Patient-specific acetabular alignment guides

• US 9,913,734 B2
• Filed: 09/16/2016
• Issued: 03/13/2018
• 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: White, John R., Perry, Lance Dean, Smith, Aaron P., Meridew, Jason D., Morrison, Bryan, Slone, W. Jason, Witt, Tyler D., Bollinger, Mark A., Metzger, Robert
• Primary Examiner(s): HANNA, SAMUEL SALEEB
• Application Number:
  US15/267,714
• Publication Number:
  US 20170000626A1
• Time in Patent Office: 543 Days
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 2017/922 Devices for impaction, impact element
• 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 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• 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 2/3603 implanted without ablation of the whole natural femoral head endoprosthetic cartilage A61F2/30756
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2002/30617 Visible markings for adjusting, locating or measuring
• CPC Class Codes: A61F 2002/4633 for selection of endoprosthetic joints or for pre-operative planning
• CPC Class Codes: A61F 2002/4662 for measuring penetration depth
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2002/4687 Mechanical guides for implantation instruments
• CPC Class Codes: A61F 2250/0097 Visible markings, e.g. indicia
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

An acetabular device includes a patient-specific acetabular alignment guide including a bone engagement surface. The bone engagement surface has a first portion configured and shaped to be conforming and complementary to an acetabular rim surface and a second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of a patient. The acetabular alignment guide includes a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough. The bone engagement surface and the plurality of guiding formations are prepared from a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from a scan of the patient.

Claims

1. An acetabular device comprising:

a patient-specific acetabular alignment guide including;

a bone engagement surface having first and second portions, the first portion configured and shaped to be conforming and complementary to an acetabular rim surface of a specific patient and the second portion configured and shaped to be conforming and complementary to a periacetabular area of an acetabulum of the specific patient in accordance with a three-dimensional periacetabular area of a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from an image scan of the patient, wherein the first portion completely extends around the entire inner rim surface to define an opening such that the entire acetabulum is accessible through the first portion, and the second portion completely extends around the entire periacetabular area; and

a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough, wherein the plurality of guiding formations are arranged and configured relative to the periacetabular area based on a pre-operative plan for the patient; and

a patient-specific alignment adapter couplable to an acetabular instrument, the patient-specific alignment adapter having a plurality of openings located at patient-specific locations, each of the plurality of openings configured to align with a respective one of the plurality of guiding formations;

wherein the patient-specific alignment adapter comprises first and second arms, each of the first and second arms including at least one of the plurality of openings; and

wherein the first arm and the second arm are parallel to each other.

13. The acetabular device of claim 1, wherein the plurality of guiding formations are arranged and configured parallel to a patient-specific acetabular centering axis extending through a center of the acetabulum based on a pre-operative plan for the patient.

14. The acetabular device of claim 1, wherein the patient-specific alignment adapter includes a quick-connection component for receiving the acetabular instrument.

15. The acetabular device of claim 14, wherein the quick-connection component comprises a through-bore for receiving a shaft of a patient-specific reamer.

16. The acetabular device of claim 14, wherein the quick-connection component comprises one of a snap-fit, a threadable socket and a bayonet coupling for receiving a non-custom reamer.

2. An acetabular device comprising:

an annular acetabular guide including;

a first surface and a second surface opposite to the first surface, the first surface being patient-specific and made to conform to an acetabular rim surface around an acetabulum of a patient in accordance with a three-dimensional acetabular rim surface of a three-dimensional image of the acetabulum of the patient;

an inner surface including an opening configured to allow access to the acetabulum; and

first and second guide formations configured to extend through the annular acetabular guide outside the acetabular rim surface, the first and second guide formations located at patient-specific locations around the acetabular rim surface; and

a patient-specific adapter having first and second guiding openings located at patient-specific locations and configured to align with the first and second guide formations, and having a quick-connection component for coupling to an acetabular instrument that permits transmission of rotational force from a first component of the acetabular instrument to a second component of the acetabular instrument;

wherein the patient-specific adapter comprises;

a first arm having the first guiding opening; and

a second arm having the second guiding opening;

wherein the first arm and the second arm are parallel to each other.

3. The device of claim 2, in combination with the acetabular instrument.

4. The device of claim 3, wherein the acetabular instrument comprises an acetabular reamer and a shaft comprising the first and second components of the acetabular instrument, respectively, wherein the acetabular reamer and the shaft are configured to be connected at the quick-connection component.

5. The acetabular device of claim 2, wherein the first and second arms are integral to each other.

6. The acetabular device of claim 2, wherein the first and second arms are independently rotatable relative to the quick-connection component about a common axis of rotation.

7. The acetabular device of claim 6, wherein the acetabular guide includes a third guide formation.

8. The acetabular device of claim 2, wherein the quick-connection component comprises a quick-coupling opening through the first arm and the second arm.

9. The acetabular device of claim 8, wherein the acetabular instrument comprises a reamer having a shaft extending through the quick-coupling opening.

10. The acetabular device of claim 2, wherein the quick-connection component comprises one of a snap-fit, a threadable socket and a bayonet coupling.

11. The acetabular device of claim 10, wherein the acetabular instrument comprises a hemispherical reamer.

12. The acetabular device of claim 2, wherein:

the inner surface is configured to be located around a patient-specific centering axis;

the quick-connection component is configured to be co-axially aligned with the patient-specific centering axis;

the first and second guide formations and the first and second guiding openings are configured to be disposed parallel to the patient-specific centering axis; and

the first and second guide formations are configured to be co-axial with the first and second guiding openings, respectively.

17. An acetabular device comprising:

a patient-specific acetabular alignment guide comprising;

a first portion for aligning with and conforming in three dimensions to an acetabular rim surface of a specific patient;

a second portion for aligning with and conforming in three dimensions to a periacetabular area of the specific patient;

an opening in the first portion having an axis configured for aligning with a patient-specific acetabular centering axis extending therethrough; and

a plurality of guiding formations extending through the second portion for guiding a plurality of alignment pins therethrough, wherein the plurality of guiding formations are arranged and configured relative to the patient-specific centering axis based on a pre-operative plan for the patient; and

a patient-specific alignment adapter couplable to an acetabular instrument so that the acetabular instrument is co-axial with the patient-specific centering axis, the patient-specific alignment adapter having a plurality of openings located at patient-specific locations and configured to co-axially align with the plurality of guiding formations, respectively, the patient-specific alignment adapter comprising;

a first arm including a first of the plurality of openings; and

a second arm including a second of the plurality of openings;

wherein the first arm and the second arm are parallel to each other and perpendicular to the patient-specific centering axis.

18. The acetabular device of claim 17, wherein:

the first portion is configured and shaped to be conforming and complementary to the acetabular rim surface of an acetabulum of the specific patient in accordance with a three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from an image scan of the patient; and

the second portion is configured and shaped to be conforming and complementary to the periacetabular area of the acetabulum of the specific patient in accordance with the three-dimensional model of the acetabulum of the specific patient reconstructed pre-operatively from the image scan of the patient.

19. The acetabular device of claim 17, wherein the patient-specific alignment adapter is couplable to the acetabular instrument via a quick-connection component located on the patient-specific alignment adapter.