Device and method for determining force of a knee joint

• US 8,551,023 B2
• Filed: 03/31/2009
• Issued: 10/08/2013
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy (Johnson & Johnson)
• Inventors: Sherman, Jason T., Rock, Mick, Ruhling, Marc
• Primary Examiner(s): Dougherty, Sean
• Assistant Examiner(s): Stout, Michael C
• Application Number:
  US12/415,172
• Publication Number:
  US 20100249658A1
• Time in Patent Office: 1,652 Days
• Field of Search: 600/300, 600/587, 600/595, 606/53, 606/87, 606/88, 623/11.11, 623/16.11, 623/18.11, 623/20.14
• US Class Current: 600/587
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4585 Evaluating the knee
• CPC Class Codes: A61B 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/40 for shoulders
• CPC Class Codes: A61F 2/4202 for ankles
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/4657 : Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/4666 : for measuring force, pressure or mechanical tension

Abstract

An orthopaedic surgical device for determining the joint force of a patient'"'"'s knee joint includes a tibial paddle shaped to be positioned in the patient'"'"'s knee joint and a handle extending from the tibial paddle. The tibial paddle includes a sensor array positioned therein and configured to generate sensor signals indicative of the joint force of the patient'"'"'s knee joint. The orthopaedic surgical device also includes a control circuit configured to control a display located on the handle to provide a visual indication of the medial and lateral balance of the joint force.

Claims

1. An orthopaedic surgical device comprising:

a tibial paddle shaped to be positioned between a patient'"'"'s proximal tibia and distal femur;

a sensor array positioned in the tibial paddle, the sensor array including a plurality of pressure sensors configured to generate sensor signals indicative of a force between the patient'"'"'s tibia and femur;

a rigid handle secured to the tibial paddle such that the handle and tibial paddle are coplanar in a reference plane, wherein the handle includes a top handle housing and a bottom handle housing;

a first display secured to an end of the top handle housing;

a second display secured to an end of the bottom handle housing, positioned such that a line orthogonal to the reference plane intersects the first display and the second display; and

a circuit positioned in the handle, the circuit configured to receive the sensor signals from the sensor array and to control the first display to provide a visual indication of the force between the patient'"'"'s tibia and femur.

2. The orthopaedic surgical device of claim 1, wherein the tibial paddle is shaped to rest on a surgically prepared surface of a patient'"'"'s resected proximal tibia.

3. The orthopaedic surgical device of claim 1, wherein the handle is secured to the tibial paddle in an orientation such that the paddle is positionable in a patient'"'"'s knee joint without eversion or subluxation of the patient'"'"'s patella.

4. The orthopaedic surgical device of claim 3, wherein the handle extends from one of the medial side and the lateral side of the patient'"'"'s knee joint when positioned therein.

5. The orthopaedic surgical device of claim 1, wherein the tibial paddle includes a top paddle housing and a bottom paddle housing, an outer rim of the top paddle housing being spaced apart from an outer rim of the bottom paddle housing when no force is applied to the tibial paddle.

6. The orthopaedic surgical device of claim 1, wherein the sensor array includes a medial set of pressure sensors arranged in a circular pattern and a lateral set of pressure sensors arranged in a circular pattern.

7. The orthopaedic surgical device of claim 6, wherein the sensor array includes:

a first posterior sensor positioned posteriorly to the medial set of pressure sensors and a first anterior pressure sensor positioned anteriorly to the medial set of pressure sensors, and

a second posterior sensor positioned posteriorly to the lateral set of pressure sensors and a second anterior pressure sensor positioned anteriorly to the lateral set of pressure sensors.

8. The orthopaedic surgical device of claim 1, wherein the plurality of pressure sensors are capacitive pressure sensors.

9. The orthopaedic surgical device of claim 1, wherein:

the first display comprises a plurality of light emitting diodes, and

the circuit is configured to (i) determine a medial force value indicative of a medial component of the force between the patient'"'"'s tibia and femur, (ii) determine a lateral force value indicative of a lateral component of the force between the patient'"'"'s tibia and femur, and (iii) control the plurality of light emitting diodes in a manner to provide an indication of the medial-lateral balance of the force between the relative force value.

10. The orthopaedic surgical device of claim 9, wherein the circuit is configured to:

sum the medial force value and the lateral force value to determine a total force value,

determine a medial-lateral force value based on the total force value, and

activate a light emitting diode of the plurality of light emitting diodes to provide a visual indication of the medial-lateral force value.

11. The orthopaedic surgical device of claim 1, wherein the first display comprises a plurality of light emitting diodes arranged in a medial-to-lateral extending row and the circuit is configured to activate a light emitting diode of the plurality of light emitting diodes in a manner to provide a visual indication of the medial-lateral balance of the force between the patient'"'"'s tibia and femur.

12. The orthopaedic surgical device of claim 1, wherein the circuit comprises a wireless transmitter configured to transmit data indicative of the force between the patient'"'"'s tibia and femur.

13. The orthopaedic surgical device of claim 1, wherein the circuit is further configured to control the second display to provide a visual indication of the force between the patient'"'"'s tibia and femur.

14. The orthopaedic surgical device of claim 1, wherein:

each of the first display and the second display comprises a plurality of light emitting diodes, and

the circuit is configured to (i) determine a medial force value indicative of a medial component of the force between the patient'"'"'s tibia and femur, (ii) determine a lateral force value indicative of a lateral component of the force between the patient'"'"'s tibia and femur, and (iii) control each plurality of light emitting diodes in a manner to provide an indication of the medial-lateral balance of the force between the relative force value.

15. The orthopaedic surgical device of claim 14, wherein the circuit is further configured to:

sum the medial force value and the lateral force value to determine a total force value,

determine a medial-lateral force value based on the total force value, and

activate a light emitting diode of each plurality of light emitting diodes to provide a visual indication of the medial-lateral force value.

16. The orthopaedic surgical device of claim 1, wherein each of the first display and the second display comprises a plurality of light emitting diodes arranged in a medial-to-lateral extending row and the circuit is further configured to activate a light emitting diode of each plurality of light emitting diodes in a manner to provide a visual indication of the medial-lateral balance of the joint force.

17. An orthopaedic surgical device comprising:

a tibial paddle shaped to be positioned between a patient'"'"'s proximal tibia and distal femur;

a sensor array positioned in the tibial paddle, the sensor array including (i) a plurality of medially located pressure sensors configured to generate sensor signals indicative of a medial force between the patient'"'"'s tibia and femur and (ii) a plurality of laterally located pressure sensors configured to generate sensor signals indicative of a lateral force between the patient'"'"'s tibia and femur;

a handle secured to the tibial paddle, the handle including a top housing and a bottom housing, the top housing having an interior surface that faces a corresponding interior surface of the bottom housing;

a first plurality of light emitting diodes secured to an end of the top housing of the handle;

a second plurality of light emitting diodes secured to an end of the bottom housing of the handle; and

a circuit positioned in the handle, the circuit configured to activate at least one light emitting diode of each of the first and second plurality of light emitting diodes based on the sensor signals to provide a visual indication of the balance between the medial force and the lateral force between the patient'"'"'s tibia and femur.