Patient-specific mill guide

• US 9,839,434 B2
• Filed: 10/19/2010
• Issued: 12/12/2017
• Est. Priority Date: 10/29/2009
• Status: Active Grant

• Current Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Romano, Anthony P., May, Justin J.
• Primary Examiner(s): Truong, Kevin T
• Assistant Examiner(s): KAMIKAWA, TRACY L
• Application Number:
  US12/907,292
• Publication Number:
  US 20110106093A1
• Time in Patent Office: 2,611 Days
• Field of Search: 606 80, 606 82, 606 84, 606 85, 606 86 R- 89, 606 96, 606102, 606104
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 2017/1602 Mills
• CPC Class Codes: A61B 2017/568 produced with shape and dimensions specific for an individual patient
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• 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 2/3859 Femoral components
• CPC Class Codes: A61F 2/3877 Patellae or trochleae
• CPC Class Codes: A61F 2002/30971 Laminates, i.e. layered products
• CPC Class Codes: A61F 2002/3895 unicompartimental
• CPC Class Codes: A61F 2240/001 Designing or manufacturing processes
• CPC Class Codes: A61F 2240/002 Designing or making customized prostheses

Abstract

An orthopedic guide for preparing a particular patient'"'"'s bone to receive a prosthesis using a milling tool with a rotating burr comprises a platform having a top surface and a bottom surface adapted to face the patient'"'"'s bone. The platform defines an elongate milling track that extends through the platform from the top surface to the bottom surface of the platform, the milling track being sized and shaped so as to be adapted to guide the milling tool across the patient'"'"'s bone with the burr of the milling tool rotating beneath the bottom surface of the platform to be adapted to remove a first bone portion from the patient'"'"'s bone. A plurality of legs are coupled to the platform and each comprise a referencing end that is contour-matching fabricated as a function of the patient'"'"'s bone data to be adapted to abut the patient'"'"'s bone, the referencing ends of the plurality of legs adapted to cooperate to locate the orthopedic guide at a single predetermined location of the patient'"'"'s bone.

Claims

1. An orthopedic guide for preparing a particular patient'"'"'s bone to receive a prosthesis using a milling tool with a rotating burr, the orthopedic guide comprising:

a cutting platform having a top surface and a bottom surface adapted to face the patient'"'"'s bone, the platform having an elongated milling track that extends through the platform from the top surface to the bottom surface of the platform, the milling track including a plurality of substantially parallel segments and a transverse interconnecting segment that joins together the plurality of substantially parallel segments, the milling track occupying an extent of the platform to guide the milling tool across the patient'"'"'s bone with the burr of the milling tool rotating beneath the bottom surface of the platform to remove a first bone portion from the patient'"'"'s bone; and

a plurality of legs projecting from the bottom surface of the platform, the legs being adjacent to an outer periphery of the platform, each of the plurality of legs comprising a referencing end that is contour-matching fabricated as a function of a three-dimensional computer model of the patient'"'"'s bone to be adapted to abut the patient'"'"'s bone such that the bottom surface of the platform is adapted to be spaced from the patient'"'"'s bone when the referencing ends of the plurality of legs abut the patient'"'"'s bone, the bottom surface being spaced from a native surface of the patient'"'"'s bone over the extent of the platform occupied by the milling track, the referencing ends of the plurality of legs adapted to cooperate to locate the orthopedic guide at a single predetermined location of the patient'"'"'s bone, the plurality of legs distributing a majority of force of the milling tool applied against the platform to the bone.

2. The orthopedic guide of claim 1, wherein the platform includes an anterior portion, an intermediate portion that extends obtusely from the anterior portion of the platform, and a distal portion that extends obtusely from the intermediate portion of the platform, the orthopedic guide configured to be adapted for use with the patient'"'"'s femur such that the anterior portion of the platform is adapted to rest above an anterior surface of the patient'"'"'s femur and the distal portion of the platform is adapted to rest above a distal surface of the patient'"'"'s femur.

3. The orthopedic guide of claim 1, wherein the platform includes an anterior portion and a distal portion that extends transverse to the anterior portion of the platform, the orthopedic guide configured to be adapted for use with the patient'"'"'s femur such that the anterior portion of the platform is adapted to rest above an anterior surface of the patient'"'"'s femur and the distal portion of the platform is adapted to rest above a distal surface of the patient'"'"'s femur.

4. The orthopedic guide of claim 1, wherein the milling track includes an enlarged opening for receiving the burr of the milling tool, the milling track narrowing in width apart from the enlarged opening to retain the burr of the milling tool beneath the platform.

5. The orthopedic guide of claim 1, wherein the platform further defines a planar cut referencing surface that is configured to be adapted to guide a cutting tool across the patient'"'"'s bone to be adapted to remove a second bone portion from the patient'"'"'s bone.

6. Use of the orthopedic guide of claim 1, wherein the plurality of legs contact the bone to distribute the majority of the force of the milling tool applied against the platform to the bone.

7. The use of the orthopedic guide according to claim 6, wherein the orthopedic guide is used without fasteners to distribute the majority of the force of the milling tool applied against the platform to the bone.

8. An orthopedic guide for preparing a particular patient'"'"'s bone to receive a prosthesis using a milling tool with a rotating burr, the orthopedic guide comprising:

a cutting platform having a top surface and a bottom surface adapted to face the patient'"'"'s bone, the platform having an elongated milling track that extends through the platform from the top surface to the bottom surface of the platform, the milling track including a plurality of substantially parallel segments and a transverse interconnecting segment that joins together the plurality of substantially parallel segments, the milling track occupying an extent of the platform inward of an outer periphery of the platform to guide the milling tool across the patient'"'"'s bone with the burr of the milling tool rotating beneath the bottom surface of the platform to remove a first bone portion from the patient'"'"'s bone; and

a plurality of legs projecting from the bottom surface of the platform, the legs being adjacent to the outer periphery of the platform, each of the plurality of legs comprising a referencing end that is contour-matching fabricated as a function of a three-dimensional computer model of the patient'"'"'s bone to be adapted to abut the patient'"'"'s bone such that the bottom surface of the platform is adapted to be spaced from the patient'"'"'s bone when the referencing ends of the plurality of legs abut the patient'"'"'s bone, the bottom surface being spaced from a native surface of the patient'"'"'s bone over the extent of the platform occupied by the milling track and over a portion of the platform between the outer periphery and the extent thereof, the referencing ends of the plurality of legs adapted to cooperate to locate the orthopedic guide at a single predetermined location of the patient'"'"'s bone, the plurality of legs distributing a majority of force of the milling tool applied against the platform to the bone.

9. The orthopedic guide of claim 8, wherein the plurality of legs are spaced apart about the outer periphery of the platform.

10. The orthopedic guide of claim 8, wherein the platform includes an anterior portion, an intermediate portion that extends obtusely from the anterior portion of the platform, and a distal portion that extends obtusely from the intermediate portion of the platform, the orthopedic guide configured to be adapted for use with the patient'"'"'s femur such that the anterior portion of the platform is adapted to rest above an anterior surface of the patient'"'"'s femur and the distal portion of the platform is adapted to rest above a distal surface of the patient'"'"'s femur.

11. The orthopedic guide of claim 10, wherein the milling track comprises an anterior track portion, an intermediate track portion, and a distal track portion, each respectively spanning the anterior portion, the intermediate portion, and the distal portion of the platform.

12. The orthopedic guide of claim 8, wherein the platform includes an anterior portion and a distal portion that extends transverse to the anterior portion of the platform, the orthopedic guide configured to be adapted for use with the patient'"'"'s femur such that the anterior portion of the platform is adapted to rest above an anterior surface of the patient'"'"'s femur and the distal portion of the platform is adapted to rest above a distal surface of the patient'"'"'s femur.

13. The orthopedic guide of claim 8, wherein the milling track includes an enlarged opening for receiving the burr of the milling tool, the milling track narrowing in width apart from the enlarged opening to retain the burr of the milling tool beneath the platform.

14. The orthopedic guide of claim 8, wherein the platform further defines a planar cut referencing surface that is configured to be adapted to guide a cutting tool across the patient'"'"'s bone to be adapted to remove a second bone portion from the patient'"'"'s bone.

15. The orthopedic guide of claim 14, wherein the cut referencing surface is located on an exterior surface of the platform.

16. The orthopedic guide of claim 8, wherein the plurality of legs are integrally fixed to the platform.

17. The orthopedic guide of claim 8, wherein at least one of the legs extends from end to end of an edge of the platform.

18. The orthopedic guide of claim 8, wherein the platform has at least three edges and defines a plane, one of the plurality of legs projecting from the bottom surface at three of the edges of the platform, said plane being parallel to the bottom surface of the platform.

19. Use of the orthopedic guide of claim 8, wherein the plurality of legs contact the bone to distribute the majority of the force of the milling tool applied against the platform to the bone.

20. The use of the orthopedic guide according to claim 19, wherein the orthopedic guide is used without fasteners to distribute the majority of the force of the milling tool applied against the platform to the bone.