Implant registration device for surgical navigation system

• US 6,988,009 B2
• Filed: 03/03/2004
• Issued: 01/17/2006
• Est. Priority Date: 02/04/2003
• Status: Expired due to Term

• Current Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Rangaiah, Chetan, Grimm, James, McGinley, Shawn, Walriven, Dale
• Primary Examiner(s): Paladini, Albert W.
• Assistant Examiner(s): Jarrett, Ryan A.
• Application Number:
  US10/792,615
• Publication Number:
  US 20040167654A1
• Time in Patent Office: 685 Days
• Field of Search: 700 56- 59, 700/114, 700/254, 606/130, 606/102
• US Class Current: 700/57
• CPC Class Codes: A61B 17/175 for preparing the femur for hip prosthesis insertion
• CPC Class Codes: A61B 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/207 Divots for calibration
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• 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 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2/4607 of hip femoral endoprostheses
• CPC Class Codes: A61F 2002/30387 Dovetail connection
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/3625 Necks
• CPC Class Codes: A61F 2002/3631 with an integral complete or partial peripheral collar or bearing shoulder at its base
• CPC Class Codes: A61F 2002/4629 connected to the endoprosthesis or implant via a threaded connection
• CPC Class Codes: A61F 2002/4632 using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2002/4633 for selection of endoprosthetic joints or for pre-operative planning
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

Abstract

A system for registering an orthopedic implant in a computer assisted navigation system. The system includes a plurality of differently sized implants which may be the femoral component or hip stem of a prosthetic hip joint. A registration device is engageable with each of the implants in a predefined relative position. The registration device also includes at least one reference element registerable in the computer assisted navigation system. A second reference structure also having at least one reference element registerable in the computer assisted navigation system is detachably secured to the implant. The relative positions of the reference elements located on the registration device and second reference structure differs for each of the plurality of implants and thereby allows the navigation system to determine the nominal size of the implant. The relative position and orientation of the implant relative to the second structure can also be calibrated using the registration device.

Claims

1. A registration device for use with a computer assisted navigation system, said registration device comprising:

a body including at least one first arrangement engageable with at least one orthopedic implant in a first predefined relative position and at least one second arrangement engageable with at least one surgical instrument in a second predefined relative position;

a first reference structure having at least one reference element registerable in a computer assisted navigation system, said first reference structure being disposed on said registration device at a predetermined location, wherein said first reference structure is configured to cooperate with both a second reference structure disposed on a surgical instrument at a predetermined location and a third reference structure disposed on an orthopedic implant at a predetermined location;

wherein the relative positions of said first reference structure with respect to another reference structure when an implant or an instrument is engaged with one of said arrangements on said body are utilized by the computer assisted navigation device to determine the size of the selected implant or instrument;

wherein at least some of said first arrangements are comprised of a plurality of tapered slots, with each of said tapered slots configured for receiving at least a portion of at least one implant; and

further wherein at least some of said tapered slots include two side surfaces joined together by a bottom surface.

2. The registration device of claim 1 wherein said tapered slots are each configured for receiving at least a portion of one implant from either a first direction or from a second direction, where said second direction is directly opposite of said first direction.

3. The registration device of claim 1 wherein at least some of said second arrangements are configured for receiving a handle of a surgical instrument.

4. A registration device for use with a computer assisted navigation system, said registration device comprising:

a body including at least one first arrangement engageable with at least one orthopedic implant in a first predefined relative position and at least one second arrangement engageable with at least one surgical instrument in a second predefined relative position;

a first reference structure having at least one reference element registerable in a computer assisted navigation system, said first reference structure being disposed on said registration device at a predetermined location, wherein said first reference structure is configured to cooperate with both a second reference structure disposed on a surgical instrument at a predetermined location and a third reference structure disposed on an orthopedic implant at a predetermined location;

wherein the relative positions of said first reference structure with respect to another reference structure when an implant or an instrument is engaged with one of said arrangements on said body are utilized by the computer assisted navigation device to determine the size of the selected implant or instrument;

wherein at least some of said first arrangements are comprised of a plurality of tapered slots, with each of said tapered slots configured for receiving at least a portion of at least one implant;

wherein said tapered slots are each configured for receiving at least a portion of one implant from either a first direction or from a second direction, where said second direction is directly opposite of said first direction; and

wherein said tapered slots are tapered inwardly with respect to both said first direction and said second direction.

5. The registration device of claim 4 wherein at least some of said second arrangements are configured for receiving a handle of a surgical instrument.

6. A registration device for use with a computer assisted navigation system, said registration device comprising:

a body including at least one first arrangement engageable with at least one orthopedic implant in a first predefined relative position and at least one second arrangement engageable with at least one other orthopedic implant in a second predefined relative position;

a first reference structure having at least one reference element registerable in a computer assisted navigation system, said first reference structure being disposed on said registration device at a predetermined location, wherein said first reference structure is configured to cooperate with both a second reference structure disposed on said at least one orthopedic implant at a predetermined location and a third reference structure disposed on said at least one other orthopedic implant at a predetermined location;

wherein the relative positions of said first reference structure with respect to another reference structure when an implant is engaged with one of said arrangements on said body are utilized by the computer assisted navigation device to determine the size of the selected implant or instrument;

wherein at least some of said first arrangements are comprised of a plurality of tapered slots, with each of said tapered slots configured for receiving at least a portion of at least one implant;

wherein said tapered slots are each configured for receiving at least a portion of one implant from either a first direction or from a second direction, where said second direction is directly opposite of said first direction; and

wherein said tapered slots are tapered inwardly with respect to both said first direction and said second direction.

7. A registration device for use with a computer assisted navigation system, said registration device comprising:

a body including at least one first arrangement engageable with at least one orthopedic implant in a first predefined relative position and at least one second arrangement engageable with at least one other orthopedic implant in a second predefined relative position;

a first reference structure having at least one reference element registerable in a computer assisted navigation system, said first reference structure being disposed on said registration device at a predetermined location, wherein said first reference structure is configured to cooperate with both a second reference structure disposed on said at least one orthopedic implant at a predetermined location and a third reference structure disposed on said at least one other orthopedic implant at a predetermined location;

wherein the relative positions of said first reference structure with respect to another reference structure when an implant is engaged with one of said arrangements on said body are utilized by the computer assisted navigation device to determine the size of the selected implant;

wherein at least some of said first arrangements are comprised of a plurality of tapered slots, with each of said tapered slots configured for receiving at least a portion of at least one implant; and

wherein said tapered slots each include two opposed side surfaces joined together by a bottom surface.

8. A registration device for use with a computer assisted navigation system, said registration device comprising:

a body including at least one first arrangement engageable with at least one orthopedic implant in a first predefined relative position and at least one second arrangement engageable with at least one other orthopedic implant in a second predefined relative position;

a first reference structure having at least one reference element registerable in a computer assisted navigation system, said first reference structure being disposed on said registration device at a predetermined location, wherein said first reference structure is configured to cooperate with both a second reference structure disposed on said at least one orthopedic implant at a predetermined location and a third reference structure disposed on said at least one other orthopedic implant at a predetermined location;

wherein the relative positions of said first reference structure with respect to another reference structure when an implant is engaged with one of said arrangements on said body are utilized by the computer assisted navigation device to determine the size of the selected implant;

wherein at least some of said first arrangements are comprised of a plurality of tapered slots, with each of said tapered slots configured for receiving at least a portion of at least one implant;

wherein at least some of said tapered slots include two opposed side surfaces joined together by a bottom surface.

9. The registration device of claim 8, wherein each of said tapered slots is configured to receive a stem portion of a generally L-shaped implant.