Computer-assisted knee replacement apparatus and method

• US 20050267353A1
• Filed: 12/06/2004
• Published: 12/01/2005
• Est. Priority Date: 02/04/2004
• Status: Abandoned Application

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Gerovich, Oleg E., McKale, James M., Illsley, Scott, Hand, Randall, Marquart, Joel, Quaid, Arthur E. III, Arata, Louis K., Abovitz, Rony A.
• Application Number:
  US11/006,494
• Publication Number:
  US 20050267353A1
• Time in Patent Office: Days
• US Class Current: 600/411
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• CPC Class Codes: A61B 2017/00207 with hand gesture control or hand gesture recognition
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2034/254 being adapted depending on the stage of the surgical procedure
• CPC Class Codes: A61B 2034/256 having a database of accessory information, e.g. including context sensitive help or scientific articles
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length

Abstract

A computer-assisted knee replacement apparatus and method comprises a total knee replacement application for assisting, guiding, and planning a total knee replacement procedure. The apparatus and method cooperates with a tracking system to determine implant sizing and location. The apparatus and method also cooperates with the tracking system to determine required tibial and femoral preparation corresponding to the implant size and location and provides real-time monitoring of the tibial and femoral surface preparation procedures.

Claims

1. A computer-assisted knee replacement apparatus, comprising:

a storage medium for storing a knee replacement application which, when executed by a processor, displays a series of interface images for assisting a user with a total knee replacement procedure.

2. The apparatus of claim 1, wherein the knee replacement application is adapted to cooperate with a tracking system to provide real-time knee implant location assistance to the user during the total knee replacement procedure.

3. The apparatus of claim 1, wherein the knee replacement application is adapted to display a listing of imaging devices for selection by a user for performing the total knee replacement procedure.

4. The apparatus of claim 1, wherein the knee replacement application is adapted to receive a selection of either a right knee or a left knee from a user for performing the total knee replacement procedure.

5. The apparatus of claim 1, wherein the knee replacement application is adapted to display three-dimensional image data of a subject for performing the total knee replacement procedure.

6. The apparatus of claim 1, wherein the knee replacement application is adapted to determine a femoral mechanical axis for a subject knee for performing the total knee replacement procedure.

7. The apparatus of claim 1, wherein the knee replacement application is adapted to determine a tibial mechanical axis for a subject knee for performing the total knee replacement procedure.

8. The apparatus of claim 1, wherein the knee replacement application is adapted to display a femoral implant sizing guide for performing the total knee replacement procedure.

9. The apparatus of claim 1, wherein the knee replacement application is adapted to display a center indicator for identification of a joint center of a subject by the user for performing the total knee replacement procedure.

10. The apparatus of claim 1, wherein the knee replacement application is adapted to receive an identification from the user of a hip center, and ankle center, and a knee center for a subject for performing the total knee replacement procedure.

11. The apparatus of claim 10, wherein the knee replacement application is adapted to determine a femoral mechanical axis for a subject knee from the hip center and the knee center.

12. The apparatus of claim 10, wherein the knee replacement application is adapted to determine a tibial mechanical axis for a subject knee from the knee center and the ankle center.

13. The apparatus of claim 1, wherein the knee replacement application is adapted to receive an identification of a posterior condyle and an anterior cortex of a subject femur by the user.

14. The apparatus of claim 13, wherein the knee replacement application is adapted to determine a femoral resection plane from the posterior condyle and the anterior cortex of the femur.

15. The apparatus of claim 1, wherein the knee replacement application is adapted to determine a femoral implant size for a subject femur based on physical characteristics of the subject femur selected by the user.

16. The apparatus of claim 1, wherein the knee replacement application is adapted to display a femoral implant guide relative to a subject knee for performing the total knee replacement procedure.

17. The apparatus of claim 16, wherein the knee replacement application is adapted to receive a requested distal shift of the femoral implant guide relative to the subject knee.

18. The apparatus of claim 16, wherein the knee replacement application is adapted to receive a requested anterior shift of the femoral implant guide relative to the subject knee.

19. The apparatus of claim 1, wherein the knee replacement application is adapted to display a tibial resection planning guide relative to a subject knee.

20. The apparatus of claim 1, wherein the knee replacement application is adapted to receive a desired tibial resection depth from the user for performing the total knee replacement procedure.

21. The apparatus of claim 1, wherein the knee replacement application is adapted to receive a desired tibial implant size from the user for performing the total knee replacement procedure

22. The apparatus of claim 1, wherein the knee replacement application is adapted to cooperate with a tracking system to display real-time alignment information for a femoral implant sizing guide relative to a subject knee.

23. The apparatus of claim 1, wherein the knee replacement application is adapted to automatically determine femoral resection planes corresponding to a particular femoral implant.

24. The apparatus of claim 23, wherein the knee replacement application is adapted to automatically update the femoral resection planes relative to the subject knee in response to a selection of a different size of femoral implant by a user.

25. The apparatus of claim 1, wherein the knee replacement application is adapted to provide an interface for shifting a location of a representation of a femoral implant relative to a subject knee.

26. The apparatus of claim 1, wherein the knee replacement application is adapted to request from a user a desired tibial resection depth.

27. The apparatus of claim 26, wherein the knee replacement application is adapted to automatically update a displayed tibial resection planning guide in response to receiving a selection of the desired tibial resection depth.

28. The apparatus of claim 1, wherein the knee replacement application is adapted to receive from a user a desired tibial implant size.

29. The apparatus of claim 1, wherein the knee replacement application is adapted to display an interface to the user for variably selecting a tibial implant size for a subject knee.

30. The apparatus of claim 1, wherein the knee replacement application is adapted to display an interface to the user for variably selecting a desired tibial implant shift relative to a subject knee.

31. The apparatus of claim 1, wherein the knee replacement application is adapted to cooperate with a tracking system to display real-time alignment information of a femoral resection guide relative to a subject knee.

32. The apparatus of claim 1, wherein the knee replacement application is adapted to automatically determine pin trajectories and locations for securing a femoral resection guide relative to a subject knee corresponding to a desired femoral implant.

33. The apparatus of claim 32, wherein the knee replacement application is adapted to cooperate with a tracking system to display real-time alignment information of a drill guide relative to the pin trajectories and locations.

34. The apparatus of claim 1, wherein the knee replacement application is adapted to cooperate with a tracking system to display real-time alignment information for a tibial resection guide relative to a subject knee corresponding to a particular tibial implant.

35. The apparatus of claim 1, wherein the knee replacement application is adapted to automatically determine pin trajectories and locations for securing a tibial resection guide relative to a subject knee corresponding to a desired tibial implant.

36. The apparatus of claim 26, wherein the knee replacement application is adapted to cooperate with a tracking system to display real-time alignment information of a drill guide relative to the pin trajectories and locations.

37. A computer-assisted surgery system, comprising:

a display device; and

a knee replacement application executable by a processor and adapted to display a series of interface images on the display device for assisting a user to perform a total knee replacement procedure.

38. The system of claim 37, wherein the knee replacement application is adapted to cooperate with a tracking system to provide knee implant location assistance to the user during the total knee replacement procedure.

39. The system of claim 37, wherein the knee replacement application is adapted to display a femoral implant sizing guide for performing the total knee replacement procedure.

40. The system of claim 37, wherein the knee replacement application is adapted to determine a femoral implant size for a subject femur based on physical characteristics of the subject femur selected by the user.

41. The system of claim 37, wherein the knee replacement application is adapted to display a femoral implant guide relative to a subject knee for performing the total knee replacement procedure.

42. The system of claim 37, wherein the knee replacement application is adapted to display a tibial resection planning guide relative to a subject knee.

43. The system of claim 37, wherein the knee replacement application is adapted to cooperate with a tracking system to display alignment information for a femoral implant sizing guide relative to a subject knee.

44. The system of claim 37, wherein the knee replacement application is adapted to automatically determine femoral resection planes corresponding to a particular femoral implant.