Surgical tools facilitating increased accuracy, speed and simplicity in performing joint arthroplasty
First Claim
Patent Images
1. A method of making a patient-specific surgical tool having at least one surface portion derived from image data of a joint of a patient, the method comprising:
- obtaining image data associated with at least a portion of the joint of the patient;
obtaining additional information related to the joint of the patient, wherein the additional information includes information about surface shape and/or geometry, and/or cartilage thickness of at least a portion of the joint of the patient;
determining at least one of a mechanical and an anatomical axis associated with the joint;
generating a surgical tool based in part on the image data of the patient and the additional information, wherein the surgical tool includes at least one surface portion having a shape that substantially conforms to a corresponding surface portion of the joint of the patient, and includes a guide having a predetermined position relative to the surface portion such that the guide defines a predetermined cutting or drilling path relative to the mechanical axis when the surface portion is aligned with and placed against the corresponding surface portion of the joint, and wherein the predetermined cutting or drilling path defines at least in part a planned flexion, extension, abduction, adduction, internal rotation and external rotation angle of an orthopedic implant relative to the joint of the patient when the orthopedic implant is implanted in the joint.
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Accused Products
Abstract
Disclosed herein are tools for repairing articular surfaces repair materials and for repairing an articular surface. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.
550 Citations
73 Claims
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1. A method of making a patient-specific surgical tool having at least one surface portion derived from image data of a joint of a patient, the method comprising:
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obtaining image data associated with at least a portion of the joint of the patient; obtaining additional information related to the joint of the patient, wherein the additional information includes information about surface shape and/or geometry, and/or cartilage thickness of at least a portion of the joint of the patient; determining at least one of a mechanical and an anatomical axis associated with the joint; generating a surgical tool based in part on the image data of the patient and the additional information, wherein the surgical tool includes at least one surface portion having a shape that substantially conforms to a corresponding surface portion of the joint of the patient, and includes a guide having a predetermined position relative to the surface portion such that the guide defines a predetermined cutting or drilling path relative to the mechanical axis when the surface portion is aligned with and placed against the corresponding surface portion of the joint, and wherein the predetermined cutting or drilling path defines at least in part a planned flexion, extension, abduction, adduction, internal rotation and external rotation angle of an orthopedic implant relative to the joint of the patient when the orthopedic implant is implanted in the joint. - View Dependent Claims (2, 3, 4)
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5. A method of making a patient-matched surgical tool for use in a surgical procedure on a knee joint of a patient, the method comprising:
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obtaining image data associated with the knee joint of the patient, wherein the image data includes image data for the knee, hip and ankle of the patient; determining from the image data at least one of an anatomical and mechanical axis associated with the joint; creating a surgical tool based at least in part on the image data and the determined axis, wherein the surgical tool includes a contact surface substantially matched to a corresponding surface of the joint and a guide for directing movement of a surgical instrument, the guide having a predetermined orientation based at least in part on the determined axis; and wherein said corresponding surface is, at least in part, a cartilage surface derived or estimated based on cartilage thickness, cartilage loss and/or residual cartilage. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38)
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39. A method of making a patient-matched surgical tool for use in a surgical procedure on a knee joint of a patient, the method comprising:
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obtaining image data associated with the knee joint of the patient, wherein the image data includes a full length image of the leg of the patient; determining from the image data at least one of an anatomical and mechanical axis associated with the joint; creating a surgical tool based at least in part on the image data and the determined axis, wherein the surgical tool includes a contact surface substantially matched to a corresponding cartilage surface of the joint and a guide for directing movement of a surgical instrument, the guide having a predetermined orientation based at least in part on the determined axis, wherein the corresponding cartilage surface is derived and/or estimated based on cartilage thickness, cartilage loss and/or residual cartilage. - View Dependent Claims (40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72)
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73. A method of making a patient-matched surgical tool for use in a surgical procedure on a knee joint in a leg of a patient, the method comprising:
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determining at least one of a mechanical and anatomical axis of the leg of the patient from image data of a hip joint of the patient and image data of an ankle joint of the patient; determining from image data of the knee joint at least one of a desired internal or external rotation of a knee implant for implantation in the joint; creating a surgical tool based at least in part on the image data, wherein the surgical tool includes at least one surface portion that substantially conforms to a corresponding surface portion of the joint and a guide having a predetermined position relative to at least one surface portion that is based on both the determined axis and the desired rotation of the implant.
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Specification