Low profile patient specific cutting blocks for a knee joint

• US 10,342,555 B2
• Filed: 03/05/2018
• Issued: 07/09/2019
• Est. Priority Date: 03/03/2008
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Salehi, Abraham Biglari, Mehl, David Timothy, Nadzadi, Mark Ellsworth, Agnihotri, Aashiish, Jordan, Jason Sean
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US15/911,800
• Publication Number:
  US 20180193041A1
• Time in Patent Office: 491 Days
• Field of Search: 606 86 R, 606 87- 89, 606 96
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides

Abstract

A patient specific guide block for a knee includes a plurality of bone interfacing portions and a cutting slot. The plurality of bone interfacing portions are configured to overlie portions of an end of a bone. The bone interfacing portions each have a surface that is generally a negative of the portion of the bone that the respective bone interfacing portion overlies. The bone interfacing portions are angularly offset from each other such that a first of the bone interfacing portions overlies an anterior portion of the bone, and a second of the bone interfacing portions overlies a portion of bone generally perpendicular to the anterior portion of bone. The cutting slot is oriented in a fixed position relative to the bone interfacing portions such that the cutting slot directs a cutting tool at a fixed angle and at a fixed depth relative to the bone interfacing portions.

Claims

1. A patient specific guide block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, wherein a first of the bone interfacing portions extends in an anterior-posterior direction and is adapted to overlie an end portion of the bone, and wherein a second of the bone interfacing portions extends in a superior-inferior direction and is adapted to overlie a side portion of the bone;

an instrument guide extending in a medial-lateral direction and configured to guide a cutting instrument at a fixed angle relative to the bone interfacing portions; and

an exterior surface defining an index marking extending in the superior-inferior direction, the index marking having an orientation and a position based on patient specific imaging data.

2. The patient specific guide block of claim 1, wherein the imaging data comprises magnetic resonance data or X-ray data.

3. The patient specific guide of claim 1, wherein the index marking extends in a direction transverse to the medial-lateral direction.

4. The patient specific guide block of claim 3, wherein the index marking extends perpendicular to the medial-lateral direction.

5. The patient specific guide block of claim 1, wherein the index marking is positioned along a mid-portion of the instrument guide.

6. The patient specific guide block of claim 1, further comprising an epicondylar index marking extending in a medial-lateral direction to provide an indication of a rotational position of the patient specific guide block relative to the bone.

7. The patient specific guide block of claim 1, wherein the index marking comprises a groove or score extending into the exterior surface of the patient specific guide block.

8. The patient specific guide block of claim 1, wherein the instrument guide is oriented entirely along a medial portion of the patient specific guide block and does not extend along a lateral portion of the patient specific guide block.

9. The patient specific guide block of claim 1, wherein the index marking comprises an M-L index axis or a mechanical index axis.

10. The patient specific guide block of claim 1, wherein the index marking provides an indication of the orientation and position of the patient specific guide block relative to the bone.

11. The patient specific guide block of claim 1, wherein the bone interfacing portions each have a surface that is generally a negative of the portion of the bone that the bone interfacing portion is configured to overlie, wherein the first of the bone interfacing portions is configured to overlie an anterior portion of the bone extending in a first direction, and wherein the second of the bone interfacing portions is configured to overlie another portion of the bone extending in a second direction generally perpendicular to the first direction.

12. A patient specific guide block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, wherein a first of the bone interfacing portions extends in an anterior-posterior direction and is adapted to overlie an end portion of the bone, and wherein a second of the bone interfacing portions extends in a superior-inferior direction and is adapted to overlie a side portion of the bone;

instrument guide surfaces extending in a medial-lateral direction and configured to guide a cutting tool at a fixed angle relative to the bone interfacing portions; and

an exterior surface defining an index marking extending in the superior-inferior direction, the index marking having an orientation and a position based on patient specific imaging data.

13. The patient specific guide block of claim 12, wherein the instrument guide surfaces extend in a medial-lateral direction.

14. The patient specific guide block of claim 13, wherein the index marking extends in a direction transverse to the medial-lateral direction.

15. The patient specific guide block of claim 14, wherein the index marking extends perpendicular to the medial-lateral direction.

16. The patient specific guide block of claim 12, wherein the index marking is positioned along a mid-portion of the instrument guide surfaces.

17. The patient specific guide block of claim 12, further comprising an epicondylar index marking extending in a medial-lateral direction to provide an indication of a rotational position of the patient specific guide block relative to the bone.

18. The patient specific guide block of claim 12, wherein the instrument guide surfaces are oriented entirely along a medial portion of the patient specific guide block and do not extend along a lateral portion of the patient specific guide block.

19. The patient specific guide block of claim 12, wherein the index marking comprises an M-L index axis or a mechanical index axis.

20. A patient specific guide block for a knee, comprising:

a plurality of bone interfacing portions configured to overlie portions of an end of a bone, the bone interfacing portions angularly offset from each other, wherein a first of the bone interfacing portions extends in an anterior-posterior direction and is adapted to overlie an end portion of the bone, and wherein a second of the bone interfacing portions extends in a superior-inferior direction and is adapted to overlie a side portion of the bone;

an instrument guide oriented in a fixed position relative to the bone interfacing portions and configured to guide a cutting tool at a fixed angle relative to the bone interfacing portions; and

an exterior surface defining an index marking extending in the superior-inferior direction, the index marking comprising a groove or score extending into the exterior surface and oriented and positioned on the cutting block based on patient specific data derived from imaging data.