A method of implant a knee prosthesis includes forming a bone void at an end of a bone, implanting a void filler in the bone void, and implanting a knee prosthesis onto the end of the bone so that a stem of the knee prosthesis is received by the void filler.
A radial head assembly is provided that includes a collar, an articular member, an articular head component, and stem that is configured to engage the articular head component. The articular member at least partially defines an articular space within the collar when disposed in the collar.
A distal femoral joint replacement system includes a femoral component having condylar articular surfaces, a stem extending from the femoral component, and a void filler for filling a bone void within a femur. The void filler includes a body and a plurality of legs extending from the body. The body has a sidewall defining an opening for receipt of the stem which extends along a length of the body and extends through the sidewall so as to form a side-slot in the sidewall that extends along an entire length of the sidewall. The plurality of legs each have a first end connected to the body and a second end remote from the body. The legs each have an outer surface that tapers between the first and second ends and is configured to register with a corresponding inner surface of a bone void when implanted in an end of the femur.
In one embodiment of the present invention, a fixation device including a sleeve member including an interior and an exterior surface along a length defined between a first end and a second end, and at least two openings positioned along the length and extending from the interior and through the exterior surface; and a filament including a first free end and a second free end and a length therebetween, the filament positioned relative to the sleeve member such that the free ends extend from the sleeve member at the first and second ends of the sleeve member, the filament being disposed inside the interior from the first end to a first opening, outside the sleeve member from the first opening to a second opening, and inside the interior from the second opening to the second end of the sleeve member.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
Disclosed herein are patient-specific cutting guides for guiding a surgical instrument for resecting a portion of a glenoid of a patient. The cutting guides include a base portion having a contact surface shaped to substantially match at least a portion of a cavity of the glenoid. The base portion has a guide hole extending therethrough in which the guide hole has an axis coaxial with an axis of rotation. The cutting guides include one or more stabilization members extending outwardly from the base portion and having a contact surface shaped to substantially match an outer surface of a portion of a scapula of the patient. The stabilization members are oriented to take into account the patient's anatomy in orienting and stabilizing the guide with respect to the glenoid. The guide hole of the base portion is for guiding the surgical instrument to create a guide hole in the glenoid.
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
6.
COMPUTER-ASSISTED RECOMMENDATION OF INPATIENT OR OUTPATIENT CARE FOR SURGERY
A computer-implemented method comprises: obtaining, by a computing system, anatomic data for a patient and comorbidity data for the patient; generating, by the computing system, based on the anatomic data for the patient and the comorbidity data for the patient, a recommendation regarding whether the patient should undergo a surgery as an inpatient procedure or an outpatient procedure; and outputting, by the computing system, the recommendation.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
7.
Fixation Devices And Prostheses For Soft Tissue Connection To The Same
An orthopedic assembly includes a tibial prosthesis that includes a body that defines an anterior side and a posterior side. The body further incudes a recess in the anterior side of the joint prosthesis and a plurality of openings that extend through the body from the anterior side to the posterior side thereof. At least a first and second opening of the openings are positioned at respective lateral and medial sides of a longitudinal axis of the tibial prosthesis. A modular insert is positioned within the recess of the body such that at least a portion of the modular insert is positioned between the openings of the body. The modular insert is formed separately from the tibial prosthesis and has a porous outer surface to promote tissue ingrowth.
A glenoid prosthesis includes a head portion and an anchor. The head portion includes a first surface adapted to contact a glenoid and an opposed second surface that is at least partially concave. The anchor extends from the first surface of the head portion and terminates at a distal end. At least one first circular member is disposed between the head portion and the distal end of the anchor and encircle the anchor. At least one second circular member is disposed between the head portion and the distal end of the anchor and encircles the anchor. The at least one first circular member is adapted to engage cortical bone of a glenoid and the at least one second circular member is adapted to engage cancellous bone of a glenoid when the glenoid prosthesis is implanted.
An example method includes obtaining one or more intraoperative images, wherein: a surgical site includes bones that are not substantially exposed through skin of the patient during the surgery, a connected K-wire is attached to one of the bones, an external portion of the connected K-wire is connected to a fixation device that is attached to the patient; performing a registration process system with corresponding positions in a virtual coordinate system; generating a visualization that includes the models of the bones superimposed on the surgical site; based on the changes to the positions of the external portion of the connected K-wire, updating positions of the models of the bones in the visualization to maintain correspondence between positions of the bones and the positions of the models of the bones.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method comprises obtaining, by a computing system, one or more surgeon preference parameters that specify values of one or more surgical parameters, wherein the surgical parameters include one or more positioning parameters for a glenoid implant to be attached to a glenoid fossa of a patient during a surgery; determining, by the computing system, based on one or more anatomic parameters of the patient and the surgeon preference parameters, one or more suggested surgical options, each of the surgical options corresponding to a. different combination of the positioning parameters for the glenoid implant and types of glenoid implant; and outputting, by the computing system, for display, the one or more suggested surgical options.
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
11.
KINETIC ASSESSMENT AND ALIGNMENT OF THE MUSCULAR-SKELETAL SYSTEM AND METHOD THEREFOR
A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load, and joint alignment. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation. The kinetic assessment increases both performance and reliability of the installed joint by reducing error that is introduced by elements that load or modify the joint dynamics not taken into account by prior assessment methods.
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
G06F 3/0481 - Interaction techniques based on graphical user interfaces [GUI] based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance
A system for implanting an expandable interbody implant into an intervertebral space includes an elongated tool, the distal end of which is removably securable to the implant. The proximal end of the tool has an attachment interface for detachable securement to a plurality of different modules, each of which is adapted to effectuate a different function of the delivery system. The different functions include: grasping the implant delivery tool, providing an impaction surface for driving the advancement of the implant, supplying a graft material into the implant, and actuating the expansion of the implant. One of the modules may include a fluid delivery system for supplying hydraulic fluid to expand the implant. A fluid reservoir of the fluid delivery system may be oriented transverse to the cannula that delivers the fluid to the implant. A grafting block can be used to help pre-pack the implant with graft material.
A prosthetic trial base includes a hinge and two levers connected to one another by the hinge. Each lever includes a tab extending proximally of the hinge and a fin extending distally of the hinge. The prosthetic trial base also includes a head movable between the tabs to force the tabs apart from one another. The trial base also includes a collar defining a bore in which the tabs are received and a lid that is connected to the levers. The head and is connected to the lid in a manner that enables the head to be driven relative to the lid.
A method for planning an arthroplasty procedure on a patient bone. The method may include accessing generic bone data stored in a memory of a computer, using the computer to generate modified bone data by modifying the generic bone data according to medical imaging data of the patient bone, using the computer to derive a location of non-bone tissue data relative to the modified bone data, and superimposing implant data and the modified bone data in defining a resection of an arthroplasty target region of the patient bone.
A61B 5/055 - Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
B33Y 80/00 - Products made by additive manufacturing
B33Y 50/00 - Data acquisition or data processing for additive manufacturing
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06F 30/20 - Design optimisation, verification or simulation
G06V 10/44 - Local feature extraction by analysis of parts of the pattern, e.g. by detecting edges, contours, loops, corners, strokes or intersections; Connectivity analysis, e.g. of connected components
A kinematics tracking system is described. The kinematics tracking system includes a first device configured to couple to a first segment of a musculoskeletal system and a second device configured to couple to a second segment of the musculoskeletal system. The kinematics tracking system further includes a computer configured to receive measurement data from the first device and the second device. The first device and the second device each have at least one inertial measurement unit (IMU) configured to measure orientation. The computer includes an application configured to support a registration process for the first and second devices. The application is configured to guide a user through at least one movement during the registration process.
A patient specific shoulder guide is provided that includes a hub and a plurality of peripheral members. Each of the peripheral members has a peripheral member height dimension between the patient specific contact surface and a side of the peripheral member opposite the patient specific contact surface. At least one of the peripheral members is a low profile peripheral member in which the peripheral height dimension is less than the peripheral height dimension of at least one other of the peripheral members or is less than the hub height.
A system for bone resurfacing or total hip replacement, including an acetabular component having a first cavity, a dual mobility liner having a second cavity, the outer surface of the liner being configured to be received within the first cavity and articulable therein relative to the inner surface of the acetabular component and a femoral component having a head and a stem extending from the head and being configured to be received within a femur, an outer surface of the head being configured to be received within the second cavity. The dual mobility liner includes a plurality of openings that extend from an outer surface of the liner to an inner surface of the liner, such that the plurality of openings facilitate fluid communication between opposing sides of the liner.
A patella drill guide includes a head having a convexly curved outer surface. Cylindrical channels extend through the head. The drill guide also includes collar having an inner surface that defines a concavity corresponding in shape to the convexly curved outer surface. The inner surface of the collar is fitted to the outer surface of the head to define an articular joint.
A spinal implant for placement between vertebral bodies includes a first member for engaging one of the vertebral bodies, a second member for engaging an opposing one of the vertebral bodies, and at least one extendable support element for inducing movement of the entire first member away from the second member. The first member is connected to the second member such that the first member moves away from the second member by a larger distance at a first end of the implant than at a second end of the implant. A connecting member may connect the first and second members together at the second end of the implant. The connecting member may include one or more rotatable linkages, or the connecting member may be an extension of one of the first and second members slidably received within a track defined within the other of the first and second members.
A system is disclosed to support installation of a prosthetic joint or a prosthetic component. The system includes at least one sensor to measure a parameter. The system uses one or more patient specific instruments in conjunction with a tensor to make one or more bone cuts. The patient specific instruments and tensor make the bone cuts such that an installed prosthetic joint is aligned, balanced, loaded correctly, and positioned optimally for performance and reliability. The use of the tensor simplifies the workflow required when using the patient specific instruments. In one embodiment, the patient specific instruments are bone cutting jigs configured for the patient anatomy.
Glenoid implants, used in shoulder reconstruction or replacement surgery include a main body having an articulation surface configured to interface with the humeral head and having an anchoring surface opposite the articulation surface; and a fixation structure extending away from the anchoring surface comprising an osteogenous material portion. The fixation structures can include polymeric material, porous metallic material, porous polymer material and/or combinations thereof.
A method for removing a hip stem from bone comprises drilling a channel through the bone adjacent to the hip stem from a proximal end to a distal end thereof, the channel defining a longitudinal first axis. The method further comprises drilling a hole along a second axis through the bone adjacent to a distal end of the hip stem such that the channel and the hole intersect. The method additionally comprises inserting a first end of a cutting wire through the channel and the hole and cutting an interface between the hip stem and the bone with the cutting wire.
Various embodiments disclosed herein relate to stemmed and stemless humeral anchors, and implanting tools for use in shoulder arthroplasty procedures. For example, the humeral anchor can include a distal shaft portion, a proximal portion, and a metaphyseal portion connecting the distal shaft portion and the proximal portion. The distal shaft portion can include multiple apertures configured to receive a screw or one or more plugs. The proximal portion can include a stem face configured to be removably attached to an implanting tool or to couple to an anatomic insert or a reverse insert.
Various embodiments of novel glenoid implant for replacing a portion of an articulation surface of a joint that provide various enhancements for glenoid implants is disclosed. Some examples of enhancements are improved quality of the primary fixation of glenoid implants and improved revisability of glenoid implants.
An orthopedic system configured for use in a pre-operative, intra-operative, and post-operative assessment. The orthopedic system comprises a first screw, a second screw, a first device, a second device, and a computer. The first device and the second device are respectively coupled to a first bone and a second bone of a musculoskeletal system. The first and second devices each include electronic circuitry, one or more sensors, and an IMU. A bracket, wrap, or sleeve can be used to hold the first and second devices to the musculoskeletal system. The first and second devices are configured to send measurement data to a computer. The first and second devices each have an antenna system. Electronic circuitry in the first or second devices are configured to harvest energy from a received radio frequency signal to recharge a battery to maintain operation.
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
Various apparatus and methods for implanting glenoid prostheses are disclosed. In various embodiments, a kit for shoulder surgery can include a partial reaming guide having a patient-matched surface shaped to conform to a scapula of a patient, the partial reaming guide configured to limit glenoid reaming about a reaming axis to only a portion of a glenoid; and an anchor peg channel guide having a patient-matched surface shaped to conform to a portion of the glenoid, the anchor peg channel guide having a channel offset from the reaming axis.
A humeral implant configured for implantation at a distal end portion of a humerus. The humeral implant can be configured to articulate with a portion of an ulna. The humeral implant may include a body portion having a first end, a second end, and a side surface that extends between the first end and the second end, where the side surface includes a concave region that defines a first cross-sectional diameter that is a minimum cross-sectional diameter of the body portion.
A shoulder assembly is provided which includes a base member including a collar; a helical structure extending from the collar in a distal direction; and a first pathway projecting distally of the collar and through the helical structure adjacent to an inner periphery thereof, the first pathway being generally transverse to the helical structure and extending in a space between successive portions of the helical structure; and a locking device comprising a proximal support and a first arm projecting distally of the proximal support, the first arm configured to be disposed in the first pathway projecting distally of the collar when the proximal support is disposed adjacent to the collar; where the first arm is disposed through bone in the space between successive portions of the helical structure when the shoulder assembly is implanted.
A glenoid implant system may include a main body formed of a polymer, a base, and an anchor formed of metal. The main body may define an articulating surface and an opposite bone-contacting surface. The base may be formed in the bone-contacting surface of the main body, the base including a hole formed therein. The anchor may have a main section and a threaded post extending from the main section. The anchor may include a plurality of ribs extending in a longitudinal direction of the main section, the plurality of ribs being spaced apart from one another in a circumferential direction of the main section. The anchor may further include a plurality of wedges disposed on a base of the anchor, the plurality of wedges adapted to contact the base formed in the bone-contacting surface of the main body when the threaded post is received within the threaded hole.
Aspects disclosed herein provide a method for optimizing a medical treatment plan. The method may include receiving kinematics data from a wearable sensor coupled to an instant patient, determining, based on the received kinematics data and stored information, a medical treatment plan. The procedure may include installation of an implant. Determining the medical treatment plan may include determining an alignment, position, design, or type of the implant. The stored information may include preoperative information for the instant patient and preoperative information, intraoperative information, and postoperative information from a plurality of previous patients having at least one characteristic in common with the instant patient. Each of the preoperative information, intraoperative information, and postoperative information may include kinematics data obtained using a previous wearable sensor.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
At least a portion of an object such as a medical implant is fabricated by a process. In the process, a porous structure, a solid structure, and an interface region directly attached to each of the porous structure and the solid structure are produced by an additive manufacturing machine using a stored output file configured for providing instructions to the additive manufacturing machine for fabricating the porous structure, the solid structure, and the interface region. The stored output file is prepared by preparing a computer-generated component file including a porous CAD volume and a solid CAD volume. Digitized radii are added to digitized struts defining digitized pores in an interface volume of porous CAD volume to mitigate stress concentrations that would otherwise result in sharp corners or notches in the fabricated object.
Disclosed herein is a humeral head trial, a system for humeral trialing, and a method for removing a humeral head trial from a humeral stem. The humeral head trial may include a first portion, a second portion, and a post extending from the second portion. The first portion may define a convex articular surface with a movable surface substantially flush with the convex articular surface. The post may define a first length in a first configuration and a second length in a second configuration. The first length may be greater than the second length. The post may change from the first configuration to the second configuration by moving the movable surface with respect to the convex articular surface.
A method comprises determining, by a surgical assistance system, a potential insertion point on a surface of a bone of a patient; and presenting, by a Mixed Reality (MR) visualization device of the surgical assistance system, an MR scene that includes a virtual trajectory guide, wherein: the virtual trajectory guide comprises an elliptical surface, and for each location of a plurality of locations on the elliptical surface: the location corresponds to a potential insertion axis that passes through the location and the potential insertion point on the surface of the bone, and the location is visually distinguished based on a quality of a portion of the bone along the potential insertion axis corresponding to the location.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
34.
Surface Modified Unit Cell Lattice Structures For Optimized Secure Freeform Fabrication
Aspects of the present disclosure relate generally to preparing models of three-dimensional structures. In particular, a model of a three-dimensional structure constructed of porous geometries is prepared. A component file including a porous CAD volume having a boundary is prepared. A space including the porous CAD volume is populated with unit cells. The unit cells are populated with porous geometries having a plurality of struts having nodes on each end. The space is populated with at least one elongated fixation element extending beyond the boundary to produce an interlocking feature enabling assembly or engagement with a mating structure.
A wireless system comprising a first wireless device and a second wireless device. The first wireless device is configured to operate with less than 15 milliamperes of current. The second wireless device has an internal power source and is configured to transmit one or more radio frequency signals to the first wireless device. The first wireless device is configured to receive the one or more radio frequency signals from the second wireless device. The first wireless device is configured to harvest energy from the one or more radio frequency signals. The first wireless device is enabled for operation after a predetermined amount of energy is harvested from the one or more radio frequency signals. A communication handshake occurs between the first and second wireless devices to indicate that the first wireless device is in communication with the second wireless device. The first wireless device is configured to perform at least one task from harvested energy.
G16H 20/30 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
Disclosed herein are joint implants and methods for tracking joint implant performance. A shoulder implant according to the present disclosure can include a glenoid implant on a first bone and a humeral implant on a second bone of a shoulder. The glenoid implant can include magnetic markers. The humeral implant can include marker readers to provide positional data of the glenoid implant with respect to the humeral implant. The humeral implant can include at least one sensor to measure kinematic data between the glenoid and humeral implants. A processor can be coupled the marker reader and the at least one sensor. The processor can be configured to output the positional data and the kinematic data to an external source.
Disclosed herein joint implants with sensors and methods for activating sensors in joint implants. A joint implant according to the present disclosure can include a first implant on a first bone and a second implant on a second bone of a joint. The first implant can include a magnet. The second implant can include one or more sensors, a processor, a battery, and a switch. The switch can couple the battery to the processor to power the processor and the one or more sensors when the switch detects a magnetic field strength.
A patellar resection guide includes a frame, a first jaw, and a second jaw. The frame includes a first end, at which the first jaw is disposed, and a second end opposed to the first end at which the second jaw is disposed. The guide further includes an arm with a planar surface for guiding a cutting tool. The arm is either or both of rotatable and translatable relative to the frame.
Disclosed herein are joint implants with sensors and methods for assembling joint implants with sensors. A knee implant according to the present disclosure can include a femoral implant configured to be coupled to a femur and a tibial implant configured to be coupled to a tibia. The tibial implant can include a tibial insert disposed between the femoral implant and a tibial baseplate of the tibial implant. The tibial insert can include at least one sensor and a battery disposed within a void of the tibial insert, and a detachable case configured to seal an opening of the void. The detachable case can be configured to seal the opening of the void by engaging one or more projections with one or more corresponding recesses of the tibial insert.
Disclosed herein is a joint implant including a first implant coupled to a first bone of a joint, and a second implant coupled to a second bone of the joint and contacting the first implant. The second implant can include a plurality of sensors configured to measure data and a processor operatively coupled to the plurality of sensors and adapted to receive the data from the sensors. The first implant can be a femoral implant coupled to a femur. The second implant can be a patellar implant coupled to a patella. Sensor data from the patellar implant can indicate movement between the femoral implant and the patellar implant and identify patella condition such as a patellar rotation, patellar tilt and patellar tendonitis.
A tool for implanting an orthopedic implant upon a bone includes a body defining an implant socket for releasably retaining an implant and a drill guide opening into the implant socket. The body is an insert receivable in an insert socket of a movable end of the tool. The tool also includes a tip toward which the implant socket faces and opposedly movable relative to the body. The tool is usable in a process that includes clamping a bone between the tip and the implant while the implant is retained in the implant socket. While the bone is clamped, a drill is driven through the drill guide to produce a hole in the bone.
A trial humeral prosthesis may include a trial stem for implantation into a humerus, and a trial proximal body configured to couple to a trial articulating component. A plurality of trial spacers may be configured to couple the trial stem to the trial proximal body, the plurality of trial spacers including a first trial spacer and a second trial spacer. The first and second trial spacers may each include a proximal post and a tab extending radially outward from the proximal post, and a distal body having a larger outer diameter than an outer diameter of the proximal post, a slot being formed in the distal body. The slot of the distal body of the first trial spacer may be configured to receive the tab of the second trial spacer when the proximal post of the second trial spacer is received within the distal body of the first trial spacer.
Disclosed herein are systems and methods for providing secure authentication and connection between an implant and a remote monitoring platform for tracking implant performance. A joint implant according to the present disclosure can include a first implant coupled to a first bone of a joint, a second implant coupled to a second bone of the joint, a first communication module, and a memory to store authentication information. The first communication module can be configured to wirelessly transfer the authentication information to a communication module of an external device when the external device is placed adjacent the joint implant. The first communication module can be an NFC communication module configured to transfer the authentication information to the communication module of the external device via NFC.
A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load on a curved surface, joint stability, range of motion, and impingement. In one embodiment, the system is for a cup and ball joint of a musculoskeletal system. The system further includes a computer having a display configured to graphical display quantitative measurement data to support rapid assimilation of the information. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation.
Disclosed herein are joint implants and methods for tracking joint implant performance. A joint implant according to the present disclosure can include a first implant coupled to a first bone of a joint; a second implant coupled to a second bone of the joint; an insert coupled to the first and second implants; an acoustic exciter configured to emit a vibration signal; a sensor to measure the vibration signal of the first implant, the second implant, and the insert; and a processor operatively coupled to the sensor, the processor configured to output a vibration signature to an external source.
Disclosed herein is a method for evaluation knee stiffness and knee damping. The method may include the steps of releasing a subject's leg from an extension position to allow the leg to oscillate under gravity, tracking a knee angle and at least one joint motion characteristic during the oscillation, determining a knee joint torque and a knee gravitational moment from the knee angle and the joint motion characteristic, and determining a knee stiffness and a knee damping from the joint torque and the knee gravitational moment.
Disclosed herein are joint implants and methods for tracking joint implant performance. A joint implant includes a first implant coupled to a first bone of a joint and a second implant coupled to a second bone of the joint. The second implant includes at least one of a first sensor configured to measure a first type of data, and a processor operatively coupled to the at least one of the first sensor. The process outputs the first type of data to a network to be compared with data received from other joint implants. One of the joint or the implant is determined to be in a first state based on a comparison of the first type of data to a set of predetermined values formed based on the data received from the other joint implants. The predetermined values are adapted to change with the addition of new data.
A computing system is configured to determine a location of a humerus anatomical neck. The computing system receives a three-dimensional (3D) representation of a humerus, and applies a machine learning model to the three-dimensional representation to determine a segmentation of the 3D representation of the humerus. Based on the segmentation, the computing system determines a location of the humerus anatomical neck on the 3D representation of the humerus based on the segmentation, and generates a labeled 3D representation of the humerus that indicates the location of the humerus anatomical neck.
G06T 7/70 - Determining position or orientation of objects or cameras
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Provided is a method of dyeing or otherwise surface treating a polymer part so as to provide a treated polymer part with a surface additive which has wash fastness with respect to alcohol solutions and therefore does not leach or transfer in response to contact with alcohol. The method includes preparing a surface treatment solution comprising a solvent and the surface additive; submerging a polymer part in the surface treatment solution for a set time period before in order to coat the surface of the part with the additive; air drying the part; vapor polishing the part by exposing an outer surface to vaporized hexafluoroisopropanol in order to bind the additive within the polymer; and finally washing the fixed coated part in a surfactant and water solution to produce a finished surface treated polymer part.
A resection guide includes an anchor having bone anchoring features, a cutting block having a cutting guide defined therein, and a linkage flexibly connecting the cutting block to the anchor. The flexibility of the linkage provides the cutting block with six degrees of freedom of motion relative to the anchor.
Disclosed herein are systems and methods for providing peripheral services for an implant with sensors. A method according to the present disclosure may creating a patient account on a patient monitoring platform, determining sensor information to be measured from one or more sensors disposed on an implant coupled to a patient using the patient account, determining a duration during which sensor information is collected and transferred from the one or more sensors to the patient monitoring platform, analyzing sensor information received from the one or more sensors on the patient account via an external device, and communicating corrective steps from the external device to the patient or the implant via the patient account.
A method includes providing a distraction device, and providing, separate from the distraction device, a disposable force sensor pod configured to be removably coupled to the distraction device. The method also includes communicating, by the disposable force sensor pod, information relating to distraction of a joint by the distraction device to a computing system.
G01L 1/22 - Measuring force or stress, in general by making use of electrokinetic cells, i.e. liquid-containing cells wherein an electrical potential is produced or varied upon the application of stress using resistance strain gauges
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A method for replacing a joint at an end of a bone includes resecting an end of a bone so as to form a resected surface. A cement restrictor is inserted into an intramedullary canal of the bone. A filling prosthesis is implanted into the intramedullary canal in a press-fit manner. The void filling prosthesis has a channel that extends entirely through the void filling prosthesis. Bone cement is injected into the intramedullary canal between the bone restrictor and the resected surface so that the resected surface remains free of the bone cement. The bone cement is then pressurized. A joint prosthesis is implanted onto an end of the bone such that a porous bone facing surface of the joint prosthesis directly contacts the resected surface and a stem of the joint prosthesis extending from the porous bone facing surface is positioned within the pressurized bone cement.
A prosthesis alignment guide includes a guide body that has an opening that extends at least partially therein and a first alignment hole extending entirely therethrough. The opening is configured to receive a trunnion of a joint prosthesis for mounting the guide body to the joint prosthesis. An alignment member is disposed within the first alignment hole and is axially moveable therein. A locking member is engaged to the guide body and moveable from a first position in which the locking member is disengaged from the alignment member and a second position in which the locking member engages the alignment member and secures it from axial movement within the first alignment hole.
Disclosed herein are joint implants and methods for tracking joint implant performance. Braces and trackers for assessing pre- or post-surgical kinematic movement of a joint are also disclosed. The implants, braces and trackers can be utilized together or separately. Trackers having magnets can be implanted in select areas of the joint and sensors included in the braces can cooperate with the trackers to provide joint movement information to both the patient and the surgeon. Braces that do not require cooperation with implanted trackers are also disclosed, as are their uses.
A bone reattachment system includes an intramedullary implant that includes a longitudinal axis that extends between a first end and a second end thereof, and a stem body that defines at least the second end and is configured to be received within an intramedullary canal of a long bone. The system also includes a clamping assembly for clamping a first bone segment to a second bone segment and includes a mount, a clamp, and an end effector. The mount is connectable to the first end of the intramedullary implant. The clamp has a first end connected to the mount and a second end moveable relative to the first end. The end effector is connected to and extends from the second end of the clamp such that movement of the second end of the clamp relative to the first end moves the end effector in a direction transverse to the longitudinal axis of the intramedullary implant.
A method of implanting a medical implant includes resecting a long bone along a shaft of the bone so as to form a resected surface and remove a metaphysis of the bone. A tapered bore is reamed through the resected surface of the long bone and into an intramedullary canal thereof. A tapered portion of a stem of a medical implant is fully seated within the tapered bore so as to form a press-fit between the tapered portion of the stem and the long bone and so that a collar disposed at an end of the stem is offset from the resected surface so as to form a gap between the resected surface and the collar.
Illustrative embodiments of orthopedic implants and methods for surgically repairing hammertoe are disclosed. According to at least one illustrative embodiment, an orthopedic implant includes a proximal segment comprising a number of spring arms forming an anchored barb at a first end of the implant, a distal segment extending between the proximal segment and a second end of the implant, and a central segment disposed between the proximal and distal segment.
Disclosed herein is a joint implant including a first implant coupled to a first bone of a joint, and a second implant coupled to a second bone of the joint and contacting the first implant. The second implant can include a plurality of sensors configured to measure data and a processor operatively coupled to the plurality of sensors and adapted to receive the data from the sensors. The processor can be configured to communicate with a neural network and a channel detector adapted to exclude a first portion of the data received from the processor and output a second portion of the data.
Disclosed herein are methods for determining kinematic information of a joint. A method according to one embodiment may comprise the steps of receiving data obtained from a sensor of an implanted joint implant, analyzing the data with a trained estimation model to simultaneously determine kinematic information of the joint in six degrees of freedom, and outputting the kinematic information. In another embodiment, a method may comprise the steps of applying data obtained from a Hall sensor of an implanted joint implant to a trained estimation model to simultaneously determine kinematic information of the joint in six degrees of freedom; and outputting the kinematic information.
An orthopedic measurement system is disclosed to measure leg alignment. The measurement system includes a tri-axial gyroscope configured to measure movement of a leg. The gyroscope is coupled to a tibia of the leg. For example, the gyroscope can be placed in an insert or tibial prosthetic component that couples to the tibia. The gyroscope is used to measure alignment relative to the mechanical axis of the leg. The leg alignment measurement is performed by putting the leg through a first leg movement and a second leg movement. The gyroscope outputs angular velocities on the axes the sensor is rotated about. The gyroscope is coupled to a computer that calculates the alignment of the leg relative to the mechanical axis from the gyroscope measurement data.
Devices, systems, and techniques are described for determining surgical guidance for a joint replacement implantation based on dynamic joint analysis. Techniques include receiving patient specific data indicative of pre-operative motion associated with an ankle (300) of a patient and determining, based on the patient specific data, a current kinematic axis (302) of the motion associated with the ankle. Techniques also include determining a target kinematic axis (304) of motion for the ankle, the target kinematic axis being different than the current kinematic axis, and generating a transform function between the current kinematic axis and the target kinematic axis. Additionally, techniques include generating, based on the transform function, a recommended surgical intervention that adjusts tissue associated with the ankle to achieve the target kinematic axis of motion.
Disclosed herein is a joint replacement system and a method of performing surgery. The joint replacement system may include a first implant having a marker, a second implant having a reader to detect the marker, and a processor in communication with the second implant. The processor may include different algorithms based on the first and second implants. The method may comprise the steps of receiving first information related to a first implant, receiving second information related to a second implant, selecting an algorithm based on the first and second information; and receiving data from the first and second implants utilizing the algorithm.
Disclosed herein are joint implants and methods for tracking joint implant performance. A method for monitoring a joint implant performance may include coupling a first implant to a first bone of a joint, the first implant including at least one magnetic marker. Coupling a second implant to a second bone of the joint, the second implant including at least one magnetic sensor to detect a position of the magnetic marker. Performing a first joint stress test to measure a baseline joint stability value, the baseline joint stability value being generated by the at least one magnetic sensor. Performing a second joint stress test to measure a second joint stability value, the second joint stability value being generated by the at least one magnetic sensor. Determining joint stability of the joint by comparing the baseline joint stability value to the second joint stability value.
Disclosed herein are joint implants and methods for tracking joint implant performance. A joint implant according to the present disclosure can include a first implant on a first bone and a second implant on a second bone of a joint. The first implant can include medial and lateral markers. The second implant can include a medial marker reader to identify the medial markers and a lateral marker reader to identify the lateral markers to provide positional data of the first implant with respect to the second implant. The second implant can include a medial load sensor to measure medial load data and a lateral load sensor to measure lateral load data. A processor coupled to the medial marker reader, the lateral marker reader, the medial load sensor, and the lateral load sensor can transmit the positional data, the medial and lateral load data to an external source.
Disclosed herein are joint implants with sensors and methods for manufacturing joint implants with sensors. A knee joint implant according to the present disclosure may include a femoral implant, a tibial implant and a tibial insert disposed therebetween. The tibial implant may include a medial side with a medial central region defined around a medial center, a lateral side with a lateral central region defined around a lateral center and a central region disposed between the medial central region and the lateral central region. At least one sensor and a battery may be disposed within the tibial insert. The medial central region and the lateral central region may be defined by solid volumes extending from a proximal surface to a distal surface of the tibial insert.
Disclosed herein are implants with sensors and methods for powering implants with sensors. A joint implant according to the present disclosure can include a first implant and a second implant in contact with the first implant. The first implant can be coupled to a first bone of a joint. The first implant can include an energy generator coupled to a transducer. The second implant can include at least one sensor, a battery coupled to the at least one sensor, and a receiver coupled to the battery. The receiver can be disposed within the second implant adjacent the transducer. Energy from the energy generator can be transmitted from the transducer of the first implant to the receiver of the second implant.
Disclosed herein are joint implants and methods for intra-operatively detecting joint implant gap. A method for detecting a joint implant gap may include coupling a first implant to a first bone of a joint, coupling a second implant to a second bone of the joint, measuring an amplitude of a magnetic flux density using a magnetic sensor to determine a gap between the first and second implants. The first implant may include at least one magnetic marker. The second implant may be configured to contact the first implant. The second implant may include at least one magnetic sensor to detect the magnetic flux density of the magnetic marker. The gap between the first and second implant may be intra-operatively determined using the measured amplitude of the magnetic flux density.
A prosthetic glenoid implant may include a polymer bearing component, a metal base component, and a plurality of fixation members. The bearing component may have a first surface adapted to articulate with a humeral head, and an opposing second surface including a first mating feature. The base component may have a first surface and a bone-contacting surface, the first surface having a second mating feature adapted to engage the first mating feature, the bone-contacting surface adapted to contact the native glenoid. The base component may define a plurality of apertures. The fixation members may each have a head and a threaded shaft adapted to pass through a corresponding one of the plurality of apertures, the head of each fixation member adapted to be positioned within a recess defined between the base component and the bearing component in an assembled condition of the prosthetic glenoid implant.
Disclosed herein are a system for determining ligament tension and a method for utilizing the same in a knee balancing procedure. The system according may include a first sensor to measure a first load at a first condyle of a femur, a second sensor to measure a second load at a second condyle of the femur, an inertial measurement unit to measure angular change of a tibial mechanical axis of a tibia during a rotation of the tibia in a coronal plane, and a display in communication with the first sensor, the second sensor and the inertial measurement unit for displaying a ligament stress-strain curve. The method may include the steps of rotating a tibia toward a first condyle, measuring first load values and first deflection angles of the tibia, and determining a stress-strain curve of a first ligament from the first load values and first deflection angles.
Systems and methods are disclosed for measuring a femoral alignment of a femur of a patient via a surgically implanted measurement device. An exemplary method may include: receiving, via at least one processor, first data from the measurement device, wherein: a housing of the measurement device is coupled to a musculoskeletal system of a patient; and the first data includes a plurality of measurements from each of an accelerometer and a gyroscope included with an inertial measurement unit disposed within the housing; determining the femoral alignment based on the first data; and causing a display to output the determined femoral alignment.
Techniques are described for identifying bone areas for removal during a medical procedure. Processing circuitry may generate a virtual model of an anatomical object with the bone areas removed and one or more indications for the bone areas that are to be removed. During surgery, the processing circuitry may receive image data and update the one or more indications as the bone areas are removed. The processing circuitry may generate the virtual model and the bone areas for visual overlay on the actual anatomical object.
A computing system may generate an initial segmentation mask by applying a neural network to a 3D image of a set of objects. The initial segmentation mask associates voxels of the 3D image with individual objects of the set of objects. Additionally, the computing system generates a refined segmentation mask. As part of generating the refined segmentation mask, the computing system performs, for each respective object, a front propagation process for the respective object. The front propagation process for the respective object uses input voxel data to relabel, in the refined segmentation mask, voxels of the 3D image as being associated with the respective object. A stopping condition of a path evaluated by the front propagation process for the respective object occurs when the front propagation process evaluates a voxel identified in the initial segmentation mask as being associated with a different one of the objects from the respective object.
The present disclosure are directed toward an articular assembly configured to be coupled with a bone anchor. The articular assembly may include an articular body having a first end and a second end with an articular surface disposed on or adjacent to the first end. The articular body may include a bone anchor interface disposed between the first end and the second end of the articular body. The bone anchor interface may include a channel formed in a circumferential surface of the articular body, a locking member disposed in the channel, and/or a deflectable portion disposed between the locking member and the second end of the articular body.
A surgical guide system includes a shell trial having a convex side configured to engage an acetabulum, a concave side forming a cavity therein, and windows extending through the convex and concave sides for viewing bone. The system further includes a liner trial having a convex side configured to be received within the cavity of the concave side of the shell trial, and a concave side with recessed hole guides there, wherein more than one of the hole guides align with the windows of the shell trial when the liner trial is received therein. The system further includes an acetabular cup implant having a convex side configured to engage an acetabulum, a concave side, and a thickness extending between the concave and convex sides, the concave side defining a cavity configured to receive the liner trial.
A method of forming a tubular structure including a first tube and a second tube. The steps of the method include first successively depositing layers of a first material and at least partially melting at least a portion of each deposited layer of the first material at predetermined locations to form the first tube. Second, successively depositing layers of a second material and at least partially melting at least a portion of each deposited layer of the second material at additional predetermined locations to form the second tube, wherein the second tube is attached to the first tube at an intersection. Additionally, at least partially melting steps include forming portions of a plurality of segments, and the first tube and the second tube share segments of the plurality of segments at their intersection.
Techniques are described for determining a pre-morbid shape of an anatomical object. A method includes receiving first image data of a first anatomical structure and second image data of a second anatomical structure. The first and second anatomical structures are anatomically related. The method includes determining a first shape model based on the first image data and a joint statistical shape model (SSM). The method includes determining a second shape model based on the first shape model, the first image data, and the second image data, the second shape model including a second estimated shape of the first anatomical structure and a second estimated shape for the second anatomical structure. The method includes generating anatomical information indicative of the pre-morbid shape of at least the second anatomical structure based on the second shape model.
A glenosphere handling tool, which can be an impactor, is provided that includes an elongate body and a retention portion. The retention portion is disposed at a distal end of the elongate body. The retention portion includes a plurality of wall segments of the elongate body separated from each other by one or more slots. The slot(s) extends proximally from the distal end of the elongate body. The retention portion also includes an enlarged periphery at the distal end of the elongate body. The enlarged periphery comprising a proximally facing edge configured to engage an inner wall surface of a glenosphere. The retention portion is configured such that when the retention portion is in a free state the proximally facing edge faces and may contact a surface of a glenosphere to retain the glenosphere. The retention portion is configured to be deflected at the distal end of the elongate body such that the enlarged periphery has a reduced profile for separating the handling tool from a glenosphere.
An implant assembly may include a first component having a proximal plate and a distal portion extending from the proximal plate, a first screw of a first type, and a first screw of a second type. The proximal plate may have a proximal face, a distal face configured to abut bone, and a periphery. The proximal plate may define a plurality of apertures. An opening may be defined by the proximal plate and extend through the distal portion. Each of the plurality of apertures may be disposed between the opening and the periphery. The first screw of the first type may be sized and configured to be received in the opening and engage bone. The first screw of the second type may be sized and configured to be received in at least one of the plurality of apertures.
A humeral head implant system includes a head component including a first articulating surface, a second bottom surface extending from the first spherical articulating surface, a first cavity extending a first distance into the head component from the second bottom surface, and a second cavity extending into the head component along a cavity axis. The head component defines a head axis extending through a center of the first articulating surface parallel to the cavity axis. A base component defines a slot extending from a first width to a second width. An insert component includes an insert body, a first engagement feature, and a slot engagement feature. The first engagement feature is received in the second cavity along the cavity axis. The insert body has an insert thickness less than the first distance, and the slot engagement feature slides into the slot in a direction transverse to the cavity axis.
A total knee prosthesis system that includes a guide having first and second wedges each having a thickness configured to be located between the tibial and femoral component. When the first and second wedges are located between the tibial and femoral component, the first and second wedges align the first axle opening of the tibial component with the second axle opening of the femoral component for receipt of an axle. The guide includes a guide recess extending between the first and second wedges and a post extending into the guide recess. The guide also includes a bridge connected to and extending between the first and second wedges such that the bridge at least partially defines the guide recess.
A knee joint distractor includes a handle that has a length that extends along a longitudinal axis of the knee joint distractor and a distraction head connected to the handle. The distraction head has a femoral contact side and a tibial contact side. The femoral contact side has a first femoral contact portion. The tibial contact side has first and second tibial contact portions. The first tibial contact portion defines an inferior apex of the tibial contact side. The second tibial contact portion has a plurality of teeth offset from the inferior apex in a direction toward the handle.
In one embodiment, the present disclosure relates to a broach for use in a mammalian femur. The broach includes a body with a proximal portion and a distal portion extending from the proximal portion. The proximal portion has a first surface with a plurality of first teeth and the distal portion has a second surface with a plurality of second teeth. Each of the second teeth is different from each of the first teeth. And, each of the plurality of second teeth include pointed protrusions extending outward from the second surface.
A surgical planning system for use in surgical procedures to repair an anatomy of interest includes a preplanning system to generate a virtual surgical plan and a mixed reality system that includes a visualization device wearable by a user to view the virtual surgical plan projected in a real environment. The virtual surgical plan includes a 3D virtual model of the anatomy of interest. When wearing the visualization device, the user can align the 3D virtual model with the real anatomy of interest, thereby achieving a registration between details of the virtual surgical plan and the real anatomy of interest. The registration enables a surgeon to implement the virtual surgical plan on the real anatomy of interest without the use of tracking markers.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
A stemless humeral shoulder assembly having a base member and an anchor advanceable into the base member. The base member can include a distal end that can be embedded in bone and a proximal end that can be disposed at a bone surface. The base member can also have a plurality of spaced apart arms projecting from the proximal end to the distal end. The anchor can project circumferentially into the arms and into a space between the arms. When the anchor is advanced into the base member, the anchor can be exposed between the arms. A recess can project distally from a proximal end of the anchor to within the base member. The recess can receive a mounting member of an anatomical or reverse joint interface.
According to one aspect of the disclosure, a prosthetic implant system includes a first articulation component, a base, and a second anchor. The base may have a proximal portion and a first anchor extending in a distal direction along a longitudinal first anchor axis. The proximal portion of the base may be configured to couple to the first articulation component. The second anchor may be formed separately from the base and may extend along a longitudinal second anchor axis. The base may include a channel extending from a first opening in the proximal portion of the base through a second opening in a distal portion of the first anchor. The channel may be sized and shaped to receive the second anchor therethrough. When the second anchor is received within the channel, the longitudinal first anchor axis may be oblique to the longitudinal second anchor axis.
Techniques are described for bone-graft harvesting in orthopedic surgery. Processing circuitry may obtain a virtual model of a bone graft to be harvested from a donor bone, wherein the virtual model of the bone graft specifies a volume of the donor bone to be harvested as the bone graft; and output for display, via a visualization device, a graphical representation of the specified volume to be harvested relative to a portion of the donor bone viewable via the visualization device.
Techniques are described for guiding a joint replacement surgery. In some examples, a system includes a visualization device comprising one or more sensors; and processing circuitry configured to determine, based on data generated by the one or more sensors, one or more size parameters of a bone resection surface viewable via the visualization device; select, based on the one or more size parameters of the bone resection surface and from a plurality of implants, an implant; and output for display, via the visualization device, a graphical representation of the selected implant relative to the bone resection surface.
A computer-generated component file for fabricating an orthopedic implant is prepared. First and second select sections of an initial implant model of a computer-aided design model are set to first and second model porous sections. A remaining section of the initial implant model is left. All regions defining the first and the second select sections are spaced not more than a preset distance from a patient-specific bone model of the computer-aided design model as measured uniformly. The first and the second model porous sections are merged with a remaining section of the initial implant model to form at least a portion of a final implant model. The final implant model is stored in a component file configured to be accessed by a computer-aided manufacturing machine for use in fabricating the orthopedic implant. At least a portion of the orthopedic implant corresponds to the final implant model.
A method for removing a stem portion of an orthopedic implant from a bone comprises exposing an implanted orthopedic implant having a body portion, a stem portion interconnected to the body and a porous metal section forming an interconnection between the body and the stem portion. A cutting tool is mounted on a holder connected to an exposed surface of the orthopedic implant. The porous section is aligned with the cutting tool mounted on the holder. The entire porous section is cut by moving the cutting tool therethrough in a direction transverse to the stem portion axis. The implant body portion is then removed and then the stem portion is removed from the bone. The cutting tool may be a saw or chisel which may be mounted on a guide fixed to the body portion.
In some examples, a simulator system may simulate one or more minimally invasive surgery (MIS) procedures associated with bone removal. The simulator system comprises an input device configured to detect a position of a portion of a user tool relative to an operation envelope, a simulation device defining one or more surfaces that define one or more boundaries for a movement of the user tool relative to the operation envelope during a simulated surgical procedure, and processing circuitry. The processing circuitry is configured to receive, from the input device, information indicative of the position of at least the portion of the user tool relative to the operational envelope, generate a performance metric based on the position of at least the portion of the user tool relative to the operational envelope over a period of time, and output, for display to a user, the performance metric.
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
Disclosed herein are a joint distractor for joint distraction and a method for utilizing the same in a joint distraction procedure. The joint distractor may include a first surface and a second surface. The first surface may contact a first bone of a joint and the second surface may contact a second bone of a joint. The first surface may be a flexible surface that is substantially parallel to the second surface in a first position and forms an arch in a second position to distract the first bone from the second bone. A method for distracting a joint may utilize the first and second surfaces of the joint distractor.
Provided is a glenoid implant system that includes a tray component that includes a bone-facing surface and a bearing-facing surface on opposite side of the bone-facing surface; and a bearing component that includes an articulating surface that is generally concave and a back side on opposite side of the articulating surface that is generally convex, wherein the articulating surface is configured for engaging a convex humeral head and the back side is configured for engaging the bearing-facing surface of the tray component thus enabling the bearing component to slide about on the tray component while the convex humeral head articulates against the articulating surface.
Surgical kit inspection systems and methods are provided for inspecting surgical kits having parts of different types. The surgical kit inspection system comprises a vision unit including a first camera unit and a second camera unit to capture images of parts of a first type and a second type in each kit and to capture images of loose parts from each kit that are placed on a light surface. A robot supports the vision unit to move the first and second camera units relative to the parts in each surgical kit. One or more controllers obtain unique inspection instructions for each of the surgical kits to control inspection of each of the surgical kits and control movement of the robot and the vision unit accordingly to provide output indicating inspection results for each of the surgical kits.
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
B25J 19/00 - Accessories fitted to manipulators, e.g. for monitoring, for viewing; Safety devices combined with or specially adapted for use in connection with manipulators
A surgical assistance system may obtain a pre-revision model of a bone of a patient. The pre-revision model of the bone represents a pre-revision state of the bone after a prior orthopedic surgery on the bone. In this example, an orthopedic prosthesis was attached to the bone during the prior orthopedic surgery. Additionally, the surgical assistance system may obtain intra-revision imaging data of the bone. The intra-revision imaging data represents an intra-revision state of the bone during the orthopedic revision surgery after removal of the orthopedic prosthesis from the bone. The surgical assistance system may determine, based on the intra revision imaging data, damaged and intact parts of the bone. The surgical assistance system may then generate a second intra-revision model of the bone by modifying the pre-revision model of the bone to exclude damaged parts of the bone.
Described herein are cannulated reamer designs and methods. In one embodiment, a reamer comprises a cannulated central body portion, a plurality of cutting legs and outer frame. The cannulated central body portion has an inner wall surface and an opposing outer wall surface defining a thickness and a bone contacting surface and an opposing distal end surface defining a length, the inner wall surface defining a bore about a central longitudinal axis of the cannulated central body portion. The plurality of cutting legs extends outwardly from the cannulated central body portion. The other defines a periphery of the reamer, the outer frame coupled to a lateral end of each of the plurality of cutting legs. The cannulated central body portion has a recess extending entirely through the thickness and only partially though the length.
An orthopedic system to monitor a parameter related to the muscular-skeletal system is disclosed. The orthopedic system includes electronic circuitry, at least one sensor, and a computer to receive measurement data in real-time. The orthopedic system comprises a first plurality of shims of a first type, a second plurality of a second type, a measurement module, and the computer. The measurement module houses the electronic circuitry and at least one sensor. The measurement module is adapted to be used with the first plurality of shims and the second plurality of shims. The measurement module has a medial surface that differs from a lateral surface by shape, size, or contour.
A61F 2/46 - Special tools for implanting artificial joints
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/02 - Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
patents
