Method for planning the positioning of an implant

Patent metadata

Field	Value
Publication number	US-9916422-B2
Application number	US-201113979977-A
Country	US
Kind code	B2
Filing date	Jan 26, 2011
Priority date	Jan 26, 2011
Publication date	Mar 13, 2018
Grant date	Mar 13, 2018

Abstract

The present invention relates to a method for planning the positioning of an implant relative to a body part, comprising the steps of: —identifying at least one reference feature of the body part and determining, in a first posture of the patient, a biunique positional and/or orientational relationship between the at least one reference feature and at least one adjustment parameter defined for the first posture, for positioning the implant; —identifying the at least one reference feature of the body part in a second posture of the patient; —deriving at least one corresponding adjustment parameter defined for the second posture from the position and/or orientation of the at least one reference feature in the second posture and the positional and/or orientational relationship between the at least one reference feature in the first posture and the at least one adjustment parameter defined for the first posture.

First claim

The invention claimed is:

1. A method for planning the positioning of an implant relative to a body part of an associated patient, comprising:
acquiring, by a navigation system, pre-operative two-dimensional (2D) imaging data of the body part of the associated patient, the associated patient having been positioned in a first posture;
identifying, via the navigation system and based on the pre-operative 2D imaging data, at least one reference feature of the body part of the associated patient;
determining, by the navigation system, first posture relationship data comprising a one-to-one relationship between the at least one reference feature of the body part of the associated patient and at least one adjustment parameter defined for the first posture, for positioning the implant;
acquiring, by the navigation system, intra-operative tracking position data comprising a position, in three-dimensional (3D) space, of the at least one reference feature of the body part of the associated patient while the associated patient is positioned in a second posture, the second posture differing from the first posture, the intra-operative tracking position data including palpating the at least one reference feature with a tracked pointer instrument;
generating, by the navigation system, at least one corresponding adjustment parameter for the second posture based on the intra-operative tracking position data and the first posture relation data; and
planning, via the navigation system, the positioning of the implant relative to the body part of the associated patient based on the at least one corresponding adjustment parameter for the second posture.

2. The method according to claim 1 , further comprising:
identifying, via the navigation system, at least one supplementary reference feature based on the pre-operative 2D imaging data and a position of the at least one reference feature.

3. The method according to claim 2 , further comprising:
determining, by the navigation system, a relative position between the at least one reference feature and the at least one adjustment parameter by determining the relative position between at least two reference features and/or supplementary reference features.

4. The method according to claim 3 , wherein the relative position between the at least two reference features and/or supplementary reference features is determined on the basis of direct measurements, by the navigation system, in the pre-operative 2D imaging data.

5. The method according to claim 4 , wherein the relative position between the at least two reference features and/or supplementary features is determined on the basis of the direct measurements in a single 2D image.

6. The method according to claim 1 , wherein the first posture is a standing posture and the second posture is a lying posture.

7. The method according to claim 1 , wherein at least one other adjustment parameter that is defined for the second posture is derived.

8. The method according to claim 7 , wherein at least one adjustment parameter defined for the second posture is taken into account in order to derive at least one other adjustment parameter defined for the second posture.

9. The method according to claim 8 , wherein the adjustment parameters are derived in an iterative process, wherein each derivation of an adjustment parameter defined for the second posture takes into account the other adjustment parameter(s) defined for the second posture.

10. The method according to claim 1 , wherein the body part is a human pelvis and the implant is a cup of an artificial hip joint.

11. The method according to claim 10 , wherein the pre-operative 2D imaging data is an x-ray image, the x-ray image being acquired in an anterior-posterior direction prior to surgery.

12. The method according to claim 11 , wherein the x-ray image is a single x-ray image.

13. The method according to claim 10 , wherein a frontal plane, a sagittal plane and/or a horizontal plane is/are defined as the adjustment parameter(s) defined for the first posture.

14. The method according to claim 10 , wherein the sacrococcygeal junction, the upper border of the pubic symphysis the center of at least one acetabulum and/or at least one anterior superior iliac spine serve(s) as the reference feature(s).

15. The method according to claim 14 , wherein the upper border of the pubic symphysis is the points at which the sacrococcygeal junction and the upper border of the pubic symphysis cross the median plane of the patient in the 2D image.

16. The method according to claim 1 , wherein the pre-operative 2D imaging data is an x-ray image, and wherein at least one plane is defined that is approximately aligned with a projection direction of the x-ray image.

17. A method for planning positioning of an implant relative to a body part of an associated patient comprising:
acquiring, by a navigation system, pre-operative two-dimensional (2D) imaging data of the body part of the associated patient, the associated patient having been positioned in a standing posture;
identifying, via the navigation system and based on the pre-operative 2D imaging data, at least one reference feature of the body part of the associated patient;
determining, by the navigation system, standing posture relationship data comprising a one-to-one relationship between the at least one reference feature of the body part of the associated patient and at least one adjustment parameter defined for the standing posture, for positioning the implant;
acquiring, by the navigation system, intra-operative tracking position data comprising a position, in three-dimensional (3D) space, of the at least one reference feature of the body part of the associated patient while the associated patient is positioned in a lying posture, the intra-operative tracking position data including palpating the at least one reference feature with a tracked pointer instrument;
generating, by the navigation system, at least one corresponding adjustment parameter for the lying posture based on the intra-operative tracking position data and the standing posture relationship data; and
planning, via the navigation system, the positioning of the implant relative to the body part of the associated patient based on the at least one corresponding adjustment parameter for the lying posture.

18. A system comprising:
a navigation system;
a pointer instrument configured to be tracked by the navigation system,
wherein the navigation system is configured to:
acquire pre-operative two-dimensional (2D) imaging data of a body part of an associated patient, the associated patient having been positioned in a first posture;
identify, based on the pre-operative 2D imaging data, at least one reference feature of the body part of the associated patient;
determine first posture relationship data comprising a one-to-one relationship between the at least one reference feature of the body part of the associated patient and at least one adjustment parameter defined for the first posture, for positioning the implant;
acquire intra-operative tracking position data comprising a position, in three-dimensional (3D) space, of the at least one reference feature of the body part of the associated patient while the associated patient is positioned in a second posture, the second posture differing from the first posture, the intra-operative tracking position data including palpating the at least one reference feature with the pointer instrument;
generate at least one corresponding adjustment parameter for the second posture based on the intra

Assignees

• Haimerl Martin
• Brainlab Ag

Inventors

• Haimerl Martin

Classifications

• G06F19/3437 Primary

  Physics · mapped topic

• A61B2034/104

  Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring · CPC title

• A61B34/10

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

• A61B90/37

  Surgical systems with images on a monitor during operation · CPC title

• G16Z99/00

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