Wireless system for providing instrument and implant data to a surgical navigation unit

• US 20060142656A1
• Filed: 12/08/2005
• Published: 06/29/2006
• Est. Priority Date: 12/09/2004
• Status: Abandoned Application

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Malackowski, Don, LaVigna, Nicholas
• Application Number:
  US11/297,585
• Publication Number:
  US 20060142656A1
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 17/1626 Control means; Display units
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2034/101 Computer-aided simulation of surgical operations
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2074 Interface software
• CPC Class Codes: A61B 2090/372 Details of monitor hardware
• CPC Class Codes: A61B 2090/3916 Bone tissue
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• 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 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• CPC Class Codes: A61F 2/34 : Acetabular cups
• CPC Class Codes: A61F 2/36 : Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 : Femoral shafts
• CPC Class Codes: A61F 2/367 : Proximal or metaphyseal parts of shafts trochanteric devices connected to said proximal parts A61F2/30739
• CPC Class Codes: A61F 2/4607 : of hip femoral endoprostheses
• CPC Class Codes: A61F 2/4609 : of acetabular cups
• CPC Class Codes: A61F 2002/30601 : telescopic
• CPC Class Codes: A61F 2002/30841 : Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
• CPC Class Codes: A61F 2002/30894 : inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3625 : Necks
• CPC Class Codes: A61F 2002/4628 : with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
• CPC Class Codes: A61F 2002/4629 : connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4632 : using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2002/4681 : by applying mechanical shocks, e.g. by hammering

Abstract

A system for wirelessly providing data regarding surgical implements such as surgical tools, trial and inserts themselves to a surgical navigation unit. Each implement includes an RFID in which data regarding the implement are stored. The tool used to fit the implement has a first coil positioned to exchange signals with a complementary coil integral with the RFID. The tool also has a prism for receiving a navigation tracker. A second tool coil, in the prism, is connected to the first coil. The second tool coil is also connected to an RFID integral with the tool. The tracker, through the tool coils, reads the data in the implement RFID and the tool RFID. A transmitter in the tracker wirelessly forwards the data to the surgical navigation system. The data are used to facilitate reactive workflow guidance of the procedure and monitor the position of the implement.

Claims

1. A surgical instrument, said instrument including:

a handle;

a drive shaft mounted to said handle to rotate, said drive shaft having a distal end;

a coupling assembly attached to the drive shaft distal end, said coupling assembly configured to releasably lock a surgical implement to said drive shaft so that the implement moves with said drive shaft;

a first receiver located in said cutting head for receiving signals from a memory unit in the surgical implement.

a first transmitter connected to said coupling assembly and that connected to receive the signals from said first receiver and to wireless broadcast the signals;

a second receiver attached to said handle positioned and configured to receive the signals transmitted by said first transmitter; and

a tracker attached to said handle, a navigation unit that wirelessly exchanges signals with a remote navigation unit to facilitate the generation of data regarding the position or orientation of said tracker; and

a transmitter connected to said second receiver for receiving the signals received by said second receiver and that wireless transmits the signals to a remote receiver.

2. The surgical instrument of claim 1, wherein:

said tracker is removably attached to said handle;

a second transmitter is attached to said handle, said second transmitter being connected to said second receiver and being configured to wireless transmit signals received from said second receiver to said tracker;

a third receiver is attached to said tracker, said second receiver being positioned to a configured for receiving signals transmitted by said second transmitter; and

said tracker transmitter is connected to said third receiver for receiving the signals received by said third receiver.

3. A surgical reamer, said reamer including;

a body, said body shaped to having cutting surfaces;

a structural member integral with said body, said structural member dimensioned to be received in a coupling unit that releasably holds said structural member to a drive shaft; and

a memory unit attached to said structural member, said memory unit containing data that identifies said reamer; and

a transmitter integral with said memory unit for wirelessly transmitting data from said memory unit to the drive shaft.

4. The surgical reamer of claim 3, wherein said structural member is an elongated bar that extends between opposed ends of said body.

5. The surgical reamer of claim 3, wherein:

said structural member is elongated bar; and

said memory unit and said transmitter are contained in a cap mounted to said structural member.

6. A surgical instrument for fitting a surgical implement, said instrument including:

a body having opposed proximal and distal ends;

a coupling assembly attached to the distal end of said body configured to removably hold a surgical implement to said body;

a first head disposed in the distal end of said body for contactlessly receiving signals from a memory integral with the surgical implement;

a mounting block attached to said body, said mounting block configured to removably receive a surgical navigation tracker; and

a second head disposed in said mounting block, said second head connected to said first head for receiving signals from the first head and configured to contactlessly transmit the signals to the tracker.

7. The surgical instrument of claim 6, wherein:

said first head is configured to inductively exchange signals with a head integral with the surgical implement memory; and

said second head is configured to inductively exchange signals with a head integral with the tracker.

8. The surgical instrument of claim 6, wherein a plurality of said mounting blocks are attached to said body at spaced apart locations along said body and each said mounting block has a separate said second head, each said second head being attached to said first head.

9. The surgical instrument of claim 6, wherein:

said mounting block is rotatingly attached to said body; and

an alignment unit extends distally from said mounting block to releasably abut the surgical implement to position the surgical implement and said mounting block in a spatial relationship.

10. A surgical instrument including:

a body, for positioning a surgical implement, said body having a distal end;

a coupling member attached to the distal end of said body, said coupling member configured to releasably hold the surgical implement to said body;

a mounting block movably attached to said body, said mounting block shaped to removably receive a surgical navigation tracker;

an alignment unit that extend from said mounting block to releasably abut the surgical implement to position the surgical implement and said mounting block in a select spatial relationship;

a memory integral with said body of said mounting block that stores data describing said surgical instrument; and

a transmitter in said mounting block attached to said memory, said transmitter connected to said memory for contactlessly transmitting signals containing the data in said memory to a receiver in the tracker.

11. A tracker for surgical navigation system, said tracker including:

a body;

at least one transducer for transmitting signals to or receiving signals from a localizer so that the position of the tracker can be determined;

a coupling unit attached to said body for releasably securing the body to a surgical component,

a receiver attached to said body or said coupling unit for receiving signals from the surgical component to which said coupling unit is attached; and

a transmitter assembly attached to said body and connected to the receiver, said transmitter assembly configured to receive the signals from said receiver and transmit the signals wireless to a remote receiver (35).

12. The tracker of claim 11, wherein said receiver is configured to be inductively coupled to a complementary transmitter integral with the surgical component.

13. The tracker of claim 11, wherein said receiver is configured to receive light signals from the surgical component.

14. The tracker of claim 11, wherein said transmitter assembly is configured to transmit light signals to the remote receiver.

15. The tracker of claim 11, wherein said transmitter assembly is configured to transmit RF signals to the remote receiver.

16. The tracker of claim 11, wherein the at least one transducer transmits or receives light energy.

17. The tracker of claim 11, wherein the at least one transducer transmits or receives RF energy or EM energy or sonic energy.