SYSTEM AND METHOD FOR AN ORTHOPEDIC DYNAMIC DATA REPOSITORY AND REGISTRY FOR RANGE

• US 20100250571A1
• Filed: 03/26/2010
• Published: 09/30/2010
• Est. Priority Date: 03/26/2009
• Status: Abandoned Application

• Current Assignee: OrthoSensor, Inc (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Roche, Martin, Pierce, Jay
• Application Number:
  US12/748,284
• Publication Number:
  US 20100250571A1
• Time in Patent Office: Days
• US Class Current: 707/758
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/412 Detecting or monitoring sepsis
• CPC Class Codes: A61B 5/4509 Bone density determination
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/4658 for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4666 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/4668 for measuring angles
• 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 70/60 relating to pathologies

Abstract

At least one embodiment is directed to a system (1100) to generate an orthopedic dynamic data repository and registry (2214). The system (1100) can measure a parameter of the muscular-skeletal system and align at least one of the surfaces to a mechanical axis intra-operatively. The system (1100) comprises disposable sensors (1106), disposable targets (1110), lasers (1114), a processing unit (1122), a display (1124), a reader (1120), a receiver (1118), spacer blocks (1102), and a distractor 1104. The sensors (1106) convert measured data to electronic digital form and are in communication with the processing unit (1122) to display, process, store, and send data to dynamic data repository and registry (2214). Parameters can be measured pre-operatively, intra-operatively, post-operatively, and long term using sensor (1106). The measurement data is used to define predetermined ranges for providing guidelines to aid in optimizing an orthopedic procedure.

Claims

1. A computer implemented method for a surgical procedure comprising:

receiving a predetermined range for a parameter of the muscular-skeletal system derived from quantitative measurements stored in a data repository and registry;

comparing an intra-operatively sensed parameter of the muscular-skeletal system of a patient to the predetermined range;

converting at least one intra-operatively sensed parameter to an electronic digital form; and

sending the at least one intra-operatively sensed parameter to a data repository and registry.

2. The method of claim 1 further including the steps of:

sending the intra-operatively sensed parameter to a processing unit; and

displaying a comparison of the intra-operatively measured parameter to the predetermined range.

3. The method of claim 2 further including the steps of:

modifying the muscular-skeletal system such that the intra-operatively sensed parameter is within the predetermined range;

selecting a final measurement of the sensed parameter under user control when the sensed parameter is within the predetermined range;

converting the final measurement of the sensed parameter to an electronic digital form; and

sending the final measurement of the sensed parameter to the data repository and registry.

4. The method of claim 3 further including the steps of:

measuring parameters of the muscular-skeletal system of the patient post-operatively to generate long term data;

converting measured parameters of the muscular-skeletal system to an electronic digital form; and

sending measured parameters of the muscular-skeletal system to the data repository and registry where the measured parameters indicate muscular-skeletal status and where the patient muscular-skeletal status is measured more than one time post-operatively.

5. The method of claim 1 further including the steps of:

receiving measured parameters of the muscular-skeletal system from more than one entity where the parameters relate to an orthopedic procedure;

generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;

identifying predetermined ranges for each of the one or more parameters from measured parameters in data repository and registry that optimizes an outcome for the orthopedic procedure; and

sending the predetermined ranges to entities performing the orthopedic procedure.

6. The method of claim 5 further including a step of

analyzing intra-operative measured data and long-term data to provide clinical evidence justifying each predetermined range for parameters related to the orthopedic procedure;

updating each predetermined range periodically as parameter measurements are added to data repository and registry; and

sending updated predetermined ranges to entities performing the orthopedic procedure.

7. The method of claim 1 further including a step of comparing an intra-operatively sensed loading of the muscular-skeletal system of the patient to a predetermined loading range.

8. The method of claim 1 further including a step of comparing an intra-operatively sensed alignment of the muscular-skeletal system of the patient to a mechanical axis of the muscular-skeletal system.

9. The method of claim 1 further including a step of comparing an intra-operatively sensed distance of the muscular-skeletal system of the patient to a predetermined distance range.

10. The method of claim 1 further including a step of comparing an intra-operatively sensed balance of the muscular-skeletal system of the patient to a predetermined balance range.

11. A computer implemented method for a surgical procedure comprising:

receiving measured parameters of the muscular-skeletal system in an electronic digital form from more than one entity where the parameters relate to an orthopedic procedure;

storing the measured parameters in a data repository and registry;

generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;

identifying predetermined ranges for each of the one or more parameters from measured parameters in the data repository and registry that optimizes an outcome for the orthopedic procedure; and

sending the predetermined ranges to at least one entity performing the orthopedic procedure.

12. The method of claim 11 further including the steps of:

receiving predetermined ranges for an orthopedic procedure through a medium;

comparing one or more intra-operatively sensed parameters of the muscular-skeletal system of a patient to a corresponding predetermined range;

converting at least one intra-operatively sensed parameter to an electronic digital form; and

sending the at least one intra-operatively sensed parameter to the data repository and registry.

13. The method of claim 12 further including the steps of:

sending the predetermined ranges through the internet to a processing unit where the processing unit is coupled to a display; and

displaying a comparison of the intra-operatively sensed parameters and the corresponding predetermined range on the display.

14. The method of claim 13 further including the steps of:

measuring parameters of the muscular-skeletal system of the patient post-operatively to generate long term data;

converting measured parameters of the muscular-skeletal system to an electronic digital form; and

sending measured parameters of the muscular-skeletal system to the data repository and registry where the measured parameters indicate muscular-skeletal status and where the patient muscular-skeletal status is measured more than one time post-operatively.

15. The method of claim 14 further including the steps of:

rendering inoperative at least one sensor used intra-operatively to measure the muscular-skeletal system of the patient; and

disposing of the at least one sensor when the procedure is completed.

16. A computer implemented method for a surgical orthopedic procedure comprising:

receiving at least one predetermined range in an electronic digital form as a quantitative guideline to repair or reconstruct a joint of the muscular-skeletal system where the at least one predetermined range is derived from quantitative measurements stored in a data repository and registry;

measuring at least one intra-operatively sensed parameter of the muscular-skeletal system of a patient during the procedure;

comparing the intra-operatively sensed parameter of the muscular-skeletal system of a patient to the predetermined range;

converting at least one intra-operatively sensed parameter to an electronic digital form; and

sending at least one intra-operatively sensed parameter measurement to the data repository and registry.

17. The method of claim 16 further including the steps of:

sensing load intra-operatively during the procedure;

comparing a load measurement of the patient to a predetermined load range corresponding to the procedure;

sensing alignment intra-operatively during the procedure; and

comparing an alignment measurement of the patient to a predetermined alignment range corresponding to the procedure.

18. The method of claim 17 further including the steps of:

completing the procedure with a final load measurement within the predetermined load range and a final alignment measurement within the predetermined alignment range; and

sending the final load and alignment measurement to the data repository and registry.

19. The method of claim 16 further including the steps of:

sensing parameters of the muscular-skeletal system of the patient post-operatively related to the procedure;

measuring the sensed parameters of the muscular-skeletal system of the patient;

converting measurements of the sensed parameters to an electronic digital form; and

sending the measurements to the data repository and registry.

20. The method of claim 19 further including the steps of:

receiving measured parameters of the muscular-skeletal system in an electronic digital form from more than one entity where the parameters relate to the orthopedic procedure;

storing the measured parameters in the data repository and registry;

generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;

identifying predetermined ranges for each of the one or more parameters from measured parameters in the data repository and registry that optimizes an outcome for the orthopedic procedure; and

sending the predetermined ranges to at least one entity performing the orthopedic procedure.