System and method for manufacturing arthroplasty jigs

• US 8,968,320 B2
• Filed: 06/05/2012
• Issued: 03/03/2015
• Est. Priority Date: 12/18/2007
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Otismed Corporation (Stryker Corporation)
• Inventors: Park, Ilwhan, Howell, Stephen M.
• Primary Examiner(s): BATES, DAVID W
• Application Number:
  US13/488,505
• Publication Number:
  US 20120310400A1
• Time in Patent Office: 1,001 Days
• Field of Search: 606/88
• US Class Current: 606/88
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/1739 specially adapted for particular parts of the body
• CPC Class Codes: A61B 17/1742 for the hip
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/58 for osteosynthesis, e.g. bone plates, screws , setting implements or the like A61B17/14, A61B17/16 take precedence
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/4514 Cartilage
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 6/03 Computed tomography [CT] echo-tomography A61B8/14

Abstract

Disclosed herein is a method of computer generating a three-dimensional surface model of an arthroplasty target region of a bone forming a joint. The method may include: generating two-dimensional images of at least a portion of the bone; generating an open-loop contour line along the arthroplasty target region in at least some of the two-dimensional images; and generating the three-dimensional model of the arthroplasty target region from the open-loop contour lines.

Claims

1. A method of manufacturing an arthroplasty cutting guide, the method comprising:

a) obtaining images of a patient joint bone selected for an arthroplasty procedure that were generated by a medical imaging machine;

b) transferring the images to a computer;

c) using the computer to define first contour lines along a target region in the images corresponding to a portion of the patient joint bone to undergo the arthroplasty procedure, the first contour lines extending along contours of an outer cartilage surface in an articular area of the target region;

d) using the computer to define from the first contour lines a mating region of the arthroplasty cutting guide and to convert the mating region into first production file data;

e) using the computer to define second contour lines along the target region, the second contour lines extending along contours of an outer cortical bone surface in the articular area of the target region;

f) using the computer to define from the second contour lines a resection plane of the arthroplasty cutting guide and to convert the resection plane into second production file data;

g) using the computer to positionally coordinate the first production file data and the second production file data with respect to each other; and

h) transferring the positionally coordinated first production file data and second production file data to an automated manufacturing machine that uses the positionally coordinated first production file data and second production file data to manufacture the arthroplasty cutting guide to have the mating region and the resection plane.

2. The method of claim 1, wherein the medical imaging machine includes an MRI or CT machine, the automated manufacturing machine includes a CNC machine, and the patient joint bone includes a bone of a knee, elbow, wrist, ankle, shoulder, hip or vertebrae interface.

3. The method of claim 1, wherein the first contour lines are defined to extend along contours of the outer cartilage surface and an outer cortical bone surface in the target region.

4. The method of claim 3, wherein the second contour lines are defined to extend along contours of the outer cortical bone surface in the target region and not an outer cartilage surface.

5. The method of claim 1, wherein step f) includes superimposing an articular surface of a three-dimensional computer model of an implant with an articular surface of a three-dimensional bone model generated from the second contour lines.

6. The method of claim 1, wherein step f) includes superimposing data associated with an articular area of an implant to be used in the arthroplasty procedure with data associated with the second contour lines in the articular area of the target region.

7. A method of manufacturing an arthroplasty cutting guide, the method comprising:

a) obtaining image data of a patient joint bone selected for an arthroplasty procedure that was generated by a medical imaging machine;

b) transferring the image data to a computer;

c) identifying a target region in the image data corresponding to a portion of the patient joint bone to undergo the arthroplasty procedure;

d) using the computer to define from the image data a mating region of the arthroplasty cutting guide, the mating region having surface contours that are generally negatives of corresponding contours of the target region as the target region exists in a degenerated state leading to the arthroplasty procedure;

e) using the computer to convert the mating region into first production file data;

f) using the computer to define from the image data a representation of the target region in a pre-degenerated state;

g) using the computer to define from the representation a location of a resection plane of the arthroplasty cutting guide;

h) using the computer to convert the location of the resection plane into second production file data; and

i) using the computer to positionally coordinate the first production file data and the second production file data with respect to each other; and

j) transferring the positionally coordinated first production file data and second production file data to an automated manufacturing machine that uses the positionally coordinated first production file data and second production file data to manufacture the arthroplasty cutting guide to have the mating region and the resection plane.

8. The method of claim 7, wherein the medical imaging machine includes an MRI or CT machine, the automated manufacturing machine includes a CNC machine, and the patient joint includes a knee, elbow, wrist, ankle, shoulder, hip or vertebrae interface.

9. The method of claim 7, wherein step d) includes:

defining from the image data image contour lines extending along the target region, the image contour lines extending along contours of an outer cartilage surface in an articular area of the target region; and

using the image contour lines to define the mating region.

10. The method of claim 7, wherein step f) includes:

defining from the image data image contour lines extending along the target region, the image contour lines extending along contours of an outer cortical bone surface in the articular area of the target region; and

adjusting at least some of the image contour lines to result in the representation of the target region in the pre-degenerated state.

11. The method of claim 10, wherein the representation of the target region includes a computer generated restored bone model.

12. The method of claim 11, wherein step g) includes superimposing an articular surface of a computer model of an implant with an articular surface of the computer generated restored bone model.

13. The method of claim 10, wherein step g) includes superimposing data associated with an articular area of an implant to be used in the arthroplasty procedure with data associated with the an articular area of the representation of the target region in the pre-degenerated state.