Acetabular template component and method of using same during hip arthrosplasty

• US 8,986,309 B1
• Filed: 11/03/2008
• Issued: 03/24/2015
• Est. Priority Date: 11/01/2007
• Status: Active Grant

• Current Assignee: M.D. Stephen B. Murphy
• Original Assignee: M.D. Stephen B. Murphy
• Inventors: Murphy, Stephen B.
• Primary Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US12/263,808
• Time in Patent Office: 2,332 Days
• Field of Search: 606/86.R, 606 87- 89, 606/91
• US Class Current: 606/87
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 2017/568 produced with shape and dimensions specific for an individual patient
• 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 2090/067 for measuring angles
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/3054 about a connection axis or implantation axis for selecting any one of a plurality of radial orientations between two modular parts, e.g. Morse taper connections, at discrete positions, angular positions or continuous positions
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/30948 using computerized tomography, i.e. CT scans
• CPC Class Codes: A61F 2002/30952 using CAD-CAM techniques or NC-techniques
• CPC Class Codes: A61F 2002/4687 Mechanical guides for implantation instruments

Abstract

A medical imaging device takes one or more images of the local anatomy of a patient undergoing a surgical procedure. A surface model generator receives the one or more images and generates a 3-D surface model of the patient'"'"'s anatomy. A fabrication device utilizes the 3-D surface model to fabricate a template custom designed to match the surface of the patient'"'"'s anatomy. Attached to the template is a directional guide vane. The fabrication device is configured to create a template and directional guide vane such that, when the template is fitted to the patient'"'"'s anatomy, the directional guide vane points along a predefined orientation relative to the patient'"'"'s anatomy. A physician uses the directional guide vane as a visual guide or cue for installing an implantable prosthetic component during a surgical procedure.

Claims

1. An apparatus for use during surgery on a pelvis of a patient, the apparatus comprising:

a template having a first surface shaped to mate with an outer surface of an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

a directional guide vane attached to the template, where the directional guide vane

provides a visual indication of a direction in space relative to the pelvis, when the template is fitted to the acetabulum in the single orientation, and

is adjustable relative to the template for altering the direction indicated by the directional guide vane, when the template is fitted to the acetabulum in the single orientation.

2. The apparatus of claim 1 wherein the first surface of the template fits to a rim of the acetabulum.

3. The apparatus of claim 2 wherein the template has an open interior.

4. The apparatus of claim 1 further comprising a mounting arm attached to a second surface of the template, wherein the directional guide vane is attached to the mounting arm.

5. The apparatus of claim 4 wherein the mounting arm is removably attached to the template.

6. The apparatus of claim 1 wherein the pelvis defines an anterior-pelvic (AP) plane, and the directional guide vane indicates a selected abduction angle and a selected flexion angle relative to the AP plane.

7. The apparatus of claim 1 further comprising one or more fasteners for attaching the template to the pelvis.

8. The apparatus of claim 1 in which the template is custom fabricated for a given patient.

28. The apparatus of claim 1 wherein the directional guide vane is adjustable about one or more pelvic planes.

29. The apparatus of claim 1 wherein the directional guide vane is adjustable about an anterior pelvic plane.

30. The apparatus of claim 1 wherein the directional guide vane is adjustable about an anterior pelvic plane and a plane that is normal to the anterior pelvic plane.

31. The apparatus of claim 1 further comprising

a plate attached to the template,

wherein the adjustable guide vane is pivotally mounted to the plate.

32. The apparatus of claim 31 wherein the plate includes at least one scale about which the directional guide vane is adjusted.

9. An apparatus for use during surgery on a pelvis of a patient, the apparatus comprising:

a template having a first surface shaped to mate with an outer surface of an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

a directional guide vane adapted for attachment to the template, where the directional guide vane

provides a visual indication of a direction in space relative to the pelvis when the template is fitted to the acetabulum in the single orientation, and

is adjustable relative to the template for altering the direction indicated by the directional guide vane, when the template is fitted to the acetabulum in the single orientation.

10. The apparatus of claim 9 wherein the direction of the directional guide vane indicates a selected abduction angle and a selected flexion angle relative to an anterior-pelvic (AP) plane relative to the pelvis.

11. A template for use during surgery on a pelvis of a patient, the template comprising:

a first surface shaped to mate with an outer surface of an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

means for attaching a directional guide vane to the template, where the directional guide vane

provides a visual indication of a direction in space relative to the pelvis, when the template is fitted to the acetabulum in the single orientation, and

is adjustable relative to the template for altering the direction indicated by the directional guide vane, when the template is fitted to the acetabulum in the single orientation.

12. The template of claim 11 further comprising an open interior.

13. The template of claim 11 wherein the direction of the directional guide vane indicates a selected abduction angle and a selected flexion angle relative to an anterior-pelvic (AP) plane relative to the pelvis.

14. An apparatus for use during surgery on a pelvis of a patient, the apparatus comprising:

a template having a first surface shaped to mate with an outer surface of an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation;

means for defining a plane relative to the pelvis, the defining means attachable to the template; and

a guide vane adapted for attachment to the defining means, the guide vane

providing a visual indication of a direction in space relative to the plane, when the template is fitted to the acetabulum in the single orientation, and

adjustable relative to the template for altering the direction indicated by the guide vane, when the template is fitted to the acetabulum in the single orientation.

15. The apparatus of claim 14 wherein the plane is an anterior-pelvic (AP) plane.

16. The apparatus of claim 15 wherein the defining means includes a structure aligned with the AP plane.

17. The apparatus of claim 14 wherein the defining means is either

fixed to the template, or

removably attached to the template.

18. An apparatus for use during surgery on a pelvis of a patient, the apparatus comprising:

a template having a first surface shaped to mate with an outer surface of an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

means, utilizing the template, for defining a plane relative to the pelvis; and

a directional guide vane attached to the template, where the directional guide vane

provides a visual indication of a direction in space relative to the plane, when the template is fitted to the acetabulum in the single orientation, and

is adjustable relative to the template for altering the direction indicated by the directional guide vane, when the template is fitted to the acetabulum in the single orientation.

19. The apparatus of claim 18 wherein the plane is an anterior-pelvic (AP) plane.

20. The apparatus of claim 18 wherein the first surface of the template fits to a rim of the acetabulum.

21. The apparatus of claim 18 wherein the template has an open interior.

22. An apparatus for use during a surgical operation on a pelvis of a patient, the apparatus comprising:

a template having a first surface and a second surface opposite the first surface, the first surface pre-operatively formed to mate with an acetabular rim surface around an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

a surgical guide attached to the second surface, the surgical guide adjustable relative to the template during the surgical procedure and configured to provide a visual indication in space of determined, patient-specific abduction and anteversion angles for guiding a component into the acetabulum of the patient at the determined, patient-specific abduction and anteversion angles.

23. The apparatus of claim 22 wherein the template has an open interior.

24. The apparatus of claim 22 wherein the first surface is formed based on one or more images of the acetabulum of the patent.

25. An apparatus for use during a surgical operation on a pelvis of a patient, the apparatus comprising:

a template having a first surface and a second surface opposite the first surface, the first surface pre-operatively formed to mate with an acetabular rim surface around an acetabulum of the patient, where the first surface is configured such that the template fits to the acetabulum in a single orientation; and

a surgical guide attached to the second surface, the surgical guide adjustable relative to the template and configured to provide a visual indication in space of determined, patient-specific abduction and flexion angles for guiding a component into the acetabulum of the patient at the determined, patient-specific abduction and flexion angles.

26. The apparatus of claim 25 wherein the template has an open interior.

27. The apparatus of claim 25 wherein the first surface is formed based on one or more images of the acetabulum of the patent.