Method of prosthesis design

• US 4,506,393 A
• Filed: 03/29/1983
• Issued: 03/26/1985
• Est. Priority Date: 03/29/1983
• Status: Expired due to Fees

• Current Assignee: Brigham and Women's Hospital
• Original Assignee: M.D. Stephen B. Murphy
• Inventors: Murphy, Stephen B.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Isabella, David J.
• Application Number:
  US06/480,007
• Time in Patent Office: 728 Days
• Field of Search: 128/1 R, 128/92 R, 128/92 C, 128/92 E, 128/92 EB, 128/635, 3/1, 3/1.9, 3/1.91, 3/1.911, 3/1.912, 3/1.913, 364/414, 364/571
• US Class Current: 128/898
• 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 2/3662 Femoral shafts
• CPC Class Codes: G05B 19/4097 characterised by using design data to control NC machines, e.g. CAD/CAM G05B19/4093 takes precedence
• CPC Class Codes: G05B 2219/45172 Prosthesis
• CPC Class Codes: Y10S 623/914 Bone

Abstract

A prosthesis is fitted to a body structure into which it is to be inserted by establishing an initial prosthesis shape and thereafter withdrawing the shape from the body structure in a sequence of defined increments and determining, for each increment, the minimum volume to be removed from the prosthesis to avoid interference with the body structure.

Claims

1. The method of fitting a prosthesis to a body canal which is to encompass it, comprising the steps of:

A. forming a computer image of the canal,

B. forming a computer trial image of the prosthesis conforming to the canal

C. establishing a distal reference point on the prosthesis,

D. moving the prosthesis outwardly of said canal to a first level,

E. forming a canal reference point for said level,

F. translating the prosthesis distal reference point towards said canal reference point until contact is established between the prosthesis image and the canal reference point to thereby define a distal contact point,

G. rotating the prosthesis image with respect to said contact point until a proximal portion of the prosthesis contacts said canal to thereby define a proximal contact point,

H. establishing a rotation axis joining the distal and proximal canal contact points, and a rotation vector joining the distal canal contact point and the proximal prosthesis contact point,

I. rotating said vector about said axis and determining, for each of a plurality of angular orientations of said vector about said axis, the interference volume between said prosthesis and said canal,

J. redefining the prosthesis image by removing therefrom the minimum interference volume determined during the vector rotation, and

K. repeating steps E through J until at least a defined amount of the prosthesis image has been removed from said canal.

2. The method of claim 1 in which weighting factors are assigned to said prosthesis throughout at least a portion of the volume thereof and in which the weighting factors are used in establishing the minimum volume to be removed from the prosthesis.

3. The method of claim 1 in which the step of defining the distal contact point includes the steps of:

(1) establishing a preferred direction for translation of the distal reference point, and

(2) translating said point in said direction.

4. The method of claim 1 in which the step of establishing a distal reference point comprises the step of establishing said reference point coincident with the centroid of the prosthesis and in which the step of defining said distal contact point includes the steps of

(1) establishing a preferred direction for translation of the distal reference point, and

(2) translating said point in said direction.

5. The method of claim 4 in which the preferred direction is established by defining a canal reference point comprising the intersection with the canal image of the planar projections of a line defined by the centroids of said canal at a plurality of longitudinally spaced locations including the centroid of the given level, as well as those adjacent to that level.

6. The method of claim 5 in which the prosthesis base centroid is brought to a position substantially coincident with the canal cross section centroid at a given level prior to translation toward said distal reference point.

7. The method of claim 1 in which said prosthesis is removed from said canal at each step substantially along a line joining the centroids of the canal cross-sections at the levels through which the prosthesis is moved.

8. The method of claim 1 which includes the further step of rotating said vector through each of a plurality of angular orientations of diminished angular separation in the region of the minimum interference volume defined by the prior set of rotations and establishing the minimum interference volume therefrom to thereby define an enhanced minimum interference volume for use in redefining the prosthesis image.

9. The method of fitting a prosthesis to a body canal which is to encompass it, comprising the steps of:

A. forming a longitudinal computer image of the canal interior,

B. calculating the centroid of a base prosthesis cross-section at a distal end thereof,

C. calculating the centroids of a plurality of longitudinally-spaced cross-sections of said canal between said base cross section and an exit cross-section at the proximal end of said canal,

D. defining, for each canal cross-section, a reference point by calculating the intersections of a line joining a plurality of canal centroids with the contours of said canal cross-sections when said line and said cross-sections are projected onto a common plane,

E. moving the computer prosthesis image longitudinally in said canal along the centroidal line of the canal to the adjacent canal cross-section and translating the base centroid of said prosthesis toward the reference point of said cross-section until the prosthesis base cross-section contacts the canal contour at a point to thereby establish an interference point,

F. determining the centroid of said prosthesis at a cross-section coincident with the canal exit cross-section and rotating said centroid toward the canal exit cross-section reference point about a line through the interference contact point until the prosthesis image contacts the canal image in the vicinity of said reference point,

G. rotating a vector about an axis defined by said base and exit plane interference points and determining, for each of a plurality of angular positions of said vector about said line, the volume interference between the prosthesis image and the canal image for such positions,

H. determining the minimum volume interference and redefining the prosthesis image to remove said minimum volume therefrom, and

I. repeating steps E through H until the prosthesis image is removeable from the canal without further interference.

10. The method of fitting a prosthesis to a body canal which is to encompass it comprising the steps

A. forming a computer image of the canal

B. forming a computer image of the prosthesis generally conforming to the canal,

C. withdrawing said prosthesis from the canal by a predetermined amount,

D. positioning one end of the prosthesis on a first contact point of a path along the canal wall along which said end is to move during withdrawal,

E. rotating the prosthesis about an axis defined by selected reference points on the upper and lower portions of said prosthesis and calculating the volume interference between the prosthesis and the canal for each of a plurality of positions about said axis,

F. selecting the minimum interference volume and redefining the prosthesis image by removal of said volume therefrom;

and

G. repeating the steps of paragraph C through F until the prosthesis can be withdrawn without further interference.

11. The method of claim 10 in which the step of rotating the prosthesis includes the step of further rotating the prosthesis through a volume surrounding the position for which the minimum volume removal has been determined to thereby further redefine the minimal volume removal.

12. The method of claim 10 in which said canal wall path is defined for each canal cross-section by the intersection with said cross section with the planar projection of a line joining the centroids of surrounding canal cross sections.

13. The method of claim 12 in which the step of positioning one end of the prosthesis on said first contact point comprises the step of translating a selected reference point on a lower plane of the prosthesis toward corresponding reference point on said canal wall at the corresponding canal cross section until contact between the prosthesis and the canal wall is established.