Hip replacement navigation system and method

• US 9,649,160 B2
• Filed: 03/13/2013
• Issued: 05/16/2017
• Est. Priority Date: 08/14/2012
• Status: Active Grant

• Current Assignee: Orthalign, Inc.
• Original Assignee: Orthalign, Inc.
• Inventors: Ryan, Matthew, Nielsen, Jonathan, van der Walt, Nicholas
• Primary Examiner(s): Ramana, Anu
• Application Number:
  US13/800,620
• Publication Number:
  US 20140052149A1
• Time in Patent Office: 1,525 Days
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• 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 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61F 2/30942 for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
• 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 2002/4687 Mechanical guides for implantation instruments

Abstract

In another embodiment, a hip joint navigation jig is provided that includes an anatomical interface comprising a bone engagement portion. A registration jig is also provided that is coupled, e.g., removeably, with the anatomical interface. A rotatable member is provided for rotation about an axis that is not vertical when the jig is mounted to the bone adjacent to a hip joint and the registration jig is coupled with the anatomical interface. An anatomy engaging probe is coupled with the rotatable member for rotation about the axis and is translatable to enable the probe to be brought into contact with a plurality of anatomical landmarks during a procedure. An inertial sensor is coupled with the probe to indicate orientation related to the landmarks, the sensor being disposed in a different orientation relative to horizontal when the probe is in contact with the landmarks.

Claims

1. A hip joint navigation system, comprising:

a jig having an anchor portion configured to be immovably connected to the pelvis, the jig having a connector;

a landmark acquisition probe coupled with the connector, the connector configured to move in at least two degrees of freedom relative to the jig, the landmark acquisition probe configured to move in at least one additional degree of freedom relative to the connector;

a first inertial navigation device configured to be immovably connected to the jig; and

a second inertial navigation device configured to determine the orientation of the landmark acquisition probe when the landmark acquisition probe is moved to touch an anatomical landmark,

wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device comprises software incorporated into a processor configured to calculate the orientation of an anatomical plane based on data from at least one of the first inertial navigation device and the second inertial navigation device.

2. The hip joint navigation system of claim 1, wherein one of the degrees of freedom corresponds to translation of a tip of the landmark acquisition probe toward and away from the anchor portion, the landmark acquisition probe comprising a scale reflecting the position of the tip relative to the anchor portion.

3. The hip joint navigation system of claim 1, further comprising a latch disposed on the jig to immobilize the landmark acquisition probe.

4. The hip joint navigation system of claim 3, wherein the latch comprises a device that restricts two of three degrees of freedom of the landmark acquisition probe.

5. The hip joint navigation system of claim 1, wherein the connector comprises a channel that restricts two degrees of freedom of the landmark acquisition probe.

6. The hip joint navigation system of claim 1, wherein the first inertial navigation device is coupled with the anchor portion of the jig.

7. The hip joint navigation system of claim 1, wherein the second inertial device comprises a mount device configured to detachably connect the second inertial device to the landmark acquisition probe.

8. The hip joint navigation system of claim 1, wherein the second inertial device comprises a camera.

9. The hip joint navigation system of claim 1, wherein the connector comprises a window configured to enable a scale to be viewed therethrough.

10. The hip joint navigation system of claim 1, wherein the first inertial navigation device and the second inertial navigation device determine the orientation of an acetabular plane based on the position of the anatomical landmarks.

11. The hip joint navigation system of claim 1, wherein the first inertial navigation device comprises a display.

12. A hip joint navigation system, comprising:

a jig having an anchor portion configured to be immovably connected to the pelvis, the jig having a connector;

a landmark acquisition probe coupled with the connector, the connector configured to move in at least two degrees of freedom relative to the jig, the landmark acquisition probe configured to move in at least one additional degree of freedom relative to the connector;

a first inertial navigation device configured to be immovably connected to the jig; and

a second inertial navigation device configured to generate spatial location information related to a point when the landmark acquisition probe contacts the point,

wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to record the spatial location information of the point.

13. The hip joint navigation system of claim 12, wherein the landmark acquisition probe comprises a scale indicating the position of a tip of the landmark acquisition probe relative to the anchor portion.

14. The hip joint navigation system of claim 12, wherein the connector comprises a channel that restricts two degrees of freedom of the landmark acquisition probe.

15. The hip joint navigation system of claim 12, wherein the first inertial navigation device is coupled with the anchor portion of the jig.

16. The hip joint navigation system of claim 12, wherein the second inertial device comprises a mount device configured to detachably connect the second inertial device to the landmark acquisition probe.

17. The hip joint navigation system of claim 12, wherein the second inertial device comprises a camera.

18. The hip joint navigation system of claim 12, wherein the connector comprises a window configured to enable a scale to be viewed therethrough.

19. The hip joint navigation system of claim 12, wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to determine the position of the neck of the femur based on the position of the point.

20. The hip joint navigation system of claim 12, wherein the first inertial navigation device comprises a display.

21. A hip joint navigation system, comprising:

a jig having an anchor portion configured to be immovably connected to the pelvis, the jig having a connector;

a landmark acquisition probe coupled with the connector, the connector configured to move in at least two degrees of freedom relative to the jig, the landmark acquisition probe configured to move in at least one additional degree of freedom relative to the connector;

a first inertial navigation device configured to be immovably connected to the jig; and

a second inertial navigation device configured to determine at least one of a position and an orientation of a tip of the landmark acquisition probe when the tip of the landmark acquisition probe contacts a landmark,

wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device comprise software incorporated into a processor configured to calculate at least one of the position and the orientation of an anatomical plane based on a plurality of landmarks contacted by the tip of the landmark acquisition probe.

22. The hip joint navigation system of claim 21, wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to determine the orientation of an acetabular plane based on the position of the landmarks.

23. The hip joint navigation system of claim 21, wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to determine the orientation of a pelvic plane based on the position of the landmarks.

24. A hip joint navigation system, comprising:

a jig having an anchor portion configured to be immovably connected to the pelvis, the jig having a connector;

a landmark acquisition probe coupled with the connector, the connector configured to move in at least two degrees of freedom relative to the jig, the landmark acquisition probe configured to move in at least one additional degree of freedom relative to the connector;

a first inertial navigation device configured to be immovably connected to the jig; and

a second inertial navigation device configured to output position signals, orientation signals, or position and orientation signals indicative of the position, orientation, or position and orientation of the landmark acquisition probe in a plurality of positions of the landmark acquisition probe,

wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is configured to display information based on the position signals, orientation signals, or position and orientation signals.

25. The hip joint navigation system of claim 24, wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to display to confirm a prescribed post-operative leg length.

26. The hip joint navigation system of claim 24, wherein the first inertial navigation device, the second inertial navigation device, or the first inertial navigation device and the second inertial navigation device is or are configured to display to confirm a prescribed post-operative joint offset along a medial-lateral axis.