Robotic arthroplasty system

Patent metadata

Field	Value
Publication number	US-9808318-B2
Application number	US-201715623671-A
Country	US
Kind code	B2
Filing date	Jun 15, 2017
Priority date	Mar 20, 2002
Publication date	Nov 7, 2017
Grant date	Nov 7, 2017

Abstract

A robotic system for use in performing an arthroplasty procedure of a patient is provided. The robotic system includes a robotic mechanism, a cutting tool coupled to the robotic mechanism for resecting a portion of a bone of the patient through an incision in the skin of the patient, and a computer coupled to the robotic mechanism and configured to control the robotic mechanism. The robotic system also includes at least one navigation member positionable into engagement with tissue in the patient, an optical system coupled to the computer, a position sensor configured to provide movement information of the robotic mechanism relative to the bone, and an interface coupled to the computer, the interface configured to operate the computer.

First claim

The invention claimed is:

1. A robotic system for use in performing an arthroplasty procedure of a patient, the robotic system comprising:
a robotic mechanism, wherein the robotic mechanism is configured to perform the arthroplasty procedure without being coupled to an operating table;
a cutting tool coupled to the robotic mechanism for resecting a portion of a bone of the patient through an incision in the skin of the patient, the robotic mechanism configured to control movement of the cutting tool during the resection;
a computer coupled to the robotic mechanism and configured to control the robotic mechanism;
at least one navigation member positionable into engagement with tissue in the patient;
an optical system coupled to the computer, the optical system configured to determine the location of at least one bone relative to other tissue in the patient, wherein the optical system is configured to provide location information of the at least one bone to the computer for used by the robotic mechanism;
a position sensor configured to provide movement information of the robotic mechanism relative to the bone; and
an interface coupled to the computer, the interface configured to operate the computer.

2. The system of claim 1 , wherein the bone is at least one of a femur and tibia.

3. The system of claim 1 , further comprising a motor configured to facilitate movement of the robotic mechanism.

4. The system of claim 1 , wherein the cutting tool is a saw.

5. The system of claim 4 , wherein the saw is one of an oscillating saw and a reciprocating saw.

6. The system of claim 5 , further comprising a prosthetic implant.

7. The system of claim 6 , wherein the prosthetic implant includes at least one of an implant bearing surface and an arcuate shape.

8. The system of claim 7 , further comprising a screw configured to couple to one or more tissues of the patient.

9. A robotic system for use in performing an arthroplasty procedure of a patient, the robotic system comprising:
a robotic mechanism configured to perform the arthroplasty procedure without being coupled to an operating table;
a prosthetic implant;
a saw coupled to the robotic mechanism for resecting a portion of one of the tibia and the femur of the patient through an incision in the leg of the patient, the robotic mechanism configured to control movement of the saw during the resection by use of an electric motor;
a computer coupled to the robotic mechanism and configured to control the robotic mechanism;
at least one navigation member positionable into engagement with tissue of the patient;
an optical system coupled to the computer, the optical system configured to determine a location of at least one bone relative to other tissue in the patient, wherein the optical system is configured to provide location information of the at least one bone to the computer for use by the robotic mechanism;
a position sensor configured to provide movement information of the robotic mechanism relative to at least one of the tibia and femur; and
an interface coupled to the computer, the interface configured to operate the computer.

10. The system of claim 9 , wherein the robotic system is configured to determine stability of a joint in which the arthroplasty procedure is performed.

11. The system of claim 9 , wherein the prosthetic implant includes at least one of an implant bearing surface and an arcuate shape.

12. The system of claim 9 , wherein at least one of the prosthetic implants includes an ingrowth surface.

13. The system of claim 9 , further comprising a force transmitting member coupled to the motor.

14. The system of claim 9 , further comprising a display visible to the operating surgeon and providing an image of the location where the robotic mechanism is being utilized in the performance of the arthroplasty procedure on the patient.

15. The system of claim 14 , further comprising a fastener configured to couple to one or more tissues of the patient.

16. The system of claim 15 , where the fastener comprises a screw.

17. The system of claim 16 , wherein the saw is one of an oscillating saw and a reciprocating saw.

18. A robotic surgical system comprising:
a robotic mechanism, the robotic mechanism configured to perform a surgical procedure without being coupled to an operating table and to control movement of a cutting tool coupled to the robotic mechanism during resection of at least a portion of a joint surface of a bone in the patient through an incision of a patient;
a computer connected with the robotic mechanism; and
a navigation system comprising:
an optical sensing system connected with the computer; and
at least one navigation member configured to couple to one or more tissues of the patient, wherein at least one navigation member has a reflective end visible to the optical sensing system,
wherein the optical system is configured to determine location information of a bone relative to tissue based on the at least one navigation member.

19. The system of claim 18 , wherein the robotic mechanism is configured to check stability of the joint in at least one of flexion, extension, and rotation.

20. The system of claim 18 , wherein the robotic mechanism is configured to check stability of a tibia in at least one of flexion, extension, and rotation.

21. The system of claim 18 , further comprising a display visible to the operating surgeon and providing an image of the location where the robotic mechanism is being utilized in the performance of a surgical procedure on the patient.

22. The system of claim 18 , wherein the cutting tool is one of an oscillating saw or reciprocating saw.

23. The system of claim 18 , wherein the robotic mechanism is operable to tension an anchor secured to body tissue with a predetermined force.

24. The system of claim 18 , wherein the robotic mechanism comprises a force transmitting member.

25. The system of claim 24 , wherein the computer is configured to provide an indication to a user of the resistance encountered by the force transmitting member.

26. The system of claim 25 , further comprising a position sensor connected with the force transmitting member and the computer, the position sensor configured to provide a position of the force transmitting member.

27. The system of claim 18 , wherein the implant includes an arthroplasty component.

28. The system of claim 27 , wherein the arthroplasty component includes a portion of a knee prosthesis.

29. The system of claim 18 , further comprising a fastener configured to couple to one or more tissues of the patient.

30. The system of claim 29 , wherein the fastener comprises a screw.

Assignees

• P Tech Llc

Inventors

• Bonutti Peter M

Classifications

• A61B34/30 Primary

  Surgical robots · CPC title

• A61B17/154

  for preparing bone for knee prosthesis · CPC title

• A61B2017/00557

  inflatable (A61B2017/22051 takes precedence) · CPC title

• A61B90/39

  Markers, e.g. radio-opaque or breast lesions markers · CPC title

• A61B34/10

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