Medial-lateral insert sensing system with common module and method therefor

• US 10,842,432 B2
• Filed: 09/05/2018
• Issued: 11/24/2020
• Est. Priority Date: 09/14/2017
• Status: Active Grant

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: OrthoSensor, Inc (Stryker Corporation)
• Inventors: Goodchild, Gordon, Ortiz, Ryan, Chase, Andrew, Chilton, III, Robert
• Primary Examiner(s): Waggle, Jr., Larry E
• Application Number:
  US16/122,697
• Publication Number:
  US 20190076273A1
• Time in Patent Office: 811 Days
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 2017/0268 for the knee
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/256 having a database of accessory information, e.g. including context sensitive help or scientific articles
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2562/0252 Load cells
• 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 5/1036 Measuring load distribution, e.g. podologic studies
• CPC Class Codes: A61B 5/4504 Bones A61B5/4547 takes precedence
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61B 5/4585 Evaluating the knee
• CPC Class Codes: A61B 5/4851 Prosthesis assessment or monitoring
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/6878 Bone
• CPC Class Codes: A61B 90/06 : Measuring instruments not otherwise provided for
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/389 : Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4657 : Measuring instruments used for implanting artificial joints for surgical instruments A61B90/06
• CPC Class Codes: A61F 2/468 : Testing instruments for artificial joints for testing non-implantable prostheses A61F2/76
• CPC Class Codes: A61F 2/4684 : Trial or dummy prostheses
• CPC Class Codes: A61F 2002/3067 : for data transfer
• CPC Class Codes: A61F 2002/4632 : using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2002/4666 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/4672 : for measuring temperature
• CPC Class Codes: A61F 2002/4674 : for measuring the pH

Abstract

An orthopedic system to monitor a parameter related to the muscular-skeletal system is disclosed. The orthopedic system includes electronic circuitry, at least one sensor, and a computer to receive measurement data in real-time. The orthopedic system comprises a first plurality of shims of a first type, a second plurality of a second type, a measurement module, and the computer. The measurement module houses the electronic circuitry and at least one sensor. The measurement module is adapted to be used with the first plurality of shims and the second plurality of shims. The measurement module has a medial surface that differs from a lateral surface by shape, size, or contour.

Claims

1. A knee measurement system comprising:

a measurement module comprising;

a first support structure having an exterior medial surface and an exterior lateral surface wherein the exterior medial surface of the first support structure has a first, a second, and a third raised regions located at vertexes of a first polygon on the exterior medial surface and wherein the exterior lateral surface has a fourth, a fifth, and a sixth raised regions located at vertexes of a second polygon on the exterior lateral surface;

a second support structure having an exterior medial surface and an exterior lateral surface wherein the first and second support structures couple together to form a housing;

a first load sensor, a second load sensor, a third load sensor, a fourth load sensor, a fifth load sensor, and a sixth load sensor wherein the first, second, and third load sensors respectively underlie the first, second, and third raised regions of the exterior medial surface and wherein the fourth, fifth, and sixth load sensors respectively underlie the fourth, fifth, and sixth raised regions of the exterior lateral surface;

electronic circuitry couples to the plurality of sensors wherein the electronic circuitry controls a measurement process and transmits measurement data; and

a computer configured to receive the measurement data and display the measurement data.

2. The knee measurement system of claim 1 wherein the exterior medial surface of the first support structure differs from the exterior lateral surface of the first support structure by area, shape, or contour.

3. The knee measurement system of claim 1 wherein the measurement module is non-symmetrical about an anterior-posterior (A-P) axis.

4. The knee measurement system of claim 1 wherein a portion of a first power source couples between the exterior medial surface of the first support structure and the exterior medial surface of the second support structure, wherein a portion of a second power source couples between the exterior lateral surface of the first support structure and the exterior lateral surface of the second support structure, and wherein the measurement module is configured to not load the first power source or the second power source under compression in a prosthetic knee joint.

5. The knee measurement system of claim 1 wherein the first, second, third, fourth, fifth, and sixth load sensors are MEMs devices.

6. The knee measurement system of claim 1 further including:

a first exterior peripheral raised region coupling to the first, second, and third raised regions of the first support structure; and

a second exterior peripheral raised region coupling to the fourth, fifth, and sixth raised regions of the first support structure.

7. The knee measurement system of claim 1 further including a tongue on the first support structure and glue channel on the second support structure wherein the tongue of the first support structure is configured to be inserted in the glue channel of the second support structure, and wherein an adhesive in the glue channel seals the first support structure to the second support structure such that the measurement module is hermetically sealed.

8. The knee measurement system of claim 1 further including a first shim of a first type configured to couple to the first support structure wherein the first shim includes a first column, a second column, and a third column configured to respectively couple to the first, second, and third raised regions of the first support structure, wherein the first shim includes a fourth column, a fifth column, and a sixth column configured to respectively couple to the fourth, fifth, and sixth raise regions of the first support structure, wherein the first, second, and third columns couple to a medial articular surface of the first shim, and wherein the fourth, fifth, and sixth columns couple to a lateral articular surface of the first shim.

9. The knee measurement system of claim 1 further including:

wherein the exterior medial surface of the second support structure has a first, a second, and a third raised regions located at vertexes of the first polygon and wherein the exterior lateral surface has a fourth, a fifth, and a sixth raised regions located at vertexes of a second polygon; and

a second shim of a second type configured to couple to the second support structure wherein the second shim includes a first column, a second column, and a third column configured to respectively couple to the first, second, and third raised regions of the second support structure, wherein the second shim includes a fourth column, a fifth column, and a sixth column configured to respectively couple to the fourth, fifth, and sixth raise regions of the second support structure, wherein the first, second, and third columns couple to a medial articular surface of the second shim, and wherein the fourth, fifth, and sixth columns couple to a lateral articular surface of the second shim.

10. A knee measurement system comprising:

a measurement module comprising;

a first support structure having an exterior medial surface and an exterior lateral surface wherein the first support structure includes at least one raised region on an interior medial surface or an interior lateral surface that aligns to vertexes of a first polygon or a second polygon;

a second support structure having an exterior medial surface and an exterior lateral surface wherein the second support structure includes at least one raised region on an interior medial surface or an interior lateral surface that aligns to the at least one raised region on the interior medial surface or the interior lateral surface of the first support structure;

a first plurality of load sensors placed at the vertexes of the first polygon wherein each sensor of the first plurality of load sensors couples between the exterior medial surface of the first support structure and the exterior medial surface of the second support structure;

a second plurality of load sensors placed at the vertexes of the second polygon wherein each sensor of the second plurality of load sensors couples between the exterior lateral surface of the first support structure and the exterior lateral surface of the second support structure and wherein the first polygon differs from the second polygon;

electronic circuitry coupled to the plurality of sensors wherein the electronic circuitry controls a measurement process and transmits measurement data; and

a computer configured to receive the measurement data and display the measurement data.

11. The knee measurement system of claim 10 wherein the measurement module is non-symmetrical about an anterior-posterior (A-P) axis.

12. The knee measurement system of claim 10 wherein the exterior medial surface of the first support structure differs in area, shape, or contour from the exterior lateral surface.

13. The knee measurement system of claim 10 wherein the first support structure includes at least one raised region on the exterior medial surface or the exterior lateral surface, wherein the second support structure includes at least one raised region on the exterior medial surface or the exterior lateral surface, wherein the at least one raised region of the first support structure aligns to the at least one raised region of the second support structure, and wherein the at least one raised region of the first and second support structure aligns with a vertex of the first or second polygons.

14. The knee measurement system of claim 10 wherein the first plurality of load sensors or the second plurality of load sensors comprises at least one of capacitors, MEMs load sensors, piezo load sensors, or strain gauges.

15. The knee measurement system of claim 10 wherein the first polygon has an area less than an area of the exterior medial surface of the first support structure.

16. The knee measurement system of claim 10 further including:

a first shim of a first type configured to couple to the first support structure of the measurement module; and

a second shim of a second type configured to couple to the second support structure of the measurement module wherein the first shim is non-symmetrical about an anterior-posterior (A-P) axis and wherein the second shim is non-symmetrical about the A-P axis.

17. A knee measurement system comprising:

a measurement module having a medial surface and a lateral surface on a first side and a medial surface and a lateral surface on a second side wherein a first shim is configured to couple to the medial surface on the first side of the measurement module at vertexes of a first polygon, wherein the first shim is configured to couple to the lateral surface on the first side of the measurement module at vertexes of a second polygon, wherein the first and second polygons differ in area, shape, or contour, wherein the measurement module is configured to couple to a second shim of a second type from the second side, and wherein the measurement module houses electronic circuitry coupled to at least one sensor configured to measure a parameter; and

a computer configured to receive measurement data from the measurement module.

18. The knee measurement system of claim 17 wherein the medial surface differs from the lateral surface on the first side by area, shape, or contour.

19. The knee measurement system of claim 17 wherein the measurement module is non-symmetrical about an anterior-posterior (A-P) axis.

20. The knee measurement system of claim 17 wherein the measurement module is non-symmetrical about an anterior-posterior axis, wherein the first shim is configured for use in a left knee, and wherein the second shim is configured for use in a right knee.