Patient-Adapted and Improved Articular Implants, Designs and Related Guide Tools - PRIORITIZED

• US 20160310282A1
• Filed: 04/25/2016
• Published: 10/27/2016
• Est. Priority Date: 02/24/2009
• Status: Active Grant

• Current Assignee: Conformis Incorporated
• Original Assignee: Conformis Incorporated
• Inventors: Bojarski, Raymond A., Chao, Nam T., Slamin, John, Lang, Philipp, Fitz, Wolfgang, Steines, Daniel
• Granted Patent: US 9,956,047 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2/384 hinged, i.e. with transverse axle restricting the movement
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/3886 for stabilising knees against anterior or lateral dislocations
• CPC Class Codes: A61F 2/389 Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/5046 for designing or making customized prostheses, e.g. using templates, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2002/30324 differing in thickness
• CPC Class Codes: A61F 2002/30327 differing in diameter
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient'"'"'s joint. The data can be used to create a model for analyzing a patient'"'"'s joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.

Claims

1. A knee replacement system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a curved condylar shape and having a lateral bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a femur when the femoral implant is implanted in the knee joint of the patient, and

the tibial implant including a bearing surface configured to articulate with the lateral bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a surface of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient,

wherein the lateral condyle portion has a narrowed posterior portion, such that the width of the lateral condyle portion measured in substantially the mediolateral direction narrows in a posterior part of the lateral condylar portion.

2. The knee implant system of claim 1, wherein the narrowed posterior portion of the lateral condyle portion corresponds to the location of a popliteus tendon of the patient when the femoral implant is implanted in the patient.

3. The knee implant system of claim 1, wherein the narrowed posterior portion is a divot or concavity or relief.

4. The knee implant system of claim 1, wherein the femoral implant includes an anterior flange and wherein the anterior flange of the lateral condylar portion of the femoral condylar implant corresponds to and avoids a soft tissue of the patient when the implant is implanted in the patient.

5. The knee implant system of claim 1, wherein the lateral condyle portion has a patient specific curvature in a substantially coronal plane.

6. The knee implant system of claim 1, wherein the lateral condyle portion has a constant curvature in a substantially coronal plane.

7. The knee implant system of claim 1, wherein the lateral condyle portion has a patient specific curvature in a substantially sagittal plane.

8. The knee implant system of claim 1, wherein the lateral condyle portion has a constant curvature in a substantially sagittal plane.

9. The knee implant system of claim 1, wherein the femoral implant further comprises a medial condyle portion having a first curved condylar shape and wherein the lateral condyle portion includes a second curved condylar shape;

and wherein the curved condylar shape of the medial condylar portion is larger than the second curved condylar shape of the lateral condyle portion.

10. The knee implant system of claim 1, wherein the femoral implant further comprises a medial condyle portion, wherein the femoral implant further comprises a cam extending between the medial condyle portion and the lateral condyle portion, wherein the cam is asymmetrical relative to a sagittal plane of the implant.

11. A knee implant system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a sagittal curved condylar shape and having a lateral bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a femur when the femoral implant is implanted in the knee joint of the patient, and

the tibial implant including a bearing surface configured to articulate with the lateral bearing surface of the femoral implant when the tibial and femoral implants are implanted in the knee joint of the patient, and a bone-facing surface configured to abut a surface of a tibia of the patient when the tibial implant is implanted in the knee joint of the patient,

wherein the tibial implant includes one or more features for avoiding impingement of soft tissue when the tibial implant is implanted in the patient.

12. The knee implant system of claim 11, wherein the lateral condyle portion has a narrowed posterior portion, such that the width of the lateral condyle portion measured in substantially the mediolateral direction narrows in a posterior part of the lateral condylar portion.

13. The knee implant system of claim 11, wherein the tibial implant is configured to maximize coverage of a proximal end of a tibia of the patient when the tibial implant is implanted in the patient.

14. The knee implant system of claim 11, wherein the tibial implant is configured to extend to cortical margins of a proximal end of a tibia of the patient when the tibial implant is implanted in the patient.

15. The knee implant system of claim 11, wherein the tibial implant is configured to maximize coverage of a medial compartment of a proximal end of a tibia of the patient when the tibial implant is implanted in the patient.

16. The knee implant system of claim 11, wherein the tibial implant is configured to maximize coverage of a proximal end of a tibia of the patient when the tibial implant is implanted in the patient.

17. The knee implant system of claim 11, wherein the tibial implant is configured to minimize overhang of the knee replacement implant when the tibial implant is implanted in the patient.

18. The knee implant system of claim 11, wherein the tibial implant is configured to avoid internal rotation of the knee replacement implant relative to a proximal end of a tibia of the patient when the tibial implant is implanted in the patient.

19. The knee implant system of claim 11, wherein the tibial implant is configured to avoid external rotation of the knee replacement implant relative to a proximal end of a tibia of the patient when the knee replacement implant is implanted in the patient and in a flexed position.

20. The knee implant system of claim 11, wherein the tibial implant is configured to avoid overhang of the implant when the tibial implant is implanted in the patient.

21. The knee implant system of claim 11, wherein the tibial implant is configured to set rotation of the tibial implant relative to a proximal end of a tibia of the patient to avoid impingement of the implant on one or more soft tissues of the patient when the tibial implant is implanted in the patient.

22. The knee implant system of claim 11, wherein the tibial implant is configured to set rotation of the tibial implant relative to a proximal end of a tibia of the patient to avoid impingement of the femoral implant on the popliteus tendon of the patient when the knee replacement implant is implanted in the patient.

23. The knee implant system of claim 11, wherein the tibial implant and femoral implant are configured to avoid impingement of the implant on one or more soft tissues of the patient when the tibial implant is implanted in the patient and the femoral implant is in a flexed position relative to the tibial implant.

24. The knee implant system of claim 11, wherein the tibial implant and femoral implant are configured to avoid impingement of the femoral implant on the popliteus tendon of the patient by the femoral implant when the tibial implant is implanted in the patient and the femoral implant is in a flexed position relative to the tibial implant.

25. A knee replacement implant system for implantation in a knee joint of a patient, comprising:

a knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a curved condylar shape and having a lateral bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a lateral condyle of a femur when the femoral implant is implanted in the knee joint of the patient and further including a medial condyle portion having a second curved condylar shape and having a medial bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and a second inner surface configured to abut one or more bone cut surfaces of a medial condyle of the femur when the femoral implant is implanted in the knee joint of the patient; and

wherein a lateral periphery of the lateral condyle portion is configured to avoid or accommodate a popliteus tendon associated with a knee joint of a patient

26. A knee replacement implant system for implantation in a knee joint of a patient, comprising:

a total knee replacement implant including a femoral implant for implantation on a femur of the patient and a tibial implant for implantation on a tibia of the patient,

the femoral implant including a lateral condyle portion having a curved condylar shape and having an lateral bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and an inner surface configured to abut one or more bone cut surfaces of a lateral condyle of a femur when the femoral implant is implanted in the knee joint of the patient and further including a medial condyle portion having a second curved condylar shape and having a medial bearing surface configured to articulate with the tibial implant when the tibial and femoral implants are implanted in the knee joint of the patient and a second inner surface configured to abut one or more bone cut surfaces of a medial condyle of the femur when the femoral implant is implanted in the knee joint of the patient; and

wherein the lateral condyle portion has a narrowed posterior lateral portion, such that the width of the lateral condyle portion measured in substantially the mediolateral direction narrows in a posterior part of the lateral condylar portion to avoid a soft tissue of the patient when the femoral implant is implanted in the patient.

27. The knee replacement implant system of claim 26, wherein the medial condyle portion further includes a medial posterior portion and a medial distal portion and the lateral condyle portion further includes a lateral distal portion, the medial distal portion and the lateral distal portion each having substantially the same width measured in substantially the mediolateral direction and the posterior medial portion being wider than the lateral posterior portion measured in substantially the mediolateral direction.

28. The knee replacement implant system of claim 26, further comprising a cam extending between the medial condyle portion and the lateral condyle portion, wherein the cam has an increasing thickness in a substantially mediolateral direction.

29. The femoral implant system of claim 26, wherein the posterior medial portion has a greater thickness than the posterior lateral portion.

30. The knee replacement system of claim 26, wherein the total knee replacement system is a cruciate retaining total knee implant, retaining the posterior cruciate ligament.