Device and method for determining force of a knee joint

• US 9,538,953 B2
• Filed: 09/20/2013
• Issued: 01/10/2017
• Est. Priority Date: 03/31/2009
• Status: Active Grant

• Current Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Original Assignee: Depuy Ireland Unlimited Company (Johnson & Johnson)
• Inventors: Sherman, Jason T., Rock, Michael J., Ruhling, Marc E.
• Primary Examiner(s): Stout, Michael C
• Application Number:
  US14/033,017
• Publication Number:
  US 20140018707A1
• Time in Patent Office: 1,208 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2560/0431 Portable apparatus, e.g. comprising a handle or case
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 2562/046 in a matrix array
• 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 5/1076 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 5/7445 Display arrangements, e.g. multiple display units
• CPC Class Codes: A61F 2/32 for the hip
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2/40 for shoulders
• CPC Class Codes: A61F 2/4202 for ankles
• CPC Class Codes: A61F 2/44 for the spine, e.g. vertebrae, spinal discs
• 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

Abstract

An orthopaedic surgical device for determining the joint force of a patient'"'"'s knee joint includes a tibial paddle shaped to be positioned in the patient'"'"'s knee joint and a handle extending from the tibial paddle. The tibial paddle includes a sensor array positioned therein and configured to generate sensor signals indicative of the joint force of the patient'"'"'s knee joint. The orthopaedic surgical device also includes a control circuit configured to control a display located on the handle to provide a visual indication of the medial and lateral balance of the joint force.

Claims

1. A joint distractor for distracting a patient'"'"'s knee joint, the joint distractor comprising:

a cradle extending in a longitudinal direction, the cradle being configured to receive and secure a sensor module;

a first distractor component including a first body movably coupled to a first side of the cradle and a first tibial paddle and a first femoral paddle that extend from the first body the longitudinal direction, the first tibial paddle being configured to contact a tibial paddle of the sensor module when the sensor module is positioned in the cradle and the first femoral paddle being configured to contact a distal end of a femur of a patient when the joint distractor is positioned in the patient'"'"'s knee joint between the patient'"'"'s tibia and femur;

the first femoral paddle being movable with respect to the first tibial paddle to define a first displacement between the patient'"'"'s tibia and femur; and

a second distractor component including a second body movably coupled to a second side of the cradle and a second tibial paddle and a second femoral paddle that extend from the second body the longitudinal direction, the second tibial paddle being configured to contact the tibial paddle of the sensor module when the sensor module is positioned in the cradle and the second femoral paddle being configured to contact the distal end of the femur of the patient when the joint distractor is positioned in the patient'"'"'s knee joint between the patient'"'"'s tibia and femur, the second femoral paddle being movable with respect to the second tibial paddle to define a second displacement between the patient'"'"'s tibia and femur;

wherein the first distractor component and the second distractor component are movable with respect to the cradle in the longitudinal direction to permit selectively extending one of the distractor components beyond the other distractor component in the longitudinal direction.

2. The joint distractor of claim 1, wherein the cradle includes a locking mechanism to secure the sensor module in the cradle.

3. The joint distractor of claim 1, wherein:

the first distractor component includes (i) a first pair of handles coupled to the first tibial paddle and the first femoral paddle and (ii) a first locking mechanism positioned on an end of the first pair of handles, the first locking mechanism being operable to lock the first tibial paddle and the first femoral paddle in a first selected position, and

the second distractor component includes (i) a second pair of handles coupled to the second tibial paddle and the second femoral paddle and (ii) a second locking mechanism positioned on an end of the second pair of handles, the second locking mechanism being operable to lock the second tibial paddle and the second femoral paddle in a second selected position.

4. The joint distractor of claim 1, wherein:

the first tibial paddle and the first femoral paddle are biased in a contacting position in which the first tibial paddle contacts the first femoral paddle, and

the second tibial paddle and the second femoral paddle are biased in a contacting position in which the second tibial paddle contacts the second femoral paddle.

5. The joint distractor of claim 1, wherein the cradle includes a first locking mechanism to secure the first distractor component at a first selected position relative to the cradle and a second locking mechanism to secure the second distractor component at a second selected position relative to the cradle.

6. The joint distractor of claim 5, wherein:

the first distractor component includes a first mounting bar extending from the first body,

the second distractor component includes a second mounting bar extending from the second body,

the first locking mechanism engages the first mounting bar to maintain the first distractor component in position relative to the cradle, and

the second locking mechanism engages the second mounting bar to maintain the second distractor component in position relative to the cradle.

7. The joint distractor of claim 6, wherein:

a first window is defined in the cradle,

a second window is defined in the cradle,

the first mounting bar includes a first visual indicator visible through the first window to indicate the position of the first distractor component, and

the second mounting bar includes a second visual indicator visible through the second window to indicate the position of the second distractor component.

8. The joint distractor of claim 1, wherein an opening is defined in a bottom of the cradle and is sized to receive a handle of the sensor module.

9. The joint distractor of claim 1, wherein each of the first tibial paddle and the second tibial paddle has a shape that is at least partially circular and is configured to match a shape of corresponding pressure sensors of the sensor module.

10. An orthopaedic surgical instrument for distracting a patient'"'"'s knee joint, the orthopaedic surgical instrument comprising:

a first distractor component including a first body and a first tibial paddle and a first femoral paddle that extend from the first body in an outwardly direction along a longitudinal axis, the first femoral paddle being movable with respect to the first tibial paddle to define a first displacement between the first femoral paddle and the first tibial paddle,

a second distractor component coupled to the first distractor component and including a second body and a second tibial paddle and a second femoral paddle that extend from the second body in the outwardly direction, the second femoral paddle being movable with respect to the second tibial paddle to define a second displacement between the second femoral paddle and the second tibial paddle, and

a cradle positioned between the first distractor and the second distractor, the cradle extending parallel to the longitudinal axis and being configured to receive a sensor module,

wherein the first distractor component and the second distractor component are movable with respect to one another along the longitudinal axis to permit selective extension of one of the first distractor component and the second distractor component beyond the other of the first distractor component and the second distractor component in the outwardly direction.

11. The orthopaedic surgical instrument of claim 10, wherein the first distractor component extending along a first longitudinal axis and the second distractor component extending along a second longitudinal axis that extends parallel to the first longitudinal axis.

12. The orthopaedic surgical instrument of claim 11, wherein:

the first distractor component is coupled to a first side of the cradle and movable along the first longitudinal axis relative to the cradle, and

the second distractor component is coupled to a second side of the cradle opposite the first side and movable along the second longitudinal axis relative to the cradle.

13. The orthopaedic surgical instrument of claim 12, wherein the cradle is configured to position a housing of the sensor module on a third longitudinal axis that extends parallel to the first longitudinal axis.

14. The orthopaedic surgical instrument of claim 13, further comprising the sensor module, the sensor module being configured to determine a force between a patient'"'"'s tibia and femur when the joint distractor is positioned in the patient'"'"'s knee joint between the patient'"'"'s tibia and femur,

wherein the cradle secures the sensor module in a seated position in which the first tibial paddle and the second tibial paddle contact a tibial paddle of the sensor module and the first femoral paddle and the second femoral paddle are movable relative to the sensor module.

15. The orthopaedic surgical instrument of claim 14, wherein:

the first distractor component comprises a first pair of paddles including the first tibial paddle and the first femoral paddle and a first pair of handles coupled to the first pair of paddles and operable to move the first femoral paddle away from the first tibial paddle,

the second distractor component comprises a second pair of paddles including the second tibial paddle and the second femoral paddle and a second pair of handles coupled to the second pair of paddles and operable to move the second femoral paddle away from the second tibial paddle,

the first tibial paddle and the first femoral paddle are biased in a contacting position in which the first tibial paddle contacts the first femoral paddle, and

the second tibial paddle and the second femoral paddle are biased in a contacting position in which the second tibial paddle contacts the second femoral paddle.

16. The orthopaedic surgical instrument of claim 15, wherein:

the first femoral paddle is movable with respect to the first tibial paddle along an axis perpendicular to the longitudinal axis, and

the second femoral paddle is movable with respect to the second tibial paddle along the axis perpendicular to the longitudinal axis.

17. A joint distractor for distracting a patient'"'"'s joint, the joint distractor comprising:

a first distractor component including a first body and a first inferior paddle and a first superior paddle that extend from the first body in an outwardly direction along a longitudinal axis, the first superior paddle being movable with respect to the first inferior paddle to define a first displacement between the first superior paddle and the first inferior paddle,

a second distractor component coupled to the first distractor component and including a second body and a second inferior paddle and a second superior paddle that extend from the second body in the outwardly direction, the second superior paddle being movable with respect to the second inferior paddle to define a second displacement between the second superior paddle and the second inferior paddle, and

a sensor module configured to indicate a force applied to the sensor module, the sensor module including a handle positioned between the first distractor component and the second distractor component,

wherein the first distractor component and the second distractor component are movable with respect to one another along the longitudinal axis to permit selectively extending one of the distractor components beyond the other distractor component along the longitudinal axis.

18. The joint distractor of claim 17, further comprising a cradle that receives and secures the sensor module, wherein:

the first distractor component is coupled to a first side of the cradle and contacts the sensor module and a bone of the patient when the joint distractor is positioned in the patient'"'"'s joint,

the second distractor component is coupled to a second side of the cradle opposite the first side and contacts the sensor module and the bone of the patient when the joint distractor is positioned in the patient'"'"'s joint, and

the first distractor component and the second distractor component are movable with respect to the cradle along the longitudinal axis.

19. The joint distractor of claim 18, wherein the cradle includes a locking mechanism that secures the sensor module in the cradle.

20. The joint distractor of claim 18, wherein the cradle includes a first locking mechanism that secures the first distractor component at a first selected position along the longitudinal axis and a second locking mechanism that secures the second distractor component at a second selected position along the longitudinal axis.