Instrumented orthopaedic implant for identifying a landmark

• US 8,814,868 B2
• Filed: 02/28/2007
• Issued: 08/26/2014
• Est. Priority Date: 02/28/2007
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Janna, Sied W., Wilson, Darren J., Morgan, Robert L.
• Primary Examiner(s): Hammond, Ellen C
• Assistant Examiner(s): BRAY, STUART SAMUEL
• Application Number:
  US12/528,253
• Publication Number:
  US 20100145337A1
• Time in Patent Office: 2,736 Days
• Field of Search: 606/62, 606/67, 606/424, 128/899
• US Class Current: 606/67
• CPC Class Codes: A61B 17/1707 using electromagnetic effects, e.g. with magnet and external sensors
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 17/72 Intramedullary pins, nails or other devices A61B17/744 takes precedence
• CPC Class Codes: A61B 2090/397 electromagnetic other than visible, e.g. microwave
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis

Abstract

A system (110, 150) for targeting a landmark (114, 160) is disclosed. The system includes an instrumented medical implant (112, 152), a control circuit (118, 153), a power supply (120, 157), and a landmark identifier (122, 154). The instrumented medical implant (112, 152) has one or more landmarks (114, 160) and each landmark (114, 160) has a corresponding coil (116, 162). The control circuit (118, 153) is electrically connected to the corresponding coil (116, 162), and the power supply (120, 157) is electrically connected to the control circuit (118,153). The landmark identifier (122, 154) has a magnetic sensor (124, 155) for sensing the corresponding coil (116, 162).

Claims

1. A system for targeting a landmark, the system comprising:

a. an instrumented medical implant having a first landmark and a second landmark, the instrumented medical implant comprising;

two or more first coils corresponding to the first landmark, wherein the first landmark is a first hole in the orthopaedic implant and the first coils are arranged to produce magnetic fields that designate a location and orientation of the first landmark; and

two or more second coils corresponding to the second landmark, wherein the second landmark is a second hole in the orthopaedic implant and the second coils are arranged to produce magnetic fields that designate a location and orientation of the second landmark, the first coils being distinct from the second coils, the location of the first landmark being different from the location of the second landmark;

b. a control circuit electrically connected to the first coils and the second coils, the control circuit being configured to selectively activate the first coils and the second coils to produce the magnetic fields that respectively designate the location of the first landmark or second landmark;

c. a power supply electrically connected to the control circuit; and

d. a landmark identifier having one or more magnetic sensors for sensing the magnetic fields produced by the first coils and the second coils.

2. The system of claim 1, wherein at least one of the first coils or second coils is disposed about an external surface of a shaft of the instrumented medical implant.

3. The system of claim 2, wherein the at least one of the first coils or second coils disposed about the external surface of the shaft of the instrumented medical implant is covered with a biocompatible material.

4. The system according to claim 1, wherein the instrumented medical implant is at least one of a bone plate, a bone screw, a bone peg, a bone staple, an intramedullary nail, an intramedullary nail cap, an intramedullary nail and plate combination, an interference screw, a hip replacement stem, a hip replacement femoral neck, a hip replacement femoral head, a hip replacement acetabular liner, a hip replacement acetabular shell, a knee replacement tibial tray, a knee replacement tibial tray liner, a knee replacement femoral component, a knee replacement tibial tray shaft extension, a knee replacement patellar implant, a knee replacement wedge, a trochlear groove implant, a femoral canal restrictor, a shoulder replacement humeral stem, a shoulder replacement glenoid component, a shoulder replacement humeral head, an elbow replacement humeral component, an elbow replacement radial component, an elbow replacement ulnar component, an ankle replacement tibial component, and an ankle replacement talar component.

5. The system according to claim 1, wherein the control circuit comprises an oscillator.

6. The system according to claim 1, wherein the control circuit comprises a multiplexer.

7. The system according to claim 1, wherein the power supply and control circuit are comprised of a single unit.

8. The system according to claim 1, wherein the power supply includes at least one of a capacitor, an inductive coupling, a battery, a mechanically driven power generation unit, a piezoelectric device, and an energy scavenging device.

9. The system according to claim 1, wherein the landmark identifier is selected from the group consisting of a drill guide, a drill sleeve, a drill, a drill nose, a drill barrel, a drill chuck, and a fixation element.

10. The system according to claim 1, wherein each of the one or more magnetic sensors is selected from the group consisting of a Hall effect sensor, a fluxgate magnetic field sensor, an inductive coil sensor, and a magneto-resistive sensor.

11. The system according to claim 1, wherein the power supply comprises an electromagnetic field generating coil.

12. The system according to claim 1, wherein at least one of the first coils is oriented generally orthogonal to one of the other first coils.

13. The system according to claim 1, wherein at least one of the first coils is oriented relative to another of the first coils having a relationship selected from the group consisting of generally oblique, offset, coplanar, parallel, collinear, and transverse.

14. The system according to claim 1, wherein the one or more magnetic sensors are configured to produce data indicative of proximity of the landmark identifier to the first landmark based on magnetic fields produced by the first coils, and the one or more magnetic sensors are configured to produce data indicative of proximity of the landmark identifier to the second landmark based on magnetic fields produced by the second coils.

15. The system according to claim 1, wherein each of the first coils is configured to be selectively activated without activating other first coils, and each of the second coils is configured to be selectively activated without activating other second coils.

16. The system according to claim 1, wherein one of the first coils extends around a perimeter of the first landmark, and one of the second coils extends around a perimeter of the second landmark.

17. A method of locating landmarks of an instrumented orthopaedic implant, the method comprising:

installing an instrumented orthopaedic implant relative to a bone, the instrumented orthopaedic implant having two or more first coils corresponding to the first landmark and two or more second coils corresponding to the second landmark, the first coils being distinct from the second coils;

activating the first coils to produce magnetic fields that indicate a location and orientation of the first landmark;

obtaining first sensor data based on sensing the first coils;

locating the first landmark based on the first sensor data independent of activation of the second coils;

activating the second coils to produce magnetic fields that indicate a location and orientation of the second landmark;

obtaining second sensor data based on sensing the second coils; and

locating the second landmark based on the second sensor data independent of activation of the first coils.

18. The method of claim 17, further comprising:

aligning a drill guide at the located first landmark;

drilling an opening through the bone and the instrumented orthopaedic implant while the drill guide is aligned at the located first landmark; and

installing a fastener through the drilled opening.

19. The method of claim 18, further comprising:

aligning the drill guide at the located second landmark;

drilling a second opening through the bone and the instrumented orthopaedic implant while the drill guide is aligned at the located second landmark; and

installing a second fastener through the second drilled opening.

20. The method of claim 17, further comprising activating at least one visual indicator.

21. The method of claim 20, wherein the at least one visual indicator is a light emitting diode.

22. The method according to claim 17, wherein at least one of the first landmark and the second landmark is an opening.

23. The method of claim 17, wherein the instrumented orthopaedic implant is an intramedullary nail.

24. The method of claim 17, further comprising recording the first sensor data and the second sensor data.

25. A system for targeting a landmark, the system comprising:

a. an instrumented medical implant having a shaft and at least one landmark, the at least one landmark having a first corresponding coil that extends around an exterior portion of the shaft of the instrumented medical implant and a second corresponding coil that extends around a perimeter of the at least one landmark;

b. a control circuit electrically connected to the first coil and the second coil;

c. a power supply electrically connected to the control circuit; and

d. a landmark identifier having a magnetic sensor for sensing the first coil and the second coil.

26. The system of claim 25, wherein the at least one landmark of the medical implant is a hole defined through the shaft of the instrumented medical implant, and the second corresponding coil extends around a perimeter of the hole.

27. A system for targeting a landmark, the system comprising:

a. an instrumented medical implant having a first landmark and a second landmark, the instrumented medical implant comprising two or more first coils corresponding to the first landmark and two or more second coils corresponding to the second landmark, the first coils being distinct from the second coils, wherein the instrumented medical implant defines a longitudinal groove in an exterior of the instrumented medical implant, and wherein the instrumented medical implant comprises one or more conductor wires for connecting the first coils and the second coils to a current source, the one or more conductor wires being disposed in the longitudinal groove;

b. a control circuit electrically connected to the first coils and the second coils, the control circuit being configured to selectively activate the first coils and the second coils;

c. a power supply electrically connected to the control circuit; and

d. a landmark identifier having one or more magnetic sensors for sensing the first coils and the second coils.