System and method for performing a computer assisted orthopaedic surgical procedure

• US 20070078678A1
• Filed: 09/30/2005
• Published: 04/05/2007
• Est. Priority Date: 09/30/2005
• Status: Abandoned Application

• Current Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: Sherman, Jason, DiSilvestro, Mark
• Application Number:
  US11/241,530
• Publication Number:
  US 20070078678A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• 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 2090/3937 Visible markers
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• 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: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS

Abstract

A computer assisted surgery system includes a controller configured to display images of the surgical procedure according to a workflow plan. The controller is configured to retrieve data and determine the workflow plan based on the data. The controller may also be configured to record and store data related to the surgical procedure on, for example, a hospital network.

Claims

1. A method for operating a computer assisted orthopaedic surgery system, the method comprising:

retrieving pre-operative data related to an orthopaedic surgical procedure to be performed on a patient from an electronic file;

selecting a number of images from an electronic library of instructional images based on the pre-operative data; and

displaying the number of images during the orthopaedic surgical procedure on a display device.

2. The method of claim 1, further comprising ordering the selected images.

3. The method of claim 2, wherein the ordered, selected images define a workflow plan.

4. The method of claim 3, further comprising determining deviation data indicative of deviations from the workflow plan performed by the surgeon.

5. The method of claim 1, wherein the retrieving step comprises retrieving pre-operative data from a remote computer.

6. The method of claim 1, wherein the retrieving step comprises retrieving pre-operative data from a removable memory device.

7. The method of claim 1, further comprising displaying indicia of a location of an orthopaedic surgical tool to the surgeon.

8. The method of claim 1, further comprising retrieving patient-related data from an electronic file.

9. The method of claim 8, wherein the selecting step comprises selecting the number of images based on the patient-related data.

10. The method of claim 8, wherein retrieving patient-related data comprises retrieving patient-related data from a remote computer.

11. The method of claim 8, wherein retrieving patient-related data comprises retrieving patient-related data from a removable memory device.

12. The method of claim 8, further comprising displaying a portion of the patient-related data to the surgeon in response to a command received from the surgeon.

13. The method of claim 1, further comprising recording verbal communication received from the surgeon via a microphone.

14. The method of claim 1, further comprising recording screenshots of a selection of the number of images during the orthopaedic surgical procedure.

15. The method of claim 1, further comprising storing selection data indicative of selections made by the surgeon during the orthopaedic surgical procedure.

16. The method of claim 1, further comprising displaying a portion of the pre-operative data to the surgeon in response to a command received from the surgeon.

17. The method of claim 1, further comprising determining a location of at least one sensor and indicating the location of the at least one sensor to the surgeon via the display device.

18. The method of claim 1, further comprising transmitting data to a remote computer for data storage thereby, the data being selected from the group consisting of:

deviation data indicative of deviations from the orthopaedic surgical procedure performed by the surgeon, selection data indicative of selections made by the surgeon during the orthopaedic surgical procedure, voice data indicative of verbal communication received from the surgeon during the orthopaedic surgical procedure, and screenshots of a selection of the number of images.

19. A computer assisted orthopaedic surgery system comprising:

a display device;

a processor electrically coupled to the display device; and

a memory device electrically coupled to the processor, the memory device having stored therein a plurality of instructions, which when executed by the processor, cause the processor to;

retrieve pre-operative data related to an orthopaedic surgical procedure to be performed on a patient from an electronic file;

select a number of images from an electronic library of instructional images based on the pre-operative data; and

display the number of images during the orthopaedic surgical procedure on the display device.

20. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to order the selected images.

21. The computer assisted orthopaedic surgery system of claim 20, wherein the ordered, selected images define a workflow plan.

22. The computer assisted orthopaedic surgery system of claim 21, wherein the plurality of instructions further cause the processor to determine deviation data indicative of deviations from the workflow plan performed by the surgeon.

23. The computer assisted orthopaedic surgery system of claim 19, wherein to retrieve pre-operative data comprises to retrieve pre-operative data from a remote computer.

24. The computer assisted orthopaedic surgery system of claim 19, wherein to retrieve pre-operative data comprises to retrieve pre-operative data from a removable memory device.

25. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to display indicia of a location of an orthopaedic surgical tool to the surgeon on the display device.

26. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to retrieve patient-related data from an electronic file.

27. The computer assisted orthopaedic surgery system of claim 26, wherein to select a number of images comprises to select a number of images based on the patient-related data.

28. The computer assisted orthopaedic surgery system of claim 26, wherein to retrieve patient-related data comprises to retrieve patient-related data from a remote computer.

29. The computer assisted orthopaedic surgery system of claim 26, wherein to retrieve patient-related data comprises to retrieve patient-related data from a removable memory device.

30. The computer assisted orthopaedic surgery system of claim 26, wherein the plurality of instructions further cause the processor to display a portion of the patient-related data to the surgeon on the display device in response to a command received from the surgeon.

31. The computer assisted orthopaedic surgery system of claim 26, wherein the patient-related data includes data selected from the group consisting of:

digital images of a bone of the patient, medical history data related to the patient, and identification data identifying the patient.

32. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to record verbal communication received from the surgeon via a microphone.

33. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to record screenshots of a selection of the number of images during the orthopaedic surgical procedure.

34. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to store selection data indicative of selections made by the surgeon during the orthopaedic surgical procedure.

35. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to display a portion of the pre-operative data to the surgeon in response to a command received from the surgeon.

36. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to determine a location of at least one sensor and indicating the location of the at least one sensor to the surgeon via the display device.

37. The computer assisted orthopaedic surgery system of claim 19, wherein the plurality of instructions further cause the processor to transmit data to a remote computer for data storage thereby, the data being selected from the group consisting of:

deviation data indicative of deviations from the orthopaedic surgical procedure performed by the surgeon, selection data indicative of selections made by the surgeon during the orthopaedic surgical procedure, voice data indicative of verbal communication received from the surgeon during the orthopaedic surgical procedure, and screenshots of a selection of the number of images.

38. The computer assisted orthopaedic surgery system of claim 19, wherein the pre-operative data includes data selected from the group consisting of:

implant data indicative of the type of implant used in the orthopaedic surgical procedure, digital templates of devices used in the orthopaedic surgical procedure, and surgical data related to the orthopaedic surgical procedure.

39. The computer assisted orthopaedic surgery system of claim 19, wherein to retrieve pre-operative data comprises to retrieve pre-operative data from an electronic file via a hospital network.

40. A computer assisted orthopaedic surgery system comprising:

a display device;

a processor electrically coupled to the display device; and

a memory device electrically coupled to the processor, the memory device having stored therein a plurality of instructions, which when executed by the processor, cause the processor to;

retrieve pre-operative data related to an orthopaedic surgical procedure to be performed on a patient from an electronic file;

select a number of images from an electronic library of instructional images based on the pre-operative data;

order the number of images based on the pre-operative data, wherein the ordered, selected number of images define a workflow plan; and

determine a deviation from the workflow plan performed by the surgeon during the orthopaedic surgical procedure.

41. The computer assisted orthopaedic surgery system of claim 40, wherein the plurality of instructions further cause the processor to communicate with a hospital network to store the deviation.

42. The computer assisted orthopaedic surgery system of claim 40, wherein the plurality of instructions further cause the processor to retrieve patient-related data, wherein to select the number of images comprises to select the number of images based on the patient-related data and to order the number of images comprises to order the number of images based on the patient-related data.

43. The computer assisted orthopaedic surgery system of claim 40, wherein the plurality of instructions further cause the processor to record verbal communication received from the surgeon via the microphone.

44. The computer assisted orthopaedic surgery system of claim 40, wherein the plurality of instructions further cause the processor to record screenshots of a selection of the number of images during the orthopaedic surgical procedure.

45. The computer assisted orthopaedic surgery system of claim 40, wherein the plurality of instructions further cause the processor to record data indicative of selections made by the surgeon during the orthopaedic surgical procedure.