Patient-specific elbow guides and associated methods

• US 9,539,013 B2
• Filed: 04/13/2015
• Issued: 01/10/2017
• Est. Priority Date: 02/27/2006
• Status: Active Grant

• Current Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Biomet Manufacturing, LLC (Zimmer Biomet Holdings, Inc.)
• Inventors: Katrana, Nicholas J., Vanasse, Thomas M., Metzger, Robert
• Primary Examiner(s): STEWART, ALVIN J
• Application Number:
  US14/684,936
• Publication Number:
  US 20150320429A1
• Time in Patent Office: 638 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/14 Surgical saws A61B17/1637 takes precedence; tooth saws A61C3/12 ; Accessories therefor
• CPC Class Codes: A61B 17/15 Guides therefor arrangements for guiding straight saw blades in general B23D51/025
• CPC Class Codes: A61B 17/151 for corrective osteotomy
• CPC Class Codes: A61B 17/152 for removing a wedge-shaped piece of bone
• 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 17/683 comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
• CPC Class Codes: A61B 17/8061 specially adapted for particular bones A61B17/70 and A61B17/74 take precedence
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 17/846 Nails or pins, i.e. anchors without movable parts, holding by friction only, with or without structured surface A61B17/72, A61B17/86 take precedence
• 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: A61F 2/3804 for elbows
• CPC Class Codes: A61F 2/46 Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2250/0097 Visible markings, e.g. indicia

Abstract

A patient-specific alignment guide includes a three-dimensional engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to a corresponding bone portion of a patient'"'"'s elbow joint. The patient-specific alignment guide defines a first longitudinal guiding bore aligned with a reference axis associated with the elbow joint of patient when the alignment guide is mounted onto the corresponding bone portion.

Claims

1. A medical device for an elbow joint comprising:

a patient-specific alignment guide including a three-dimensional engagement surface customized in a pre-operating planning stage by computer imaging to closely mate and conform to a corresponding bone portion of a patient'"'"'s elbow joint, the patient-specific-alignment guide defining a guiding bore for guiding a pin along a reference axis, wherein the reference axis is an anatomic axis of rotation of the elbow joint, the patient-specific alignment guide defining a guiding surface for guiding a blade for a bone-cut along a patient-specific resection plane, wherein the guiding bore and guiding surface are customized for the patient during a preoperative planning stage.

2. The medical device of claim 1, wherein the guiding surface is an exterior planar surface of patient-specific alignment guide.

3. The medical device of claim 1, wherein the guiding surface is a planar surface defined by an elongated through slot defined in the patient specific alignment guide.

4. The medical device of claim 1, wherein the guiding surface comprises three slots defined in the patient-specific alignment guide corresponding to three resection cuts of a distal humerus.

5. The medical device of claim 4, wherein the three slots defined in the patient-specific alignment guide correspond to distal, anterior, and posterior humeral cuts.

6. The medical device of claim 1, wherein the guiding surface comprises at least one slot defined in the patient-specific alignment guide, the slot configured for a corresponding resection cut of a distal humerus.

7. The medical device of claim 1, wherein the engagement surface is customized and configured for a corresponding lateral surface of a distal humerus.

8. The medical device of claim 7, wherein the three-dimensional engagement surface is shaped to conform to a lateral capitellum surface of the distal humerus of the elbow joint.

9. The medical device of claim 1, wherein the guiding bore is configured to be aligned with a medial/lateral anatomic axis of the elbow joint.

10. The medical device of claim 1, wherein the three-dimensional engagement surface is made to closely conform as a mirror image or negative to the corresponding bone portion of the patient'"'"'s elbow joint.

11. The medical device of claim 1, wherein the guiding bore is formed by a tubular guiding feature defining the guiding bore.

12. A medical device for an elbow joint, comprising:

a patient-specific alignment guide including a three-dimensional engagement surface customized in a pre-operating planning stage by computer imaging to be a negative of a corresponding bone portion of a patient'"'"'s elbow joint, the patient-specific alignment guide having a tubular guiding feature defining a guiding bore for guiding a pin along an anatomic axis, the patient-specific alignment guide defining a plurality of guiding slots configured for guiding a blade for a plurality of bone cuts, wherein the guiding bore and the guiding slots are customized for the patient during a pre-operative planning stage.

13. The medical device of claim 12, wherein the plurality of guiding slots includes three slots defined in the patient-specific alignment guide corresponding to distal, anterior, and posterior humeral cuts.

14. The medical device of claim 13, wherein the anatomic axis is an axis of rotation of the elbow joint.

15. The medical device of claim 14, wherein the engagement surface is customized and configured for a corresponding lateral surface of a distal humerus.

16. The medical device of claim 15, wherein the three-dimensional engagement surface is shaped to conform to a lateral capitellum surface of the distal humerus of the elbow joint.

17. A method to resect a distal humerus of an elbow joint, comprising:

positioning a patient-specific alignment guide having a three-dimensional engagement surface against a lateral surface of a distal humerus such that the engagement surface closely mates and conforms to the lateral surface of the distal humerus;

passing a pin through a guide bore defined by the patient-specific alignment guide, wherein passing the pin through the guide bore further includes passing the pin through the guide bore aligned along an anatomic axis of rotation of the elbow joint; and

guiding a blade through a patient-specific guide slot defined by the patient-specific alignment guide to cut a portion of the distal humerus.

18. The method of claim 17, wherein guiding a blade further includes guiding a blade along a first guide slot to form a distal humeral cut, a second guide slot to form an anterior humeral cut, and a third guide slot to form a posterior humeral cut.