Kinetic assessment and alignment of the muscular-skeletal system and method therefor

• US 10,335,055 B2
• Filed: 06/28/2017
• Issued: 07/02/2019
• Est. Priority Date: 03/18/2013
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Stein, Marc, Roche, Martin
• Primary Examiner(s): Gibson, Eric S
• Application Number:
  US15/636,549
• Publication Number:
  US 20180000380A1
• Time in Patent Office: 734 Days
• CPC Class Codes: A61B 17/154 for preparing bone for knee prosthesis
• 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: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/104 Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• 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 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 5/103 Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes A61B5/08 takes precedence; measuring aids for tailors A41H1/00; measuring instruments specially adapted for dentistry A61C19/04
• CPC Class Codes: A61B 5/1036 Measuring load distribution, e.g. podologic studies
• CPC Class Codes: A61B 5/1072 measuring distances on the body, e.g. measuring length, height or thickness A61B5/1076 takes precedence
• CPC Class Codes: A61B 5/1121 Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/45 For evaluating or diagnosing the musculoskeletal system or teeth A61B5/1036, A61B5/1074, A61B7/006 take precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4571 Evaluating the hip
• CPC Class Codes: A61B 5/4585 Evaluating the knee
• CPC Class Codes: A61B 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/4887 Locating particular structures in or on the body
• CPC Class Codes: A61B 5/686 : Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/3836 : Special connection between upper and lower leg, e.g. constrained
• CPC Class Codes: A61F 2/461 : of knees
• 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 2002/4658 : for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2002/4668 : for measuring angles
• CPC Class Codes: G06F 3/0481 : based on specific properties of the displayed interaction object or a metaphor-based environment, e.g. interaction with desktop elements like windows or icons, or assisted by a cursor's changing behaviour or appearance

Abstract

A system is disclosed herein for providing a kinetic assessment and preparation of a prosthetic joint comprising one or more prosthetic components. The system comprises a prosthetic component including sensors and circuitry configured to measure load, position of load, and joint alignment. The system further includes a remote system for receiving, processing, and displaying quantitative measurements from the sensors. The kinetic assessment measures joint alignment under loading that will be similar to that of a final joint installation. The kinetic assessment can use trial or permanent prosthetic components. Furthermore, adjustments can be made to the applied load magnitude, position of load, and joint alignment by various means to fine-tune an installation. The kinetic assessment increases both performance and reliability of the installed joint by reducing error that is introduced by elements that load or modify the joint dynamics not taken into account by prior assessment methods.

Claims

1. An orthopedic measurement system for kinetic assessment comprising:

a device having a surface configured to couple to a joint of a musculoskeletal system comprising at least one sensor configured to measure one or more parameters wherein the device includes a tracking system;

a computer configured to receive measurement data from the at least one sensor and the tracking system;

a display coupled to the computer, wherein the display includes a graphical user interface, wherein a memory and one or more processors are configured to execute one or more programs stored in the memory, wherein the computer is configured to receive measurement data from the at least one sensor of the device, wherein the graphical user interface includes a graphical depiction of a portion of a surface of the device that is configured to couple to the joint, wherein a contact point is displayed on the graphical depiction of the portion of the surface of the device, wherein the computer is configured to use the measurement data to calculate a contact point location on the graphical depiction of the portion of the surface of the device, and wherein the contact point is configured to move in real-time corresponding to movement of the joint.

2. The system of claim 1 wherein the display is configured to indicate a predetermined area range on the graphical depiction of the portion of the surface of the device and wherein the computer is configured to use the measurement data to calculate if the contact point is within or outside the predetermined area range.

3. The system of claim 1 wherein the device comprises:

an articular surface configured to support movement of the joint; and

a plurality of load sensors underlying the articular surface, wherein a kinetic assessment results in at one least change performed under musculoskeletal loading that produces a measurement change from the plurality of load sensors and is reflected in movement of the contact point on the display.

4. The system of claim 3 wherein the computer is configured to receive load measurement data from the plurality of load sensors and wherein the computer is configured to use the load measurement data from the plurality of load sensors to calculate the contact point on the display.

5. The system of claim 4 wherein the contact point on the display is configured to move in response to joint movement, tissue tensioning, bone cutting, shimming, or other changes that affect loading on the articular surface.

6. The system of claim 1 wherein the device is a prosthetic component of the joint.

7. The system of claim 1 wherein the computer is configured to calculate alignment from the measurement data.

8. The system of claim 1 wherein the display is configured to indicate a range of the movement of the joint or the device and wherein the graphical user interface includes a graphical depiction of at least a portion of the joint, wherein the computer is configured to track movement of the joint, and wherein the graphical depiction of the at least a portion of the joint is configured to move on the display corresponding to actual movement of the joint.

9. The system of claim 1 wherein the display is configured to display one of a bone offset relative to a mechanical axis or a total offset relative to the mechanical axis generated from the measurement data.

10. An orthopedic measurement system for kinetic assessment comprising:

a prosthetic component of a prosthetic joint comprising at least one sensor and a tracking system configured to measure a parameter, wherein the prosthetic component is configured to measure position, rotation, or slope;

a computer configured to receive measurement data from the at least one sensor and the tracking system;

a display coupled to the computer, wherein the display includes a graphical user interface, wherein a memory and one or more processors are configured to execute one or more programs stored in the memory, wherein the computer is configured to receive measurement data from the at least one sensor of the device, wherein the graphical user interface includes a graphical depiction of a portion of a surface of the prosthetic component that is configured to couple to the prosthetic joint, wherein a contact point is displayed on the graphical depiction of the portion of the surface of the prosthetic component, wherein the computer is configured to use the measurement data to calculate a contact point location on the graphical depiction of the portion of the surface of the device, and wherein the contact point is configured to move in real-time corresponding to movement of the prosthetic joint.

11. The system of claim 10 wherein the display is configured to indicate a predetermined area range on the graphical depiction of the portion of the surface of the prosthetic component, wherein the computer is configured to use the measurement data to calculate if the contact point is within or outside the predetermined area range, and wherein the computer is configured to indicate when the contact point is outside the predetermined range.

12. The system of claim 10 wherein the computer is configured to calculate alignment from the measurement data.

13. The system of claim 12 wherein the display is configured to display movement of the contact point on the portion of the surface on the display as a result of the prosthetic joint movement, prosthetic component movement, tissue tensioning, bone cutting, shimming the prosthetic component, or changes in loading on the surface of the prosthetic component.

14. The system of claim 10 wherein the prosthetic component is configured to be rotated, wherein the computer is configured to calculate rotation of the prosthetic component from a reference position from the measurement data, and wherein the display is configured to indicate degrees of rotation from the reference position of the prosthetic component.

15. The system of claim 10 wherein the display is configured to indicate a range of the movement of the prosthetic joint or the prosthetic component and wherein the graphical user interface includes a graphical depiction of at least a portion of the prosthetic joint, wherein the computer is configured to track movement of the prosthetic joint, and wherein the graphical depiction of the at least a portion of the prosthetic joint is configured to move on the display corresponding to actual movement of the prosthetic joint.

16. The system of claim 10 wherein the display can indicate a predetermined area range on the portion of the surface on the display and wherein the display is configured to indicate if the contact point is within or outside the predetermined area range at a glance.

17. An orthopedic measurement system for kinetic assessment comprising:

a device having a surface configured to couple to a joint of a musculoskeletal system comprising at least one sensor configured to measure one or more parameters wherein the device includes a tracking system;

a computer configured to receive measurement data from at least one sensor and the tracking system;

a display coupled to the computer, wherein the display includes a graphical user interface, wherein a memory and one or more processors are configured to execute one or more programs stored in the memory, wherein the computer is configured to receive measurement data from the at least one sensor of the device, wherein the graphical user interface includes a graphical depiction of a portion of a surface of the device that is configured to couple to the joint, wherein a contact point is displayed on the graphical depiction of the portion of the surface of the device, wherein the computer is configured to use the measurement data to calculate a contact point location on the graphical depiction of the portion of the surface of the device, wherein the contact point is configured to move in real-time corresponding to movement of the joint, and wherein the graphical user interface includes a graphical depiction of at least a portion of the joint, wherein the computer is configured to track movement of the joint, and wherein the graphical depiction of the at least a portion of the joint is configured to move on the display corresponding to actual movement of the joint.

18. The system of claim 17 wherein the device is a prosthetic component of the joint.

19. The system of claim 18 wherein the prosthetic component is configured to display movement of the contact point on the portion of the surface on the display as a result of prosthetic joint movement, prosthetic component movement, tissue tensioning, bone cutting, prosthetic component rotation, shimming the prosthetic component, or changes in loading on the surface of the device.