Spinal distraction tool for load and position measurement

• US 8,945,133 B2
• Filed: 09/23/2011
• Issued: 02/03/2015
• Est. Priority Date: 09/23/2011
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Stein, Marc, Roche, Martin, Boillot, Marc
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): DANEGA, RENEE A
• Application Number:
  US13/243,762
• Publication Number:
  US 20130079680A1
• Time in Patent Office: 1,229 Days
• Field of Search: 606/90, 606/32, 600/424
• US Class Current: 606/90
• 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 5/1036 Measuring load distribution, e.g. podologic studies
• CPC Class Codes: A61B 5/107 Measuring physical dimensions, e.g. size of the entire body or parts thereof
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/30607 Kits of prosthetic parts to be assembled in various combinations for forming different prostheses
• CPC Class Codes: A61F 2002/30616 Sets comprising a plurality of prosthetic parts of different sizes or orientations
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth
• CPC Class Codes: A61F 2002/4666 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/4667 for measuring torque
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2310/00023 Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Abstract

A spine alignment system is provided to assess load forces on the vertebra in conjunction with overall spinal alignment. The system includes a spine instrument having an electronic assembly and a sensorized head. The sensorized head can be inserted between vertebra and report vertebral conditions such as force, pressure, orientation and edge loading. A GUI is therewith provided to show where the spine instrument is positioned relative to vertebral bodies as the instrument is placed in the inter-vetebral space. The system can distract vertebrae to a first height and measure the load applied by the spine region. The GUI can indicate that the load is outside a predetermined range. The spine region can be distracted to a second height where the load is measured within the predetermined load range.

Claims

1. A method of distracting a spinal region comprising the steps of:

inserting a sensored head of a spinal instrument into a spinal region;

electronically measuring at least one of the orientation, rotation, angle, or position of the sensor head with respect to a reference position not on the spinal instrument;

positioning the sensored head until the position of a load magnitude on the sensored head as electronically measured by the sensored head is within a predetermined positional range; and

distracting the spinal region to a height where an electrical measurement of the load magnitude by the sensored head of the spinal instrument is within a predetermined load range.

2. The method of claim 1 further including the steps of:

remote monitoring loading measured by the spinal instrument; and

adjusting a height of the spinal instrument coupled to the spinal region to increase or decrease distraction of the spinal instrument until an electronically measured loading is within the predetermined load range.

3. The method of claim 2 where the step of adjusting the height includes increasing or decreasing a distraction height corresponding to heights of a prosthetic component.

4. The method of claim 3 further including a step of identifying a location in the spinal region for the prosthetic component that falls within the predetermined load range and the predetermined position range.

5. The method of claim 4 further including a step of placing the prosthetic component at the location in the spinal region.

6. The method of claim 5 further including the steps of:

comparing a trajectory of the prosthetic component to a trajectory of the spinal instrument; and

viewing the trajectories of the prosthetic component and spinal instrument on the remote system such that the prosthetic component is placed in the identified location of the spinal region along a similar trajectory as the spinal instrument.

7. The method of claim 6 further including a step of rotating a handle of the spinal instrument to change a distraction height.

8. The method of claim 6 further including a step of indicating by visual, audio, or haptic means when the load applied by the spinal region on the spinal instrument is within the predetermined load range.

9. A method of distracting a spinal region comprising the steps of:

inserting a sensored head of a spinal instrument into a spinal region;

locally and electronically measuring a load applied by the spinal region on the sensored head while the spinal region is distracted by the sensored head to a first height, and if the measured load is outside a predetermined load range indicating that the measured load is outside the predetermined load range;

measuring a position of the measured load on the sensored head; and

adjusting the spinal instrument to distract the spinal region to a second height where an electronic load measurement at the second height falls within the predetermined load range.

10. The method of claim 9 further including a step of measuring at least one of orientation, rotation, angle, or position of the inserted sensored head in the spinal region.

11. The method of claim 10 further including the steps of:

moving the spinal instrument to a different location when the position of load applied by the spinal region to the spinal instrument is outside a predetermined position range.

12. The method of claim 11 further including a step of identifying a location in the spinal region for a prosthetic component that falls within the predetermined load range and the predetermined position range.

13. The method of claim 12 further including a step of placing the prosthetic component at the location in the spinal region.

14. The method of claim 13 further including the steps of:

comparing a trajectory of the prosthetic component to a trajectory of the spinal instrument; and

viewing the trajectories of the prosthetic component and spinal instrument on a remote system such that the prosthetic component is placed in the identified location of the spinal region along a similar trajectory as the spinal instrument.

15. A method of tracking alignment and orientation of a spinal region comprising the steps of:

placing a receiver in proximity to a wand where the receiver is in a fixed position and in a line of sight of the wands, where the receiver includes at least two sensors that are configured to measure and transit ultrasonic signals, where the wand includes at least two sensors that are configured to measure and transmit ultrasonic signals;

moving the wand to an anatomic feature on a spine and registering the anatomic feature with respect to the receiver;

retrieving a 3D spine model of the spine having orientation and dimensions corresponding to the registered anatomic feature; and

identifying the location of the registered anatomic feature on the 3D spine model.

16. The method of claim 15 further including a step of attaching a plurality of wands each to a different vertebrae of a spine.

17. The method of claim 15 further including the steps of:

registering a vertebra with a wand;

attaching the wand to the vertebra;

repeating the steps of registering and attaching for different vertebra using the plurality of wands; and

retrieving a 3D vertebra model having orientation and dimensions corresponding to the registered anatomic features of each vertebra.

18. The method of claim 15 further including the step of inserting a sensored head of a measurement instrument between vertebrae of the spine and measuring loading thereon where one of orientation, rotation, angle, or position data is generated corresponding to the sensored head in relation to the vertebrae.