Simulated bone or tissue manipulation

• US 9,921,276 B2
• Filed: 09/19/2013
• Issued: 03/20/2018
• Est. Priority Date: 08/11/2006
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Frigg, Robert, Weikei, Stuart, Schwer, Stefan, Flexner, Geoffrey, Hamel, Ross Jonathan
• Primary Examiner(s): Dieterle, Jennifer
• Assistant Examiner(s): BOR, HELENE CATHERINE
• Application Number:
  US14/032,195
• Publication Number:
  US 20140051980A1
• Time in Patent Office: 1,643 Days
• CPC Class Codes: A61B 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 2090/3912 Body cavities
• CPC Class Codes: A61B 2090/3929 Active markers
• CPC Class Codes: A61B 2090/3958 emitting a signal
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• 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 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/7405 using sound
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/52 Devices using data or image processing specially adapted for radiation diagnosis
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/52 Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves image processing per se G06T
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 : Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61C 19/04 : Measuring instruments specially adapted for dentistry A61C5/44 takes precedence; testing vitality of teeth A61B5/0534; radiation diagnosis specially adapted for dentistry A61B6/51
• CPC Class Codes: G01R 33/285 : Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR
• CPC Class Codes: G01R 33/5608 : Data processing and visualization specially adapted for MR, e.g. for feature analysis and pattern recognition on the basis of measured MR data, segmentation of measured MR data, edge contour detection on the basis of measured MR data, for enhancing measured MR data in terms of signal-to-noise ratio by means of noise filtering or apodization, for enhancing measured MR data in terms of resolution by means for deblurring, windowing, zero filling, or generation of gray-scaled images, colour-coded images or images displaying vectors instead of pixels image data processing or generation, in general G06T
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders

Abstract

A tissue manipulation system includes Programmable Markers configured to be implanted on opposite sides of one or more portions of tissue within a patient'"'"'s body, Markers communicating with one another to enable a determination of their relative positions and External Device receiving and transmitting signals to Markers containing information as to Marker'"'"'s positions. Device is configured to: capture an image of the tissue portions with Markers; manipulate the image of the tissue portions in a virtual environment or a simulated environment to a desired restored orientation; determine desired positions Markers will have when the tissue portions are in the desired restored orientation; program implanted Markers with the desired orientations. Device generates an indicator signal upon Markers being manipulated into the desired orientations; and manipulate the tissue portions after Markers have been programmed, until an indicator signal is generated indicating that the desired restored orientation has been substantially achieved.

Claims

1. A system for performing tissue manipulation, comprising:

programmable markers configured to be implanted on opposite sides of one or more portions of tissue within a patient'"'"'s body, the markers configured to communicate with one another to enable a determination of their relative positions; and

an external device configured to receive and transmit signals to the markers containing information as to the marker'"'"'s positions, the external device further configured to;

capture an image of the tissue portions with the markers attached thereto;

manipulate the image of the tissue portions in one of a virtual environment and a simulated environment to a desired restored orientation;

determine desired positions the markers will have when the tissue portions are in the desired restored orientation;

program the implanted markers with the desired orientations; and

generate an indicator signal upon the markers being manipulated into the desired orientations.

2. The system according to claim 1 wherein the markers are passive markers.

3. The system according to claim 1, wherein the communication during the procedure between the markers is continuously performed.

4. The system according to claim 1, wherein the external device further includes a detection device configured to monitor the position of the markers.

5. The system according to claim 4, wherein the detection device is configured to determine when the markers have arrived at the desired restored orientation.

6. The system according to claim 4, wherein the detection device is configured to transmit the indicator signal.

7. The system according to claim 1, wherein the tissue portions are fragments of bone, the system further comprising a fracture fixation device configured to be implanted to the bone fragments after the desired restored orientation has been achieved to maintain the desired restored orientation.

8. The system according to claim 1, wherein the indicator signal is auditory.

9. The system according to claim 1, wherein the image is captured using a method selected from the group consisting of x-ray, three dimensional x-ray, computed tomography, magnetic resonance imaging and ultrasound.

10. A system for performing bone fragment manipulation, comprising:

first and second programmable markers configured to be implanted on first and second fragments of bone, respectively, the first and second markers configured to communicate with one another to determine their position relative to one another; and

an external device configured to receive and transmit signals to the first and second markers containing information as to the positions of the first and second markers, the external device further configured to;

capture an image of the first and second bone fragments with the first and second markers attached thereto;

manipulate the image of the bone fragments in one of a virtual environment and a simulated environment to a desired restored orientation;

determine desired positions the first and second markers will have when the bone fragments are in the desired restored configuration; and

provide an indicator signal when the bone fragments have been manipulated such that the positions of the first and second markers corresponds to the desired positions of the first and second markers.

11. A system for performing bone fragment manipulation, comprising:

first and second programmable markers configured to be implanted and associated on opposite sides of a fragment of bone, wherein the markers are configured to communicate with one another to determine their positions relative to one another; and

an external device configured to receive from and transmit signals to the first and second markers, the signals containing information as to the positions of the first and second markers, the external device further configured to;

acquire an image of the bone fragments;

manipulate the image of the bone fragments in one of a virtual environment and a simulated environment until the bone fragments have achieved a desired restored configuration;

determine desired positions the first and second markers will have when the bone fragments are in the desired restored configuration;

program the external device with the desired positions of the first and second markers; and

generate an indicator signal when it is determined that the orientation of the first and second markers substantially corresponds with the desired positions of the first and second markers.