Acetabular cup prosthesis positioning instrument and method

• US 11,090,170 B2
• Filed: 05/02/2018
• Issued: 08/17/2021
• Est. Priority Date: 06/11/2013
• Status: Active Grant

• Current Assignee: ORTHOsoft ULC. (Zimmer Biomet Holdings, Inc.)
• Original Assignee: ORTHOsoft ULC. (Zimmer Biomet Holdings, Inc.)
• Inventors: Li, Di, Amiot, Louis-Philippe, Jansen, Herbert Andre, Paradis, Francois, Robitaille, Isabelle, Falardeau, Bruno, Duval, Karine, Valin, Myriam, Leone, Yvan, Breton, Yonik, Pelletier, Benoit, Chevrier, Mathieu, Casaubon, Jerome
• Primary Examiner(s): Lawson, Matthew J
• Application Number:
  US15/968,868
• Publication Number:
  US 20180250144A1
• Time in Patent Office: 1,203 Days
• 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 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 90/13 guided by light, e.g. laser pointers
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4609 of acetabular cups
• CPC Class Codes: A61F 2002/4687 Mechanical guides for implantation instruments

Abstract

A method for assisting in positioning the acetabular cup comprises orienting a cup positioning instrument with a cup thereon in an initial reference orientation relative to an acetabulum of a pelvis with the cup forming a joint with the acetabulum, the cup positioning instrument comprising an inertial sensor unit with pre-planned orientation data for a desired cup orientation based on at least one landmark of the pelvis, The cup positioning instrument is rotated to a desired abduction angle as guided by an interface of the cup positioning instrument, based on movements relative to at least one landmark. The cup positioning instrument is rotated to a desired anteversion angle as guided by the interface of the cup positioning instrument, based on movements relative to the at least one landmark. Upon reaching the desired cup orientation as indicated by the interface, the cup is impacted into the acetabulum.

Claims

1. A cup impactor assembly comprising:

a shaft;

a cup coupler at a cup end of the shaft adapted to releasably connect a cup in fixed relation for subsequent impacting;

a handle at an impacting end of the shaft;

a light projector mounted to at least one of the shaft and the handle, the light projector producing visual guidance toward at least one anatomical landmark of a pelvis, the light projector projecting at least two light beams angled relative to each other so as to diverge from one another from the light projector;

an inertial sensor unit configured for producing at least an orientation output related to an orientation of the cup impactor assembly, the inertial sensor unit including a processor and a program executable by the processor and including;

calibration data based on a planned geometric relation between an initial reference orientation of the cup impactor assembly and the at least one anatomical landmark of the pelvis as aligned with the visual guidance of the light projector, the calibration data for calibrating the inertial sensor unit relative to the pelvis for the inertial sensor unit to produce said orientation output; and

a desired acetabular cup orientation data based on preoperative planning.

2. The cup impactor assembly according to claim 1, wherein the light projector projects the two light beams angled relative to each other by a patient-specific angle based on a position of landmarks relative to one another, the planned geometric relation including the patient-specific angle.

3. The cup impactor assembly according to claim 1, wherein the initial reference orientation of the cup impactor assembly comprises a vertical orientation of the shaft with the patient in lateral decubitus with the light projector pointing to two landmarks, the orientation output requiring that one of the two landmarks be pointed during movement to the desired acetabular cup orientation.

4. A system comprising the cup impactor assembly according to claim 1, further comprising a registration device having a base adapted to be received in the acetabulum, a patient-specific contour matching abutment surface adapted to be abutted against the pelvis in accordance with a planned pelvic coordinate system, the registration device having a coupler adapted to be coupled to the inertial sensor unit to transfer the planned pelvic coordinate system prior to being used with the cup impactor assembly.

5. A system comprising:

a cup impactor including a shaft, a cup coupler at a cup end of the shaft adapted to releasably connect a cup in fixed relation for subsequent impacting, a handle at an impacting end of the shaft, a visual guide mounted to at least one of the shaft and the handle, the visual guide producing visual guidance toward at least one anatomical landmark of a pelvis; and

an inertial sensor unit configured for producing at least an orientation output related to an orientation of the cup impactor, the inertial sensor unit including a processor and a program executable by the processor and including;

calibration data based on a planned geometric relation between an initial reference orientation of the cup impactor assembly and the at least one anatomical landmark of the pelvis as aligned with the visual guidance of the visual guide, the calibration data for calibrating the inertial sensor unit relative to the pelvis for the inertial sensor unit to produce said orientation output, and

a desired acetabular cup orientation data based on preoperative planning.

6. The system according to claim 5, wherein the visual guide is a light projector.

7. The system according to claim 6, wherein the light projector projects two light beams angled relative to each other by a patient-specific angle based on a position of landmarks relative to one another, the planned geometric relation including the patient-specific angle.

8. The system according to claim 6, wherein the initial reference orientation of the cup impactor assembly comprises a vertical orientation of the shaft with the patient in lateral decubitus with the visual guide pointing to two landmarks, the orientation output requiring that one of the two landmarks be pointed during movement to the desired acetabular cup orientation.

9. The system according to claim 6, further comprising a registration device having a base adapted to be received in the acetabulum, a patient-specific contour matching abutment surface adapted to be abutted against the pelvis in accordance with a planned pelvic coordinate system, the registration device having a coupler adapted to be coupled to the inertial sensor unit to transfer the planned pelvic coordinate system prior to being used with the cup impactor assembly.