Targeting an orthopaedic implant landmark

• US 8,623,023 B2
• Filed: 02/18/2011
• Issued: 01/07/2014
• Est. Priority Date: 04/27/2009
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Ritchey, Nicholas S., Schwagli, Tobias
• Primary Examiner(s): Truong, Kevin T
• Assistant Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US13/030,801
• Publication Number:
  US 20110288600A1
• Time in Patent Office: 1,054 Days
• Field of Search: 600407-423, 600424-429, 606/130
• US Class Current: 606/86.R
• CPC Class Codes: A61B 17/1707 using electromagnetic effects, e.g. with magnet and external sensors
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• 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 5/05 Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves impedance plethysmography A61B5/0295; measuring movement of the entire body or parts thereof A61B5/11; detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof A61B5/24
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/1127 using markers

Abstract

A system for targeting landmarks on devices such as surgical implants is disclosed. The system can include a field generator for generating one or more magnetic fields, an orthopaedic implant located within the magnetic fields, the implant having at least one landmark, a removable probe with a first magnetic sensor, a landmark identifier and a processor. The landmark identifier can contain a second sensor, or, alternatively, the field generator. The processor can utilize sensor data and, if desirable, field generator and other information, to generate and display the position and orientation of the sensor(s) in preferably six degrees of freedom, and thereby, to generate and display the position and orientation of the landmark(s). The system allows for blind targeting of one or more landmarks. The landmark identifier, field generator and/or drill motor may be disposed in an autoclavable housing.

Claims

1. A method of aligning an element with a hidden target, comprising:

providing a landmark identifier including a field generator for generating an electromagnetic field;

the element when coupled to the landmark identifier defining a longitudinal axis that is predefined relative to a spatial coordinate system of the generated magnetic field;

displaying the position and orientation of the element as two circles and a line connecting the centers of the two circles, the line representing the longitudinal axis of the element;

displaying a target image; and

moving the element to vary at least one of the position and orientation of the element;

the element being aligned with the hidden target when the two circles are aligned with the target image.

2. The method of claim 1 wherein the longitudinal axis represents one axis of the generated magnetic field.

3. The method of claim 1 wherein the element is removably coupled to the landmark identifier.

4. The method of claim 1 wherein the displaying of the element and the target image zooms in and out as the landmark identifier is moved toward or away from the hidden target.

5. The method of claim 1 wherein the hidden target is associated with an implant and further comprising selecting a view based on the location of the landmark identifier relative to the implant.

6. The method of claim 1 wherein displaying a target image comprising selecting between a global view and a local view depending upon the distance between the landmark identifier and the target.

7. The method of claim 1 wherein displaying the target image comprises displaying the target image in a selected target orientation.

8. The method of claim 1 wherein the hidden target is associated with an implant and further comprising computing landmark identifier position relative to an axis of the implant.

9. The method of claim 8 further comprising selecting, from among multiple landmarks on the implant, a landmark located closest to the landmark identifier;

wherein displaying the target image comprises displaying an image of the implant showing the selected landmark.

10. The method of claim 1, further comprising:

detecting the movement of the element that varies at least one of the position and orientation of the element; and

in response to detecting the movement of the element, changing a displayed position of the circles and the line with respect to the displayed target image to indicate the changed position or orientation of the element with respect to the hidden target.

11. The method of claim 1, further comprising:

determining that the orientation of the element is aligned with the hidden target; and

in response to determining that the orientation of the element is aligned with the hidden target, displaying the two circles in alignment with a representation of the hidden target in the target image.

12. The method of claim 11, wherein displaying the two circles in alignment with a representation of the hidden target in the target image comprises:

displaying, in the target image, an aperture region indicating an aperture in an implant; and

displaying the two circles located within the aperture region.

13. The method of claim 1, wherein the element is a drill sleeve, and the longitudinal axis is a drill sleeve axis defined by the drill sleeve;

wherein displaying the position and orientation of the element as two circles and a line comprises indicating the orientation of the drill sleeve axis relative to the hidden target as a displayed orientation of the line with respect to the displayed target image.

14. The method of claim 1, wherein displaying the position and orientation of the element comprises displaying the position and orientation of the element with respect to an aperture in an implant, the aperture having a central through axis;

wherein displaying the target image comprises displaying a target image indicating an aperture in the implant; and

wherein the method further comprises displaying the two circles located over the aperture in the implant to indicate that the longitudinal axis of the element coincides with the central through axis of the aperture.

15. The method of claim 1, wherein displaying the position and orientation of the element comprises displaying the position and orientation of an element that has an aperture extending along the longitudinal axis.

16. The method of claim 1, wherein displaying the position and orientation of the element comprises displaying the position and orientation of an element that extends from the landmark identifier along the longitudinal axis.

18. The method of claim 1, wherein displaying the position and orientation of the element comprises displaying the position and orientation of a drill sleeve that extends from the landmark identifier along the longitudinal axis.

20. The method of claim 1, wherein displaying the position and orientation of the element comprises displaying the position and orientation of a drill sleeve that extends from the landmark identifier along the longitudinal axis.

17. A method of aligning an element with a hidden target, comprising:

receiving data indicative of a position and orientation of the element while the element is coupled to a landmark identifier including a field generator;

displaying the position and orientation of the element as two circles and a line connecting the centers of the two circles, the line representing the longitudinal axis of the element;

displaying a target image that represents the hidden target;

detecting movement of the element that changes the position or orientation of the element with respect to the hidden target; and

in response to detecting the movement of the element, changing a displayed position of the circles and the line with respect to the displayed target image to indicate the changed position or orientation of the element with respect to the hidden target.

19. A method of aligning an element with a hidden target, comprising:

receiving data from one or more sensors configured to detect an electromagnetic field produced by a landmark identifier including a field generator, the element when coupled to the landmark identifier defining a longitudinal axis that has a fixed orientation relative to the field generator;

based on the received data, displaying a position and orientation of the element as two circles and a line connecting the centers of the two circles, the line representing the orientation of the longitudinal axis of the element;

displaying a target image that includes a representation of at least a portion of an implant, the hidden target corresponding to a particular region of the portion of the implant; and

detecting movement of the element that changes the position or orientation of the element with respect to the hidden target; and

updating the display of the circles and line to indicate a current position and orientation of the element with respect to the hidden target.