NAVIGATION SYSTEM FOR ORTHOPAEDIC SURGERY

• US 20120190971A1
• Filed: 12/06/2011
• Published: 07/26/2012
• Est. Priority Date: 03/25/2010
• Status: Active Grant

• Current Assignee: Hipsecure B.V.
• Original Assignee: In Novation B.V.
• Inventors: de Wekker, Erwin
• Granted Patent: US 8,568,419 B2
• Time in Patent Office: Days
• US Class Current: 600/424
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• 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 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/4609 of acetabular cups

Abstract

A navigation system for placing an implant in orthopaedic surgery is provided, comprising an orientation apparatus and a reference apparatus. The reference apparatus comprises an anchor for fixing the reference apparatus to a predetermined feature of the subjects body and an indicator for indicating at least one reference plane or axis. The orientation apparatus comprises a number of probes for contacting a number of predetermined features of a subjects body and defining a plane. The orientation apparatus and/or the reference apparatus comprises at least one connector for connecting the orientation apparatus and the anchor such that, when connected, relative translation of the connector and the anchor along a predetermined direction with respect to the plane defined by the probes is allowed and relative rotation of the connector and the anchor about that predetermined direction is prevented.

Claims

1. A navigation system for accurate placing of an implant during surgery,

comprising an orientation apparatus and a reference apparatus,

wherein the reference apparatus comprises an anchor for fixing the reference apparatus to a predetermined feature of the subjects body, and at least one indicator for indicating at least one reference plane or axis,

wherein the orientation apparatus comprises a number of probes for contacting a number of predetermined features of a subjects body and defining a plane,

wherein at least one of the orientation apparatus and the reference apparatus comprises at least one connector for connecting the orientation apparatus and the anchor such that, when connected, relative translation of the connector and the anchor along a predetermined direction with respect to the plane defined by the probes is allowed and relative rotation of the connector and the anchor about that predetermined direction is prevented.

2. The navigation system of claim 1, wherein the at least one connector comprises a through hole defining the predetermined direction and wherein the anchor comprises at least a connection portion mated to the through hole.

3. The navigation system of claim 2, wherein the through hole has a non-circular cross-sectional shape and the connection portion of the anchor has a mated non-circular cross-sectional shape.

4. The navigation system of claim 1, wherein a probe comprises the at least one connector.

5. The navigation system of claim 1, wherein the predetermined direction is substantially normal to the plane.

6. The navigation system of claim 1, wherein the orientation apparatus comprises a first, second and third probe connected to each other with at least two connecting members, wherein the connecting members are adjustable such that the first probe may contact a first predetermined feature of the subjects body, e.g. the os pubis, the second probe may contact a second predetermined feature of the subjects body, e.g. the left spina iliaca anterior superior and the third probe may contact a third predetermined feature of the subjects body, e.g. the right spina iliaca anterior superior, concurrently.

7. The navigation system of claim 6, wherein at least one connecting member is length-adjustable.

8. The navigation system of claim 6, wherein at least two connecting members are arranged at an angle to each other and wherein the angle is adjustable.

9. The navigation system of claim 7, wherein at least two connecting members are arranged at an angle to each other and wherein the angle is adjustable.

10. The navigation system of claim 6, wherein at least a portion of at least one of the connecting members extends offset from the plane.

11. The navigation system of claim 7, wherein at least a portion of at least one of the connecting members extends offset from the plane.

12. The navigation system of claim 1, wherein at least one probe of the orientation apparatus is height-adjustable with respect to a least one other probe and/or at least one connecting member.

13. The navigation system of a claim 1, wherein the reference apparatus comprises plural anchoring portions for fixing the reference apparatus to the subjects body.

14. The navigation system of claim 1, wherein the anchor and the indicator of the reference apparatus are irrotationally coupled together.

15. The navigation system of claim 1, wherein the anchor and the indicator of the reference apparatus are releasably coupled together.

16. The navigation system of claim 1, wherein the indicator of the reference apparatus is arranged for indicating at least one of at least one plane and at least one axis.

17. An orientation apparatus for use in the navigation system of claim 1,

wherein the orientation apparatus comprises a number of probes and at least one connector,

the probes being configured for contacting a number of predetermined features of a subjects body and defining a plane,

the at least one connector being configured for connecting the orientation apparatus and a reference apparatus comprising an anchor for fixing the reference apparatus to a predetermined feature of the subjects body, such that, when connected, relative translation of the connector and the anchor along a predetermined direction with respect to the plane defined by the probes is allowed and relative rotation of the connector and the anchor about that predetermined direction is prevented.

18. A reference apparatus, for use in the navigation system of claim 1,

wherein the reference apparatus comprises at least one connector, an anchor for fixing the reference apparatus to a predetermined feature of the subjects body, and at least one indicator for indicating at least one reference plane or axis,

wherein the at least one connector is configured for connecting the anchor and an orientation apparatus having a number of probes such that, when connected, relative translation of the orientation apparatus and the anchor along a predetermined direction with respect to the plane defined by the probes is allowed and relative rotation of the connector and the anchor about that predetermined direction is prevented.