Orthopaedic implants

• US 9,539,037 B2
• Filed: 06/03/2011
• Issued: 01/10/2017
• Est. Priority Date: 06/03/2010
• Status: Active Grant

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Janna, Sied W., Ritchey, Nicholas S., Keltner, Graham Ralph, Faber, Henry B., Watanabe, Kohsuke
• Primary Examiner(s): Robert, Eduardo C
• Assistant Examiner(s): COTRONEO, STEVEN J
• Application Number:
  US13/701,548
• Publication Number:
  US 20130131679A1
• Time in Patent Office: 2,048 Days
• Field of Search: 606 62- 68
• US Class Current: 1/1
• 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

Abstract

An orthopedic implant including a body defining at least one landmark and a probe comprising a sensor spaced apart from the at least one landmark a set distance. The probe and sensor being releasably fixed to the body of the implant to limit movement of the sensor relative to the at least one landmark.

Claims

1. An orthopaedic implant comprising:

a body defining at least one landmark, the body defining a longitudinal groove along an outer surface of the body, the longitudinal groove comprising a driving end portion and a non-driving end portion and having a length along the driving end portion and non-driving end portion, wherein the longitudinal groove is defined at least in part by side walls and a floor connecting the side walls;

a probe comprising a sensor, the sensor being spaced apart from the at least one landmark a set distance, the probe and sensor being releasably fixable to the body of the implant to limit movement of the sensor relative to the at least one landmark; and

wherein the body comprises multiple discrete receiving portions configured to releasably fix the probe to the body, the receiving portions being spaced apart along the length of the longitudinal groove, wherein each of the discrete receiving portions comprises a portion of one of the side walls that is shaped to press a section of the probe received in the receiving portion against the floor.

2. The implant of claim 1, wherein the body defines a cannula that extends generally parallel to the longitudinal groove, the longitudinal groove being offset from the cannula;

and

wherein the body comprises a wall that separates the cannula from the longitudinal groove.

3. The implant of claim 1, wherein the sensor is located in the non-driving end portion of the longitudinal groove.

4. The implant of claim 1, wherein longitudinal groove comprises at least a portion along the length of the longitudinal groove wherein the side walls each form an acute angle with the floor.

5. The implant of claim 4, wherein the longitudinal groove comprises at least a second portion along the length of the longitudinal groove wherein the side walls each form an angle of approximately 90 degrees or greater with the floor.

6. The implant of claim 4, wherein a length of the portion where the side walls each form an acute angle with the floor is between about 0.025 inches to about 0.5 inches.

7. The implant of claim 1, wherein the longitudinal groove receives the probe and sensor in one of a releasable interference fit, press fit, friction fit, or snap fit.

8. The implant of claim 1, wherein the longitudinal groove receives the probe and sensor in a clearance fit and the probe is coupled to the driving end of the groove.

9. The implant of claim 8, wherein the probe is prevented from rotation and translation within the groove.

10. The implant of claim 8, further comprising a cover for the groove.

11. The implant of claim 10, wherein the cover is laser-welded to at least a portion of one of the groove and the implant.

12. The implant of claim 1, wherein at least a portion of the longitudinal groove comprises one of a dovetail, polygonal, oval, keyhole, or circular cross-sectional shape.

13. The implant of claim 1, wherein the longitudinal groove is configured to receive the probe such that an outer surface of the probe is positioned at or below an outer surface of the body of the implant,

wherein each of the discrete receiving portions comprises a structure that extends into or over a portion of the longitudinal groove to releasably fix a portion of the probe in the longitudinal groove.

14. The implant of claim 13, wherein the groove comprises an opening to the outer surface of the implant, wherein the opening is located along the length of the groove along at a particular receiving portion of the receiving portions, and wherein the opening has a width perpendicular to the length of the groove, and the width of the opening at the particular receiving portion is less than a diameter of the probe that is received in the particular receiving portion.

15. The implant of claim 14, wherein the opening to the outer surface of the implant extends along the length of the longitudinal groove proximally beyond the particular retaining portion and distally beyond the particular retaining portion, and

wherein, at locations that are proximal and distal to the particular retaining portion and are adjacent to the particular retaining portion, the opening has a width perpendicular to the length of the longitudinal groove that is equal to or greater than the diameter of the probe.

16. The implant of claim 1, wherein the landmark is selected from the group consisting of a structure, a hole filler, a polymer screw hole window, a void, a boss, a channel, a detent, a flange, a groove, a member, a partition a step, an aperture, a bore, a cavity, a dimple, a duct, a gap, a notch, an orifice, a passage, a slit, a hole, or a slot.

17. The implant of claim 1, wherein the longitudinal groove comprises an opening to the outer surface of the implant, the opening extending to the outer surface of the implant along the driving end portion of the longitudinal groove, along the non-driving end portion of the longitudinal groove, and from the driving end portion of the longitudinal groove to the non-driving end portion of the longitudinal groove.

18. The implant of claim 1, the body has proximal portion, a distal portion, and a transition section forming an obtuse angle between the proximal portion and the distal portion,

wherein at least one of the retaining portions is located at or adjacent to the transition section.

19. The implant of claim 1, wherein the body defines a recess at the non-driving end portion of the longitudinal groove;

and

wherein the probe has a bushing located distal to the sensor, the bushing having an extension configured to mate with the recess to secure the bushing to the body,

the bushing having a perforation located between the extension and the sensor, wherein the bushing has a force of breakage at the perforation that is less than a force of breakage of portions of the probe located proximal to the perforation.

20. A method comprising:

releasably fixing a probe comprising a sensor to an orthopaedic implant such that (i) the sensor is spaced apart from at least one landmark defined in the orthopaedic implant a set distance, and (ii) discrete receiving portions spaced apart along a length of the orthopaedic implant releasably retain the probe in the orthopaedic implant; and

after releasably fixing the probe to the orthopaedic implant, calibrating the sensor to determine a spatial relationship between the sensor and the at least one landmark.

21. The method of claim 20, wherein fixing the probe includes placing the probe in a clearance fit in a longitudinal groove formed in the implant and coupling a driving end of the probe to the implant such that the probe is limited from rotating and translating within the groove.

22. The method of claim 21, further comprising removing the probe and the sensor from the orthopaedic implant following implantation of the implant into a body.

23. The method of claim 20, wherein releasably fixing the probe and the sensor to the implant comprises placing at least a portion of the probe into at least one longitudinal section of a longitudinal groove formed in the implant, the at least one longitudinal section of the longitudinal groove configured to receive the probe in one of a interference fit, press fit, friction fit, or snap fit.

24. The method of claim 20, wherein the orthopaedic implant an outer surface and a longitudinal groove defined along the length of the orthopaedic implant, the longitudinal groove having an opening that extends through the outer surface along at least a portion of the length of the orthopaedic implant, and

wherein releasably fixing a probe comprising a sensor to the orthopaedic implant comprises pressing or snapping the probe into the longitudinal groove through the opening in a direction transverse to the length of the orthopaedic implant.

25. The method of claim 20, wherein the orthopaedic implant has a driving end and a non-driving end, and an exterior side extending from the driving end to the non-driving end, wherein the orthopaedic implant has a longitudinal groove extending along the exterior side, and

wherein releasably fixing a probe comprising a sensor to the orthopaedic implant comprises moving the probe from outside the orthopaedic implant into the longitudinal groove through the exterior side.

26. The method of claim 20, further comprising:

after calibrating the sensor, implanting the orthopaedic implant into a patient'"'"'s body;

while the orthopaedic implant is implanted in the patient'"'"'s body, using the determined spatial relationship and data from the sensor to locate the at least one landmark; and

after locating the at least one landmark, removing the probe from the orthopaedic implant while the orthopaedic implant remains implanted in the patient'"'"'s body.

27. The method of claim 20, wherein calibrating the sensor comprises:

determining offset values that indicate the spatial relationship between the sensor and the at least one landmark; and

storing the offset values in association with an identifier corresponding to the orthopaedic implant to which the sensor is releasably fixed.

28. An intramedullary nail comprising:

a body defining at least one screw hole;

a longitudinal groove with a driving end portion and a non-driving end portion formed along an outer surface of the body, wherein the longitudinal groove is defined at least in part by side walls and a floor connecting the side walls; and

a probe comprising a sensor, the probe being releasably securable in the longitudinal groove such that the sensor is spaced apart from the at least one screw hole a set distance,

wherein the body comprises discrete receiving portions that are configured to releasably secure the probe in the longitudinal groove, the receiving portions being located at intermittent locations along the longitudinal groove,

wherein each of the discrete receiving portions comprises a structure that extends into or over a portion of the longitudinal groove to releasably secure a portion of the probe in the longitudinal groove, wherein each of the discrete receiving portions comprises a portion of one of the side walls that is shaped to press a section of the probe received in the receiving portion against the floor.

29. The intramedullary nail of claim 28, wherein one or more of the receiving portions comprises at least two substantially planar side walls and a substantially planar floor that extends from one of the substantially planar side walls to the other of the substantially planar side walls and connects the at least two substantially planar side walls, the longitudinal groove comprising a first portion along a length of the longitudinal groove wherein the at least two substantially planar side walls each form an acute angle with the substantially planar floor and a second portion along the length of the longitudinal groove wherein the at least two substantially planar side walls each form an angle of approximately 90 degrees or greater with the substantially planar floor.

30. The intramedullary nail of claim 28, wherein the longitudinal groove comprises an opening that extends to the outer surface of the intramedullary nail along at least a portion of the longitudinal groove, and

wherein the receiving portions are configured to retain the probe in the longitudinal groove at or below the outer surface of the intramedullary nail such that the probe does not extend through the opening.

31. The intramedullary nail of claim 28, wherein the longitudinal groove has a length that extends along the non-driving end portion and the driving end portion, the longitudinal groove having an opening defined through the outer surface of the body along the length of the longitudinal groove,

wherein the receiving portions are intermittently located along the length of the longitudinal groove and the receiving portions are separated by other portions of the body that are located adjacent the receiving portions,

wherein the opening has a width perpendicular to the length, and the width of the opening at the receiving portions is smaller than the width of the opening at the other portions.

32. The intramedullary nail of claim 28, wherein the longitudinal groove has an opening through the outer surface of the body, the opening extending along a length of the longitudinal groove,

wherein the receiving portions define portions of the opening at the outer surface and are dimensioned to limit passage of the probe through the outer surface at the opening, and

wherein the body comprises other portions located adjacent to the receiving portions along the length of the longitudinal groove, and the other portions defining portions of the opening at the outer surface that admit the probe through the outer surface without limiting passage of the probe through opening.

33. The intramedullary nail of claim 28, wherein each of the discrete receiving portions comprises structures that extend into or over the longitudinal groove from opposing sides of the longitudinal groove and define an opening between the structures, wherein the longitudinal groove has a continuous opening along a length of the longitudinal groove, wherein the continuous opening extends across each of the discrete receiving portions.

34. The intramedullary nail of claim 28, wherein the intramedullary nail has an opening at an end of the intramedullary nail,

wherein the longitudinal groove extends along an axis and the longitudinal groove extends to the opening at the end of the intramedullary nail, and

wherein the opening at the end of the intramedullary nail permits the probe to be removed from the intramedullary nail through the opening in a direction along the axis.