Locking screw length measurement

Patent metadata

Field	Value
Publication number	US-9855104-B2
Application number	US-201214401715-A
Country	US
Kind code	B2
Filing date	May 23, 2012
Priority date	May 23, 2012
Publication date	Jan 2, 2018
Grant date	Jan 2, 2018

Abstract

A method and device is provided for identifying a length of a bone screw to be inserted through a bore drilled in a predetermined drilling direction at a predetermined position through a bone. The predetermined drilling direction and the predetermined position is identified in an X-ray projection image of the bone, and the identified direction and position is transferred to a corresponding model of the imaged bone, wherein the bone model is a 3D model. The length of the bone screw is finally determined at the bone model based on the transferred direction and position.

First claim

The invention claimed is:

1. A method for identifying a length of a bone screw to be inserted through a bore drilled in a predetermined drilling direction at a predetermined position through a bone, the method comprising:
identifying the predetermined drilling direction and the predetermined position in a first X-ray image of the bone, transferring the identified direction and position to a corresponding bone model, wherein the identification of the predetermined position at the bone includes a measurement of distances between the bore and an outer surface of the imaged bone (i) in an axial direction of the bone and (ii) in a direction perpendicular to the axial direction of the bone, and
determining the length of the bone screw based on the transferred direction and position at the bone model.

2. The method of claim 1 , further comprising the step of determining a diameter of the imaged bone between two opposed outer surfaces of the imaged bone in relation to a reference body visible in the first X-ray image.

3. The method of claim 2 , further comprising the step of determining a diameter of the imaged bone between two opposed outer surfaces of the imaged bone in relation to the reference body in a second X-ray image of the bone, wherein imaging directions of the first X-ray image and the second X-ray image differ from each other.

4. The method of claim 1 , further comprising the step of selecting a bone model from a group of bone models with different sizes and shapes, the selected bone model corresponding to the imaged bone.

5. The method of claim 1 , further comprising the step of adapting the bone model so that the bone model corresponds to the imaged bone.

6. The method of claim 1 , wherein the first X-ray image is generated in a direction being parallel to the drilling direction.

7. The method of claim 1 , wherein the length (L) of the bone screw corresponds to a distance between the outer surfaces of the bone at two ends of the bore.

8. The method of claim 1 , wherein the bone screw is a locking screw adapted to be inserted through a lateral bore of a bone nail.

9. A method for identifying a length of a bone screw to be inserted through a bore drilled in a predetermined drilling direction at a predetermined position through a bone, the method comprising:
taking a first x-ray image of the bone and of a reference body visible in the first x-ray image;
identifying the predetermined drilling direction and the predetermined position in the first X-ray image of the bone, wherein the identification of the predetermined position at the bone includes a measurement of distances between the bore and outer surface of the imaged bone (i) in an axial direction of the bone and (ii) in a direction perpendicular to the axial direction of the bone;
selecting a bone model from a database containing a group of human bone models with different sizes and shapes, the selected bone model being the bone model in the database most closely corresponding to the imaged bone;
transferring the identified direction and position to the selected bone model; and
determining the length of the bone screw based on the transferred direction and position from the bone model.

10. The method of claim 9 , further comprising determining a diameter of the imaged bone between two opposed outer surfaces of the imaged bone in relation to the reference body visible in the first X-ray image.

11. The method of claim 9 , wherein the first X-ray image is generated in a direction being parallel to the drilling direction.

12. The method of claim 9 , wherein the length (L) of the bone screw corresponds to a distance between the outer surfaces of the bone at two ends of the bore.

13. The method of claim 9 , wherein the bone screw is a locking screw adapted to be inserted through a lateral bore of a bone nail.

Assignees

• Blau Arno
• Simon Bernd
• Reimers Nils
• Stryker European Holdings I Llc

Inventors

• Blau Arno
• Simon Bernd
• Reimers Nils

Classifications

• A61B17/86

  Pins or screws {or threaded wires; nuts therefor (A61B17/72 take precedence)} · CPC title

• A61B2034/108

  Computer aided selection or customisation of medical implants or cutting guides · CPC title

• A61B17/1725

  for applying transverse screws or pins through intramedullary nails or pins · CPC title

• A61B6/505

  for diagnosis of bone · CPC title

• A61B2090/061

  for measuring dimensions, e.g. length · CPC title