Abstract:
A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.
Abstract:
A computer-assisted surgery system has inertial sensor unit connected to an instrument and producing readings representative of its orientation. A computer-assisted surgery processor unit has a coordinate system module for setting a pelvic coordinate system from readings of the inertial sensor unit when the instrument is in a given orientation relative to the pelvis, a tracking module for tracking an orientation of the instrument relative to the pelvic coordinate system during movements thereof and a geometrical relation data module for recording preoperatively a landmark orientation relative to the pelvic coordinate system and a distance when the at least one instrument has a first end abutted to a pelvic landmark and a second end abutted to a leg landmark, for recording after implant rejointing the medio-lateral orientation and the distance, and for calculating a leg length discrepancy and/or an offset, based on the distances and the medio-lateral orientations.
Abstract:
A tibia cutting assembly includes a tibia cut guide with at least one cut slot. A guide rod has a guide holder mountable to the cut guide at a first end of the guide rod, and a second end of the guide rod is mountable non-invasively about a skin of a patient. The guide rod is extendable in length to displace the tibia cut guide and adjust a position thereof with respect to a tibia of the patient. The guide holder cooperates with the tibia cut guide to adjust an orientation of the tibia cut guide. A first inertial sensor is mountable to the guide holder and is displaceable therewith, and a second inertial sensor is mountable to the guide rod at the second end thereof.
Abstract:
A pin placement instrument for placing a pin in a bone comprises an anatomical interface with a hook-like portion being opened in a lateral direction of the instrument to receive a bone therein in a planned position. A drill guide is connected to the anatomical interface and defining at least one guide slot in a longitudinal direction of the instrument. The guide slot has a lateral opening over its full length in the drill guide to allow lateral withdrawal of the instrument in said lateral direction with the pin placed in the bone passing through the lateral opening. A bushing is removably placed in said guide slot via said longitudinal direction in a planned fit, the bushing defining a throughbore aligned with the guide slot and adapted to receive the pin extending in said longitudinal direction when the bushing is in the guide slot for pin placement.
Abstract:
A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.
Abstract:
A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.
Abstract:
A method and system for planning a creation of a cement bore in a bone comprises obtaining a virtual model of a bone, the model of the bone including a proximal bone surface, a distal bone surface, and a depth profile between the proximal bone surface and the distal bone surface. A planned positioning of a first implant selected to be implanted in the proximal bone surface is obtained. An identity of at least one tool used to alter the proximal bone surface to receive the first implant in the planned positioning and obtaining geometry data for the at least one tool is obtained. A cement bore required in the bone using the geometry data of the at least one tool and the planned positioning of the first implant is generated. The virtual model of the bone with the cement bore indicative of a relation between the cement bore and the distal bone surface is output.
Abstract:
A system for tracking a femoral frame of reference in computer-assisted surgery comprises a sensor unit. The sensor unit is adapted to be secured to the femur. The sensor unit comprises accelerometer and gyroscope sensors that produce orientation data. A processing unit receives gyroscope and accelerometer data. The processing unit comprises a gyroscope-data calculator to provide calculated acceleration data resulting from movements of the femur, an accelerometer-data calculator to calculate measured acceleration data resulting from movements of the femur, and an acceleration comparator to relate an orientation of the sensor unit to the femur to define a femoral frame of reference. The femoral frame of reference is defined from the comparison between the calculated and the measured acceleration data. A sensor orientation interface provides orientation data for the femur from a tracking of the femoral frame of reference. A method for tracking a femoral frame of reference is also provided.
Abstract:
A system for calculating a position and orientation of an acetabular cup in computer-assisted surgery comprises a first trackable reference secured to a pelvis, with a frame of reference being associated with the first trackable reference. A device is positionable between a femoral neck and the acetabulum of the pelvis in a known relation, the device having a second trackable reference. Sensors track the trackable references for position and orientation. A position/orientation calculator calculates a position and orientation of the frame of reference and of the device and for determining an orientation of the neck axis with respect to the frame of reference from the known relation at a desired position of the femur. An implant position/orientation calculator provides cup implanting information with respect to the orientation of said neck axis as a function of the tracking for position and orientation of at least the first trackable reference.
Abstract:
A computer-assisted surgery (CAS) system comprises a cup implanting device including a shaft having a tooling end and a handle end with a handle for being manipulated, the shaft having a longitudinal axis, the tooling end adapted to support a cup for being received in an acetabulum of a patient, and a rotation indicator having a visual guide representative of a device plane, wherein the device plane is in a known position and orientation relative to a center of the cup on the tooling end. A CAS processing unit includes at least one inertial sensor unit connected to the cup implanting device, the inertial sensor unit outputting three-axes readings and having a virtual preset orientation related to a reference axis of a pelvis of the patient, the virtual preset orientation being based on pre-operative imaging specific to the pelvis of the patient, the reference axis of the pelvis passing through a center of rotation of said acetabulum of the pelvis and through a reference landmark of the pelvis, wherein an instant three-axis orientation of the longitudinal axis of the cup implanting device is trigonometrically known relatively to the reference axis when the cup is in the acetabulum of the patient and the device plane passes through the reference landmark via the visual guide, the instant three-axis orientation used for calibrating the inertial sensor unit on the cup implanting device relative to the pelvis.