Orthopaedic sensor module and system for determining joint forces of a patient's knee joint

• US 10,070,973 B2
• Filed: 03/31/2012
• Issued: 09/11/2018
• Est. Priority Date: 03/31/2012
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Inventors: Sherman, Jason T., Rock, Michael J., Bertazzoni, Mario, Bartelme, Michael J.
• Primary Examiner(s): Dougherty, Sean
• Assistant Examiner(s): FERNANDES, PATRICK M
• Application Number:
  US13/436,855
• Publication Number:
  US 20130261502A1
• Time in Patent Office: 2,355 Days
• Field of Search: 600587
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/4661 for measuring thickness
• CPC Class Codes: A61F 2002/4666 for measuring force, pressure or mechanical tension

Abstract

An orthopedic surgical device includes a tibial paddle shaped to be positioned in the patient'"'"'s knee joint and a handle extending from the tibial paddle. The tibial paddle includes a sensor array positioned therein and configured to generate sensor signals indicative of the joint force of the patient'"'"'s knee joint. The orthopedic surgical device also includes a control circuit configured to control a display located on the handle to provide a visual indication of the medial and lateral balance of the joint force. In some embodiments, various tibial trialing components may be coupled to the tibial paddle along with an associated adaptor.

Claims

1. An orthopaedic surgical device for measuring a joint force of a patient'"'"'s joint, the orthopaedic surgical device comprising:

a tibial paddle shaped to be positioned between a proximal end of a patient'"'"'s tibia and a distal end of a patient'"'"'s femur, the tibial paddle having (i) a substantially planar upper surface, (ii) a substantially planar bottom surface, (iii) a top paddle housing having a first outer sidewall that defines an outer edge of the top paddle housing, a first opening defined in the substantially planar upper surface, and a first inner sidewall that defines a first centrally-located aperture that is spaced apart from the first outer sidewall and extends inwardly from the first opening, the first centrally-located aperture being enclosed completely by the first inner sidewall, (iv) a bottom paddle housing having a second outer sidewall that defines an outer edge of the bottom paddle housing, a second opening defined in the substantially planar bottom surface, and a second inner sidewall that defines a second centrally-located aperture that is spaced apart from the second outer sidewall and extends inwardly from the second opening, the second centrally-located aperture being enclosed completely by the second inner sidewall, and (v) a posterior notch extending inwardly from the first outer sidewall and the second outer sidewall, wherein the first and second apertures are in fluid communication with each other to define, in part, a vertical passageway through the tibial paddle that is spaced apart from the posterior notch,

a sensor array positioned in the tibial paddle and configured to generate sensor signals indicative of a joint force between the patient'"'"'s tibia and femur, the sensor array comprising a plurality of medial-anterior sensors to measure a medial-anterior force component of the joint force, a plurality of medial-posterior sensors to measure a medial-posterior force component of the joint force, a plurality of lateral-anterior sensors to measure a lateral-anterior force component of the joint force, and a plurality of lateral-posterior sensors to measure a lateral-posterior force component of the joint force, each of the medial-anterior sensors and lateral-anterior sensors having a substantially equal surface area and each of the medial-posterior sensors and lateral-posterior sensors having a substantially equal surface area,

an elongated handle secured to the tibial paddle and defining a longitudinal axis that is offset from an anterior-to-posterior bisecting axis of the tibial paddle,

a first display secured to an end of the handle distal from the tibial paddle, and

a circuit positioned in the handle, the circuit configured to receive the sensor signals from the sensor array and to control the first display to provide a visual indication of the medial-lateral balance of the joint force.

2. The orthopaedic surgical device of claim 1, wherein the sensor array comprises a plurality of capacitive pressure sensors.

3. The orthopaedic surgical device of claim 1, wherein the sensor array comprises of a medial set of sensors and a lateral set of sensors, each of the medial set and lateral set of sensors consisting of an anterior-most sensor, a posterior-most sensor, and four additional sensors located between the corresponding anterior-most sensor and posterior-most sensor.

4. The orthopaedic device of claim 1, wherein the surface area of each of the medial-anterior and lateral-anterior sensors is less than the surface area of each of the medial-posterior and lateral-posterior sensors.

5. The orthopaedic surgical device of claim 1, wherein each of the medial-anterior and lateral-anterior sensors has a surface area equal to about 0.174 in² and each of the medial-posterior and lateral-posterior has a surface area equal to about 0.187 in².

6. The orthopaedic surgical device of claim 1, wherein each of the medial-anterior and lateral-anterior sensors has a surface area equal to about 0.243 in² and each of the medial-posterior and lateral-posterior has a surface area equal to about 0.263 in².

7. The orthopaedic surgical device of claim 1, further comprising a second display secured to the end of the elongated handle distal from the tibial paddle, and

wherein the elongated handle comprises a top handle housing and a bottom handle housing, the top and bottom handle housings being coupled to each other such that an interior surface of the top handle housing faces a corresponding interior surface of the bottom handle housing,

wherein the first display is secured to an end of the top handle housing and the second display is secured to an end of the bottom handle housing.

8. The orthopaedic surgical device of claim 1, wherein:

the first display comprises a plurality of light emitting diodes, and

the circuit is configured to (i) determine a total medial force value indicative of a medial component of the joint force, (ii) determine a total lateral force value indicative of a lateral component of the joint force, and (iii) control the plurality of light emitting diodes in a manner to provide an indication of the medial-lateral balance of the joint force.

9. The orthopaedic surgical device of claim 8, wherein the circuit is configured to control the plurality of light emitting diodes to display at least nine separate illumination configurations corresponding to nine separate medial-lateral balance ranges.

10. The orthopaedic surgical device of claim 8, wherein the circuit is configured to:

sum the total medial force value and the total lateral force value to determine a total force value,

determine a medial percentage value as a function of the total medial force value and the total force value,

determine a lateral percentage value as a function of the total lateral force value and the total force value, and

control the plurality of light emitting diodes in a manner to provide an indication of the medial-lateral balance of the joint force as a function of the medial percentage value and the lateral percentage value.

11. The orthopaedic surgical device of claim 1, wherein the circuit comprises a wireless transmitter configured to transmit data indicative of the joint force between the patient'"'"'s tibia and femur.

12. The orthopaedic surgical device of claim 1, wherein the circuit comprises a power source and a user control operative to place the circuit into an on-state from an off-state, wherein the circuit is configured to remain in the on-state after being placed in the on-state from the off-state until the power source is depleted.

19. The orthopaedic surgical device of claim 1, wherein:

the first outer sidewall extends from a first end connected to a first side of the elongated handle to a second end connected to a second side of the elongated handle, and

the second outside wall extends from a first end connected to a first side of the elongated handle to a second end connected to a second side of the elongated handle.

20. The orthopaedic surgical device of claim 19, wherein the first and second outer sidewalls cooperate to define an anterior side of the tibial paddle and a posterior side of the tibial paddle positioned opposite the anterior side, and the vertical passageway positioned between the anterior and posterior sides.

21. The orthopaedic surgical device of claim 1, wherein the first inner sidewall includes an inwardly angled section that extends from an outer edge connected to the substantially planar upper surface to an inner edge that defines the first centrally-located aperture.

13. A sensor module to measure a joint force of a patient'"'"'s joint, the sensor module comprising:

a housing having a handle and a tibial paddle, the tibial paddle including an upper tibial plate and a lower tibial plate opposite the upper tibial plate, the upper and lower tibial plates each including an outer sidewall that defines an outer edge of the tibial plate and an inner sidewall that defines a centrally-located aperture that is spaced apart from the outer sidewall such that the inner sidewalls of the upper and lower tibial plates completely enclose a cylindrical passageway that is spaced apart from the outer sidewalls when the upper tibial plate is coupled to the lower tibial plate,

a sensor array positioned between the upper tibial plate and the lower tibial plate and configured to generate sensor signals indicative of a joint force between the patient'"'"'s tibia and femur, the sensor array comprising a plurality of anterior sensors to measure an anterior force component of the joint force and a plurality of posterior sensors to measure a posterior component of the joint force, each of the posterior sensors having a surface area that is greater than each of the anterior sensors,

a first display secured to a first surface of the housing and a second display secured to a second surface of the housing opposite the first surface, and

a circuit positioned in the housing and configured to receive the sensor signals from the sensor array and to control the first and second displays to illuminate in one of a plurality of illumination configurations, each illumination configuration corresponding to a separate range of medial-lateral balance of the joint force.

14. The orthopaedic surgical device of claim 13, wherein:

the housing comprises (i) an upper housing including an upper handle housing and the upper tibial plate of the tibial paddle, and (ii) a lower housing including a lower handle housing and the lower tibial plate of the tibial paddle, the lower housing being coupled to the upper housing such that an interior surface of the lower housing faces a corresponding interior surface of the upper housing, and

the first display is secured to the upper handle housing and the second display is secured to the lower handle housing.

15. The orthopaedic surgical device of claim 13, wherein the sensor array comprises of a medial set of sensors and a lateral set of sensors, each of the medial set and lateral set of sensors consisting of an anterior-most sensor, a posterior-most sensor, and four additional sensors located between the corresponding anterior-most sensor and posterior-most sensor.

16. The orthopaedic surgical device of claim 13, wherein the circuit is configured to control the first and second displays to display one of a number of separate illumination configurations, wherein each illumination configurations corresponds to a separate range of medial-lateral balance of the joint force.

17. The orthopaedic surgical device of claim 13, wherein the circuit comprises a wireless transmitter configured to transmit data indicative of the joint force between the patient'"'"'s tibia and femur.

18. The orthopaedic surgical device of claim 13, wherein the circuit comprises a power source and a user control operative to place the circuit into an on-state from an off-state, wherein the circuit is configured to remain in the on-state after being placed in the on-state from the off-state until the power source is depleted.

22. The sensor module of claim 13, wherein the outer sidewalls cooperate to define a posterior notch in the outer edge of the tibial plate that is spaced apart from the cylindrical passageway.

23. The sensor module of claim 13, wherein the inner sidewall of the upper tibial plate includes an inwardly angled section that extends from an outer edge connected to a planar upper surface of the upper tibial plate to an inner edge that defines the centrally-located aperture.

24. A sensor module to measure a joint force of a patient'"'"'s joint, the sensor module comprising:

a housing having a handle and a tibial paddle, the tibial paddle including an upper tibial plate and a lower tibial plate opposite the upper tibial plate, the upper and lower tibial plates each including an outer sidewall that defines an outer edge of the tibial plate and an inner sidewall that defines an aperture that is spaced apart from the outer sidewall such that the inner sidewalls of the upper and lower tibial plates completely enclose a cylindrical passageway extending through the tibial paddle when the upper tibial plate is coupled to the lower tibial plate,

a sensor array positioned between the upper tibial plate and the lower tibial plate and configured to generate sensor signals indicative of a joint force between the patient'"'"'s tibia and femur, the sensor array comprising a plurality of anterior sensors to measure an anterior force component of the joint force and a plurality of posterior sensors to measure a posterior component of the joint force, each of the posterior sensors having a surface area that is greater than each of the anterior sensors,

a first display secured to a first surface of the housing, and

a circuit positioned in the housing and configured to receive the sensor signals from the sensor array and to control the first display to provide a visual indication of the medial-lateral balance of the joint force.