Apparatus and methods for balancing a joint

• US 9,307,929 B2
• Filed: 09/12/2011
• Issued: 04/12/2016
• Est. Priority Date: 09/12/2011
• Status: Active Grant

• Current Assignee: Scripps Health
• Original Assignee: Scipps Health
• Inventors: Colwell, Clifford W. Jr., D'Lima, Darryl David
• Primary Examiner(s): DUKERT, BRIAN AINSLEY
• Application Number:
  US13/230,583
• Publication Number:
  US 20130066432A1
• Time in Patent Office: 1,674 Days
• Field of Search: 623/18.11
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1664 for the hip
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1682 for the foot or ankle
• CPC Class Codes: A61B 17/1684 for the shoulder
• CPC Class Codes: A61B 17/1686 for the hand or wrist
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2034/254 being adapted depending on the stage of the surgical procedure
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2562/04 Arrangements of multiple sensors of the same type
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• 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 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4585 Evaluating the knee
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/461 : of knees
• CPC Class Codes: A61F 2/4657 : Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/4666 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/4668 : for measuring angles
• CPC Class Codes: A61F 2002/4688 : having operating or control means

Abstract

An apparatus includes a first portion configured to be coupled to a first bony structure and a second portion configured to be coupled between the first portion and a second bony structure. The second bony structure is disposed opposite the first bony structure. The apparatus further includes a transducer coupled between the first portion and the second portion.

Claims

1. A system for joint surgery, the system comprising:

a removable implant including a first portion and a second portion spaced apart from the first portion, the removable implant configured to be temporarily disposed within a joint such that the first portion is adjacent a first bony structure of the joint and the second portion disposed between the first portion and a second bony structure of the joint, configured to be coupled to a first bony structure;

the removable implant including a transducer disposed within a volume between the first portion and the second portion, the transducer configured to measure and output data related to the first portion and the second portion,

the removable implant including an actuator disposed within a volume between the first portion and the second portion, the actuator being configured to move the first portion relative to the second portion, and

a computer system coupled to the transducer and including a communications module and an output module, the communications module configured to receive the data from the transducer, the output module configured to provide a surgical recommendation to a surgeon based on the data if the joint is out of balance, the surgical recommendation selected from the group consisting of removing bone, releasing ligament, or removing ligament.

2. The system of claim 1, wherein the transducer is one transducer from a plurality of transducers, each transducer from the plurality of transducers configured to output data associated with the apparatus.

3. The system of claim 2, wherein the data includes at least one of force data, position data, displacement data or rotation data.

4. The system of claim 2, wherein the transducer is configured to output the data during a surgical procedure.

5. The system of claim 1, further comprising a mount coupled to the first portion, the mount configured to be coupled to the first bony structure.

6. The system of claim 2, wherein the mount is removably coupled to the first portion.

7. The system of claim 1, further including an intermediate portion, disposed between the first portion and the second portion, configured to restrict the movement of the first portion relative to the second portion.

8. The system of claim 7, wherein the intermediate portion is one of a post, a bearing or a gasket.

9. The system of claim 1, further including a flexible member, disposed between the first portion and the second portion, configured to limit a movement of the first portion relative to the second portion.

10. The system of claim 1, wherein at least one of the transducer or the actuator includes a fixed portion coupled to one of the first portion or the second portion, and a movable portion coupled to the other of the first portion or the second portion and movable relative to the fixed portion.

11. The system of claim 1, wherein the first bony structure and the second bony structure include one of (1) a portion of a tibia and a portion of a femur, (2) a portion of a humerus and a portion of a scapula, (3) a portion of a femur and a portion of a pelvis, (4) a portion of a vertebra and a portion of an adjacent vertebra, (5) a portion of a humerus, and a portion of an ulna, (6) a portion of a tibia and a portion of a talus (7) a portion of a radius or an ulna and a bone of the hand, or (8) a first bone of a finger and a second bone of a finger.

12. The system of claim 1, wherein at least one of the transducer or the actuator includes a fixed portion fixedly coupled to one of the first portion or the second portion, and a movable portion slidably coupled to the other of the first portion or the second portion and movable relative to the fixed portion.

13. The apparatus system of claim 1, wherein the proposed surgical procedure surgical recommendation is one of removing a connective tissue or changing an angle of a bone cut.

14. The system of claim 1, wherein the removable implant further includes an intermediate portion fixedly coupled to the first portion and movably coupled to the second portion via a bearing, the intermediate portion configured to define movement of the first portion relative to the second portion.