RU2013158108A - Хирургическое выравнивание с помощью ориентиров - Google Patents
Хирургическое выравнивание с помощью ориентиров Download PDFInfo
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- RU2013158108A RU2013158108A RU2013158108/14A RU2013158108A RU2013158108A RU 2013158108 A RU2013158108 A RU 2013158108A RU 2013158108/14 A RU2013158108/14 A RU 2013158108/14A RU 2013158108 A RU2013158108 A RU 2013158108A RU 2013158108 A RU2013158108 A RU 2013158108A
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- 210000000988 bone and bone Anatomy 0.000 claims abstract 4
- 230000005672 electromagnetic field Effects 0.000 claims 4
- 210000004394 hip joint Anatomy 0.000 claims 4
- 210000000588 acetabulum Anatomy 0.000 claims 3
- 238000005553 drilling Methods 0.000 claims 3
- 239000007943 implant Substances 0.000 claims 2
- 230000006835 compression Effects 0.000 claims 1
- 238000007906 compression Methods 0.000 claims 1
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- 238000011022 operating instruction Methods 0.000 claims 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4607—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of hip femoral endoprostheses
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4609—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of acetabular cups
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
- A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8897—Guide wires or guide pins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/32—Joints for the hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools for implanting artificial joints
- A61F2002/4632—Special tools for implanting artificial joints using computer-controlled surgery, e.g. robotic surgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Molecular Biology (AREA)
- Vascular Medicine (AREA)
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- Physical Education & Sports Medicine (AREA)
- Robotics (AREA)
- Pathology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
1. Система, содержащая:направляющую с внешним контуром, в значительной степени соответствующим принимающей части сустава, при этом направляющая определяет ось, которая имеет известное положение относительно сустава при стыковке направляющей с суставом;первое контрольно-ориентирное устройство для прикрепления к кости сустава;второе контрольно-ориентирное устройство для соединения с известным выравниванием относительно направляющей; иблок управления с возможностью обмена данными с первым контрольно-ориентирным устройством и вторым контрольно-ориентирным устройством, при этом блок управления сконфигурирован для определения положения оси относительно первого контрольно-ориентирного устройства на основании данных, которые указывают положение второго контрольно-ориентирного устройства относительно первого контрольно-ориентирного устройства, тогда как второе контрольно-ориентирное устройство находится в известном выравнивании с направляющей, а направляющая состыкована с суставом.2. Система по п.1, отличающаяся тем, что ось имеет известный угол отклонения и известный угол наклона вперед относительно сустава при направляющей, прикрепленной к суставу.3. Система по п.1, отличающаяся тем, что второй контрольный ориентир выполнен с возможностью присоединения к направляющей в положении с известным смещением относительно оси.4. Система по п.1, отличающаяся тем, что внешний контур направляющей перед использованием направляющей формируют таким образом, что внешний контур в значительной степени соответствует принимающей части сустава, а направляющая соединяется с принимающей частью сустава в одной ориент
Claims (15)
1. Система, содержащая:
направляющую с внешним контуром, в значительной степени соответствующим принимающей части сустава, при этом направляющая определяет ось, которая имеет известное положение относительно сустава при стыковке направляющей с суставом;
первое контрольно-ориентирное устройство для прикрепления к кости сустава;
второе контрольно-ориентирное устройство для соединения с известным выравниванием относительно направляющей; и
блок управления с возможностью обмена данными с первым контрольно-ориентирным устройством и вторым контрольно-ориентирным устройством, при этом блок управления сконфигурирован для определения положения оси относительно первого контрольно-ориентирного устройства на основании данных, которые указывают положение второго контрольно-ориентирного устройства относительно первого контрольно-ориентирного устройства, тогда как второе контрольно-ориентирное устройство находится в известном выравнивании с направляющей, а направляющая состыкована с суставом.
2. Система по п.1, отличающаяся тем, что ось имеет известный угол отклонения и известный угол наклона вперед относительно сустава при направляющей, прикрепленной к суставу.
3. Система по п.1, отличающаяся тем, что второй контрольный ориентир выполнен с возможностью присоединения к направляющей в положении с известным смещением относительно оси.
4. Система по п.1, отличающаяся тем, что внешний контур направляющей перед использованием направляющей формируют таким образом, что внешний контур в значительной степени соответствует принимающей части сустава, а направляющая соединяется с принимающей частью сустава в одной ориентации.
5. Система по п.1, отличающаяся тем, что:
сустав является тазобедренным суставом конкретного пациента;
ось является осью сжатия вертлужной впадины для тазобедренного сустава, определенной на основании данных визуализации тазобедренного сустава; и
направляющая является специфической для пациента направляющей, имеющей внешний контур, определенный для конкретного пациента, при этом внешний контур в значительной степени соответствует одной или более частей вертлужной впадины тазобедренного сустава, так что направляющая стыкуется с вертлужной впадиной в одной ориентации.
6. Система по п.1, отличающаяся тем, что дополнительно включает в себя генератор электромагнитного поля, при этом первое контрольно-ориентирное устройство включает в себя первый датчик электромагнитного поля, а второе контрольно-ориентирное устройство включает в себя генератор электромагнитного поля или второй датчик электромагнитного поля.
7. Система по п.1, отличающаяся тем, что дополнительно включает в себя инфракрасный датчик;
при этом первое контрольно-ориентирное устройство включает первую опорную точку, а второе контрольно-ориентирное устройство включает вторую опорную точку.
8. Система по п.1, отличающаяся тем, что, с целью определения положения оси относительно первого контрольно-ориентирного устройства, блок управления сконфигурирован для определения положения оси в системе координат, при этом первый контрольный ориентир находится в фиксированном положении относительно этой системы координат.
9. Система по п.1, отличающаяся тем, что блок управления сконфигурирован для:
определения положения инструмента относительно оси, тогда как второе контрольно-ориентирное устройство или третье контрольно-ориентирное устройство соединено с инструментом; и
представления на интерфейсе пользователя выходных данных, указывающих положение инструмента относительно оси.
10. Система по п.9, отличающаяся тем, что блок управления сконфигурирован для определения положения инструмента после извлечения направляющей из сустава.
11. Система по п.9, отличающаяся тем, что, с целью определения положения инструмента относительно оси, блок управления сконфигурирован для определения углового положения инструмента относительно оси; и
при этом выходные данные указывают положение инструмента относительно оси, блок управления сконфигурирован для предоставления выходных данных, указывающих угловое положение инструмента относительно оси.
12. Система по п.1, отличающаяся тем, что, с целью определения положения оси относительно первого контрольно-ориентирного устройства, блок управления сконфигурирован для:
считывания первых данных, указывающих положение оси относительно направляющей; и
считывания вторых данных, указывающих смещение между вторым контрольным ориентиром и направляющей, когда второе контрольно-ориентирное устройство находится в известном выравнивании с направляющей.
13. Система по п.1, отличающаяся тем, что блок управления дополнительно сконфигурирован для:
определения положения инструмента относительно центра вращения сустава или поверхности сустава на основании информации, указывающей положение инструмента относительно первого контрольного ориентира;
вычисления глубины рассверливания вдоль оси относительно положения инструмента; и
предоставления информации, указывающей глубину рассверливания.
14. Система по п.13, отличающаяся тем, что:
для вычисления глубины рассверливания блок управления сконфигурирован для:
считывания информации, указывающей одну или более характеристик имплантата;
определения предпочтительной глубины рассверливания на основании одной или более характеристик имплантата; и
определения различия между текущим положением инструмента и предпочтительным положением инструмента, при этом предпочтительное положение соответствует предпочтительной глубине рассверливания; и
для предоставления информации, указывающей глубину рассверливания, блок управления сконфигурирован для предоставления информации, указывающей различие между текущим положением инструмента и предпочтительным положением инструмента.
15. Устройство для определения выравниваний относительно сустава, включающее:
одно или более устройств для обработки данных, а также одно или более устройств для хранения данных, сохраняющих рабочие инструкции, выполняемые одним или более устройств для обработки данных, для обеспечения выполнения операций одним или более устройств для обработки данных, при этом операции включают:
прием информации, указывающей измеренное положение первого контрольного ориентира относительно второго контрольного ориентира, при этом положение можно измерить в том случае, когда (i) первый контрольный ориентир установлен в фиксированном месте относительно кости сустава, (ii) специфическая для пациента направляющая, имеющая внешний контур, в значительной степени соответствующий части сустава, присоединена к кости, и (iii) второй контрольный ориентир установлен в известном положении относительно специфической для пациента направляющей;
определение положения хирургической оси относительно первого контрольного ориентира на основании измеренного положения;
прием информации, указывающей положение инструмента относительно первого контрольного ориентира; и
после извлечения направляющей из сустава, определение положения инструмента относительно хирургической оси с использованием положения инструмента относительно первого контрольного ориентира.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201161497604P | 2011-06-16 | 2011-06-16 | |
| US201161497601P | 2011-06-16 | 2011-06-16 | |
| US61/497,604 | 2011-06-16 | ||
| US61/497,601 | 2011-06-16 | ||
| PCT/US2012/041613 WO2012173890A2 (en) | 2011-06-16 | 2012-06-08 | Surgical alignment using references |
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| Publication Number | Publication Date |
|---|---|
| RU2013158108A true RU2013158108A (ru) | 2015-07-27 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU2013158108/14A RU2013158108A (ru) | 2011-06-16 | 2012-06-08 | Хирургическое выравнивание с помощью ориентиров |
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| Country | Link |
|---|---|
| US (3) | US9168153B2 (ru) |
| EP (1) | EP2720631B1 (ru) |
| JP (1) | JP6121406B2 (ru) |
| CN (1) | CN103732165A (ru) |
| AU (2) | AU2012270983B2 (ru) |
| BR (1) | BR112013032144A2 (ru) |
| CA (1) | CA2839060A1 (ru) |
| RU (1) | RU2013158108A (ru) |
| WO (1) | WO2012173890A2 (ru) |
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| US7708741B1 (en) * | 2001-08-28 | 2010-05-04 | Marctec, Llc | Method of preparing bones for knee replacement surgery |
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- 2012-06-08 CA CA2839060A patent/CA2839060A1/en not_active Abandoned
- 2012-06-08 WO PCT/US2012/041613 patent/WO2012173890A2/en not_active Ceased
- 2012-06-08 JP JP2014515887A patent/JP6121406B2/ja not_active Expired - Fee Related
- 2012-06-08 BR BR112013032144A patent/BR112013032144A2/pt not_active IP Right Cessation
- 2012-06-08 AU AU2012270983A patent/AU2012270983B2/en not_active Ceased
- 2012-06-08 EP EP12800328.2A patent/EP2720631B1/en active Active
- 2012-06-08 CN CN201280040044.6A patent/CN103732165A/zh active Pending
- 2012-06-13 US US13/495,693 patent/US9168153B2/en active Active
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2015
- 2015-10-26 US US14/922,370 patent/US9827112B2/en not_active Expired - Fee Related
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2016
- 2016-12-22 AU AU2016277694A patent/AU2016277694B2/en not_active Ceased
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2017
- 2017-11-27 US US15/822,831 patent/US11103363B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| AU2012270983A1 (en) | 2014-01-16 |
| JP6121406B2 (ja) | 2017-04-26 |
| US9827112B2 (en) | 2017-11-28 |
| US20120323247A1 (en) | 2012-12-20 |
| AU2016277694A1 (en) | 2017-02-02 |
| US11103363B2 (en) | 2021-08-31 |
| EP2720631B1 (en) | 2022-01-26 |
| CA2839060A1 (en) | 2012-12-20 |
| EP2720631A4 (en) | 2015-06-24 |
| JP2014524776A (ja) | 2014-09-25 |
| AU2012270983B2 (en) | 2016-09-22 |
| US20160038307A1 (en) | 2016-02-11 |
| WO2012173890A2 (en) | 2012-12-20 |
| WO2012173890A3 (en) | 2013-04-18 |
| AU2016277694B2 (en) | 2019-04-04 |
| CN103732165A (zh) | 2014-04-16 |
| BR112013032144A2 (pt) | 2016-12-13 |
| US9168153B2 (en) | 2015-10-27 |
| EP2720631A2 (en) | 2014-04-23 |
| US20180078388A1 (en) | 2018-03-22 |
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| Date | Code | Title | Description |
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| FA94 | Acknowledgement of application withdrawn (non-payment of fees) |
Effective date: 20180716 |