Systems and methods for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking

Patent metadata

Field	Value
Publication number	US-9700292-B2
Application number	US-201514717563-A
Country	US
Kind code	B2
Filing date	May 20, 2015
Priority date	Sep 17, 2012
Publication date	Jul 11, 2017
Grant date	Jul 11, 2017

Abstract

Various systems and methods are provided for surgical and interventional planning, support, post-operative follow-up, and functional recovery tracking. In general, a patient can be tracked throughout medical treatment including through initial onset of symptoms, diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment. In one embodiment, a patient and one or more medical professionals involved with treating the patient can electronically access a comprehensive treatment planning, support, and review system. The system can provide recommendations regarding diagnosis, non-surgical treatment, surgical treatment, and recovery from the surgical treatment based on data gathered from the patient and the medical professional(s). The system can manage the tracking of multiple patients, thereby allowing for data comparison between similar aspects of medical treatments and for learning over time through continual data gathering, analysis, and assimilation to decision-making algorithms.

First claim

What is claimed is:

1. A method of treating a patient, comprising:
receiving pre-operative data regarding a patient, the pre-operative data including at least one of pre-operative pain data, pre-operative range-of-motion data, and pre-operative level-of-activity data;
collecting data from a trial device inserted into a joint of the patient, the trial device having a force sensor embedded therein, the force sensor being configured to sense a force acting on the trial device, and the collected data being indicative of force acting on the trial device;
devising a plan based at least in part upon the collected data and the pre-operative data, the plan including a desired implant location in the patient;
receiving post-operative data regarding the patient following performance of a surgical procedure on the patient that implanted an implant into the patient and that was performed at least in part based on the plan, the post-operative data including at least one of post-operative pain data, post-operative range-of-motion data, and post-operative level-of-activity data;
comparing the pre-operative data and the post-operative data and determining, based on the comparison, whether the post-operative data indicates and improvement over the pre-operative data,
wherein the improvement in post-operative pain data is indicated by less patient pain than the pre-operative pain data,
wherein the improvement in the post-operative range-of-motion data is indicated by greater patient range of motion than the pre-operative range-of-motion data, and
wherein the improvement in the post-operative level-of-activity data is indicated by greater patient level of activity than the pre-operative level-of-activity data;

receiving data from the implant within the patient indicative of a post-implant location of the implant in the patient;
determining an implant location deviation by comparing the received post-implant location of the implant in the patient to the desired implant location;
determining an effectiveness of the plan based at least in part upon the collected data, the determined implant location deviation, and the comparison of the pre-operative and post-operative data;
based on the result of the determining, adjusting a physical characteristic of the implant within the patient;
storing the plan, implant adjustment information, and effectiveness information as future plan data to thereby improve future effectiveness of the plan with respect to at least one of pain of the patient, range-of-motion of the patient, and level-of-activity of the patient; and
accessing and utilizing the future plan data as part of a treatment of a subsequent patient.

2. The method of claim 1 , wherein the plan is devised using performance data of devices similar to the trial device previously inserted into other patients.

3. The method of claim 2 , further comprising updating the performance data in view of the pre-operative data, the post-operative data, and the plan to prepare the performance data for future use in devising a second plan for a second patient.

4. The method of claim 1 , wherein the post-operative data includes data includes data measured by the implant implanted in the patient.

5. The method of claim 1 , wherein a processor receives the preoperative data, collects the data from the force sensor, devises the plan, receives the post-operative data, compares the pre-operative data and the post-operative data, determines the implant deviation, and determines the effectiveness of the plan, stores the future plan data in a memory, and accesses and utilizes the future plan data.

6. The method of claim 1 , wherein the surgical procedure is performed on the joint of the patient.

7. The method of claim 1 , wherein the implant has a sensor embedded therein;
the method further comprises collecting data from the sensor embedded in the implant after the implantation of the implant into the patient; and
determining the effectiveness of the plan is also based at least in part on the data collected from the sensor.

8. The method of claim 1 , wherein the physical characteristic of the implant is adjusted wirelessly.

9. A surgical system, comprising:
an implant device having an embedded force sensor, the implant device being configured to be inserted into a joint of a patient, the force sensor being configured to sense a force acting on the device, and the implant device being configured to collect data being indicative of force acting on the trial device;
a memory storing pre-operative data regarding a plurality of patients, and post-operative data regarding the plurality of patients; and
a processor configured to
receive pre-operative data regarding a patient that includes at least one of preoperative pain data, pre-operative range-of-motion data, and pre-operative level-of-activity data,
devise a plan based at least in part upon the received pre-operative data, the stored pre-operative data, the stored post-operative data, the plan including a desired implant device location in the patient,
receive data from the sensor embedded in the implant device inserted into the patient during performance of a surgical procedure on the patient being performed at least in part based on the plan,
receive post-operative data regarding the patient following performance of the surgical procedure, the post-operative data regarding the patient including at least one of postoperative pain data, post-operative range-of-motion data, and post-operative level-of-activity data,
compare the pre-operative data regarding the patient and the post-operative data regarding the patient and determine, based on the comparison, whether the post-operative data indicates an improvement over the pre-operative data,
wherein the post-operative pain data indicates an improvement by indicating less patient pain than the pre-operative pain data, the post-operative range-of-motion data indicates an improvement by indicating greater patient range of motion than die pre-operative range-of-motion data, and the post-operative level-of-activity data indicates an improvement by indicating greater patient level of activity than the pre-operative level-of-activity data,
receive data from the implant device implanted within the patient, the data indicative of a post-implant location of the implant device in the patient,
determining an implant location deviation by comparing the received post-implant location of the implant device in the patient to the desired implant device location,
determine an effectiveness of the plan based at least in part upon the sensor data, the determined implant device location deviation, and the comparison of the pre-operative data regarding the patient and the post-operative data regarding the patient, and
based on a result of the determining, adjust a physical characteristic of the implanted implant device within the patient,
store the plan, implant adjustment information, and effectiveness information as future plan data to thereby improve future effectiveness of the plan with respect to at least one of pain of the patient, range-of-motion of the patient, and level-of-activity of the patient, and
access and utilize the future plan data as part of a treatment of a subsequent patient.

10. The system of claim 9 , wherein the processor is configured to update the pre-operative data regarding the plurality of patients with the pre-operative data regarding the patient and to update the post-operative data regarding the plurality of patients with the postoperative data regarding the patient, thereby improving an ability to devise future plans for other patients through continual learning.

11. The system of claim 9 , wherein performa

Assignees

• Depuy Synthes Products Inc

Inventors

• Nawana Namal
• Horton William C
• Frasier William J
• Serhan Hassan A
• O'Neil Michael
• Sommerich Robert E
• Dipietro Jennifer
• Nordstrom Christopher
• Parsons Matthew
• Martin Thomas

Classifications

• G16Z99/00

  Subject matter not provided for in other main groups of this subclass · CPC title

• A61B6/4494

  Means for identifying the diagnostic device · CPC title

• G01L5/00

  Apparatus for, or methods of, measuring force, work, mechanical power, or torque, specially adapted for specific purposes · CPC title

• A61B34/25

  User interfaces for surgical systems · CPC title

• A61B6/485

  involving fluorescence X-ray imaging · CPC title