Surgical tools for arthroplasty
DCFirst Claim
Patent Images
1. A patient-specific surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, the instrument comprising:
- a patient-specific surface for engaging a corresponding portion of the diseased or damaged joint, the patient-specific surface including cartilage information derived from image data of the diseased or damaged joint, wherein the corresponding portion of the diseased or damaged joint includes an osteophyte, wherein the patient-specific surface references the osteophyte when the patient-specific surface is engaged and aligned with the corresponding portion of the diseased or damaged joint; and
a guide sized and shaped to accommodate a surgical tool, wherein the guide has a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool.
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Abstract
Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. 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.
603 Citations
64 Claims
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1. A patient-specific surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, the instrument comprising:
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a patient-specific surface for engaging a corresponding portion of the diseased or damaged joint, the patient-specific surface including cartilage information derived from image data of the diseased or damaged joint, wherein the corresponding portion of the diseased or damaged joint includes an osteophyte, wherein the patient-specific surface references the osteophyte when the patient-specific surface is engaged and aligned with the corresponding portion of the diseased or damaged joint; and a guide sized and shaped to accommodate a surgical tool, wherein the guide has a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool. - View Dependent Claims (2, 3, 4, 5, 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, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49)
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50. A surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, comprising:
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a cutting block having a patient-specific surface and a guide; the patient-specific surface having a first portion configured to have a shape that is substantially a negative of a cartilage surface of the diseased or damaged joint and a second portion configured to have a shape that is substantially a negative of a cortical bone surface of the diseased or damaged joint, wherein the patient-specific surface is configured to reference an osteophyte of the diseased or damaged joint; the guide being sized and shaped to accommodate a surgical tool and have a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool that is aligned through a portion of the diseased or damaged joint. - View Dependent Claims (51, 52)
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53. A surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, comprising:
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a cutting block having a patient-specific surface and a guide; the patient-specific surface having a first portion configured to have a shape that is substantially a negative of a subchondral bone surface of the diseased or damaged joint and a second portion configured to have a shape that is substantially a negative of a cortical bone surface of the diseased or damaged joint, wherein the patient-specific surface is configured to reference an osteophyte of the diseased or damaged joint; the guide being sized and shaped to accommodate a surgical tool and have a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool that is aligned through a portion of the diseased or damaged joint. - View Dependent Claims (54, 55)
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56. A surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, comprising:
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a cutting block having a patient-specific surface and a guide; the patient-specific surface having a first portion configured to have a shape that is substantially a negative of a cartilage surface of the diseased or damaged joint, a second portion configured to have a shape that is substantially a negative of a cortical bone surface of the diseased or damaged joint, and a third portion configured to have a shape that is substantially a negative of a subchondral bone surface of the diseased or damaged joint, wherein the patient-specific surface is configured to reference an osteophyte of the diseased or damaged joint; the guide being sized and shaped to accommodate a surgical tool and have a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool that is aligned through a portion of the diseased or damaged joint. - View Dependent Claims (57, 58)
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59. A surgical instrument for use in surgically repairing a diseased or damaged joint of a patient, comprising:
a block having a patient-specific surface and a guide sized and shaped to accommodate a surgical tool, the patient-specific surface having at least a portion configured to have a shape that is substantially a negative of a corresponding surface portion of the diseased or damaged joint, wherein the corresponding surface portion includes cartilage and an osteophyte, wherein the patient-specific surface is configured to reference the osteophyte; the guide having a position and orientation relative to the patient-specific surface to provide a predetermined path for the surgical tool when the patient-specific surface is placed against the corresponding surface portion of the diseased or damaged joint such that the guide has a predetermined alignment relative to an anatomical or biomechanical axis of the diseased or damaged joint. - View Dependent Claims (60, 61, 62, 63, 64)
Specification