Technique For Determining A Trajectory Defined By An Elongated Member Placed In Bone

Patent metadata

Field	Value
Publication number	US-2023389963-A1
Application number	US-202318204636-A
Country	US
Kind code	A1
Filing date	Jun 1, 2023
Priority date	Jun 2, 2022
Publication date	Dec 7, 2023
Grant date	—

Abstract

A computer-implemented technique of determining a trajectory defined by a guide wire or other elongated member is presented. A method implementation of the technique in one variant comprises obtaining image data representative of a guide wire placed in a bone, processing the image data to determine an extension of the guide wire, and selecting a portion of the guide wire extension. The method further comprises determining, from the selected portion of the guide wire extension, trajectory data indicative of a guide wire-defined trajectory.

First claim

1 . A computer-implemented method of determining a trajectory defined by an elongated member, the method comprising
obtaining image data representative of an elongated member placed in a bone; processing the image data to determine an extension of the elongated member; selecting a portion of the extension of the elongated member; and determining, from the selected portion of the extension of the elongated member, trajectory data indicative of a trajectory defined by the elongated member.

2 . The method of claim 1 , wherein
the selected portion of the extension of the elongated member is substantially linear.

3 . The method of claim 1 , wherein
processing the image data comprises segmenting the image data to determine first image information representative of the elongated member, and wherein the portion of the extension of the elongated member is selected based on the first image information.

4 . The method of claim 1 , wherein
processing the image data comprises determining an endpoint of the elongated member in the bone, and wherein the selected portion of the extension of the elongated member is based on the endpoint.

5 . The method of claim 4 , wherein
the selected portion of the extension of the elongated member comprises the endpoint and stretches over a length of the extension of the elongated member from the endpoint.

6 . The method of claim 1 , comprising
segmenting the image data to determine second image information representative of a bone surface, and wherein selecting the portion of the extension of the elongated member comprises determining an intersection between the bone surface and the extension of the elongated member.

7 . The method of claim 1 , further comprising generating display information based on the trajectory data.

8 . The method of claim 7 , wherein the display information is configured to visualize at least one of the trajectory and an, or the, endpoint of the elongated member in the bone.

9 . The method of claim 7 , wherein the display information is configured to visualize at least one of (i) the trajectory and (ii) an, or the, endpoint of the elongated member in the bone superimposed on one of (i) the image data processed to determine the extension of the elongated member and (ii) other image data representative of the bone.

10 . The method of claim 7 , further comprising
processing the image data based on the trajectory data, wherein the display information is indicative of the processed image data.

11 . The method of claim 10 , wherein the step of processing the image data further comprises at least one of orienting the image data and zooming into the image data.

12 . The method of claim 1 , further comprising determining, based on the trajectory data, a cylindrical volume centered relative to the trajectory.

13 . The method of claim 1 , wherein the elongated member serves for placement of a cannulated screw, the method further comprising determining at least one screw parameter of the cannulated screw based on at least one of the image data and the trajectory data.

14 . The method of claim 12 , wherein the elongated member serves for placement of a cannulated screw, the method further comprising determining at least one screw parameter of the cannulated screw based on at least one of the image data and the trajectory data, wherein the cylindrical volume is determined based on the at least one screw parameter and wherein, as an option, the screw is a pedicle screw and wherein the screw parameter is determined to avoid breaching.

15 . The method of claim 1 , wherein the trajectory defined by the trajectory data extends beyond the selected portion of the extension of the elongated member.

16 . The method of claim 1 , wherein the image data are representative of another elongated member placed in the, or another, bone, the method further comprising:
processing the image data to determine an extension of the other elongated member; selecting a portion of the extension of the other elongated member; determining, from the selected portion of the extension of the other elongated member, further trajectory data indicative of a trajectory defined by the other elongated member; and determining a relationship between the trajectories.

17 . The method of claim 16 , wherein the relationship comprises at least one of a distance relationship and an angular relationship.

18 . A computer program product stored on non-transitory computer readable medium comprising program code portions configured to be executed by a processor to:
obtain image data representative of an elongated member placed in a bone; process the image data to determine an extension of the elongated member; select a portion of the extension of the elongated member; and determine, from the selected portion of the extension of the elongated member, trajectory data indicative of a trajectory defined by the elongated member.

19 . An apparatus for determining a trajectory defined by an elongated member, the apparatus being configured to:
obtain image data representative of an elongated member placed in a bone; process the image data to determine an extension of the elongated member; select a portion of the extension of the elongated member; and determine, from the selected portion of the extension of the elongated member, trajectory data indicative of a trajectory defined by the elongated member.

20 . The apparatus of claim 19 , wherein the selected portion of the extension of the elongated member is substantially linear.

Assignees

• Stryker European Operations Ltd

Inventors

• Herrmann Florian

Classifications

• A61B17/7002 Primary

  Longitudinal elements, e.g. rods · CPC title

• A61B17/7019

  Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other · CPC title

• A61B2017/0256

  for the spine · CPC title

• A61B34/10 Primary

  Computer-aided planning, simulation or modelling of surgical operations · CPC title

• A61B2034/107

  Visualisation of planned trajectories or target regions · CPC title