Surgical orientation system and method

• US 8,974,467 B2
• Filed: 11/14/2011
• Issued: 03/10/2015
• Est. Priority Date: 06/09/2003
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: Stone, A. Curt
• Primary Examiner(s): Truong, Kevin T
• Assistant Examiner(s): HANNA, SAMUEL SALEEB
• Application Number:
  US13/295,391
• Publication Number:
  US 20120130279A1
• Time in Patent Office: 1,212 Days
• Field of Search: 606/91, 606/99, 606/130, 606/86.A, 606/86.B, 606/86.R, 606/279, 606/102
• US Class Current: 606/102
• CPC Class Codes: A61B 17/175 for preparing the femur for hip prosthesis insertion
• CPC Class Codes: A61B 17/1778 for the shoulder
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• 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 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/4504 Bones A61B5/4547 takes precedence
• CPC Class Codes: A61F 2/34 Acetabular cups
• 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 2002/30538 for adjusting angular orientation
• CPC Class Codes: A61F 2002/4632 using computer-controlled surgery, e.g. robotic surgery
• CPC Class Codes: A61F 2002/4668 for measuring angles
• CPC Class Codes: A61F 2002/4687 Mechanical guides for implantation instruments
• CPC Class Codes: A61F 2250/0006 for adjusting angular orientation

Abstract

A system and method for detecting and measuring changes in angular position with respect to a reference plane is useful in surgical procedures for orienting various instruments, prosthesis, and implants with respect to anatomical landmarks. One embodiment of the device uses dual orientation devices of a type capable of measuring angular position changes from a reference position. One such device provides information as to changes in position of an anatomical landmark relative to a reference position. The second device provides information as to changes in position of a surgical instrument and/or prosthesis relative to the reference position.

Claims

1. A system for preparing a joint of a patient prior to positioning a medical prosthesis in the joint, the medical prosthesis being positioned with respect to an anatomical feature of the patient, the system comprising:

a patient interface removably engageable to the patient adjacent to the joint, the patient interface comprising;

a base having a first coupler;

at least one pin configured to be advanced through the base into the bone to couple the base to the bone; and

an elongate alignment instrument having a proximal end, a distal end, a second coupler, and a contacting probe extending from the distal end of the elongate alignment instrument and configured to contact a plurality of spaced apart anatomic locations, a movement portion configured to allow movement of the contacting probe relative to the base to contact the spaced apart anatomical locations; and

a pivot providing for pivotal movement of the contacting probe relative to another portion of the patient interface;

a first measuring device comprising a first inertial sensor, the first measuring device configured to be removably coupled to the first coupler of the patient interface and thereby to a bone of the patient in a manner providing zero degrees of freedom between the first inertial sensor and the bone of the patient such that the first inertial sensor detects changes in orientation of the bone of the patient;

a second measuring device comprising;

a housing configured to be removably and physically coupled to the second coupler of the elongate alignment instrument in a manner providing zero degrees of freedom between the housing and the elongate alignment instrument, and

a second inertial sensor disposed on or in the housing, the second inertial sensor configured to detect orientation of the elongate alignment instrument with respect to the anatomical feature or the joint;

a display, a user interface, and a processor physically disposed on or in at least one of the first and the second measuring devices to provide zero degrees of freedom of the display, the user interface, and the processor relative to the first or the second measuring device when the first or the second measuring device is physically coupled to the first or second coupler, the processor configured to receive inputs from the user interface in operation; and

a communications module coupled to the first and second measuring devices for electronic communications between the first and second measuring devices;

wherein the system is configured to contact the plurality of spaced apart anatomical locations with the contacting probe to identify and store the orientation of a reference plane of the anatomical feature, and wherein the first measuring device provides a signal to the second measuring device for compensating for movement of the patient by adjusting the orientation of the reference plane of the anatomic feature that is stored and the system provides a readout information about the reference plane of the anatomical feature on or by the display.

2. The system of claim 1, wherein the first measuring device is configured to be coupled to the second measuring device via wireless, electronic coupling.

3. The system of claim 1, wherein the second inertial sensor includes at least one rate sensor that provides a rate signal indicative of a change in angular position of the second measuring device about an axis.

4. The system of claim 1, wherein the second inertial sensor comprises a first rate sensor, a second rate sensor, and a third rate sensor.

5. The system of claim 1, wherein the first measuring device does not include a display.

6. The system of claim 1, wherein the elongate alignment instrument comprises a proximal member, the contacting probe being coupled with the proximal member and being extendable relative to the proximal member to facilitate probing the anatomical locations.

7. The system of claim 6, wherein the contacting probe being configured to extend in a telescoping manner relative to the proximal member to facilitate contacting a portion away from the proximal member.

8. The system of claim 1, wherein the second coupler comprises a tapered member and the housing of the second measuring device comprises a tapered recess configured to receive and mate with the tapered member.

9. The system of claim 6, wherein the pivot is disposed between the proximal member and the contacting probe to facilitate movement of the contacting probe into contact with the patient to facilitate probing the spaced apart anatomical locations.

10. The system of claim 9, wherein the pivot is a first pivot and further comprising a second pivot, the first and second pivots operating about different axes of rotation.

11. The system of claim 1, wherein the first measuring device includes the display.

12. The system of claim 11, wherein the readout information provides the orientation of the reference plane of the anatomical feature.

13. The system of claim 1, wherein the communications module is configured to transmit position or orientation information to the second measuring device for automatic adjustment of the display in the event of patient movement.

14. The system of claim 13, wherein the communications module comprises a processor for performing data processing.