Hip replacement navigation system and method

• US 10,363,149 B2
• Filed: 03/10/2015
• Issued: 07/30/2019
• Est. Priority Date: 02/20/2015
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: van der Walt, Nicholas, Nielsen, Jonathan
• Primary Examiner(s): Willse, David H
• Application Number:
  US14/643,864
• Publication Number:
  US 20160242934A1
• Time in Patent Office: 1,603 Days
• Field of Search: None
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/568 produced with shape and dimensions specific for an individual patient
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• 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 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61F 2/34 Acetabular cups
• CPC Class Codes: A61F 2/3601 for replacing only the epiphyseal or metaphyseal parts of the femur, e.g. endoprosthetic femoral heads or necks directly fixed to the natural femur by internal fixation devices non-prosthetic internal fixation devices for the femoral head or neck A61B17/74
• CPC Class Codes: A61F 2/4609 of acetabular cups
• 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: A61F 2002/4681 by applying mechanical shocks, e.g. by hammering

Abstract

A hip joint navigation system is provided that includes a base having at least one channel disposed therethrough for receiving a pin for mounting the base to the pelvis. A mount feature is disposed on a top surface. A registration jig is configured to couple with the base and to engage anatomical landmarks. In some aspects, a patient specific jig system for hip replacement is provided including an engagement surface formed to closely mate to acetabular bone contours of a specific patient and a registration feature configured to be in a pre-determined orientation relative to an acetabulum of the patient when the jig is coupled with acetabular bone contours of the specific patient. In other aspects, methods of using the systems are provided.

Claims

1. A method of performing a hip joint replacement procedure, the hip joint comprises a pelvis and a femur that is movable relative to the pelvis, the method comprising:

placing a patient in a position with the femur of the hip joint in an extended position;

mounting a laser projecting device to the pelvis adjacent to the hip joint;

projecting a laser light onto a target to illuminate a portion of the target away from the hip joint;

recording a position of an incidence of the laser light;

positioning an acetabular shell after recording the position;

projecting the laser light onto the target after positioning the acetabular shell; and

aligning the femur with the pelvis by aligning the recorded position with the incidence of laser light.

2. The method of claim 1, further comprising mounting an articulated member to the pelvis and coupling the laser projecting device to the articulated member.

3. The method of claim 2, wherein the articulated member comprises a ball joint.

4. The method of claim 1, further comprising articulating the laser projecting device to direct the laser light onto a portion of the target.

5. The method of claim 4, further comprising locking the laser projecting device in a fixed configuration and maintaining the fixed configuration while positioning the acetabular shell.

6. The method of claim 1, wherein recording comprises marking one or more marks coincident with the laser light.

7. The method of claim 1, wherein recording comprises capturing a photographic image of the laser light.

8. The method of claim 1, wherein the laser projecting device is disposed in a housing including an inertial measurement unit.

9. The method of claim 1, further comprising registering a portion of the femur adjacent to the hip joint before positioning the acetabular shell and registering the portion of the femur adjacent to the hip joint to confirm leg length and/or joint off-set after positioning the acetabular shell.

10. The method of claim 9, wherein registering the portion of the femur comprises registering the femur at the greater trochanter.

11. The method of claim 1, further comprising registering a portion of the femur or pelvis.

12. The method of claim 1, wherein the laser projecting device provides a visual guide to replicate the original position of the femur relative to the pelvis.

13. The method of claim 1, wherein the target is an anatomical feature or landmark.

14. The method of claim 1, wherein the laser projecting device projects a point, a plane, and or a cross-hair onto the target.

15. The method of claim 1, further comprising replicating the orientation of the femur by lining up one or more marks with the laser light after positioning the acetabular shell.

16. A method of performing a hip joint replacement procedure, the hip joint comprises a pelvis and a femur that is movable relative to the pelvis, the method comprising:

mounting a laser projecting device to the pelvis adjacent to the hip joint;

projecting a laser light from the laser projecting device onto a target before hip replacement,

recording an incidence of the laser light before hip replacement;

replacing the hip joint; and

projecting the laser light onto the target after hip replacement to compare the position of the femur relative to the pelvis after hip replacement to the position of the femur relative to the pelvis before hip replacement.

17. The method of claim 16, further comprising measuring leg length and/or joint offset.

18. The method of claim 16, further comprising replicating the orientation of the femur by lining up one or more marks with the laser light after replacing the hip joint.

19. The method of claim 16, wherein the target is an anatomical feature or landmark.

20. The method of claim 16, further comprising registering a portion of a femur adjacent to the hip joint before replacing the hip joint and registering the portion of the femur adjacent to the hip joint to confirm leg length and/or joint off-set after replacing the hip joint.