Systems and methods for providing alignment in total knee arthroplasty

• US 9,955,983 B2
• Filed: 03/21/2017
• Issued: 05/01/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Arthromeda, Inc.
• Original Assignee: Arthromeda, Inc.
• Inventors: Aghazadeh, Mehran S.
• Primary Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US15/465,551
• Publication Number:
  US 20170252050A1
• Time in Patent Office: 406 Days
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61F 2/4657 Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2002/4632 using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2002/4633 for selection of endoprosthetic joints or for pre-operative planning
• CPC Class Codes: A61F 2002/4668 for measuring angles

Abstract

Systems and methods for providing alignment in total knee arthroplasty operations are provided herein. The systems and methods generally include a plurality of sensors coupled to a patient'"'"'s bones or other surgical tools, the sensors detect their position and orientation in space and communicate this information to a processor. The processor can utilize the information to display data to a surgeon or other user regarding the position, angle, and alignment of a patient'"'"'s bones, surgical tools, and the reconstructed knee joint.

Claims

1. A computer implemented method for aligning a cutting guide for a total knee arthroplasty in a patient using a processing unit comprising a computer processor coupled to a non-transitory memory, a receiver, and a display, the method comprising:

i) receiving by the processing unit orientation data wirelessly from a first bone sensor attached to the patient'"'"'s first bone;

ii) receiving by the processing unit orientation data wirelessly from a first bone guide sensor, the first bone guide sensor being attached to a first bone guide that includes probes for interfacing with the first bone in a known geometry;

iii) calculating by the processing unit, based on the orientation data from the first bone guide sensor and the first bone sensor, angular offsets that calibrate the first bone sensor'"'"'s orientation data to reflect the orientation of the mechanical axis of the first bone;

iv) receiving by the processing unit orientation data wirelessly from a first bone cutting guide sensor that is attached to a first bone cutting guide that is connected to the patient;

v) displaying by the processing unit to a user a difference between the orientation of the mechanical axis of the first bone and the orientation of the first bone cutting guide;

vi) receiving by the processing unit orientation data wirelessly from a second bone sensor attached to the patient'"'"'s second bone;

vii) receiving by the processing unit orientation data wirelessly from a second bone guide sensor, the second bone guide sensor being attached to a second bone guide that includes probes for interfacing with the second bone in a known geometry;

viii) calculating by the processing unit, based on the orientation data from the second bone guide sensor and the second bone sensor, angular offsets that calibrate the second bone sensor'"'"'s orientation data to reflect the orientation of the mechanical axis of the second bone;

ix) receiving by the processing unit orientation data wirelessly from a second bone cutting guide sensor that is attached to a second bone cutting guide that is connected to the patient; and

x) displaying by the processing unit to a user a difference between the orientation of the mechanical axis of the second bone and the orientation of the second bone cutting guide.

2. The method of claim 1, wherein the first bone is a tibia.

3. The method of claim 2, wherein the first bone cutting guide is arranged to guide a cut that is oriented at a 90 degree angle to the mechanical axis of the first bone.

4. The method of claim 1, wherein the first bone is a femur.

5. The method of claim 1, wherein the first bone is a tibia and the second bone is a femur.

6. A computer implemented method for aligning a cutting guide for a total knee arthroplasty in a patient using a processing unit comprising a computer processor coupled to a non-transitory memory, a receiver, and a display, the method comprising:

i) receiving by the processing unit orientation data wirelessly from a tibia sensor attached to the patient'"'"'s tibia;

ii) receiving by the processing unit orientation data wirelessly from a tibia guide sensor, the tibia guide sensor being attached to a tibia guide that includes probes for interfacing with the tibia in a known geometry;

iii) calculating by the processing unit, based on the orientation data from the tibia guide sensor and the tibia sensor, angular offsets that calibrate the tibia sensor'"'"'s orientation data to reflect the orientation of the mechanical axis of the tibia;

iv) receiving by the processing unit orientation data wirelessly from a tibia cutting guide sensor that is attached to a tibia cutting guide that is connected to the patient;

v) displaying by the processing unit to a user a difference between the orientation of the mechanical axis of the tibia and the orientation of the tibia cutting guide;

vi) receiving by the processing unit orientation data wirelessly from a femur sensor attached to the patient'"'"'s femur;

vii) receiving by the processing unit orientation data wirelessly from a femur guide sensor, the femur guide sensor being attached to a femur guide that includes probes for interfacing with the femur in a known geometry;

viii) calculating by the processing unit, based on the orientation data from the femur guide sensor and the femur sensor, angular offsets that calibrate the femur sensor'"'"'s orientation data to reflect the orientation of the mechanical axis of the femur;

ix) receiving by the processing unit orientation data wirelessly from a femur cutting guide sensor that is attached to a femur cutting guide that is connected to the patient; and

x) displaying by the processing unit to a user a difference between the orientation of the mechanical axis of the femur and the orientation of the femur cutting guide.

7. The method of claim 6, wherein the tibia cutting guide is arranged to guide a cut that is oriented at a 90 degree angle to the mechanical axis of the tibia.