Image-guided navigated precision reamers

• US 20050021037A1
• Filed: 05/28/2004
• Published: 01/27/2005
• Est. Priority Date: 05/29/2003
• Status: Abandoned Application

• Current Assignee: Chester Paul Wheeler, Daniel L. Mccombs
• Original Assignee: Chester Paul Wheeler, Daniel L. Mccombs
• Inventors: Wheeler, Chester Paul, McCombs, Daniel L.
• Application Number:
  US10/857,535
• Publication Number:
  US 20050021037A1
• Time in Patent Office: Days
• US Class Current: 606/79
• CPC Class Codes: A61B 17/1633 Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft A61B17/1644 takes precedence
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis

Abstract

Methods and systems for providing an image guided navigated precision reamer are set forth. According to one embodiment, a method comprising providing a reamer device, the reamer device comprising a reamer shaft adapted to provide a locking capability for receiving a reamer component and capable of being rotated in use, an intermediate sleeve adapted to receive the reamer shaft substantially coaxially, and an outer sleeve adapted to receive the intermediate sleeve, wherein the reamer shaft is adapted to rotate relative to the outer sleeve without translation relative to the outer sleeve, and the sleeve is adapted to function as a handle during reaming; providing a sensor apparatus for sensing position and orientation of a plurality of location indicia; providing a first set of location indicia coupled to an anatomical reference; providing a second set of location indicia coupled to the reamer device; providing a prosthetic implant; referencing information obtained from the first and second set of location indicia; reaming a cavity of an osteological anatomical structure in preparation for receiving the prosthetic implant based at least in part on the referenced information; and placing the prosthetic implant into the cavity is set forth.

Claims

1. A surgical reamer navigation method comprising:

providing a reamer device, the reamer device comprising a reamer shaft adapted to provide a locking capability for receiving a reamer component and capable of being rotated in use, an intermediate sleeve adapted to receive the reamer shaft substantially coaxially, and an outer sleeve adapted to receive the intermediate sleeve, wherein the reamer shaft is adapted to rotate relative to the outer sleeve without translation relative to the outer sleeve, and the sleeve is adapted to function as a handle during reaming;

providing a sensor apparatus for sensing position and orientation of a plurality of location indicia;

providing a first set of location indicia coupled to an anatomical reference;

providing a second set of location indicia coupled to the outer sleeve;

providing a prosthetic implant;

referencing information obtained from the first and second set of location indicia;

reaming a cavity of an osteological anatomical structure in preparation for receiving the prosthetic implant based at least in part on the referenced information; and

placing the prosthetic implant into the cavity.

2. The method of claim 1, wherein the fit between the outer sleeve and the intermediate sleeve is sufficiently tight to minimize translation of the reamer shaft relative to the second set of location indicia.

3. The method of claim 2, wherein the outer sleeve covers a sufficient length of the reamer shaft to reduce non-rotational movement of the reamer shaft with respect to the outer sleeve.

4. The method of claim 1, wherein the reamer shaft comprises one or more retractable catches.

5. The method of claim 4, wherein the retractable catches are substantially diametrically opposed.

6. The method of claim 4, wherein the reamer component is locked in the intermediate catches by an annular locking component.

7. The method of claim 1, wherein the intermediate shaft is partially flexible.

8. The method of claim 1, wherein the intermediate shaft comprises a PTFE polymer.

9. The method of claim 1, wherein the intermediate shaft comprises plastic.

10. The method of claim 1, wherein the intermediate shaft comprises bushings or bearings.

11. The method of claim 1, wherein the intermediate shaft comprises one or more flat portions configured to facilitate reception by the outer sleeve.

12. The method of claim 1, wherein the intermediate shaft comprises openings configured to allow for complete sterilization.

13. The method of claim 1, wherein the intermediate shaft comprises a throughslot configured to allow the diameter of the intermediate sleeve to expand slightly when receiving the reamer shaft.

14. The method of claim 13, wherein the outer sleeve constricts a length of the intermediate sleeve tightly against the reamer shaft.

15. The method of claim 13, wherein the outer sleeve constricts the intermediate sleeve tightly against the reamer shaft at specific bearing locations.

16. A surgical reamer navigation system comprising:

a reamer device, the reamer device comprising a reamer shaft adapted to provide a locking capability for receiving a reamer component and capable of being rotated in use, an intermediate sleeve adapted to receive the reamer shaft substantially coaxially, and an outer sleeve adapted to receive the intermediate sleeve, wherein the reamer shaft is adapted to rotate relative to the outer sleeve without translation relative to the outer sleeve, and the sleeve is adapted to function as a handle during reaming;

a sensor apparatus for sensing position and orientation of a plurality of location indicia;

a first set of location indicia coupled to an anatomical reference;

a second set of location indicia coupled to the outer sleeve; and

a prosthetic implant.

17. The system of claim 16, wherein the fit between the outer sleeve and the intermediate sleeve is sufficiently tight to minimize translation of the reamer shaft relative to the second set of location indicia.

18. The system of claim 17, wherein the outer sleeve covers a sufficient length of the reamer shaft to reduce non-rotational movement of the reamer shaft with respect to the outer sleeve.

19. The system of claim 16, wherein the reamer shaft comprises one or more retractable catches.

20. The system of claim 19, wherein the retractable catches are substantially diametrically opposed.

21. The system of claim 19, wherein the reamer component is locked in the retractable catches by an annular locking component.

22. The system of claim 16, wherein the intermediate shaft is partially flexible.

23. The system of claim 16, wherein the intermediate shaft comprises a PTFE polymer.

24. The system of claim 16, wherein the intermediate shaft comprises plastic.

25. The system of claim 16, wherein the intermediate shaft comprises bushings or bearings.

26. The system of claim 16, wherein the intermediate shaft comprises one or more flat portions configured to facilitate reception by the outer sleeve.

27. The system of claim 16, wherein the intermediate shaft comprises openings configured to allow for complete sterilization.

28. The system of claim 16, wherein the intermediate shaft comprises a throughslot configured to allow the diameter of the intermediate sleeve to expand slightly when receiving the reamer shaft.

29. The system of claim 28, wherein the outer sleeve constricts the a length of the intermediate sleeve tightly against the reamer shaft.

30. The system of claim 28, wherein the outer sleeve constricts the intermediate sleeve tightly against the reamer shaft along specific bearing locations.

31. A surgical reamer navigation device comprising:

a reamer shaft adapted to provide a locking capability for receiving a reamer component and capable of being rotated in use;

an intermediate sleeve adapted to receive the reamer shaft substantially coaxially;

and an outer sleeve adapted to receive the intermediate sleeve, wherein the reamer shaft is adapted to rotate relative to the outer sleeve without translation relative to the outer sleeve, and the sleeve is adapted to function as a handle during reaming.

32. The device of claim 31, wherein the fit between the outer sleeve and the intermediate sleeve is sufficiently tight to minimize angular error between the reamer shaft and the second set of location indicia.

33. The device of claim 32, wherein the outer sleeve covers a sufficient length of the reamer shaft to reduce translation of the reamer shaft with respect to the outer sleeve.

34. The device of claim 31, wherein the reamer shaft comprises one or more retractable catches.

35. The device of claim 34, wherein the retractable catches are substantially diametrically opposed.

36. The device of claim 34, wherein the reamer component is locked in the retractable catches by an annular locking component.

37. The device of claim 31, wherein the intermediate shaft is partially flexible.

38. The device of claim 31, wherein the intermediate shaft comprises a PTFE polymer.

39. The device of claim 31, wherein the intermediate shaft comprises plastic.

40. The device of claim 31, wherein the intermediate shaft comprises bushings or bearings.

41. The device of claim 31, wherein the intermediate shaft comprises one or more flat portions configured to facilitate reception by the outer sleeve.

42. The device of claim 31, wherein the intermediate shaft comprises openings configured to allow for complete sterilization.

43. The device of claim 31, wherein the intermediate shaft comprises a throughslot configured to allow the diameter of the intermediate sleeve to expand slightly when receiving the reamer shaft.

44. The device of claim 43, wherein the outer sleeve constricts a length of the intermediate sleeve tightly against the reamer shaft.

45. The device of claim 43, wherein the outer sleeve constricts the intermediate sleeve tightly against the reamer shaft along specific bearing locations.