Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide

Patent metadata

Field	Value
Publication number	US-9814533-B2
Application number	US-201615168359-A
Country	US
Kind code	B2
Filing date	May 31, 2016
Priority date	Dec 18, 2007
Publication date	Nov 14, 2017
Grant date	Nov 14, 2017

Abstract

A method of manufacturing an arthroplasty jig is disclosed herein. The method may include the following: generate two dimensional image data of a patient joint to undergo arthroplasty, identify in the two dimensional image data a first point corresponding to an articular surface of a bone forming the joint, identify a second point corresponding to an articular surface of an implant, identify a location of a resection plane when the first point is correlated with the second point, and create the arthroplasty jig with a resection guide located according to the identified location of the resection plane.

First claim

The invention claimed is:

1. A method of preparing a bone of a patient for implantation of an implant as part of an arthroplasty procedure, the method comprising:
computer planning the arthroplasty procedure on the bone of the patient, the computer planning including: causing a first location on a condylar surface of a three dimensional computer model of the bone and a second location on a condylar surface of a three dimensional computer model of the implant to positionally match in a computer coordinate system, wherein the first location is on a most distal point on a distal region of a condylar surface of the three dimensional computer model of the bone and the second location is on a most distal point on a distal region of a condylar surface of the three dimensional computer model of the implant; and computer defining a resection of the bone when the first and second locations positionally match in the computer coordinate system.

2. The method of claim 1 , further comprising transmitting the computer defined resection to a machine that cuts according to the computer defined resection.

3. The method of claim 2 , wherein the machine comprises a CNC machine that cuts according to the computer defined resection to define a resection slot in an arthroplasty jig.

4. The method of claim 1 , wherein the matching includes employing an iterative closest point matching algorithm via a computer.

5. The method of claim 1 , further comprising transmitting the computer defined resection to at least one of a CNC or SLA machine that defines a resection slot in an arthroplasty jig according to the computer defined resection.

6. The method of claim 1 , further comprising cutting the bone of the patient according to the computer defined resection.

7. The method of claim 6 , wherein the cutting is guided via a resection slot in an arthroplasty jig, the resection slot having been defined in the arthroplasty jig according to the computer defined resection.

8. The method of claim 1 , wherein the computer planning takes place preoperatively.

9. The method of claim 1 , further comprising adjusting a position of the resection to account for cartilage thickness of the bone of the patient.

10. The method of claim 9 , wherein the three dimensional computer model of the bone comprises a bone only model.

11. A method of preparing a bone of a patient for implantation of an implant as part of an arthroplasty procedure, the method comprising:
computer planning the arthroplasty procedure on the bone of the patient, the computer planning including: causing a first location on a condylar surface of a three dimensional computer model of the bone and a second location on a condylar surface of a three dimensional computer model of the implant to positionally match in a computer coordinate system, wherein the first location is on a most posterior point on a posterior region of the condylar surface of the three dimensional computer model of the bone and the second location is on a most posterior point on a posterior region of the condylar surface of the three dimensional computer model of the implant; and computer defining a resection of the bone when the first and second locations positionally match in the computer coordinate system.

12. The method of claim 11 , wherein the matching includes employing an iterative closest point matching algorithm via a computer.

13. The method of claim 11 , further comprising transmitting the computer defined resection to at least one of a CNC or SLA machine that defines a resection slot in an arthroplasty jig according to the computer defined resection.

14. The method of claim 11 , further comprising cutting the bone of the patient according to the computer defined resection.

15. The method of claim 14 , wherein the cutting is guided via a resection slot in an arthroplasty jig, the resection slot having been defined in the arthroplasty jig according to the computer defined resection.

16. The method of claim 11 , further comprising transmitting the computer defined resection to a machine that cuts according to the computer defined resection.

17. The method of claim 16 , wherein the machine comprises a CNC machine that cuts according to the computer defined resection to define a resection slot in an arthroplasty jig.

18. The method of claim 11 , wherein the computer planning takes place preoperatively.

19. The method of claim 11 , further comprising adjusting a position of the resection to account for cartilage thickness of the bone of the patient.

20. The method of claim 19 , wherein the three dimensional computer model of the bone comprises a bone only model.

21. A method of preparing a bone of a patient for implantation of an implant as part of an arthroplasty procedure, the method comprising:
computer planning the arthroplasty procedure on the bone of the patient, the computer planning including: causing a first location on a condylar surface of a three dimensional computer model of the bone and a second location on a condylar surface of a three dimensional computer model of the implant to positionally correspond in a computer coordinate system; computer defining a resection of the bone when the first and second locations positionally correspond in the computer coordinate system; computer defining a registration surface of the three dimensional computer model of the bone; and computer referencing the computer defined resection of the bone to the computer defined registration surface; and
contacting the bone at a location corresponding to the computer defined registration surface of the three dimensional computer model of the bone.

22. The method of claim 21 , further comprising cutting the bone of the patient according to the computer defined resection.

23. The method of claim 22 , wherein the contacting the bone registers with the bone the computer defined resection such that the bone can be cut according to the computer defined resection.

24. The method of claim 23 , wherein the contacting the bone is via a mating surface defined in an arthroplasty jig according to the computer defined registration surface of the three dimensional computer model of the bone, and the computer defined resection is in the form of a resection slot of the arthroplasty jig, the resection slot having been defined in the arthroplasty jig according to the computer defined resection.

25. The method of claim 21 , wherein computer referencing the computer defined resection of the bone to the computer defined registration surface includes positionally relating the computer defined resection of the bone to the computer defined registration surface in the computer coordinate system.

26. The method of claim 21 , wherein the first location is on at least one of a most distal or most posterior region of the condylar surface of the three dimensional computer model of the bone and the second location is on at least one of a most distal or most posterior region of the condylar surface of the three dimensional computer model of the implant.

27. The method of claim 21 , wherein causing the first location on the condylar surface of the three dimensional computer model of the bone and the second location on the condylar surface of the three dimensional computer model of the implant to positionally correspond in the computer coordinate system includes positionally matching the first and second locations in the computer coordinate sy

Assignees

• Howmedica Osteonics Corp

Inventors

• Park Ilwhan
• Sarva Venkata Surya
• Choi Irene Min

Classifications

• G06F18/22

  Matching criteria, e.g. proximity measures · CPC title

• A61B17/122

  Clamps or clips, e.g. for the umbilical cord {(for the vas deferens A61F6/206)} · CPC title

• G06V10/751

  Comparing pixel values or logical combinations thereof, or feature values having positional relevance, e.g. template matching · CPC title

• B33Y80/00

  Products made by additive manufacturing · CPC title

• G06T2210/41

  Medical · CPC title