone resection in accordance with the bone-cutting pattern further sculpts the portion of the bone into an additional interlock projection configured to engage with an additional channel of the prosthetic device.

25 . The system of claim 20 , wherein the interlock projection is a first size and a additional interlock projection is a second size, wherein the first size and the second size are different.

26 . The system of claim 20 , wherein the interlock projection and the channel are cross shaped.

Assignees

• Mako Surgical Corp

Inventors

• Nortman Scott David
• Mistry Amit
• Otto Jason K
• Vorhis Robert Van
• Nadzadi Mark Ellsworth
• Jamieson Miranda

Classifications

• A61F2/30771 Primary

  applied in original prostheses, e.g. holes or grooves · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B17/175

  for preparing the femur for hip prosthesis insertion · CPC title

• A61B17/1746

  for the acetabulum · CPC title

• A61F2002/3895

  unicompartimental · CPC title