公开(公告)号：US20160022370A1

公开(公告)日：2016-01-28

申请号：US14776660

申请日：2014-03-17

申请人： OTISMED CORPORATION

发明人： Elena I. Pavlovskaia ,  Boris E. Shpungin ,  Oleg Mishin ,  Olga Sominskaya

IPC分类号： A61B19/00 ,  A61B17/15

CPC分类号： A61B17/154 ,  A61B17/155 ,  A61B34/10 ,  A61B2017/568 ,  A61B2034/105 ,  A61B2034/108 ,  A61F2/38

摘要： Implementations described and claimed herein provide systems and methods for generating a smooth mating surface model defining a mating surface of a customized arthroplasty jig. In one implementation, sagittal slices of a volumetric image of a patient bone are segmented with segmentation splines. An anatomically accurate model of the patient bone is generated from the segmentation splines. The anatomically accurate model includes anatomically accurate segmentation splines. The anatomically accurate segmentation splines are transformed into mating surface contours. Any inadequate segments of the mating surface contours are modified to obtain modified mating surface contours. A mating surface model of the patient bone is generated based on the mating surface contours and the modified mating surface contours. Three-dimensional cross-sections of the mating surface model are smoothed to generate the smooth mating surface model.

摘要翻译： 本文描述和要求保护的实施例提供了用于产生限定定制关节成形术夹具的配合表面的平滑配合表面模型的系统和方法。 在一个实现中，患者骨的体积图像的矢状切片被分割花键。 从分割样条生成解剖学上准确的患者骨骼模型。 解剖学上精确的模型包括解剖精确的分割样条。 解剖学上精确的分割样条变换成匹配表面轮廓。 匹配表面轮廓的任何不适当的部分被修改以获得改进的配合表面轮廓。 基于配合表面轮廓和修改的配合表面轮廓产生患者骨的配合表面模型。 匹配表面模型的三维横截面被平滑以产生平滑的配合表面模型。

公开(公告)号：US08801719B2

公开(公告)日：2014-08-12

申请号：US13730585

申请日：2012-12-28

申请人： OtisMed Corporation

发明人： Ilwhan Park ,  Lacerial Pearson ,  Stephen M. Samuel

IPC分类号： A61F2/46 ,  A61F5/00 ,  A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC分类号： A61B17/1764 ,  A61B6/032 ,  A61B17/154 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1668 ,  A61B17/1675 ,  A61B17/17 ,  A61B17/1703 ,  A61B17/171 ,  A61B17/1739 ,  A61B34/10 ,  A61B2017/00526 ,  A61B2017/568 ,  A61B2034/102 ,  A61B2034/104 ,  A61B2034/105 ,  A61B2034/108 ,  A61B2090/3762 ,  A61F2/30 ,  B29C64/386 ,  B29C64/393 ,  B33Y50/00 ,  B33Y50/02 ,  B33Y80/00 ,  G05B19/4099 ,  G05B2219/35134 ,  G06F17/5009 ,  G06F19/00 ,  G16H50/50

摘要： A method and system for performing a total joint arthroplasty procedure on a patient's damaged bone region. A CT image or other suitable image is formed of the damaged bone surfaces, and location coordinate values (xn,yn,zn) are determined for a selected sequence of bone surface locations using the CT image data. A mathematical model z=f(x,y) of a surface that accurately matches the bone surface coordinates at the selected bone spice locations, or matches surface normal vector components at selected bone surface locations, is determined. The model provides a production file from which a cutting jig and an implant device (optional), each patient-specific and having controllable alignment, are fabricated for the damaged bone by automated processing. At this point, the patient is cut open (once), the cutting jig and a cutting instrument are used to remove a selected portion of the bone and to provide an exposed planar surface, the implant device is optionally secured to and aligned with the remainder of the bone, and the patient's incision is promptly repaired.

公开(公告)号：US08737700B2

公开(公告)日：2014-05-27

申请号：US12760388

申请日：2010-04-14

申请人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

发明人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

IPC分类号： G06K9/00 ,  G06F17/50

CPC分类号： A61B5/055 ,  A61B5/4528 ,  A61B5/4851 ,  A61B6/03 ,  A61B17/15 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1703 ,  A61B17/1725 ,  A61B17/1739 ,  A61B17/1742 ,  A61B17/1757 ,  A61B17/1764 ,  A61B2034/108 ,  B33Y50/00 ,  B33Y80/00

摘要： Methods of manufacturing a custom arthroplasty resection guide or jig are disclosed herein. For example, one method may include: generating MRI knee coil two dimensional images, wherein the knee coil images include a knee region of a patient; generating MRI body coil two dimensional images, wherein the body coil images include a hip region of the patient, the knee region of the patient and an ankle region of the patient; in the knee coil images, identifying first locations of knee landmarks; in the body coil images, identifying second locations of the knee landmarks; run a transformation with the first and second locations, causing the knee coil images and body coil images to generally correspond with each other with respect to location and orientation.

摘要翻译： 本文公开了制造定制关节成形术切除引导件或夹具的方法。 例如，一种方法可以包括：产生MRI膝盖线圈二维图像，其中膝盖线圈图像包括患者的膝盖区域; 产生MRI体线圈二维图像，其中身体线圈图像包括患者的臀部区域，患者的膝部区域和患者的踝部区域; 在膝盖线圈图像中，识别膝盖地标的第一个位置; 在身体线圈图像中，识别膝盖地标的第二位置; 运行与第一和第二位置的变换，使得膝盖线圈图像和身体线圈图像相对于位置和取向一般对应。

公开(公告)号：US08734455B2

公开(公告)日：2014-05-27

申请号：US12390667

申请日：2009-02-23

申请人： Ilwhan Park ,  Michael Koehle ,  Lorenzo R. Deveza

发明人： Ilwhan Park ,  Michael Koehle ,  Lorenzo R. Deveza

IPC分类号： A61B17/58 ,  A61B17/60 ,  A61F2/00

CPC分类号： A61B34/10 ,  A61B17/175 ,  A61B2017/568 ,  A61B2034/102 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/108 ,  A61F2/3603 ,  A61F2/3609 ,  A61F2002/30878 ,  A61F2002/505 ,  B33Y80/00 ,  G05B19/41885 ,  Y02P90/14 ,  Y02P90/20

摘要： Disclosed herein is a tool for guiding a drill hole along a central axis of a femur head and neck for preparation of a femur head that is the subject of a hip resurfacing surgery. In one embodiment, the tool includes a mating region and a guide hole. The mating region is configured to matingly receive a predetermined surface of the femur. The mating region and guide hole are positionally correlated or referenced with each other such that when the mating region matingly receives the predetermined surface of the femur, the guide hole will be generally coaxial with a central axis extending through the femur head and the femur neck.

摘要翻译： 本文公开了一种用于沿着股骨头和颈部的中心轴线引导钻孔的工具，用于准备作为髋关节表面置换手术的对象的股骨头。 在一个实施例中，工具包括配合区域和引导孔。 配合区域被配置成配合地接收股骨的预定表面。 配合区域和引导孔在位置上相互关联或相互参照，使得当配合区域配合地接收股骨的预定表面时，引导孔将与延伸穿过股骨头部和股骨颈部的中心轴线大致同轴。

公开(公告)号：US08460302B2

公开(公告)日：2013-06-11

申请号：US11641382

申请日：2006-12-18

申请人： Ilwhan Park ,  Charlie W. Chi

发明人： Ilwhan Park ,  Charlie W. Chi

IPC分类号： A61F5/00

CPC分类号： A61B17/17 ,  A61B17/155 ,  A61B17/157 ,  A61B17/8863 ,  A61B2017/00526 ,  B33Y80/00

摘要： Methods and apparatuses for forming customized arthroplasty jigs are disclosed. Some of the apparatuses may comprise a plurality of rapid production machines and an automated mechanical system. The automated mechanical system may be configured to transport a first arthroplasty jig blank to a first rapid production machine and a second arthroplasty jig blank to a second rapid production machine. The first rapid production machine may be configured to form a first arthroplasty jig from the first arthroplasty jig blank, and the second rapid production machine may be configured to form a second arthroplasty jig from the second arthroplasty jig blank, the second arthroplasty jig having a different configuration from the first arthroplasty jig.

摘要翻译： 公开了用于形成定制的关节成形术夹具的方法和装置。 一些设备可以包括多个快速生产机器和自动机械系统。 自动机械系统可以被配置为将第一关节成形术夹具坯件运送到第一快速生产机器和第二关节成形术夹具坯件到第二快速生产机器。 第一快速生产机器可以构造成从第一关节成形术夹具坯料形成第一关节成形术夹具，并且第二快速生产机器可以被配置成从第二关节成形术夹具坯件形成第二关节成形术夹具，第二关节成形术夹具具有不同的 配置从第一个关节成形术夹具。

公开(公告)号：US20120192401A1

公开(公告)日：2012-08-02

申请号：US13374960

申请日：2012-01-25

申请人： Elena Pavlovskaia ,  Oleg Mishin ,  Boris E. Shpungin

发明人： Elena Pavlovskaia ,  Oleg Mishin ,  Boris E. Shpungin

IPC分类号： B23P11/00

CPC分类号： A61B17/1703 ,  A61B5/055 ,  A61B6/032 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1675 ,  A61B34/10 ,  A61B90/37 ,  A61B2017/1602 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/108 ,  A61B2090/374 ,  A61B2090/3762 ,  B33Y10/00 ,  B33Y50/00 ,  B33Y50/02 ,  B33Y80/00 ,  G06F17/50 ,  G06F17/5009 ,  G06F19/00 ,  G06K9/2063 ,  G06K9/48 ,  G06K2009/484 ,  G06K2209/055 ,  G06T7/0012 ,  G06T7/12 ,  G06T7/13 ,  G06T7/70 ,  G06T17/00 ,  G06T17/20 ,  G06T2200/08 ,  G06T2207/30008 ,  G16H50/50 ,  Y10T29/49826

摘要： A custom arthroplasty guide and a method of manufacturing such a guide are disclosed herein. The method of manufacturing the custom arthroplasty guide includes: a) generating medical imaging slices of the portion of the patient bone; b) identifying landmarks on bone boundaries in the medical imaging slices; c) providing model data including image data associated with a bone other than the patient bone; d) adjusting the model data to match the landmarks; e) using the adjusted model data to generate a three dimensional computer model of the portion of the patient bone; f) using the three dimensional computer model to generate design data associated with the custom arthroplasty guide; and g) using the design data in manufacturing the custom arthroplasty guide.

摘要翻译： 本文公开了一种定制关节成形术指南及其制造方法。 制造定制关节成形术指南的方法包括：a）产生患者骨部分的医学成像切片; b）识别医学成像切片中骨边界上的界标; c）提供包括与患者骨以外的骨相关联的图像数据的模型数据; d）调整模型数据以匹配地标; e）使用经调整的模型数据来产生患者骨部分的三维计算机模型; f）使用三维计算机模型生成与定制关节置换指南相关的设计数据; 和g）使用设计数据制造定制关节置换指南。

公开(公告)号：US20110214279A1

公开(公告)日：2011-09-08

申请号：US13086275

申请日：2011-04-13

申请人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

发明人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

IPC分类号： B23P17/04

CPC分类号： A61B34/10 ,  A61B6/505 ,  A61B17/1675 ,  A61B17/1764 ,  A61B2034/102 ,  A61B2034/105 ,  A61B2034/108 ,  A61F2/3859 ,  A61F2/389 ,  A61F2/4657 ,  A61F2002/4633 ,  A61F2002/4658 ,  A61F2002/4668 ,  B33Y80/00 ,  G06K9/2063 ,  G06K9/6201 ,  G06K9/6202 ,  G06K2209/05 ,  G06K2209/055 ,  G06T5/50 ,  G06T7/0012 ,  G06T7/33 ,  G06T17/00 ,  G06T19/00 ,  G06T19/20 ,  G06T2207/10004 ,  G06T2207/10088 ,  G06T2207/20221 ,  G06T2207/30008 ,  G06T2207/30052 ,  G06T2210/41 ,  G06T2219/008 ,  G06T2219/2004 ,  Y10T29/49

摘要： Methods of manufacturing a custom arthroplasty resection guide or jig are disclosed herein. For example, one method may include: generating MRI knee coil two dimensional images, wherein the knee coil images include a knee region of a patient; generating MRI body coil two dimensional images, wherein the body coil images include a hip region of the patient, the knee region of the patient and an ankle region of the patient; in the knee coil images, identifying first locations of knee landmarks; in the body coil images, identifying second locations of the knee landmarks; run a transformation with the first and second locations, causing the knee coil images and body coil images to generally correspond with each other with respect to location and orientation.

摘要翻译： 本文公开了制造定制关节成形术切除引导件或夹具的方法。 例如，一种方法可以包括：产生MRI膝盖线圈二维图像，其中膝盖线圈图像包括患者的膝盖区域; 产生MRI体线圈二维图像，其中身体线圈图像包括患者的臀部区域，患者的膝部区域和患者的踝部区域; 在膝盖线圈图像中，识别膝盖地标的第一个位置; 在身体线圈图像中，识别膝盖地标的第二位置; 运行与第一和第二位置的变换，使得膝盖线圈图像和身体线圈图像相对于位置和取向一般对应。

公开(公告)号：USD642263S1

公开(公告)日：2011-07-26

申请号：US29296687

申请日：2007-10-25

申请人： Ilwhan Park

设计人： Ilwhan Park

公开(公告)号：US20100256479A1

公开(公告)日：2010-10-07

申请号：US12760388

申请日：2010-04-14

申请人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

发明人： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

IPC分类号： A61B5/055 ,  A61B17/58 ,  G06K9/00

CPC分类号： A61B5/055 ,  A61B5/4528 ,  A61B5/4851 ,  A61B6/03 ,  A61B17/15 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1703 ,  A61B17/1725 ,  A61B17/1739 ,  A61B17/1742 ,  A61B17/1757 ,  A61B17/1764 ,  A61B2034/108 ,  B33Y50/00 ,  B33Y80/00

摘要： Methods of manufacturing a custom arthroplasty resection guide or jig are disclosed herein. For example, one method may include: generating MRI knee coil two dimensional images, wherein the knee coil images include a knee region of a patient; generating MRI body coil two dimensional images, wherein the body coil images include a hip region of the patient, the knee region of the patient and an ankle region of the patient; in the knee coil images, identifying first locations of knee landmarks; in the body coil images, identifying second locations of the knee landmarks; run a transformation with the first and second locations, causing the knee coil images and body coil images to generally correspond with each other with respect to location and orientation.

摘要翻译： 本文公开了制造定制关节成形术切除引导件或夹具的方法。 例如，一种方法可以包括：产生MRI膝盖线圈二维图像，其中膝盖线圈图像包括患者的膝盖区域; 产生MRI体线圈二维图像，其中身体线圈图像包括患者的臀部区域，患者的膝部区域和患者的踝部区域; 在膝盖线圈图像中，识别膝盖地标的第一个位置; 在身体线圈图像中，识别膝盖地标的第二位置; 运行与第一和第二位置的变换，使得膝盖线圈图像和身体线圈图像相对于位置和取向一般对应。

公开(公告)号：US09017336B2

公开(公告)日：2015-04-28

申请号：US11656323

申请日：2007-01-19

申请人： Ilwhan Park ,  Stephen M. Howell ,  Charlie W. Chi

发明人： Ilwhan Park ,  Stephen M. Howell ,  Charlie W. Chi

IPC分类号： A61B17/58 ,  A61B17/15 ,  A61B17/16 ,  A61B17/17 ,  A61B19/00

CPC分类号： A61B17/154 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1675 ,  A61B17/1739 ,  A61B17/1742 ,  A61B17/1764 ,  A61B17/1778 ,  A61B34/70 ,  A61B2034/108 ,  Y10T29/49

摘要： Arthroplasty jigs, arthroplasty jig blanks, and related methods and devices are disclosed. Some variations of the methods comprise forming an arthroplasty jig from a near-shape arthroplasty jig blank, where the near-shape arthroplasty jig blank has at least one feature specific to a target site to be matched by the arthroplasty jig. Certain of the methods comprise forming an arthroplasty jig having a first configuration from a near-shape arthroplasty jig blank having a second configuration approximating the first configuration. Some of the methods comprise forming a near-shape arthroplasty jig blank, where the near-shape arthroplasty jig blank is configured to be formed into an arthroplasty jig, and the near-shape arthroplasty jig blank has at least one feature specific to a target site to be matched by the arthroplasty jig.

摘要翻译： 关节成形术夹具，关节成形术夹具坯料及相关方法和装置。 方法的一些变型包括从近似形状的关节成形术夹具坯件形成关节成形术夹具，其中近似关节成形术夹具坯料具有与被关节成形术夹具匹配的目标部位特有的至少一个特征。 某些方法包括从具有接近第一构型的第二构型的近似形状的关节成形术夹具坯料形成具有第一构型的关节成形术夹具。 一些方法包括形成接近形状的关节成形术夹具坯料，其中近似形状的关节成形术夹具坯料构造成形成关节成形术夹具，并且近似形状的关节成形术夹具坯具有至少一个特定于靶位点的特征 由关节成形术夹具匹配。