Dynamic knee balancer with force or pressure sensing

• US 9,572,588 B2
• Filed: 12/10/2012
• Issued: 02/21/2017
• Est. Priority Date: 02/06/2004
• Status: Active Grant

• Current Assignee: Synvasive Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Synvasive Technology Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Fisher, Michael, Hedley, Anthony K, Howard, Michael, Cordes, Kevin M, Katsuya, Toshinobu
• Primary Examiner(s): Hoffman, Mary
• Application Number:
  US13/709,506
• Publication Number:
  US 20130096567A1
• Time in Patent Office: 1,534 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1626 Control means; Display units
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61F 2/38 for elbows or knees
• CPC Class Codes: A61F 2/3859 Femoral components
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/4684 Trial or dummy prostheses
• CPC Class Codes: A61F 2002/4666 for measuring force, pressure or mechanical tension

Abstract

A device for performing a surgical procedure on a knee includes an adjustable femoral portion, a tibial portion and at least one sensor coupled with the femoral and/or tibial portions to sense pressure exerted by the femoral and tibial portions against one another. The femoral portion is adapted for removably coupling with a distal end of a femur to adjust tension in soft tissue adjacent the knee and has at least one positioning feature adapted to move relative to the distal end of the femur as the femoral portion is adjusted, thus helping position a femoral prosthetic on the distal end of the femur. The sensor(s) may be adapted to sense pressure at medial and lateral sides of the knee, and relative pressures may be displayed as data on a visual display. Adjustments to the femoral member may be made to balance pressure at flexion and extension of the knee.

Claims

1. A device for performing a surgical procedure on a knee joint, comprising:

a sensor plate for removable placement within the knee joint during the surgical procedure;

a plurality of sensors disposed within the sensor plate and configured to sense force or pressure on medial and lateral sides of the knee joint;

a processor coupled to the plurality of sensors and configured to process sensed force or pressure data into usable data; and

a visual display coupled to the processor and including separate individual medial and lateral readouts, each readout in the form of a single value expressed by one or more numerical digits, the medial readout being configured to display the usable data as a numeric representation of the sensed force or pressure on the medial side of the knee joint, the lateral readout being configured to display the usable data as a numeric representation of the sensed force or pressure on the lateral side of the knee joint.

2. The device of claim 1, further comprising:

a femoral portion couplable to a distal end of a femur; and

a tibial portion couplable to a proximal end of a tibia,

wherein the sensor plate is couplable to or integrated with the femoral portion or the tibial portion.

3. The device of claim 2, wherein the femoral portion includes at least one positioning feature providing positional information for facilitating the surgical procedure.

4. The device of claim 3, wherein the positioning feature is configured to orient at least one of a cutting guide, a surgical saw blade, a bur, a mill, a surgical navigation system, or a robotic surgical system.

5. The device of claim 3, wherein the positioning feature comprises at least one of an aperture, a drill bit guide, a surface marker, a surface feature, a measurement device, an embedded marker, a fiducial marker, a transponder, a transceiver, or a sensor.

6. The device of claim 3, wherein the positioning feature includes a plurality of apertures extending through the femoral portion.

8. The device of claim 1, wherein the medial and lateral readouts include a medial LED readout and a lateral LED readout.

9. The device of claim 1, wherein at least two of the plurality of sensors are disposed on opposite sides of the sensor plate, including one sensor on the medial side of the knee joint, during use, and one sensor on the lateral side of the knee joint, during use.

10. The device of claim 1, wherein, during use, the sensor plate is disposed at a proximal end of a tibia.

20. The device of claim 1, wherein the visual display further comprises a strap for removably attaching the visual display to a patient'"'"'s leg.

21. The device of claim 1, wherein the visual display is physically coupled to the device for performing the surgical procedure.

7. A device for performing a surgical procedure on a knee joint, comprising:

a sensor plate for removable placement within the knee joint during the surgical procedure,

a plurality of sensors disposed within the sensor plate and configured to sense force or pressure on medial and lateral sides of the knee joint;

a processor coupled to the plurality of sensors and configured to process sensed force or pressure data into usable data;

a visual display coupled to the processor and including individual medial and lateral readouts, the medial and lateral readouts, each readout in the form of a single value expressed by one or more numerical digits being configured to display the usable data as a visual representation of the sensed force or pressure on the medial and lateral sides of the knee joint, respectively;

a femoral portion couplable to a distal end of a femur, the femoral portion including at least one positioning feature providing positional information for facilitating the surgical procedure, the at least one positioning feature including a plurality of apertures extending through the femoral portion;

wherein at least one of the apertures, in the plurality of apertures, includes a bushing that moves along a slot in the femoral portion as the femoral portion is adjusted; and

a tibial portion couplable to a proximal end of a tibia, wherein the sensor plate is couplable to or integrated with the femoral portion or the tibial portion.

11. A device for performing a surgical procedure on a knee joint,

comprising:

a sensor plate for removable placement within the knee joint during the surgical procedure;

a plurality of force or pressure sensors disposed within the sensor plate and configured to sense force or pressure on medial and lateral sides of the knee; and

a visual display wirelessly coupled to the plurality of sensors and including separate individual medial and lateral readouts, each readout in the form of a single value expressed by one or more numerical digits, the medial readout being configured to display the sensed force or pressure on the medial side of the knee joint as a numeric representation, the lateral readout being configured to display the sensed force or pressure on the lateral side of the knee joint as a numeric representation.

12. The device of claim 11, further comprising:

a femoral portion couplable to a distal end of a femur; and

a tibial portion couplable to a proximal end of a tibia,

wherein the sensor plate is couplable to or integrated with the femoral portion or the tibial portion, and

wherein the femoral portion includes at least one positioning feature providing positional information for facilitating the surgical procedure.

13. The device of claim 11, wherein the medial readout and the lateral readout comprise respective medial and lateral LED readouts.

14. The device of claim 11, wherein at least two of the plurality of force or pressure sensors are disposed on opposite sides of the sensor plate, including one sensor on the medial side of the knee joint, during use, and one sensor on the lateral side of the knee joint, during use.

22. The device of claim 11, wherein the visual display further comprises a strap for removably attaching the visual display to a patient'"'"'s leg.

23. The device of claim 11, wherein the visual display is physically integrated into the device for performing the surgical procedure.

15. A device for performing a surgical procedure on a knee joint, comprising:

a tibial portion couplable to a proximal end of a tibia;

a femoral portion couplable to a distal end of a femur, the femoral portion including a plurality of apertures extending through the femoral portion;

a sensor plate for removable placement within the knee joint during the surgical procedure, the sensor plate being couplable to or integrated with the femoral portion or the tibial portion;

a plurality of sensors disposed within the sensor plate and configured to sense force or pressure on medial and lateral sides of the knee joint, at least two of the plurality of sensors being disposed on opposite sides of the sensor plate, including one sensor on the medial side of the knee joint, during use, and one sensor on the lateral side of the knee joint, during use;

a processor coupled to the plurality of sensors and configured to process sensed force or pressure data into usable data; and

a visual display coupled to the processor and including separate individual medial and lateral LED readouts, each readout in the form of a single value expressed by one or more numerical digits, the medial LED readout being configured to display the usable data as a numeric representation of the sensed force or pressure on the medial side of the knee joint, the lateral LED readout being configured to display the usable data as a numeric representation of the sensed force or pressure on the lateral side of the knee joint.

17. The device of claim 15, wherein, during use, the sensor plate is disposed at the proximal end of the tibia.

18. The device of claim 15, wherein the visual display further comprises a strap for removably attaching the visual display to a patient'"'"'s leg.

19. The device of claim 15, wherein the visual display is physically coupled to the sensor plate.

16. A device for performing a surgical procedure on a knee joint, comprising:

a tibial portion couplable to a proximal end of a tibia;

a femoral portion couplable to a distal end of a femur, the femoral portion including a plurality of apertures extending through the femoral portion;

a sensor plate for removable placement within the knee joint during the surgical procedure, the sensor plate being couplable to or integrated with the femoral portion or the tibial portion;

a plurality of sensors disposed within the sensor plate and configured to sense force or pressure on medial and lateral sides of the knee joint, at least two of the plurality of sensors being disposed on opposite sides of the sensor plate, including one sensor on the medial side of the knee joint, during use, and one sensor on the lateral side of the knee joint, during use;

a processor coupled to the plurality of sensors and configured to process sensed force or pressure data into usable data; and

a visual display coupled to the processor and including separate medial and lateral LED readouts, each readout in the form of a single value expressed by one or more numerical digits, the medial and lateral LED readouts being configured to display the usable data as a visual representation of the sensed force or pressure on the medial and lateral sides of the knee joint, respectively;

wherein at least one of the apertures, in the plurality of apertures, includes a bushing that moves along a slot in the femoral portion as the femoral portion is adjusted.