Surgical Systems and Methods for Facilitating Tissue Treatment

Patent metadata

Field	Value
Publication number	US-2022241021-A1
Application number	US-202217728129-A
Country	US
Kind code	A1
Filing date	Apr 25, 2022
Priority date	Feb 7, 2019
Publication date	Aug 4, 2022
Grant date	—

Abstract

A system for treating tissue of a patient's anatomy at a target site. A localizer generates location data associated with the anatomy. A display unit overlays visual content on the anatomy within a field of view observable by a user. A visualization program on a computing device generates a virtual reference frame, identifies viable and non-viable approaches for fixation elements to engage tissue and secure a stabilizer relative to the target site based on patient-specific imaging data, arranges a virtual viability model within the virtual reference frame based on the location data and comprising viable portions associated with viable approaches and non-viable portions associated with non-viable approaches, and renders the virtual viability model in the visual content displayed by the display unit overlaid onto the anatomy within the field of view to assist the user in visualizing at least one of viable approaches and non-viable approaches.

First claim

1 . A surgical system for use in treating tissue of a patient's anatomy at a target site, with a stabilizer and a fixation element, based on patient-specific imaging data, the surgical system comprising:
a localizer to generate patient location data associated with a location of at least a portion of the patient's anatomy; a display unit to display visual content overlaid onto the patient's anatomy within a field of view observable by a user; and a computing device coupled to the localizer and the display unit, the computing device comprising one or more processors and a non-transitory storage medium having stored thereon a visualization program that when executed by the one or more processors is configured to:
generate a virtual reference frame,
identify a plurality of different fixation approaches for the fixation element to engage tissue and secure the stabilizer relative to the target site based on the patient-specific imaging data, with the plurality of different fixation approaches including one or more viable fixation approaches,
arrange a virtual viability model within the virtual reference frame based on the patient location data, the virtual viability model comprising one or more viable portions associated with the one or more viable fixation approaches, and
render at least a portion of the virtual viability model in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visualizing the one or more viable fixation approaches.

2 . The surgical system as set forth in claim 1 , wherein the visualization program is further configured to:
identify a plurality of different tissue portions adjacent to the target site based on the patient-specific imaging data; and differentiate one or more of the plurality of different tissue portions into one or more of:
at least one viable tissue region defined by intended engagement with the fixation element along one or more viable fixation approaches, and
at least one non-viable tissue region defined by intended avoidance with the fixation element.

3 . The surgical system as set forth in claim 1 , wherein the visualization program is further configured to:
identify one or more implanted components adjacent to the target site based on the patient-specific imaging data; arrange one or more virtual implant models, corresponding to the one or more identified implanted components, within the virtual reference frame based on the patient location data; and render at least a portion of the one or more virtual implant models in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visualizing the one or more virtual implant models adjacent to an unexposed portion of the target site.

4 . The surgical system as set forth in claim 1 , wherein the visualization program is further configured to:
enable selection of one or more virtual stabilizer models for arrangement within the virtual reference frame with at least one of the one or more virtual stabilizer models defining a plurality of virtual apertures arranged relative to a corresponding plurality of apertures defined by the stabilizer each shaped to receive the fixation element therethrough, and identify the plurality of different fixation approaches based at least partially on the arrangement of the plurality of virtual apertures of a selected virtual stabilizer model within the virtual reference frame.

5 . The surgical system as set forth in claim 4 , wherein the visualization program is further configured to arrange the virtual viability model within the virtual reference frame such that at least one of the one or more viable portions of the virtual viability model aligns with one of the plurality of virtual apertures of the selected virtual stabilizer model.

6 . The surgical system as set forth in claim 4 , wherein the visualization program is further configured to render at least a portion of the selected virtual stabilizer model in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visualizing one or more of the plurality of virtual apertures of the selected virtual stabilizer model.

7 . The surgical system as set forth in claim 4 , wherein the visualization program is further configured to arrange the virtual viability model within the virtual reference frame such that at least one of the plurality of virtual apertures of the selected virtual stabilizer model defines a viable portion of the virtual viability model.

8 . The surgical system as set forth in claim 4 , wherein the visualization program is further configured to:
further delineate at least one identified viable fixation approach as either a superior fixation approach or an inferior fixation approach based on the patient-specific imaging data, and arrange the virtual viability model within the virtual reference frame such that the one or more viable portions comprise one or more of: a superior viability portion associated with one or more superior fixation approaches; and an inferior viability portion associated with one or more inferior fixation approaches.

9 . The surgical system as set forth in claim 8 , wherein the visualization program is further configured to render the virtual viability model in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visually distinguishing between one or more of:
one or more superior fixation approaches rendered as superior viability portions of the virtual viability model, and one or more inferior fixation approaches rendered as inferior viability portions of the virtual viability model.

10 . The surgical system as set forth in claim 4 , further comprising a handle assembly with a handle grip configured for engagement by the user and a coupler to facilitate releasable attachment of the stabilizer;
wherein the localizer is further configured to generate handle location data associated with a location of at least a portion of the handle assembly; wherein the visualization program is further configured to:
arrange the selected virtual stabilizer model within the virtual reference frame based on the handle location data,
arrange one or more virtual patient models within the virtual reference frame based on the patient location data, and
render at least a portion of the one or more virtual patient models and at least a portion of the selected virtual stabilizer model in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visualizing the selected virtual stabilizer model relative to at least one of: the one or more viable fixation approaches; and the one or more virtual patient models.

11 . The surgical system as set forth in claim 4 , further comprising a guide assembly with a guide grip configured for engagement by the user and a bore element defining a penetration trajectory;
wherein the localizer is further configured to generate guide location data associated with a location of at least a portion of the guide assembly; and wherein the visualization program is further configured to: arrange a virtual axis corresponding to the penetration trajectory within the virtual reference frame based on the guide location data, and to render at least a portion of the virtual axis in the visual content displayed by the display unit overlaid onto the patient's anatomy within the field of view to assist the user in visualizing the virtual axis relative to at least one of: the one or more viable fixation

Assignees

• Stryker European Operations Ltd

Inventors

• Spaelter Ulrich
• Paulisch Matthias
• Huegle Fabian
• Riemer Rose
• Christen Alexis
• Wiederkehr Andreas
• Stucki Katja
• Sylvestre Pierre-Luc
• Mannanal Subash K
• Pak Chulho

Classifications

• A61B17/1703

  using imaging means, e.g. by X-rays · CPC title

• A61B2017/0042

  with special provisions for gripping · CPC title

• A61B2017/564

  Methods for bone or joint treatment · CPC title

• A61B2034/102

  Modelling of surgical devices, implants or prosthesis · CPC title

• A61B2090/365

  augmented reality, i.e. correlating a live optical image with another image · CPC title