Prosthetic device and system and method for implanting prosthetic device

• US 10,327,904 B2
• Filed: 11/19/2010
• Issued: 06/25/2019
• Est. Priority Date: 03/14/2006
• Status: Active Grant

• Current Assignee: MAKO Surgical Corporation (Stryker Corporation)
• Original Assignee: MAKO Surgical Corporation (Stryker Corporation)
• Inventors: Otto, Jason K., Hajaj, Binyamin, Abovitz, Rony, Mistry, Amit, Nortman, Scott, Brown, Steven B.
• Primary Examiner(s): Wolf, Megan Y
• Application Number:
  US12/950,853
• Publication Number:
  US 20110066079A1
• Time in Patent Office: 3,140 Days
• Field of Search: 623 1811, 623 2015, 623 2019, 623 2021, 623 203, 623908, 623914
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 90/96 using barcodes
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/488 Means for detecting or monitoring wear
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4661 for measuring thickness
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth
• CPC Class Codes: Y10S 623/908 Bone
• CPC Class Codes: Y10S 623/914 Bone

Abstract

A prosthetic device includes one or more components configured to be disposed in a joint. The component includes at least one feature configured to provide information about the component. The information can be used to determine or create the relationship between the component and the joint and/or other components. This relationship may be used to evaluate and/or modify the expected performance of the prosthetic device and assist in determining the optimal relationship between one or more components and a patient'"'"'s anatomy.

Claims

1. A method comprising the steps of:

identifying a positioning feature on a first implant implanted in a joint relative to a bone of the joint, wherein the positioning feature is a geometrical feature on the first implant configured to be contacted by a trackable probe and is configured to provide information representative of a positioning of the first implant;

providing a trackable probe independent from the first implant;

identifying at least one correspondence point on the bone;

determining a desired geometric relationship between the first implant and the at least one correspondence point on the bone;

determining an actual geometric relationship between the first implant implanted in the joint and the at least one correspondence point on the bone, wherein the actual geometric relationship is determined by;

after the first implant is implanted in the joint, contacting the positioning feature on the first implant implanted in the joint with the trackable probe;

acquiring, using a computing device, first information representative of the positioning of the first implant from the positioning feature on the first implant by tracking the trackable probe and second information about the bone from the at least one correspondence point on the bone,

wherein the actual geometric relationship is based at least in part on the first information acquired about the first implant and the second information acquired about the bone; and

adjusting a position and orientation of the first implant in the joint to achieve the desired geometric relationship.

2. The method of claim 1, further comprising the steps of:

creating a three-dimensional model of the bone; and

aligning a virtual representation of the first implant with the three-dimensional model of the bone.

3. The method of claim 1, further comprising the step of:

applying a force to the joint when the first information about the first implant and the second information about the bone are acquired.

4. The method of claim 1, further comprising the step of:

determining a condition of soft tissue in the joint based at least in part on the first information acquired about the first implant and the second information acquired about the bone.

5. The method of claim 1, wherein the bone comprises a plurality of correspondence points configured to provide the second information about the bone.

6. The method of claim 1, wherein the positioning feature includes at least one of an optical etching, an optical marking, a marker, a pattern, a landmark, an interface for an instrument, a point, a line, an axis, a length, an arc center, a curve, a radius, a plane, a surface, an articular surface, a characteristic that is represented via a computer as a virtual feature, a correspondence point, a divot, and a cavity.

7. The method of claim 1, further comprising:

determining a predicted performance of the first implant by using the computing device to perform a computational simulation with a virtual representation of the first implant in a planned position and orientation;

wherein the computational simulation simulates forces that would be applied to the first implant during in vivo functional activity; and

wherein the predicted performance comprises a value relating to predicted kinetics of the first implant when the first implant is in the planned position and orientation.

8. The method of claim 7, further comprising proposing a modification of the desired geometric relationship based on the predicted performance.

9. The method of claim 1, further comprising the steps of:

planning a positioning of a second implant in the joint;

acquiring third information about the second implant; and

determining a relationship between the first implant and the second implant in the planned position based at least in part on the first information acquired about the first implant and the third information acquired about the second implant.

10. The method of claim 9, further comprising the step of:

comparing the determined relationship to a desired relationship between the first implant and the second implant.

11. The method of claim 10, further comprising the step of:

adjusting at least one of the first implant and the second implant to achieve the desired relationship between the first implant and the second implant.

12. The method of claim 9, wherein the third information about the second implant includes at least one of a position, an orientation, a size, and an identity of the second implant.

13. The method of claim 1, wherein the first implant includes at least one of a femoral component, a patello-femoral component, and a tibial component.