Customized patient surgical plan

• US 8,265,949 B2
• Filed: 09/27/2007
• Issued: 09/11/2012
• Est. Priority Date: 09/27/2007
• Status: Active Grant

• Current Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Products Incorporated (Johnson & Johnson)
• Inventors: Haddad, Said
• Primary Examiner(s): Gilligan, Luke
• Application Number:
  US11/862,746
• Publication Number:
  US 20090089081A1
• Time in Patent Office: 1,811 Days
• Field of Search: 705 2- 3, 600/300, 700/97
• US Class Current: 705/2
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• 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 2090/3983 Reference marker arrangements for use with image guided surgery
• 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 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: F21V 21/22 telescopic
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16H 70/20 relating to practices or guidelines
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

Systems, methods, and devices are disclosed which generate surgical plans that have been customized for a particular patient. One such system includes a client, a surgical plan system and a computer assisted orthopaedic surgery system. The client generates a surgical plan request that includes data relevant to a patient and an orthopaedic surgical procedure to be performed upon the patient. The surgical plan system receives the surgical plan request and generates a surgical plan that has been customized based upon the data of the surgical plan request. The computer assisted orthopaedic surgery system assists a surgeon performing the orthopaedic surgical procedure per the surgical plan generated by the surgical plan system.

Claims

1. A method of a vendor to create a surgical plan for a patient of a healthcare facility that is external to the vendor, comprising

receiving, with a surgical plan system, a surgical plan request transmitted from the healthcare facility, the surgical plan request including (i) data relevant to the patient, (ii) data relevant to a surgical procedure to be performed upon the patient, and (iii) preference data that identifies surgical preferences related to the surgical procedure of an orthopaedic surgeon,

generating, with the surgical plan system and based on the surgical plan request, an order of surgical procedure instructional images that define surgical steps of the surgical procedure,

creating, in response to receiving the surgical plan request, a surgical plan on the surgical plan system, the surgical plan having been customized for the patient per data of the surgical plan request, the surgical plan including a plurality of instructions that configure a computer assisted orthopedic surgery system to assist in the surgical procedure upon the patient by displaying the surgical procedure instructional images in the generated order, and

sending, from the surgical plan system, the surgical plan to the healthcare facility for execution on the computer assisted orthopaedic surgery system.

2. The method of claim 1, wherein sending comprises transmitting the surgical plan to the healthcare facility via a network.

3. The method of claim 1, wherein sending comprises mailing the surgical plan to the healthcare facility.

4. The method of claim 1, further comprising generating, on the surgical plan system, the plurality of instructions based upon one or more medical images that depict at least one bone of the patient.

5. The method of claim 1, further comprising

receiving, on the surgical plan system, from the healthcare facility a modified surgical plan request that requests modifications to the surgical plan,

modifying, on the surgical plan system, the surgical plan to obtain a modified surgical plan in response to receiving the modified surgical plan request, and

sending, from the surgical plan system, the surgical plan to the healthcare facility for execution.

6. The method of claim 1, further comprising creating, on the surgical plan system, the surgical plan in accordance with surgical procedures associated with a particular surgeon in response to the surgical plan request requesting that the surgical plan be constructed in accordance with surgical procedures associated with the particular surgeon.

7. The method of claim 1, further comprising creating, on the surgical plan system, the surgical plan in accordance with surgical procedures associated with a particular institution in response to the surgical plan request requesting that the surgical plan be constructed in accordance with surgical procedures associated with the particular institution.

8. A tangible, machine readable medium comprising a plurality of instructions, that in response to being executed, result in a computing device

receiving a surgical plan request that comprises (i) data relevant to a patient including an image of a bone of the patient, (ii) data relevant to an orthopaedic surgical procedure to be performed upon the patient, and (iii) preference data that identifies surgical preferences related to the surgical procedure of an orthopaedic surgeon,

generating, based on the surgical plan request, an order of surgical procedure instructional images that define surgical steps of the surgical procedure,

creating a surgical plan for the orthopaedic surgical procedure based upon the surgical plan request, the surgical plan including plurality of instructions that configure a computer assisted orthopedic surgery system to assist in the surgical procedure upon the patient by displaying the surgical procedure instructional images in the generated order, and

transmitting the surgical plan to a healthcare facility via a network for execution on the computer assisted orthopaedic surgery system.

9. The tangible, machine readable medium of claim 8, wherein the plurality of instructions further result in the computing device

modifying the surgical plan to obtain a modified surgical plan in response to a request to modify the surgical plan, and

transmitting the modified surgical plan to the healthcare facility via the network.

10. The tangible, machine readable medium of claim 8, wherein the plurality of instructions further result in the computing device creating the surgical plan in accordance with a particular surgeon in response to a request for the surgical plan to be constructed in accordance with the particular surgeon.

11. The tangible, machine readable medium of claim 8, wherein the plurality of instructions further result in the computing device creating the surgical plan in accordance with a particular institution in response to a request for the surgical plan to be constructed in accordance with surgical procedures associated with the particular institution.

12. A system for generating surgical plans, comprising

a computer assisted orthopaedic surgery system to assist a surgeon performing an orthopaedic surgical procedure per a surgical plan,

a client computing device to generate a surgical plan request that includes (i) data relevant to a patient including an image of a bone of the patient, (ii) data relevant to the orthopaedic surgical procedure to be performed upon the patient, and (iii) preference data that identifies surgical preferences related to the surgical procedure of an orthopaedic surgeon, and

a surgical plan system to receive the surgical plan request and to generate (i) an order of surgical procedure instructional images that define surgical steps of the surgical procedure based on the surgical plan request and (ii) the surgical plan that has been customized based upon the data of the surgical plan request, the surgical plan including plurality of instructions that configure the computer assisted orthopedic surgery system to assist in the surgical procedure upon the patient by displaying the surgical procedure instructional images in the generated order.

13. The system of claim 12, wherein the surgical plan system is located at a vendor and the computer assisted orthopaedic surgery system is located at a healthcare facility.