Spinal implant measuring system and method

• US 8,888,821 B2
• Filed: 04/05/2012
• Issued: 11/18/2014
• Est. Priority Date: 04/05/2012
• Status: Active Grant

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Inventors: Rezach, William Alan, Ballard, Rodney
• Primary Examiner(s): Hoffman, Mary
• Assistant Examiner(s): NEGRELLIRODRIGUEZ, CHRISTINA
• Application Number:
  US13/440,700
• Publication Number:
  US 20130268007A1
• Time in Patent Office: 957 Days
• Field of Search: 606/86.A, 606/96, 606/99, 606/102, 606/129, 606/279
• US Class Current: 606/279
• CPC Class Codes: A61B 17/7001 Screws or hooks combined with longitudinal elements which do not contact vertebrae A61B17/7058 takes precedence
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for

Abstract

A method for measuring a spinal implant comprises the steps of: providing a device including a gauge configured to measure an angle in a measuring plane and extending to an engagement surface; disposing the engagement surface with a first selected position of an implant or an anatomy, the first selected position being disposed at a first orientation; calibrating the gauge to a zero angle measurement at the first orientation; disposing the engagement surface with a second selected position of the implant or the anatomy, the second selected position being disposed at a second orientation; and measuring an angle of the second orientation relative to the first orientation such that the gauge determines the angle relative to the zero angle measurement. Various devices are disclosed.

Claims

1. A method for measuring a spinal implant, the method comprising the steps of:

providing a device including a gauge configured to measure an angle in a measuring plane and extending to an engagement surface;

disposing the engagement surface with a first selected position of an implant or an anatomy, the first selected position being disposed at a first orientation;

calibrating the gauge to a zero angle measurement at the first orientation;

disposing the engagement surface with a second selected position of the implant or the anatomy, the second selected position being disposed at a second orientation;

measuring an angle of the second orientation relative to the first orientation such that the gauge determines the angle relative to the zero angle measurement, and

manually manipulating the anatomy to dispose the second selected position in the second orientation; and

verifying a selected contour of the implant or anatomy by comparing the measured angle to the selected contour in situ.

2. A method for measuring a spinal implant as recited in claim 1, wherein the implant is a spinal rod and further comprising the step of verifying a selected contour of the spinal rod by comparing the measured angle to the selected contour.

3. A method for measuring a spinal implant as recited in claim 1, wherein the implant is a spinal rod and further comprising the steps of

implanting the spinal rod with at least one vertebra;

verifying a selected contour of the spinal rod by comparing the measured angle to the selected contour; and

adjusting the spinal rod to the selected contour based on the measured angle.

4. A method for measuring a spinal implant as recited in claim 1, further comprising the steps of verifying a selected sagittal balance of the anatomy relative to the implant and an anatomy interface by comparing the measured angle to the selected sagittal balance.

5. A method for measuring a spinal implant as recited in claim 1, wherein the step of providing includes an end portion having a U-shaped channel configured to receive the implant.

6. A method for measuring a spinal implant as recited in claim 5, wherein the U-shaped channel includes engagement points for engaging the implant to measure the angle.

7. A method for measuring a spinal implant as recited in claim 1, wherein the step of providing includes an end portion having an opening configured to laterally receive the implant for engaging the implant to measure the angle.

8. A method for measuring a spinal implant as recited in claim 7, wherein the opening includes engagement points for engaging the implant to measure the angle.

9. A method for measuring a spinal implant as recited in claim 1, wherein the implant is a spinal rod and further comprising the steps of:

derotating the vertebrae a selected amount of axial derotation; and

verifying the amount of axial derotation by comparing the measured angle to the selected amount of axial derotation.

10. A method for measuring a spinal implant as recited in claim 9, wherein the second orientation is an apex of a scoliosis curve, and further comprising the step of verifying the amount of axial derotation by comparing the measured angle to the selected amount of axial derotation.

11. A method for measuring a spinal implant as recited in claim 1, wherein the step of providing includes a position sensor mounted on the device, and further comprising the step of determining a position of the device at the second selected position in the second orientation.

12. A method for measuring a spinal implant as recited in claim 11, wherein the gauge includes an output device, and further comprising the step of establishing communication between the output device and a remote device to report the measured angle.

13. A method for measuring a spinal implant geometry, the method comprising the steps of:

surgically treating a spine disorder including connecting a spinal rod at an interface with vertebrae in a predetermined orientation;

providing a gauge extending to an engagement surface, the engagement surface defining an implant cavity configured for disposal of the spinal rod;

disposing the engagement surface with a first selected position of the spinal rod such that the spinal rod is disposed in the implant cavity, the first selected position being disposed at a first orientation of the spinal rod;

calibrating the gauge to a zero angle measurement at the first orientation;

disposing the engagement surface with a second selected position of the spinal rod such that the spinal rod is disposed in the implant cavity, the second selected position being disposed at a second orientation of the spinal rod;

measuring an angle of the second orientation relative to the first orientation such that the gauge determines the angle relative to the zero angle measurement;

adjusting the spinal rod based on the comparison of the angle to the predetermined orientation;

derotating the vertebrae a selected amount of axial derotation; and

verifying the amount of axial derotation by comparing the measured angle to the selected amount of axial derotation.

14. A method for measuring a spinal implant rod as recited in claim 13, wherein the predetermined orientation includes a selected contour of the spinal rod and the step of comparing further includes verifying the selected contour by comparing the measured angle with the selected contour in situ.

15. A method for measuring a spinal implant as recited in claim 13, wherein the predetermined orientation includes a selected sagittal balance at the interface and the step of comparing further includes verifying the selected sagittal balance by comparing the measured angle with the selected sagittal balance.

16. A method for measuring a spinal implant as recited in claim 13, wherein the second orientation is an apex of a scoliosis curve, and further comprising the step of verifying the amount of axial derotation by comparing the measured angle to the selected amount of axial derotation.