公开(公告)号：US09549782B2

公开(公告)日：2017-01-24

申请号：US15167614

申请日：2016-05-27

Applicant: Howmedica Osteonics Corporation

Inventor： Ilwhan Park ,  Venkata Surya Sarva ,  Irene Min Choi

IPC: A61B34/10 ,  A61B17/16 ,  A61B17/17

CPC classification number: 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

Abstract: A method of manufacturing an arthroplasty jig is disclosed herein. The method may include the following: generate two dimensional image data of a patient joint to undergo arthroplasty, identify in the two dimensional image data a first point corresponding to an articular surface of a bone forming the joint, identify a second point corresponding to an articular surface of an implant, identify a location of a resection plane when the first point is correlated with the second point, and create the arthroplasty jig with a resection guide located according to the identified location of the resection plane.

Abstract translation: 本文公开了一种制造关节成形术夹具的方法。 该方法可以包括：生成患者关节的二维图像数据以进行关节成形术，在二维图像数据中识别与形成关节的骨的关节表面相对应的第一点，识别对应于关节的第二点 植入物的表面，当第一点与第二点相关时识别切除平面的位置，并且根据切割平面的识别位置创建具有切除引导件的关节成形术夹具。

公开(公告)号：US20160354092A1

公开(公告)日：2016-12-08

申请号：US15242312

申请日：2016-08-19

Applicant: Howmedica Osteonics Corporation

Inventor： Ilwhan Park

IPC: A61B17/15 ,  A61B34/10 ,  A61B17/16

CPC classification number: A61B34/10 ,  A61B17/15 ,  A61B17/155 ,  A61B17/157 ,  A61B17/1675 ,  A61B17/1764 ,  A61B17/58 ,  A61B2034/108

Abstract: Disclosed herein is a method of defining a mating surface in a first side of an arthroplasty jig. The mating surface is configured to matingly receive and contact a corresponding patient surface including at least one of a bone surface and a cartilage surface. The first side is oriented towards the patient surface when the mating surface matingly receives and contacts the patient surface. The method may include: a) identifying a contour line associated with the patient surface as represented in a medical image; b) evaluating via an algorithm the adequacy of the contour line for defining a portion of the mating surface associated with the contour line; c) modifying the contour line if the contour line is deemed inadequate; and d) employing the modified contour line to define the portion of the mating surface associated with the contour line.

Abstract translation: 本文公开了一种在关节置换夹具的第一侧中限定配合表面的方法。 配合表面构造成配合地接合并接触包括骨表面和软骨表面中的至少一个的相应的患者表面。 当配合表面配合地接收并接触患者表面时，第一侧面向病人表面。 该方法可以包括：a）识别与医学图像中所表示的患者表面相关联的轮廓线; b）通过算法评估用于定义与轮廓线相关联的配合表面的一部分的轮廓线的适当性; c）如果轮廓线被认为不足，则修改轮廓线; 以及d）使用改进的轮廓线来限定与轮廓线相关联的配合表面的部分。

公开(公告)号：US20160228195A1

公开(公告)日：2016-08-11

申请号：US15134248

申请日：2016-04-20

Applicant: Howmedica Osteonics Corporation

Inventor： Ilwhan Park ,  Keun Song ,  Oleg Mishin ,  Michael Santarella

IPC: A61B34/10 ,  A61F2/46 ,  G06T7/00 ,  G06T5/50 ,  G06K9/20 ,  G06T17/00 ,  G06T19/20 ,  A61F2/38 ,  G06K9/62

CPC classification number: 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

Abstract: 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.

Abstract translation: 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：US09265509B2

公开(公告)日：2016-02-23

申请号：US14824731

申请日：2015-08-12

Applicant: Howmedica Osteonics Corporation

Inventor： Ilwhan Park ,  Lacerial Pearson ,  Stephen M. Samuel

IPC: A61B17/58 ,  A61B17/60 ,  A61F2/00 ,  A61B17/17 ,  A61B17/16 ,  A61B6/03 ,  A61B17/15 ,  A61F2/30 ,  G06F19/00 ,  G06F17/50 ,  A61B19/00 ,  A61B17/00

CPC classification number: 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

Abstract: 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.

Abstract translation: 一种用于对患者的受损骨区进行全关节置换手术的方法和系统。 CT图像或其他合适的图像由损伤的骨表面形成，并且使用CT图像数据为所选择的骨表面位置序列确定位置坐标值（xn，yn，zn）。 确定精确匹配所选择的骨骼香料位置处的骨表面坐标或匹配所选骨表面位置处的表面法向量分量的表面的数学模型z = f（x，y）。 该模型提供了一种生产文件，通过自动化处理为受损骨制造切割夹具和植入装置（可选），每个患者特异性并具有可控制的对准。 在这一点上，患者被切开（一次），切割夹具和切割工具用于去除骨的选定部分并提供暴露的平坦表面，植入装置可选地固定到其余部分并与其余部分对准 的骨头，并且病人的切口被及时修复。