WO2010144705A1 - Method and apparatus for manufacturing an implant - Google Patents
Method and apparatus for manufacturing an implant Download PDFInfo
- Publication number
- WO2010144705A1 WO2010144705A1 PCT/US2010/038177 US2010038177W WO2010144705A1 WO 2010144705 A1 WO2010144705 A1 WO 2010144705A1 US 2010038177 W US2010038177 W US 2010038177W WO 2010144705 A1 WO2010144705 A1 WO 2010144705A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- operative plan
- plan
- operative
- handheld device
- preliminary
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/38—Joints for elbows or knees
- A61F2/3859—Femoral components
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y50/00—Data acquisition or data processing for additive manufacturing
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q30/00—Commerce
- G06Q30/06—Buying, selling or leasing transactions
- G06Q30/0601—Electronic shopping [e-shopping]
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/14—Surgical saws ; Accessories therefor
- A61B17/15—Guides therefor
- A61B17/154—Guides therefor for preparing bone for knee prosthesis
- A61B17/155—Cutting femur
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30617—Visible markings for adjusting, locating or measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30708—Means for distinguishing between left-sided and right-sided devices, Sets comprising both left-sided and right-sided prosthetic parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/3071—Identification means; Administration of patients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30948—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30953—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using a remote computer network, e.g. Internet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/3096—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques trimmed or cut to a customised size
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30962—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using stereolithography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4632—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using computer-controlled surgery, e.g. robotic surgery
- A61F2002/4633—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using computer-controlled surgery, e.g. robotic surgery for selection of endoprosthetic joints or for pre-operative planning
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0084—Means for distinguishing between left-sided and right-sided devices; Sets comprising both left-sided and right-sided prosthetic parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0085—Identification means; Administration of patients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
Definitions
- the present teachings provide a mobile-interactive apparatus and method to receive input from a user regarding a selected patient procedure.
- the present teachings provide an orthopedic implant manufacturing method.
- the method includes preparing a preliminary preoperative surgical plan for a specific patient, communicating the plan to a surgeon of the patient, and receiving an orthopedic implant design recommendation of the surgeon.
- the implant design recommendation can include selecting one of first, second or third options.
- the first option being a patient-specific implant, the second option being a semi-custom implant, and the third option being an off-the-shelf or standard production implant.
- the method further includes sending a request for manufacturing the selected implant to a manufacturing center, receiving the implant, and forwarding the implant for implantation.
- the orthopedic implant manufacturing method includes providing a generic casting of a specific implant component, the generic casting having at least one geometric feature that can be machined to a plurality of different sizes of the implant component, the generic casting including size-independent features of the specific component, and machining the component to a patient-specified size.
- the present teachings also provide a device that includes a generic casting for a specific implant component, the generic casting being intermediate between stock material and a specific size implant component.
- the generic casting includes at least one size-independent feature of the implant component, and at least one feature machinable to size/shape for a specific patient.
- the present teachings also provide an orthopedic implant manufacturing method.
- the method includes preparing a pre-operative surgical plan for a specific patient.
- the surgical plan including a three-dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, and receiving approval of the surgical plan and the resection plane by the surgeon.
- the method also includes providing automated osteophyte/protrusion removal control for surgeon manipulation, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.
- the method includes preparing a preoperative surgical plan for a specific patient, the surgical plan including a three- dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, receiving approval of the surgical plan and the resection plane by the surgeon, and identifying a location of at least one osteophyte/protrusion on the three-dimensional image of a patient's joint.
- the method also includes providing a plurality of depth contours in relation to the osteophyte/protrusion, providing at least one graphical removal tool associated with the osteophyte/protrusion for manipulation by the surgeon, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.
- the method includes preparing a preoperative surgical plan for a specific patient, the surgical plan including a three- dimensional image of a patient's joint indicating at least one resection plane, identifying a location of at least one osteophyte/protrusion on the three- dimensional image of a patient's joint, providing a plurality of depth contours in relation to the osteophyte/protrusion, and providing at least one graphical removal tool associated with the osteophyte/protrusion for manipulation by a user.
- the method also includes, communicating the surgical plan to a user, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from a user, and requesting manufacture of the selected orthopedic implant.
- FIG. 1 is a flowchart of an implant manufacturing method according to the present teachings
- FIG. 2 is a diagram illustrating a computer interface for an implant manufacturing method according to the present teachings
- FIG. 3 is perspective view of a generic casting of an implant according to the present teachings
- FIG. 4 is a side view of a generic casting according to the present teachings.
- FIG. 5 is a plan view of a generic casting according to the present teachings.
- FIG. 6 is a flow chart for an osteophyte/protrusion removal control method according to the present teachings;
- FIG. 7 is a representative image of a patent's anatomy showing osteophyte/protrusion control tools for modifying the image;
- FIGS. 8 and 9 are representative images of a patent's anatomy showing exemplary osteophyte/protrusion locations;
- FIG. 10 is a representative image of a patent's anatomy showing representative depth control selections for surgeon manipulation;
- FIGS. 1 1 and 12 are representative images of a patent's anatomy after osteophyte/protrusion removal with exemplary implants attached thereon;
- Figs. 13A and 13B illustrate a flowchart of a method of implant and guide design;
- Fig. 14 is a schematic view of hardware and a user.
- Fig. 15 is a plan view of a display of a device.
- the following description is merely exemplary in nature and is in no way intended to limit the present teachings, applications, or uses.
- the present teachings can be used for any orthopedic implant.
- the present teachings provide a manufacturing method that integrates patient's anatomic and medical information with interactive participation by a surgeon to select and manufacture an implant and, optionally, related surgical instruments, for a particular patient from generally three options: a custom made implant specific to the patient, an implant that is only partially custom-made or a semi-custom implant, and a standard off-the shelf implant. Similarly, off-the-shelf, custom-made, or semi-custom-made instrumentation (e.g.
- FIG. 1 an exemplary flowchart of an interactive implant manufacturing method according to the present teachings is illustrated.
- the portion of the patient's anatomy related to the orthopedic procedure and the implant is characterized and detailed at 100.
- the characterization can be performed with various imaging methods capable of obtaining a representation of the affected anatomy, including, for example, soft and hard tissues.
- the tissues can include bone, bone joints with or without cartilage, ligaments, or other soft tissue.
- the imaging methods can include, for example, MRI, CT, ultrasound, radiography or X-ray, cameras and other devices.
- the image information for the patient can be obtained at a medical facility or a doctor's office and can be sent to the manufacturer in an electronic and/or digital form contained.
- the image information can be stored on a physical medium, such as a CD, DVD, flash memory device (e.g. memory stick, compactflash, secure digital card), or other storage device.
- the information may alternatively, or in addition, be transmitted electronically with the Internet or worldwide web using appropriate transfer protocols.
- electronic transmissions can include e-mail or other digital transmission to any appropriate type of computer device, smart phone, PDA or other devices in which electronic information can be transmitted.
- Appropriate handheld devices can include handheld mobile device or portable communication devices, such as the iPhone® handheld mobile device sold by Apple Inc., a corporation of California, USA; the LG Shine® handheld mobile device sold by LG Corp. a corporation of REPUBLIC OF KOREA; or the Blackberry Bold® handheld mobile device sold by Research In Motion Limited a corporation of CANADA.
- the handheld device can be those that are held in the palm of a hand of a user, such as a surgeon (see Fig 14). The surgeon can then enter data with a stylus, keyboard, touch screen, etc.
- the handheld device can use local area networks, cell phone networks, or other data transmission systems to communicate with a main memory and processor of a service provider (see Fig. 14).
- Appropriate handheld devices can provide access to electronic communication or file transfer protocols, such as internet or electronic mail, to transfer or access information files.
- the handheld devices can have installed programs that can be used to manipulate the information files, as discussed herein.
- the handheld devices can access servers that process data files while receiving input through the handheld devices and displaying images to the surgeon or user via the handheld device.
- the handheld device may only be a client that does not process and edit a data file of the pre-op plan.
- the information collected at 100 can be used to create a three-dimensional model or image of the bone or joint with or without associated soft tissue or related anatomy using commercially available computer modeling software from various vendors or developers, such as, for example, from Materialise USA, Ann Arbor, Michigan.
- the three-dimensional model of the patient's anatomy can be viewed on a computer display or other electronic screen and can also reproduced as a hard copy on film or other medium and viewed by direct or indirect or backlight illumination.
- the model can be sized for viewing on any appropriate screen size and may be cropped, rotated, etc. as selected by the individual (e.g. the surgeon) viewing the screen.
- soft tissue associated with the affected anatomy can be modified, or removed or repaired, to restore alignment of the joint, for example, or to remove torn or diseased tissue, or to cut or repair ligaments, or to provide natural or artificial ligament grafts.
- Soft tissue information can be optionally used as an additional design parameter or input for the implant design, at 125.
- a custom or patient-specific bearing articulation of a knee joint can be designed based on the kinematic profile and the soft tissue/ligament information available for a particular patient.
- kinematic information for the patient can be obtained by an actual gait analysis of the patient, and can also be obtained by computer modeling software that uses the MRI images of the patient's joints and associated ligaments, muscle or other soft tissue to derive kinematic analysis of the patient and corresponding recommendations for soft tissue modification, such as releasing a ligament, for example.
- Such software is commercially available from the Biomechanics Research Group, Inc., of San Clemente, CA.
- a preliminary pre-operative plan of the surgical procedure can be prepared for surgeon or other medical user or technician review, including the planning of various bone resections, sizes and types of implants, and various geometric requirements including relevant dimensions, such as height, width, orientation of particular features, etc.
- the preliminary preoperative surgical plan can include a recommendation of particular implants and associated instruments to be used in the surgical procedure, as discussed below.
- the preliminary pre-operative surgical plan can be in the form of digital images that can be viewed interactively using a computer modeling software, such as the software referenced above.
- the preliminary pre-operative plan and any further changes or a finalized pre-operative plan can be a plan devised to obtain a healthy or as close to healthy anatomical orientation after an operative procedure.
- the healthy anatomy can be based on natural or pre-injury anatomy or mechanically correct or efficient anatomical orientation.
- the preliminary pre-operative surgical plan can be submitted to the surgeon (or other user) for review, either electronically or by land mail, and either in digital or hard copy form, as discussed above in connection with transmitting imaging information.
- the surgeon can review the resection planes shown in image of the patient's anatomy, make changes in the location, size and orientation of the resection planes and, generally, work interactively until the pre-operative plan from 130 is surgeon- approved.
- the surgeon may approve the image of the patient's anatomy showing corresponding resection planes. As shown in FIGS.
- the patient's anatomy 510 can be, for example, a distal femur with approved resection planes including medial and lateral anterior chamfer planes 513, medial and lateral anterior cut planes 51 1 , medial and lateral posterior chamfer planes 512 and medial and lateral posterior cut planes 514.
- the surgeon is provided with the opportunity to remove one or more osteophytes/protrusions from the image of the patient's anatomy 510 at surgeon-selected locations and depths at 500 (See FIG. 6).
- the automated osteophyte/protrusion removal control module 500 can be incorporated in the planning stage of the manufacturing method illustrated in FIG. 1.
- the automated osteophyte/protrusion removal control module 500 can be provided as a separate pre-operative planning module, as shown in FIG. 6, or it can be incorporated and/or fully integrated with the manufacturing method illustrated in FIG. 1.
- Certain parts of the bone including various bone bumps, protrusions, growths and osteophytes can be generally removed from the three- dimensional reconstruction of a patient's anatomy before designing a patient- specific implant or semi-custom implant, or before selecting an off the shelf implant.
- the automated osteophyte/protrusion removal control module can replace a time-consuming and potentially less accurate manual modification of the three-dimensional image to remove such bone growths or osteophytes by an experienced image or CAD technician.
- the automated osteophyte/protrusion removal control module 500 can provide more accurate and faster removal of such bone irregularities, which can vary in shape, location and size from patient to patient.
- osteophyte/protrusion removal control module 500 can be used for smoothing out a bone surface by removing any type of bone protrusion, including bumps, irregularities and osteophytes. According to the present teachings, osteophytes are illustrated as exemplary, but not exclusive, candidates for complete or partial removal.
- the osteophyte/protrusion removal control module 500 can start 502 with an input of the three-dimensional image of the patient's anatomy 510 including resection planes, as shown in FIGS. 7-9, after review and approval of the resection planes by the surgeon (or other user, including other professionals or technicians) at 140 of FIG. 1.
- the image of the patient's anatomy 510 can be analyzed to identify osteophyte/protrusion locations 530 (at 504 of FIG. 6) by determining tissue or bone overhang protruding past outer edges 532 of the various resection planes, such as the resection planes illustrated at 51 1 , 513, 512 and 516 in FIGS. 7-9. If such osteophyte/protrusions 530 extend beyond the edges of the resection planes in the direction of the planned or anticipated implant location, the osteophyte/protrusions 530 can interfere with implant fitting.
- the osteophyte/protrusion removal control module 500 can provide visual control for the surgeon to select the aggressiveness of osteophyte/protrusion removal, or the degree of smoothening and/or flattening of the corresponding joint anatomy. Specifically, by fine-tuning the osteophyte/protrusion locations, at 506 of FIG. 6, the surgeon can control the depth of the osteophyte/protrusion removal in a continuous or discrete manner.
- a landmark location 540 for each osteophyte/protrusion 530 can be identified and pegged for measuring from and initiating a continuous series of constant or variable depth contours 542 to aid the surgeon in selecting the depth of osteophyte/protrusion removal.
- the depth contours can be automatically generated by the computer software that generates a three-dimensional model or image of the anatomy, such as the software commercially available, for example, from Materialise USA, Ann Arbor, Michigan.
- the landmark location 540 can be a location of lowest possible depth in the vicinity of the identified osteophyte/protrusion, a minimum, or a valley location, as shown in FIG. 10. Although the depth contours 542 are shown as discrete in FIG.
- the depth contours 542 can represent curved smoothed-out surfaces under the original osteophyte/protrusion 530 and can be exposed after an overlying area is shaved or peeled in the image 510 by the operation of graphical or visual removal tools provided on the image 510.
- the surgeon or other user can manipulate the graphical removal tools with a user interface, such as a mouse, touch screen, joystick, slide pad, or other user interface.
- various visual removal tools can be provided for on-screen manipulation and control by the surgeon, at 508 of FIG. 6.
- a removal tool corresponding to each edge of a resection plane can be provided and used to visually/graphically remove a portion of an osteophyte/protrusion associated with a particular edge 532.
- four such exemplary removal tools 520a, 520b, 520c, 52Od are shown, each removal tool associated with an edge of a resection plane, such as lateral and medial chamfer plane and lateral and medial cut plane.
- the removal tools 520 are illustrated as straight sliders in FIG. 7, the amount removed follows a depth contour 542, as illustrated in FIG. 10.
- the removal tools 520 can include a visual indicator 525 that can provide information to the surgeon in the form of a number on a scale indicative of the depth of aggressiveness of osteophyte/protrusion removal.
- the indicator 525 can provide visual information in terms of variable color in shades gradually changing from minimum depth removal (green, for example) to maximum depth removal (red, for example).
- the femur image illustrates the patient's anatomy 510 after the osteophytes/protrusions 530 shown in FIGS. 8 and 9 have been removed and a femoral component 560 is placed on the resulting smoothed out surface that follows one of the depth contours 542 shown in FIG. 9.
- the surgeon can make a recommendation regarding the design of the implant at 150, and any desired associated alignment guides at 160.
- the surgeon can recommend a method of designing an implant. Specifically, the surgeon can select one of the following three options: a first option of a custom or patient-specific implant at 170 or a second option of a semi-custom made implant at 180, or a third option of a standard or off-the-shelf implant at 190. It will be appreciated that, based on the surgeon's recommendation at 140, the preliminary pre-operative surgical plan can be modified at 130 and then resubmitted to the surgeon for approval.
- a custom-made implant is a patient-specific, one of a kind implant specifically made for a particular patient, and consequently there is no inventory associated with such implant.
- Standard or off-the-shelf-implants are available and stocked in a number of sizes, typically six or more, and a number of configurations or types, including bilateral or unilateral implants, constrained, semi-constrained, mobile, etc. Because of the variety of sizes and configurations that are kept in stock to be accommodate different patients, a large inventory of standard implants is created, and several molds for each type and size of implant may be used.
- semi-custom implants provide an intermediate solution between custom-made and off-the- shelf implants. Semi-custom implants reduce the size of inventory and molds required for production, while allowing some degree of patient-specific customization.
- Custom or patient-specific implants when approved by surgeon at 170 for a specific patient, can be manufactured for the patient by rapid prototyping methods, such as stereolithography or other similar methods, or by CNC milling, or other automated or computer-controlled machining, or by robotic methods, at 250. Manufacturing can take place at a manufacturing center or facility in situ or at remote or off-site location. It will be understood that in situ manufacturing is used as a short hand for a manufacturing site of the original equipment manufacturer (OEM), but can be physically located at a different facility of the OEM. Off-site or remote manufacturing will be understood to refer to facilities operated by other manufacturers who are contracted by the OEM for manufacturing all or some of the components or parts for the surgical procedure.
- OEM original equipment manufacturer
- Off-the-shelf implants when approved by the surgeon a 190, can be manufactured by standard casting methods from bar stock or other stock material at 200, then shaped to a final shape and size by grinding or milling at 210, polished at 220, and then cleaned/passivated at 230.
- Such off-the-shelf implants can be part of an existing inventory, or mass-produced, or produced by just-in-time agile manufacturing methods.
- Semi-custom implants when approved by the surgeon at 180, can be made from a generic casting at 240, as described below, or by modifying existing standard implant designs to match various features or parameters based on the anatomy of the patient, as described in co-pending patent application entitled Patient-Modified Implant and Associated Method, Serial No. 12/103834, filed on April 16, 2008, the disclosure of which is incorporated by reference herein.
- the generic casting After the generic casting is modified for certain parameters of a patient, it can be processed at aspects 210-230 to a passivated form.
- Patient-specific parameters can include parameters relating to the size of the implant, including height, width, various articulation parameters or angles, etc., as discussed in specific example below in reference to FIGS. 3-5.
- the surgeon's review of the surgical plan at 140 may further include, at 160, a request for one or more patient-specific alignment guides to be used with the implant.
- Patient-specific alignment guides are described in co- pending patent applications Serial No. 1 1/756,057, filed on May 31 , 2007, Serial No. 1 1/971 ,390, filed on January 9, 2008, No. 12/025,414, filed on February 4, 2008, and Serial No. 12/039,849 filed on February 29, 2008.
- the alignment guides can be manufactured at 260 with by rapid prototyping methods, such as stereolithography or other similar methods or by CNC milling, or other automated or computer-controlled machining or robotic methods, and cleaned at 270.
- the alignment guides, the implants and optionally other disposable instruments can be packaged and sterilized at 280, and forwarded to the surgeon or the surgeon's medical facility for implantation at 290.
- An orthopedic system manager 402 can be in the form of software or other computer program associated with the original equipment manufacturer.
- the orthopedic system manager 402 can be accessible locally via dedicated computer machines or computer terminal directly communicated with software either by hard wire or wirelessly.
- the orthopedic system manager 402 can also be accessible remote remotely via the Internet or other remote communication portals using any electronic or other devices that can connect to the Internet or other web-based network, or other similar communication networks, including cable, satellite and telephone-based networks.
- the system manager 402 can provide access to patient file information, including lists of all current patients at 403, and surgery dates, surgeons, and approval status of the surgical plan for each patient, at 404.
- Each patient file can include personal and medical information of the patient, such as, for example, weight, height, gender, age, lifestyle, pertinent medical records and medical history, as well as information on patient assessment that includes physical and kinematic evaluation pertaining to the orthopedic procedure at 406, and soft and hard tissue analysis at 408, including information provided at aspects 120 and 125 of FIG. 1 , as discussed above.
- Imaging center information for patient scans as discussed in relation to aspects 100 and 1 10 of FIG. 1 , can added or modified at 410, and an imaging center for each specific patient can be specified at 412.
- Surgeon profiles including surgeon preferences regarding anatomic axes alignment or implant and instrument preferences that can be taken into account when preparing the preliminary pre-operative plan discussed at aspect 130 of FIG. 1 , can be created and edited at 414.
- Information and selection of manufacturing centers can be accessed at 416 for manufacturing the implants and or alignment guides as discussed in relation to aspects 260, 250, 240, and 210-230 of FIG. 1.
- the preliminary pre-operative surgical plan for each patient can be provided at 418, as discussed above at 140 in reference to FIG. 1 , and e-mailed or otherwise communicated to the patient's surgeon at 420.
- one implant option includes manufacturing semi-custom implants by generic casting.
- Illustrative examples of generic casting of a semi-custom femoral component are shown in FIGS. 3-5.
- a generic casting 300 of the implant is a casting that is more specialized than ordinary bar stock, from which any size of component can be made, but less specialized than the off-the-shelf components that are available in a particular number of sizes, typically six-to ten sizes and are finished from specific castings of those sizes.
- the generic casting can be made in a size and shape that can accommodate a range of variable features for the component, and at the same time can be machined to multiple sizes, such as three or four smaller sizes.
- the generic casting can generally include geometric features which are size/shape and/or patient-independent or universal, and also features that are size/shape or patient-specific, as discussed in the examples below. More particularly, the generic casting can include at least one geometric feature that will remain unchanged for any patient or universal feature, and at least one geometric feature that can be specifically customized for and is specific to a particular patient.
- an exemplary generic casting 300 of a femoral component is illustrated.
- the generic casting 300 can have an anterior flange 302 of medial-lateral width W, and/or a height H and/or other geometric dimensions to accommodate multiple sizes of femoral components.
- multiple sizes of left-sided implants 304a, 304b, and various sizes of right-sided implants 306a, 306b can be formed by a single generic casting.
- Appropriate markings or indentations or score lines for cutting to size can be provided, such as height markings 330, for example.
- the implant for a particular patient can be formed from the generic casting 300 by selecting particular features, such as the width W or height H, or other geometric features for a particular patient and machining the generic casting 300 to provide the size, dimension or shape, or combinations thereof for that particular geometric feature.
- the generic casting 300 does not include a patella track feature, but provides an area in which a custom patella track 308 can be machined at a custom angle for each specific patient.
- the generic casting 300 can also include additional material in the inner condylar notch area 310 to allow for custom machining of the intercondylar notch area 310 to accommodate various types of articulation or constraint in relation to a tibial component, such cams or intercondylar boxes, and other contact areas for articulation with the tibial component in accordance with a kinematic plan for the joint of the specific patient.
- each mold capable of accommodating multiple sizes of the corresponding implant type.
- the intercondylar notch area 310 can be machined for line or area contact with the articular surfaces of a tibial component of various degrees of flexion.
- Exemplary articulations are disclosed in commonly assigned U.S. Patents No. 6,589,283, No. 6,413,279, and No. 6,165,223, and in co-pending U.S. Patent Application Ser. No. 10/840,765 filed on May 6, 2004, all of which are incorporated herein by reference.
- Various markings 332 corresponding to different sizes can be provided.
- the generic casting 300 can include at least one patient-independent or universal feature, such as, for example, universal cement wells 312 or other universal features.
- patient-independent or universal feature such as, for example, universal cement wells 312 or other universal features.
- Such universal features can be used with any internal geometry 314, which can be machined into the generic casting 300 to accommodate the appropriate shape and/or size for a specific patient.
- each implant type can be formed from a generic casting that can accommodate multiple sizes, such as four sizes, for example.
- generic casting can reduce inventory by a half, using two molds total for eight sizes. Further, additional reductions in inventory can be obtained by combining right and left side implants into a single generic casting, as discussed above in relation to FIG. 4.
- Figs. 13A and 13B The process can then be followed as illustrated in Figs. 13A and 13B as discussed above in relation to Fig. 1.
- the blocks in Figs. 13A and 13B that are illustrated with the same reference numerals as in Fig. 1 , but augmented with a prime are not discussed in further detail, but are discussed above in Fig. 1 and includes substantially similar processes.
- input from a surgeon or other appropriate user can be provided with a handheld device, as discussed above.
- a handheld device can be used by the surgeon to review the pre-operative plan at 140'. It will be understood, however, that the process for providing a selected implant and tools can be similar to that discussed above, for example, with reference to Fig. 1
- FIG. 14 a schematic diagram illustrating main or exemplary hardware components for the process illustrated in Fig. 13A and 13B is illustrated.
- the pre-operative plan or preliminary pre-operative plan from block 130 and 130' can be developed or produced by a service provider 700.
- the service provider 700 can own, operate, manage, or the like a main processor 702 and a main memory 704.
- the main processor and main memory 702, 704 can be at the service provider 700, in communication with the service provider 700, or otherwise controlled, maintained, or used by the service provider 700. Further, the main processor and main memory 702, 704 can be incorporated into a single server system.
- the main processor 702 can process or execute a program, such as a program to develop the preoperative plan, accept inputs from the surgeon, and augment or generate the final pre-operative plan.
- a program such as a program to develop the preoperative plan, accept inputs from the surgeon, and augment or generate the final pre-operative plan.
- the main processor 702 can also be used to design and output the implant and alignment guide in blocks 150, 150', and 160, 160'.
- the pre-operative plan can be delivered or accessed by the surgeon via notification or surgeon access in block 600', 602'.
- the access or delivery of the pre-op plan can be via an internet or worldwide web connection 706 that uses a first communication method 708 from the service provider 700 and a second communication method 710 to a handheld device 712.
- the first and second communication method 708, 710 can be wired or wireless and can both be the same.
- a cell or mobile phone connection system 714 such as a tower, cell phone, antenna, can be provided.
- a first communication line 716 can transmit a communication through the mobile phone connection system 714.
- connection 716 can be used by a surgeon 720 with the handheld device 712.
- first and second communication system 716, 716', and 718 can be wired or wireless and can be the same or different.
- an intermediate system such as a laptop or desktop computer 722 can be in communication with a system, such as the internet 706 via a first communication system 724 and the handheld device 712 can be interconnected with the computer 722 via a second communication system 726.
- the first and second communication system 724, 726 can be the same or different and be wired or wireless.
- the preoperative plan from block 130' can be delivered to a surgeon or accessed by a surgeon in any appropriate manner, such as via the internet 706 or cell communication 714.
- the pre-operative plan can be the preliminary preoperative plan as discussed above.
- the pre-operative plan can include or be saved as a data file, in the main memory 704 associated with the main processor 702 of the service provider 700, of an appropriate type including image data, patient data, resection area data, etc.
- the pre-operative plan can be generated and stored by the service provider 700.
- the service provider 700 can be any appropriate service, such as an implant and/or guide manufacturer or specification producer.
- a specification producer can be a a service that provides specifications for an implant or guide to a manufacturer for production.
- the service provider 700 can notify the surgeon 720 or user that the preliminary pre-operative plan is ready for review in block 600'.
- the notification that the pre-operative plan is prepared can be performed in any appropriate manner. For example, an electronic mail notification can be sent to the surgeon 720, a text message can be sent to the surgeon 720, a telephone call can be made to the surgeon 720 via landline or a wireless connection, as illustrated in Fig. 14. Regardless, the surgeon can be notified that the preoperative plan is ready for review in block 600 through the use of the mobile device 712.
- the surgeon 720 can access the pre-operative plan in block 602'.
- the surgeon can access the pre-operative plan in one or a plurality of ways in block 140'.
- the surgeon 720 can download the pre- operative plan to the handheld device in block 604'.
- the surgeon 720 can access the main processor/memory 702, 704 to review the pre-operative plan in the main memory 704 in block 606' with the handheld device 712.
- the surgeon 720 may also access the plan with the computer or terminal 722 by downloading the preoperative plan data file to the computer 722 on which appropriate software is installed to access the pre-operative plan.
- the surgeon 720 may also view a printout of the pre-operative plan for manipulating or commenting on the preoperative plan, or any other appropriate manner. [0059] If the surgeon 720 downloads the file to the handheld device
- the file can be downloaded to the handheld device 712 using any appropriate transfer protocol or communication system, as illustrated in Fig. 14.
- the handheld device 712 can be connected to the computer 722 through an appropriate communications cable or protocol 726, such as Bluetooth®, a wireless communication protocol or a Universal Serial Bus (USB) cable.
- a program on the handheld device 712 can execute or read the file and display images for the the surgeon 720.
- the surgeon 720 can then review the plan in block 140'. For example, as illustrated in Fig. 7, a view of a bone to be resected can be displayed along with the slider bars 520 for allowing editing or augmentation of the pre-operative plan by the surgeon.
- the view of the images, including the slider bars 520, can be augmented for the handheld device 712.
- a cropped and zoomed image may only include a portion of the bone or region to be cut or resected for viewing by the surgeon.
- the handheld device 712 can include a view screen 740 that displays an image of the bone to be resected, but only includes a portion thereof, such as a lateral portion of a distal femur.
- the zoomed and cropped image can include fewer than all of the slide bars 520, such as only the slide bars 520'c and 520'd.
- the slide bars 520'c and 520'd can be illustrated and accessed by the surgeon to change data in the file for creation of appropriate instruments and implants for the specific patient or for augmentation of semi-custom or selection of an off-the-shelf instrument and implant.
- the surgeon 720 can access or change the pre-operative plan file using the slide bars 520'c and 520'd through any appropriate access or manipulation process.
- the screen 740 of the handheld device 712 can be a touch screen. Accordingly, the surgeon 720 can touch the screen with a finger or stylus to move the slider or marker portion 525 on the slider bars 520'c and 520'd.
- a trackball or other pointer device 742 can be provided to access and move the slider bars 520'c and 520'd.
- the handheld device 712 can have any appropriate input devices, such as an external or connected input devices, that can be mapped for appropriate command inputs into the system for augmenting the preoperative plan file.
- the changes, if made by the surgeon, can then be saved to the pre-operative plan file to generate an edited pre-operative plan file.
- the NO path 622' can be followed for the surgeon 720 to edit the plan in block 624'.
- the surgeon 720 can edit the plan in block 624 in any appropriate manner, such as by moving the slider bars 520'c and 520'd, or any other appropriate slider bars.
- the surgeon 720 can edit the pre-operative plan in any appropriate manner, including those discussed above.
- the surgeon 720 can input changes into the pre-operative plan using any appropriate input portion, such as touching the screen 740.
- the pre-operative plan file that is downloaded to the handheld device 712 can then be saved with the edits as the edited pre-operative plan and transmitted to the service provider 700 for appropriate edits to be re-reviewed or finalized, as discussed above. It will be understood, however, that the handheld device 712, which can include the appropriate program, can save the file in the appropriate format and transmit it back to the service provider 700. [0063] Alternatively, or in addition to downloading the pre-operative plan file, the handheld device 712 can access the pre-operative plan which is stored in the main storage 704 associated with the service provider in block 606 and separate from the handheld device 712.
- the handheld device 712 accesses the pre-operative plan on the main processor, memory 702, 704, the handheld device 712 need only display an image representing a portion of the file on the display screen 740. That is, the pre-operative plan and any edits or processing made to the pre-operative plan can be done solely or substantially by the main processor 702 that executes a program to manipulate and display the file.
- the main processor 702 and the main memory 704 need not be physically near or connected to the handheld device 712.
- the handheld device 712 can be provided to display the image, such as an image of the bone for resection, for the surgeon 720. Therefore, the handheld device 712 may not be required to process the pre-operative plan file from the service provider 700, but only be provided to display the pre-operative plan file and receive and transmit input from the surgeon 720. Accordingly, even if the pre-operative plan is accessed from the service provider in block 606, the slide bars 520'c and 520'd can be displayed on the display 742 of the handheld device 712 for input by the surgeon 720. The inputs, however, can be directly transmitted to the main processor 702 for processing augmentation or editing of the file. This is in addition or alternative to augmenting or editing the file that has been downloaded to the handheld device 712 for re-transmission of the edited pre-operative plan to the service provider 700.
- 704 data transmission can be minimized from the main memory 704 or provider 700 to the handheld device 712 of the surgeon 720. Decreased data transmission can provide increased speed and decreased data usage costs or bottlenecks in a system.
- the handheld device 712 can be provided or include limited memory and processing capabilities when the pre-operative plan file is only accessed with the handheld 712 and only small amounts of information are transferred, for example, regarding slide bar location and smaller portions of an image file.
- a complete or pre-operative plan is transmitted to the handheld device 712, processed completely on the handheld device 712, edited on the handheld device 712, saved and re-transmitted back to the service provider 700 or the handheld device 712 can only access the pre-operative plan file saved at the main memory 702 and transmit edits to the server.
- Data transmission and processing can also be reduced by limiting or cropping the pre-operative plan data file.
- a lateral and distal portion of the bone is illustrated on the display device or display screen 740 of the handheld device 712.
- an image file or image information can include the entire bone or other data saved in the image file.
- the image file can be cropped at the server or at the provider and only a portion of the image file transmitted to the handheld device 712. This can be done repeatedly for different portions of the image data to allow for smaller file packet size or file size for transmission to the handheld device 712.
- the cropping and compression of the data file can be done in substantially real-time by the server for a substantially seamless viewing and manipulation by the surgeon.
- the surgeon 720 can review the pre-operative plan block 140', as discussed above, and make a determination of whether the pre-operative plan is acceptable in block 620'. As discussed above, if the pre-operative plan is not acceptable, the NO path 622' can be followed to allow for surgeon edits in block 624'.
- the pre-operative plan can be determined to be acceptable in block 620' and follow the YES path 626'.
- the implant can be designed and an alignment guide can be designed in blocks 150' and 160'.
Abstract
An orthopedic implant manufacturing method. The method includes preparing a pre-operative surgical plan for a specific patient, the surgical plan including a three-dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, and receiving approval of the surgical plan and the resection plane by the surgeon. The method also includes providing automated osteophyte/protrusion removal control for surgeon manipulation, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.
Description
METHOD AND APPARATUS FOR MANUFACTURING AN IMPLANT
CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application claims priority to U.S. Application No. 12/483,807, filed on June 12, 2009 and is a continuation-in-part of U.S. Application No. 12/371 ,096, filed on February 13, 2009, which is a continuation- in-part of U.S. Application No. 12/103,824, filed on April 16, 2008, which claims the benefit of U.S. Provisional Application No. 60/912,178, filed on April 17, 2007. All of the disclosures of the above applications are incorporated herein by reference.
INTRODUCTION
[0002] The present teachings provide a mobile-interactive apparatus and method to receive input from a user regarding a selected patient procedure.
SUMMARY
[0003] The present teachings provide an orthopedic implant manufacturing method. The method includes preparing a preliminary preoperative surgical plan for a specific patient, communicating the plan to a surgeon of the patient, and receiving an orthopedic implant design recommendation of the surgeon. The implant design recommendation can include selecting one of first, second or third options. The first option being a patient-specific implant, the second option being a semi-custom implant, and the third option being an off-the-shelf or standard production implant. The method further includes sending a request for manufacturing the selected implant to a manufacturing center, receiving the implant, and forwarding the implant for implantation.
[0004] In another aspect, the orthopedic implant manufacturing method includes providing a generic casting of a specific implant component, the generic casting having at least one geometric feature that can be machined to a plurality of different sizes of the implant component, the generic casting including
size-independent features of the specific component, and machining the component to a patient-specified size.
[0005] The present teachings also provide a device that includes a generic casting for a specific implant component, the generic casting being intermediate between stock material and a specific size implant component. The generic casting includes at least one size-independent feature of the implant component, and at least one feature machinable to size/shape for a specific patient.
[0006] The present teachings also provide an orthopedic implant manufacturing method. The method includes preparing a pre-operative surgical plan for a specific patient. The surgical plan including a three-dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, and receiving approval of the surgical plan and the resection plane by the surgeon. The method also includes providing automated osteophyte/protrusion removal control for surgeon manipulation, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant. [0007] In another aspect, the method includes preparing a preoperative surgical plan for a specific patient, the surgical plan including a three- dimensional image of a patient's joint indicating at least one resection plane, communicating the surgical plan to a surgeon of the patient, receiving approval of the surgical plan and the resection plane by the surgeon, and identifying a location of at least one osteophyte/protrusion on the three-dimensional image of a patient's joint. The method also includes providing a plurality of depth contours in relation to the osteophyte/protrusion, providing at least one graphical removal tool associated with the osteophyte/protrusion for manipulation by the surgeon, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from the surgeon, and requesting manufacture of the selected orthopedic implant.
[0008] In a further aspect, the method includes preparing a preoperative surgical plan for a specific patient, the surgical plan including a three- dimensional image of a patient's joint indicating at least one resection plane, identifying a location of at least one osteophyte/protrusion on the three- dimensional image of a patient's joint, providing a plurality of depth contours in relation to the osteophyte/protrusion, and providing at least one graphical removal tool associated with the osteophyte/protrusion for manipulation by a user. The method also includes, communicating the surgical plan to a user, receiving a modified three-dimensional image of a patient's joint indicating an osteophyte/protrusion removal and a recommendation for a corresponding selected orthopedic implant from a user, and requesting manufacture of the selected orthopedic implant.
[0009] Further areas of applicability of the present teachings will become apparent from the description provided hereinafter. It should be understood that the description and specific examples are intended for purposes of illustration only and are not intended to limit the scope of the present teachings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0010] The present teachings will become more fully understood from the detailed description and the accompanying drawings, wherein:
[0011] FIG. 1 is a flowchart of an implant manufacturing method according to the present teachings;
[0012] FIG. 2 is a diagram illustrating a computer interface for an implant manufacturing method according to the present teachings; [0013] FIG. 3 is perspective view of a generic casting of an implant according to the present teachings;
[0014] FIG. 4 is a side view of a generic casting according to the present teachings;
[0015] FIG. 5 is a plan view of a generic casting according to the present teachings;
[0016] FIG. 6 is a flow chart for an osteophyte/protrusion removal control method according to the present teachings;
[0017] FIG. 7 is a representative image of a patent's anatomy showing osteophyte/protrusion control tools for modifying the image;
[0018] FIGS. 8 and 9 are representative images of a patent's anatomy showing exemplary osteophyte/protrusion locations; [0019] FIG. 10 is a representative image of a patent's anatomy showing representative depth control selections for surgeon manipulation;
[0020] FIGS. 1 1 and 12 are representative images of a patent's anatomy after osteophyte/protrusion removal with exemplary implants attached thereon; [0021] Figs. 13A and 13B illustrate a flowchart of a method of implant and guide design;
[0022] Fig. 14 is a schematic view of hardware and a user; and
[0023] Fig. 15 is a plan view of a display of a device.
DESCRIPTION OF VARIOUS ASPECTS
[0024] The following description is merely exemplary in nature and is in no way intended to limit the present teachings, applications, or uses. For example, although some of the present teachings are illustrated for a knee implant, the present teachings can be used for any orthopedic implant. [0025] The present teachings provide a manufacturing method that integrates patient's anatomic and medical information with interactive participation by a surgeon to select and manufacture an implant and, optionally, related surgical instruments, for a particular patient from generally three options: a custom made implant specific to the patient, an implant that is only partially custom-made or a semi-custom implant, and a standard off-the shelf implant. Similarly, off-the-shelf, custom-made, or semi-custom-made instrumentation (e.g. alignment guides, drill guides, cutting guides or other instruments) can be selected and manufactured, as recommended by the surgeon, for the surgical procedure. All the implant components, alignment guides, and other disposable instruments can be included in a package provided to a surgeon for a specific patient.
[0026] Referring to FIG. 1 , an exemplary flowchart of an interactive implant manufacturing method according to the present teachings is illustrated. The portion of the patient's anatomy related to the orthopedic procedure and the implant is characterized and detailed at 100. The characterization can be performed with various imaging methods capable of obtaining a representation of the affected anatomy, including, for example, soft and hard tissues. The tissues can include bone, bone joints with or without cartilage, ligaments, or other soft tissue. The imaging methods can include, for example, MRI, CT, ultrasound, radiography or X-ray, cameras and other devices. [0027] The image information for the patient can be obtained at a medical facility or a doctor's office and can be sent to the manufacturer in an electronic and/or digital form contained. The image information can be stored on a physical medium, such as a CD, DVD, flash memory device (e.g. memory stick, compactflash, secure digital card), or other storage device. The information may alternatively, or in addition, be transmitted electronically with the Internet or worldwide web using appropriate transfer protocols. Also, electronic transmissions can include e-mail or other digital transmission to any appropriate type of computer device, smart phone, PDA or other devices in which electronic information can be transmitted. [0028] Appropriate handheld devices (used as illustrated in Fig. 13), can include handheld mobile device or portable communication devices, such as the iPhone® handheld mobile device sold by Apple Inc., a corporation of California, USA; the LG Shine® handheld mobile device sold by LG Corp. a corporation of REPUBLIC OF KOREA; or the Blackberry Bold® handheld mobile device sold by Research In Motion Limited a corporation of CANADA. The handheld device can be those that are held in the palm of a hand of a user, such as a surgeon (see Fig 14). The surgeon can then enter data with a stylus, keyboard, touch screen, etc. The handheld device can use local area networks, cell phone networks, or other data transmission systems to communicate with a main memory and processor of a service provider (see Fig. 14).
[0029] Appropriate handheld devices can provide access to electronic communication or file transfer protocols, such as internet or electronic mail, to
transfer or access information files. The handheld devices can have installed programs that can be used to manipulate the information files, as discussed herein. Alternatively, or in addition thereto, the handheld devices can access servers that process data files while receiving input through the handheld devices and displaying images to the surgeon or user via the handheld device. In certain instances, the handheld device may only be a client that does not process and edit a data file of the pre-op plan.
[0030] With continued reference to FIG. 1 , at 1 10, the information collected at 100 can be used to create a three-dimensional model or image of the bone or joint with or without associated soft tissue or related anatomy using commercially available computer modeling software from various vendors or developers, such as, for example, from Materialise USA, Ann Arbor, Michigan. The three-dimensional model of the patient's anatomy can be viewed on a computer display or other electronic screen and can also reproduced as a hard copy on film or other medium and viewed by direct or indirect or backlight illumination. The model can be sized for viewing on any appropriate screen size and may be cropped, rotated, etc. as selected by the individual (e.g. the surgeon) viewing the screen.
[0031] At 120, soft tissue associated with the affected anatomy can be modified, or removed or repaired, to restore alignment of the joint, for example, or to remove torn or diseased tissue, or to cut or repair ligaments, or to provide natural or artificial ligament grafts. Soft tissue information can be optionally used as an additional design parameter or input for the implant design, at 125. For example, a custom or patient-specific bearing articulation of a knee joint can be designed based on the kinematic profile and the soft tissue/ligament information available for a particular patient. Further, kinematic information for the patient can be obtained by an actual gait analysis of the patient, and can also be obtained by computer modeling software that uses the MRI images of the patient's joints and associated ligaments, muscle or other soft tissue to derive kinematic analysis of the patient and corresponding recommendations for soft tissue modification, such as releasing a ligament, for example. Such software is
commercially available from the Biomechanics Research Group, Inc., of San Clemente, CA.
[0032] At 130, a preliminary pre-operative plan of the surgical procedure can be prepared for surgeon or other medical user or technician review, including the planning of various bone resections, sizes and types of implants, and various geometric requirements including relevant dimensions, such as height, width, orientation of particular features, etc. The preliminary preoperative surgical plan can include a recommendation of particular implants and associated instruments to be used in the surgical procedure, as discussed below. The preliminary pre-operative surgical plan can be in the form of digital images that can be viewed interactively using a computer modeling software, such as the software referenced above. The preliminary pre-operative plan and any further changes or a finalized pre-operative plan can be a plan devised to obtain a healthy or as close to healthy anatomical orientation after an operative procedure. The healthy anatomy can be based on natural or pre-injury anatomy or mechanically correct or efficient anatomical orientation.
[0033] At 140, the preliminary pre-operative surgical plan can be submitted to the surgeon (or other user) for review, either electronically or by land mail, and either in digital or hard copy form, as discussed above in connection with transmitting imaging information. In particular, the surgeon can review the resection planes shown in image of the patient's anatomy, make changes in the location, size and orientation of the resection planes and, generally, work interactively until the pre-operative plan from 130 is surgeon- approved. Specifically, the surgeon may approve the image of the patient's anatomy showing corresponding resection planes. As shown in FIGS. 7 and 8, the patient's anatomy 510 can be, for example, a distal femur with approved resection planes including medial and lateral anterior chamfer planes 513, medial and lateral anterior cut planes 51 1 , medial and lateral posterior chamfer planes 512 and medial and lateral posterior cut planes 514. Following the surgeon's approval of the anatomy and the resection planes at 140, the surgeon is provided with the opportunity to remove one or more osteophytes/protrusions from the image of the patient's anatomy 510 at surgeon-selected locations and
depths at 500 (See FIG. 6). Removal of such protrusions and smoothening of the joint surface that receives the implant can parallel the intra-operative joint preparation by the surgeon and improve the actual fit of a surgeon-selected implant, whether patient-specific, semi custom, or off the shelf. [0034] An automated osteophyte/protrusion removal control module
500 can be incorporated in the planning stage of the manufacturing method illustrated in FIG. 1. The automated osteophyte/protrusion removal control module 500 can be provided as a separate pre-operative planning module, as shown in FIG. 6, or it can be incorporated and/or fully integrated with the manufacturing method illustrated in FIG. 1.
[0035] Certain parts of the bone, including various bone bumps, protrusions, growths and osteophytes can be generally removed from the three- dimensional reconstruction of a patient's anatomy before designing a patient- specific implant or semi-custom implant, or before selecting an off the shelf implant. The automated osteophyte/protrusion removal control module can replace a time-consuming and potentially less accurate manual modification of the three-dimensional image to remove such bone growths or osteophytes by an experienced image or CAD technician. The automated osteophyte/protrusion removal control module 500 can provide more accurate and faster removal of such bone irregularities, which can vary in shape, location and size from patient to patient. It will be appreciated that the osteophyte/protrusion removal control module 500 can be used for smoothing out a bone surface by removing any type of bone protrusion, including bumps, irregularities and osteophytes. According to the present teachings, osteophytes are illustrated as exemplary, but not exclusive, candidates for complete or partial removal.
[0036] Referring to FIG. 6, the osteophyte/protrusion removal control module 500 can start 502 with an input of the three-dimensional image of the patient's anatomy 510 including resection planes, as shown in FIGS. 7-9, after review and approval of the resection planes by the surgeon (or other user, including other professionals or technicians) at 140 of FIG. 1. In the exemplary illustration of FIG. 7, the image of the patient's anatomy 510 can be analyzed to identify osteophyte/protrusion locations 530 (at 504 of FIG. 6) by determining
tissue or bone overhang protruding past outer edges 532 of the various resection planes, such as the resection planes illustrated at 51 1 , 513, 512 and 516 in FIGS. 7-9. If such osteophyte/protrusions 530 extend beyond the edges of the resection planes in the direction of the planned or anticipated implant location, the osteophyte/protrusions 530 can interfere with implant fitting.
[0037] Referring to FIGS. 6, 7 and 10, in addition to identifying the location of osteophytes/protrusions 530, the osteophyte/protrusion removal control module 500 can provide visual control for the surgeon to select the aggressiveness of osteophyte/protrusion removal, or the degree of smoothening and/or flattening of the corresponding joint anatomy. Specifically, by fine-tuning the osteophyte/protrusion locations, at 506 of FIG. 6, the surgeon can control the depth of the osteophyte/protrusion removal in a continuous or discrete manner. In one aspect, a landmark location 540 for each osteophyte/protrusion 530 can be identified and pegged for measuring from and initiating a continuous series of constant or variable depth contours 542 to aid the surgeon in selecting the depth of osteophyte/protrusion removal. The depth contours can be automatically generated by the computer software that generates a three-dimensional model or image of the anatomy, such as the software commercially available, for example, from Materialise USA, Ann Arbor, Michigan. The landmark location 540 can be a location of lowest possible depth in the vicinity of the identified osteophyte/protrusion, a minimum, or a valley location, as shown in FIG. 10. Although the depth contours 542 are shown as discrete in FIG. 10, it will be appreciated that a continuous removal control can be provided, such that the surgeon can exercise unlimited choices of depth contours for removal. The depth contours 542 can represent curved smoothed-out surfaces under the original osteophyte/protrusion 530 and can be exposed after an overlying area is shaved or peeled in the image 510 by the operation of graphical or visual removal tools provided on the image 510. The surgeon or other user can manipulate the graphical removal tools with a user interface, such as a mouse, touch screen, joystick, slide pad, or other user interface.
[0038] Referring to FIG. 7, various visual removal tools can be provided for on-screen manipulation and control by the surgeon, at 508 of FIG.
6. For example, a removal tool corresponding to each edge of a resection plane can be provided and used to visually/graphically remove a portion of an osteophyte/protrusion associated with a particular edge 532. In FIG. 7, four such exemplary removal tools 520a, 520b, 520c, 52Od (collectively referenced as 520) are shown, each removal tool associated with an edge of a resection plane, such as lateral and medial chamfer plane and lateral and medial cut plane. Although the removal tools 520 are illustrated as straight sliders in FIG. 7, the amount removed follows a depth contour 542, as illustrated in FIG. 10. The removal tools 520 can include a visual indicator 525 that can provide information to the surgeon in the form of a number on a scale indicative of the depth of aggressiveness of osteophyte/protrusion removal. In another aspect, the indicator 525 can provide visual information in terms of variable color in shades gradually changing from minimum depth removal (green, for example) to maximum depth removal (red, for example). [0039] After the surgeon completes the osteophyte/protrusion removal, the surgeon can manipulate and superimpose implant images in relation to the modified patient's anatomy 510. In FIGS. 1 1 and 12, exemplary images of a resected femur 510 and tibia 515 referenced in relation to a mechanical axis 522 are illustrated. The femur image illustrates the patient's anatomy 510 after the osteophytes/protrusions 530 shown in FIGS. 8 and 9 have been removed and a femoral component 560 is placed on the resulting smoothed out surface that follows one of the depth contours 542 shown in FIG. 9.
[0040] Based on the preliminary pre-operative surgical plan and the patient information, the surgeon can make a recommendation regarding the design of the implant at 150, and any desired associated alignment guides at 160. At 150, the surgeon can recommend a method of designing an implant. Specifically, the surgeon can select one of the following three options: a first option of a custom or patient-specific implant at 170 or a second option of a semi-custom made implant at 180, or a third option of a standard or off-the-shelf implant at 190. It will be appreciated that, based on the surgeon's recommendation at 140, the preliminary pre-operative surgical plan can be modified at 130 and then resubmitted to the surgeon for approval.
[0041] A custom-made implant is a patient-specific, one of a kind implant specifically made for a particular patient, and consequently there is no inventory associated with such implant. Standard or off-the-shelf-implants are available and stocked in a number of sizes, typically six or more, and a number of configurations or types, including bilateral or unilateral implants, constrained, semi-constrained, mobile, etc. Because of the variety of sizes and configurations that are kept in stock to be accommodate different patients, a large inventory of standard implants is created, and several molds for each type and size of implant may be used. As described below in detail, semi-custom implants provide an intermediate solution between custom-made and off-the- shelf implants. Semi-custom implants reduce the size of inventory and molds required for production, while allowing some degree of patient-specific customization.
[0042] Custom or patient-specific implants, when approved by surgeon at 170 for a specific patient, can be manufactured for the patient by rapid prototyping methods, such as stereolithography or other similar methods, or by CNC milling, or other automated or computer-controlled machining, or by robotic methods, at 250. Manufacturing can take place at a manufacturing center or facility in situ or at remote or off-site location. It will be understood that in situ manufacturing is used as a short hand for a manufacturing site of the original equipment manufacturer (OEM), but can be physically located at a different facility of the OEM. Off-site or remote manufacturing will be understood to refer to facilities operated by other manufacturers who are contracted by the OEM for manufacturing all or some of the components or parts for the surgical procedure. [0043] Off-the-shelf implants, when approved by the surgeon a 190, can be manufactured by standard casting methods from bar stock or other stock material at 200, then shaped to a final shape and size by grinding or milling at 210, polished at 220, and then cleaned/passivated at 230. Such off-the-shelf implants can be part of an existing inventory, or mass-produced, or produced by just-in-time agile manufacturing methods.
[0044] Semi-custom implants, when approved by the surgeon at 180, can be made from a generic casting at 240, as described below, or by modifying
existing standard implant designs to match various features or parameters based on the anatomy of the patient, as described in co-pending patent application entitled Patient-Modified Implant and Associated Method, Serial No. 12/103834, filed on April 16, 2008, the disclosure of which is incorporated by reference herein. After the generic casting is modified for certain parameters of a patient, it can be processed at aspects 210-230 to a passivated form. Patient-specific parameters can include parameters relating to the size of the implant, including height, width, various articulation parameters or angles, etc., as discussed in specific example below in reference to FIGS. 3-5. [0045] The surgeon's review of the surgical plan at 140 may further include, at 160, a request for one or more patient-specific alignment guides to be used with the implant. Patient-specific alignment guides are described in co- pending patent applications Serial No. 1 1/756,057, filed on May 31 , 2007, Serial No. 1 1/971 ,390, filed on January 9, 2008, No. 12/025,414, filed on February 4, 2008, and Serial No. 12/039,849 filed on February 29, 2008. The alignment guides can be manufactured at 260 with by rapid prototyping methods, such as stereolithography or other similar methods or by CNC milling, or other automated or computer-controlled machining or robotic methods, and cleaned at 270. The alignment guides, the implants and optionally other disposable instruments can be packaged and sterilized at 280, and forwarded to the surgeon or the surgeon's medical facility for implantation at 290.
[0046] Referring to FIG. 2, a computer interface 400 to a computer program for the management of the manufacturing method is illustrated diagrammatically. An orthopedic system manager 402 can be in the form of software or other computer program associated with the original equipment manufacturer. The orthopedic system manager 402 can be accessible locally via dedicated computer machines or computer terminal directly communicated with software either by hard wire or wirelessly. The orthopedic system manager 402 can also be accessible remote remotely via the Internet or other remote communication portals using any electronic or other devices that can connect to the Internet or other web-based network, or other similar communication networks, including cable, satellite and telephone-based networks.
[0047] The system manager 402 can provide access to patient file information, including lists of all current patients at 403, and surgery dates, surgeons, and approval status of the surgical plan for each patient, at 404. Each patient file can include personal and medical information of the patient, such as, for example, weight, height, gender, age, lifestyle, pertinent medical records and medical history, as well as information on patient assessment that includes physical and kinematic evaluation pertaining to the orthopedic procedure at 406, and soft and hard tissue analysis at 408, including information provided at aspects 120 and 125 of FIG. 1 , as discussed above. Imaging center information for patient scans, as discussed in relation to aspects 100 and 1 10 of FIG. 1 , can added or modified at 410, and an imaging center for each specific patient can be specified at 412. Surgeon profiles, including surgeon preferences regarding anatomic axes alignment or implant and instrument preferences that can be taken into account when preparing the preliminary pre-operative plan discussed at aspect 130 of FIG. 1 , can be created and edited at 414. Information and selection of manufacturing centers can be accessed at 416 for manufacturing the implants and or alignment guides as discussed in relation to aspects 260, 250, 240, and 210-230 of FIG. 1. The preliminary pre-operative surgical plan for each patient can be provided at 418, as discussed above at 140 in reference to FIG. 1 , and e-mailed or otherwise communicated to the patient's surgeon at 420.
[0048] As discussed above at aspects 150 to 190 of FIG. 1 , one implant option includes manufacturing semi-custom implants by generic casting. Illustrative examples of generic casting of a semi-custom femoral component are shown in FIGS. 3-5. A generic casting 300 of the implant is a casting that is more specialized than ordinary bar stock, from which any size of component can be made, but less specialized than the off-the-shelf components that are available in a particular number of sizes, typically six-to ten sizes and are finished from specific castings of those sizes. The generic casting can be made in a size and shape that can accommodate a range of variable features for the component, and at the same time can be machined to multiple sizes, such as three or four smaller sizes. In contrast, off-the-shelf implants require a mold or casting for each offered size, and a larger inventory of available sizes for each
implant component. The generic casting can generally include geometric features which are size/shape and/or patient-independent or universal, and also features that are size/shape or patient-specific, as discussed in the examples below. More particularly, the generic casting can include at least one geometric feature that will remain unchanged for any patient or universal feature, and at least one geometric feature that can be specifically customized for and is specific to a particular patient.
[0049] Referring to FIGS. 4 and 5, an exemplary generic casting 300 of a femoral component is illustrated. In this example, the generic casting 300 can have an anterior flange 302 of medial-lateral width W, and/or a height H and/or other geometric dimensions to accommodate multiple sizes of femoral components. For example, multiple sizes of left-sided implants 304a, 304b, and various sizes of right-sided implants 306a, 306b can be formed by a single generic casting. Appropriate markings or indentations or score lines for cutting to size can be provided, such as height markings 330, for example. The implant for a particular patient can be formed from the generic casting 300 by selecting particular features, such as the width W or height H, or other geometric features for a particular patient and machining the generic casting 300 to provide the size, dimension or shape, or combinations thereof for that particular geometric feature.
[0050] Referring to FIG. 5, the generic casting 300 does not include a patella track feature, but provides an area in which a custom patella track 308 can be machined at a custom angle for each specific patient. The generic casting 300 can also include additional material in the inner condylar notch area 310 to allow for custom machining of the intercondylar notch area 310 to accommodate various types of articulation or constraint in relation to a tibial component, such cams or intercondylar boxes, and other contact areas for articulation with the tibial component in accordance with a kinematic plan for the joint of the specific patient. Separate molds for posterior stabilized and cruciate retaining articulations can be made, each mold capable of accommodating multiple sizes of the corresponding implant type. For example, the intercondylar notch area 310 can be machined for line or area contact with the articular
surfaces of a tibial component of various degrees of flexion. Exemplary articulations are disclosed in commonly assigned U.S. Patents No. 6,589,283, No. 6,413,279, and No. 6,165,223, and in co-pending U.S. Patent Application Ser. No. 10/840,765 filed on May 6, 2004, all of which are incorporated herein by reference. Various markings 332 corresponding to different sizes can be provided.
[0051] Referring to FIG. 3, the generic casting 300 can include at least one patient-independent or universal feature, such as, for example, universal cement wells 312 or other universal features. Such universal features can be used with any internal geometry 314, which can be machined into the generic casting 300 to accommodate the appropriate shape and/or size for a specific patient.
[0052] It will be appreciated from the above discussion that generic casting can greatly reduce inventory, machining costs and investment in mold tooling, while at the same time accommodating sizes and geometric features specific to a patient. Specifically, each implant type can be formed from a generic casting that can accommodate multiple sizes, such as four sizes, for example. For implants that are available in eight sizes, generic casting can reduce inventory by a half, using two molds total for eight sizes. Further, additional reductions in inventory can be obtained by combining right and left side implants into a single generic casting, as discussed above in relation to FIG. 4.
[0053] The process can then be followed as illustrated in Figs. 13A and 13B as discussed above in relation to Fig. 1. The blocks in Figs. 13A and 13B that are illustrated with the same reference numerals as in Fig. 1 , but augmented with a prime are not discussed in further detail, but are discussed above in Fig. 1 and includes substantially similar processes. In addition to the various applications discussed above, input from a surgeon or other appropriate user can be provided with a handheld device, as discussed above. As illustrated in Figs. 13A and B, a handheld device can be used by the surgeon to review the pre-operative plan at 140'. It will be understood, however, that the process for
providing a selected implant and tools can be similar to that discussed above, for example, with reference to Fig. 1
[0054] With reference to Fig. 14, a schematic diagram illustrating main or exemplary hardware components for the process illustrated in Fig. 13A and 13B is illustrated. The pre-operative plan or preliminary pre-operative plan from block 130 and 130' can be developed or produced by a service provider 700. The service provider 700 can own, operate, manage, or the like a main processor 702 and a main memory 704. The main processor and main memory 702, 704 can be at the service provider 700, in communication with the service provider 700, or otherwise controlled, maintained, or used by the service provider 700. Further, the main processor and main memory 702, 704 can be incorporated into a single server system. Regardless, the main processor 702 can process or execute a program, such as a program to develop the preoperative plan, accept inputs from the surgeon, and augment or generate the final pre-operative plan. In addition, the main processor 702 can also be used to design and output the implant and alignment guide in blocks 150, 150', and 160, 160'.
[0055] As discussed above, and further herein, the pre-operative plan can be delivered or accessed by the surgeon via notification or surgeon access in block 600', 602'. The access or delivery of the pre-op plan can be via an internet or worldwide web connection 706 that uses a first communication method 708 from the service provider 700 and a second communication method 710 to a handheld device 712. It will be understood that the first and second communication method 708, 710 can be wired or wireless and can both be the same. Alternatively, or in addition to an internet connection a cell or mobile phone connection system 714, such as a tower, cell phone, antenna, can be provided. A first communication line 716 can transmit a communication through the mobile phone connection system 714. It will be understood that the service provider can communicate directly with the mobile phone connection system 714 via connection 716 or though an indirect connection 716', such as an internet connection. A second communication line 718 can be used by a surgeon 720 with the handheld device 712. Again, it will be understood, that the first and
second communication system 716, 716', and 718 can be wired or wireless and can be the same or different. In addition, an intermediate system, such as a laptop or desktop computer 722 can be in communication with a system, such as the internet 706 via a first communication system 724 and the handheld device 712 can be interconnected with the computer 722 via a second communication system 726. Again, the first and second communication system 724, 726 can be the same or different and be wired or wireless.
[0056] With further reference to Figs. 13A, 13B, and 14, the preoperative plan from block 130' can be delivered to a surgeon or accessed by a surgeon in any appropriate manner, such as via the internet 706 or cell communication 714. The pre-operative plan can be the preliminary preoperative plan as discussed above. The pre-operative plan can include or be saved as a data file, in the main memory 704 associated with the main processor 702 of the service provider 700, of an appropriate type including image data, patient data, resection area data, etc. The pre-operative plan can be generated and stored by the service provider 700. The service provider 700 can be any appropriate service, such as an implant and/or guide manufacturer or specification producer. A specification producer can be a a service that provides specifications for an implant or guide to a manufacturer for production. [0057] The service provider 700 can notify the surgeon 720 or user that the preliminary pre-operative plan is ready for review in block 600'. The notification that the pre-operative plan is prepared can be performed in any appropriate manner. For example, an electronic mail notification can be sent to the surgeon 720, a text message can be sent to the surgeon 720, a telephone call can be made to the surgeon 720 via landline or a wireless connection, as illustrated in Fig. 14. Regardless, the surgeon can be notified that the preoperative plan is ready for review in block 600 through the use of the mobile device 712.
[0058] Once the surgeon 720 is notified that the pre-operative plan is ready for review, the surgeon 720 can access the pre-operative plan in block 602'. The surgeon can access the pre-operative plan in one or a plurality of ways in block 140'. For example, the surgeon 720 can download the pre-
operative plan to the handheld device in block 604'. Alternatively, or in addition thereto, the surgeon 720 can access the main processor/memory 702, 704 to review the pre-operative plan in the main memory 704 in block 606' with the handheld device 712. It will be further understood that the surgeon 720 may also access the plan with the computer or terminal 722 by downloading the preoperative plan data file to the computer 722 on which appropriate software is installed to access the pre-operative plan. The surgeon 720 may also view a printout of the pre-operative plan for manipulating or commenting on the preoperative plan, or any other appropriate manner. [0059] If the surgeon 720 downloads the file to the handheld device
712, the file can be downloaded to the handheld device 712 using any appropriate transfer protocol or communication system, as illustrated in Fig. 14. For example, the handheld device 712 can be connected to the computer 722 through an appropriate communications cable or protocol 726, such as Bluetooth®, a wireless communication protocol or a Universal Serial Bus (USB) cable. Once the file is downloaded to the handheld device 712, a program on the handheld device 712 can execute or read the file and display images for the the surgeon 720. The surgeon 720 can then review the plan in block 140'. For example, as illustrated in Fig. 7, a view of a bone to be resected can be displayed along with the slider bars 520 for allowing editing or augmentation of the pre-operative plan by the surgeon.
[0060] The view of the images, including the slider bars 520, can be augmented for the handheld device 712. For example, a cropped and zoomed image may only include a portion of the bone or region to be cut or resected for viewing by the surgeon. For example, as illustrated in Fig. 15, the handheld device 712 can include a view screen 740 that displays an image of the bone to be resected, but only includes a portion thereof, such as a lateral portion of a distal femur. The zoomed and cropped image can include fewer than all of the slide bars 520, such as only the slide bars 520'c and 520'd. The slide bars 520'c and 520'd can be illustrated and accessed by the surgeon to change data in the file for creation of appropriate instruments and implants for the specific patient or
for augmentation of semi-custom or selection of an off-the-shelf instrument and implant.
[0061] The surgeon 720 can access or change the pre-operative plan file using the slide bars 520'c and 520'd through any appropriate access or manipulation process. For example, the screen 740 of the handheld device 712 can be a touch screen. Accordingly, the surgeon 720 can touch the screen with a finger or stylus to move the slider or marker portion 525 on the slider bars 520'c and 520'd. Alternatively, or in addition thereto, a trackball or other pointer device 742 can be provided to access and move the slider bars 520'c and 520'd. It will be understood that the handheld device 712 can have any appropriate input devices, such as an external or connected input devices, that can be mapped for appropriate command inputs into the system for augmenting the preoperative plan file. The changes, if made by the surgeon, can then be saved to the pre-operative plan file to generate an edited pre-operative plan file. [0062] If the surgeon 720, after review of the pre-operative plan in block 140', finds the plan to be unacceptable in block 620', the NO path 622' can be followed for the surgeon 720 to edit the plan in block 624'. The surgeon 720 can edit the plan in block 624 in any appropriate manner, such as by moving the slider bars 520'c and 520'd, or any other appropriate slider bars. Alternatively, the surgeon 720 can edit the pre-operative plan in any appropriate manner, including those discussed above. Moreover, the surgeon 720 can input changes into the pre-operative plan using any appropriate input portion, such as touching the screen 740. It will be understood, that the pre-operative plan file that is downloaded to the handheld device 712 can then be saved with the edits as the edited pre-operative plan and transmitted to the service provider 700 for appropriate edits to be re-reviewed or finalized, as discussed above. It will be understood, however, that the handheld device 712, which can include the appropriate program, can save the file in the appropriate format and transmit it back to the service provider 700. [0063] Alternatively, or in addition to downloading the pre-operative plan file, the handheld device 712 can access the pre-operative plan which is stored in the main storage 704 associated with the service provider in block 606
and separate from the handheld device 712. If the handheld device 712 accesses the pre-operative plan on the main processor, memory 702, 704, the handheld device 712 need only display an image representing a portion of the file on the display screen 740. That is, the pre-operative plan and any edits or processing made to the pre-operative plan can be done solely or substantially by the main processor 702 that executes a program to manipulate and display the file. The main processor 702 and the main memory 704 need not be physically near or connected to the handheld device 712.
[0064] The handheld device 712 can be provided to display the image, such as an image of the bone for resection, for the surgeon 720. Therefore, the handheld device 712 may not be required to process the pre-operative plan file from the service provider 700, but only be provided to display the pre-operative plan file and receive and transmit input from the surgeon 720. Accordingly, even if the pre-operative plan is accessed from the service provider in block 606, the slide bars 520'c and 520'd can be displayed on the display 742 of the handheld device 712 for input by the surgeon 720. The inputs, however, can be directly transmitted to the main processor 702 for processing augmentation or editing of the file. This is in addition or alternative to augmenting or editing the file that has been downloaded to the handheld device 712 for re-transmission of the edited pre-operative plan to the service provider 700.
[0065] By only or substantially accessing the pre-operative plan file from the main processor/ memory 702, 704 data transmission can be minimized from the main memory 704 or provider 700 to the handheld device 712 of the surgeon 720. Decreased data transmission can provide increased speed and decreased data usage costs or bottlenecks in a system. In addition, the handheld device 712 can be provided or include limited memory and processing capabilities when the pre-operative plan file is only accessed with the handheld 712 and only small amounts of information are transferred, for example, regarding slide bar location and smaller portions of an image file. Accordingly, it can be provided, that a complete or pre-operative plan is transmitted to the handheld device 712, processed completely on the handheld device 712, edited on the handheld device 712, saved and re-transmitted back to the service
provider 700 or the handheld device 712 can only access the pre-operative plan file saved at the main memory 702 and transmit edits to the server.
[0066] Data transmission and processing can also be reduced by limiting or cropping the pre-operative plan data file. For example, as illustrated in Fig. 15, only a lateral and distal portion of the bone is illustrated on the display device or display screen 740 of the handheld device 712. It will be understood that an image file or image information can include the entire bone or other data saved in the image file. Accordingly, the image file can be cropped at the server or at the provider and only a portion of the image file transmitted to the handheld device 712. This can be done repeatedly for different portions of the image data to allow for smaller file packet size or file size for transmission to the handheld device 712. The cropping and compression of the data file can be done in substantially real-time by the server for a substantially seamless viewing and manipulation by the surgeon. [0067] Even if the surgeon 720 accesses the data file on the main memory 704, the surgeon 720 can review the pre-operative plan block 140', as discussed above, and make a determination of whether the pre-operative plan is acceptable in block 620'. As discussed above, if the pre-operative plan is not acceptable, the NO path 622' can be followed to allow for surgeon edits in block 624'.
[0068] Further, regardless of the method of review of the pre-operative plan in block 140', the pre-operative plan can be determined to be acceptable in block 620' and follow the YES path 626'. When following the YES path 626', the implant can be designed and an alignment guide can be designed in blocks 150' and 160'.
[0069] The foregoing discussion discloses and describes merely exemplary arrangements of the present teachings. Furthermore, the mixing and matching of features, elements and/or functions between various embodiments is expressly contemplated herein, so that one of ordinary skill in the art would appreciate from this disclosure that features, elements and/or functions of one embodiment may be incorporated into another embodiment as appropriate, unless described otherwise above. Moreover, many modifications may be made to adapt
a particular situation or material to the teachings of the invention without departing from the essential scope thereof. One skilled in the art will readily recognize from such discussion, and from the accompanying drawings and claims, that various changes, modifications and variations can be made therein without departing from the spirit and scope of the present teachings as defined in the following claims.
Claims
1. A method of preparing a pre-operative plan for an operative procedure regarding a patient, comprising: accessing a data file including a preliminary pre-operative plan with a handheld device; viewing the pre-operative plan with a display on the handheld device; providing inputs with the handheld device; editing the preliminary pre-operative plan based on the provided inputs; and saving an edited pre-operative plan.
2. The method of Claim 1 , further comprising: generating the preliminary pre-operative plan at a service provider; and transmitting the edited pre-operative plan to the service provider.
3. The method of Claim 1 , further comprising: requesting manufacture of a selected orthopedic implant.
4. The method of Claim 3, further comprising: designing a selected orthopedic implant based on the transmitted edited pre-operative plan.
5. The method of Claim 4, further comprising: receiving the selected orthopedic implant; and forwarding the selected orthopedic implant for implantation.
6. The method of Claim 5, further comprising: acquiring image data of the patient; determining a healthy anatomical orientation of the patient; and selecting resections and implants to achieve the determined substantially anatomical orientation after performing the operative procedure based on the pre-operative plan.
7. The method of Claim 5, wherein generating the preliminary preoperative plan includes at least one of determining a substantially anatomical orientation of the patient and selecting resections and implants to achieve the determined substantially anatomical orientation after performing the operative procedure based on the pre-operative plan.
8. The method of Claim 1 , wherein accessing a data file includes copying the data file to the handheld device and executing a program to process the data file for viewing with the handheld device.
9. The method of Claim 8 wherein editing the preliminary preoperative plan includes: executing a program with the handheld device based on the provided inputs.
10. The method of Claim 1 , wherein accessing a data file includes: communicating with a main processor to transmit information regarding an image to the handheld device; and viewing the image on the handheld device.
1 1. The method of Claim 10, wherein editing the preliminary preoperative plan includes: transmitting the provided inputs with the handheld device to the main processor; and executing a program only with the main processor to change the preliminary pre-operative plan to the edited pre-operative plan; wherein saving an edited pre-operative plan includes saving the edited pre-operative plan at a location separate from the handheld device.
12. A method of preparing a pre-operative plan for an operative procedure regarding a patient, comprising: operating a handheld device to augment a preliminary preoperative plan; viewing the pre-operative plan with a display as the handheld device; editing the preliminary pre-operative plan through the handheld device; and saving an edited pre-operative plan based on editing the preliminary pre-operative plan.
13. The method of Claim 12, further comprising: acquiring image data of the patient; determining a healthy anatomical orientation of the patient; selecting resections and implants to achieve the determined substantially anatomical orientation after performing the operative procedure based on the pre-operative plan; and generating the preliminary pre-operative plan at a provider based on at least one of the determined substantially anatomical orientation of the patient and selected resections and implants.
14. The method of Claim 13, wherein accessing the preliminary preoperative plan includes: downloading the preliminary pre-operative plan to a handheld device.
15. The method of Claim 14, wherein downloading the preliminary preoperative file includes transmitting the data file wirelessly via a cellular or mobile phone data network.
16. The method of Claim 14, wherein downloading includes transmitting wirelessly to the handheld device via a local access wireless transmission data protocol.
17. The method of Claim 14, wherein downloading includes transmitting to the handheld device via a cable connection or physical connection to a main processor and main storage system.
18. The method of Claim 14, wherein viewing the pre-operative plan includes viewing a cropped portion of an image of the pre-operative plan.
19. The method of Claim 18, further comprising: zooming into the cropped portion of the image of the pre-operative plan to view in detail a portion of the cropped portion of the pre-operative plan.
20. The method of Claim 19, further comprising editing only the cropped portion of the image of the pre-operative plan.
21. The method of Claim 14, further comprising editing the preliminary pre-operative plan including executing a program on the handheld device to edit the preliminary pre-operative plan on the handheld device.
22. The method of Claim 20, wherein saving the edited pre-operative plan includes saving the edited pre-operative plan in a storage system of the handheld device.
23. The method of Claim 12, wherein accessing a preliminary preoperative plan includes accessing the preliminary pre-operative plan stored on a main storage system associated with a main processor separate from a handheld device; wherein accessing the preliminary pre-operative plan includes wirelessly accessing the preliminary pre-operative plan with a selected wireless communication system and protocol.
24. The method of Claim 23, wherein the selected wireless data system and protocol includes a cellular or mobile wireless data system.
25. The method of Claim 23, further comprising: transmitting to the main processor via the wireless transmission system, the provided inputs from the handheld device; wherein editing the preliminary pre-operative plan includes executing a program with the main processor to edit the preliminary preoperative plan to generate the edited pre-operative plan.
26. The method of Claim 25, wherein saving the edited pre-operative plan includes saving the edited pre-operative plan at the main storage system associated with the main processor separate from the handheld device.
27. The method of Claim 26, wherein editing the preliminary pre- operative plan and saving the edited pre-operative plan occurs substantially separate from the handheld device.
28. A method of preparing a pre-operative plan for an operative procedure regarding a patient, comprising: generating a preliminary pre-operative plan data file at a service provider based on at least one of a determined substantially anatomical orientation of the patient and selected resections and implants to achieve the determined substantially anatomical orientation of the patient; notifying a user that the preliminary pre-operative plan has been generated; formatting at least a portion of the preliminary pre-operative plan for display on a handheld device; delivering the formatted portion of the preliminary pre-operative plan; viewing the formatted portion of the pre-operative plan with a display on the handheld device; editing the preliminary pre-operative plan data file via inputs transmitted from the handheld device; and saving an edited pre-operative plan.
29. The method of Claim 28, further comprising: viewing an image formatted for viewing on the display device from the formatted portion of the pre-operative plan; and providing inputs with the handheld device based on the viewed image; wherein editing the preliminary pre-operative plan data file includes changing at least one parameter of the preliminary pre-operative plan data file based on the provided inputs.
30. The method of Claim 29, wherein providing inputs with the handheld device includes touching the display device to move a slider illustrated on the display device.
31. The method of Claim 28, further comprising: acquiring image data of the patient; determining a substantially anatomical orientation of the patient; and selecting resections and implants to achieve the determined substantially anatomical orientation after performing the operative procedure based on the pre-operative plan.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/483,807 | 2009-06-12 | ||
US12/483,807 US8473305B2 (en) | 2007-04-17 | 2009-06-12 | Method and apparatus for manufacturing an implant |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2010144705A1 true WO2010144705A1 (en) | 2010-12-16 |
Family
ID=42537734
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2010/038177 WO2010144705A1 (en) | 2009-06-12 | 2010-06-10 | Method and apparatus for manufacturing an implant |
Country Status (2)
Country | Link |
---|---|
US (1) | US8473305B2 (en) |
WO (1) | WO2010144705A1 (en) |
Cited By (66)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8377066B2 (en) | 2006-02-27 | 2013-02-19 | Biomet Manufacturing Corp. | Patient-specific elbow guides and associated methods |
US8398646B2 (en) | 2006-06-09 | 2013-03-19 | Biomet Manufacturing Corp. | Patient-specific knee alignment guide and associated method |
US8407067B2 (en) | 2007-04-17 | 2013-03-26 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US8473305B2 (en) | 2007-04-17 | 2013-06-25 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US8486150B2 (en) | 2007-04-17 | 2013-07-16 | Biomet Manufacturing Corp. | Patient-modified implant |
US8532807B2 (en) | 2011-06-06 | 2013-09-10 | Biomet Manufacturing, Llc | Pre-operative planning and manufacturing method for orthopedic procedure |
US8535387B2 (en) | 2006-02-27 | 2013-09-17 | Biomet Manufacturing, Llc | Patient-specific tools and implants |
US8568487B2 (en) | 2006-02-27 | 2013-10-29 | Biomet Manufacturing, Llc | Patient-specific hip joint devices |
US8591516B2 (en) | 2006-02-27 | 2013-11-26 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US8597365B2 (en) | 2011-08-04 | 2013-12-03 | Biomet Manufacturing, Llc | Patient-specific pelvic implants for acetabular reconstruction |
US8603180B2 (en) | 2006-02-27 | 2013-12-10 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US8608749B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US8608748B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient specific guides |
US8632547B2 (en) | 2010-02-26 | 2014-01-21 | Biomet Sports Medicine, Llc | Patient-specific osteotomy devices and methods |
US8668700B2 (en) | 2011-04-29 | 2014-03-11 | Biomet Manufacturing, Llc | Patient-specific convertible guides |
US8715289B2 (en) | 2011-04-15 | 2014-05-06 | Biomet Manufacturing, Llc | Patient-specific numerically controlled instrument |
US8764760B2 (en) | 2011-07-01 | 2014-07-01 | Biomet Manufacturing, Llc | Patient-specific bone-cutting guidance instruments and methods |
US8828087B2 (en) | 2006-02-27 | 2014-09-09 | Biomet Manufacturing, Llc | Patient-specific high tibia osteotomy |
US8858561B2 (en) | 2006-06-09 | 2014-10-14 | Blomet Manufacturing, LLC | Patient-specific alignment guide |
US8864769B2 (en) | 2006-02-27 | 2014-10-21 | Biomet Manufacturing, Llc | Alignment guides with patient-specific anchoring elements |
US8900244B2 (en) | 2006-02-27 | 2014-12-02 | Biomet Manufacturing, Llc | Patient-specific acetabular guide and method |
US8956364B2 (en) | 2011-04-29 | 2015-02-17 | Biomet Manufacturing, Llc | Patient-specific partial knee guides and other instruments |
US9060788B2 (en) | 2012-12-11 | 2015-06-23 | Biomet Manufacturing, Llc | Patient-specific acetabular guide for anterior approach |
US9066734B2 (en) | 2011-08-31 | 2015-06-30 | Biomet Manufacturing, Llc | Patient-specific sacroiliac guides and associated methods |
US9084618B2 (en) | 2011-06-13 | 2015-07-21 | Biomet Manufacturing, Llc | Drill guides for confirming alignment of patient-specific alignment guides |
US9113971B2 (en) | 2006-02-27 | 2015-08-25 | Biomet Manufacturing, Llc | Femoral acetabular impingement guide |
US9173661B2 (en) | 2006-02-27 | 2015-11-03 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US9204977B2 (en) | 2012-12-11 | 2015-12-08 | Biomet Manufacturing, Llc | Patient-specific acetabular guide for anterior approach |
US9237950B2 (en) | 2012-02-02 | 2016-01-19 | Biomet Manufacturing, Llc | Implant with patient-specific porous structure |
US9241745B2 (en) | 2011-03-07 | 2016-01-26 | Biomet Manufacturing, Llc | Patient-specific femoral version guide |
US9271744B2 (en) | 2010-09-29 | 2016-03-01 | Biomet Manufacturing, Llc | Patient-specific guide for partial acetabular socket replacement |
US9289253B2 (en) | 2006-02-27 | 2016-03-22 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US9295497B2 (en) | 2011-08-31 | 2016-03-29 | Biomet Manufacturing, Llc | Patient-specific sacroiliac and pedicle guides |
US9301812B2 (en) | 2011-10-27 | 2016-04-05 | Biomet Manufacturing, Llc | Methods for patient-specific shoulder arthroplasty |
US9339278B2 (en) | 2006-02-27 | 2016-05-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US9345548B2 (en) | 2006-02-27 | 2016-05-24 | Biomet Manufacturing, Llc | Patient-specific pre-operative planning |
US9351743B2 (en) | 2011-10-27 | 2016-05-31 | Biomet Manufacturing, Llc | Patient-specific glenoid guides |
US9386993B2 (en) | 2011-09-29 | 2016-07-12 | Biomet Manufacturing, Llc | Patient-specific femoroacetabular impingement instruments and methods |
US9393028B2 (en) | 2009-08-13 | 2016-07-19 | Biomet Manufacturing, Llc | Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis |
US9408616B2 (en) | 2014-05-12 | 2016-08-09 | Biomet Manufacturing, Llc | Humeral cut guide |
US9451973B2 (en) | 2011-10-27 | 2016-09-27 | Biomet Manufacturing, Llc | Patient specific glenoid guide |
US9498233B2 (en) | 2013-03-13 | 2016-11-22 | Biomet Manufacturing, Llc. | Universal acetabular guide and associated hardware |
US9517145B2 (en) | 2013-03-15 | 2016-12-13 | Biomet Manufacturing, Llc | Guide alignment system and method |
US9554910B2 (en) | 2011-10-27 | 2017-01-31 | Biomet Manufacturing, Llc | Patient-specific glenoid guide and implants |
US9561040B2 (en) | 2014-06-03 | 2017-02-07 | Biomet Manufacturing, Llc | Patient-specific glenoid depth control |
US9579107B2 (en) | 2013-03-12 | 2017-02-28 | Biomet Manufacturing, Llc | Multi-point fit for patient specific guide |
US9675400B2 (en) | 2011-04-19 | 2017-06-13 | Biomet Manufacturing, Llc | Patient-specific fracture fixation instrumentation and method |
US9795399B2 (en) | 2006-06-09 | 2017-10-24 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US9820868B2 (en) | 2015-03-30 | 2017-11-21 | Biomet Manufacturing, Llc | Method and apparatus for a pin apparatus |
US9826981B2 (en) | 2013-03-13 | 2017-11-28 | Biomet Manufacturing, Llc | Tangential fit of patient-specific guides |
US9826994B2 (en) | 2014-09-29 | 2017-11-28 | Biomet Manufacturing, Llc | Adjustable glenoid pin insertion guide |
US9833245B2 (en) | 2014-09-29 | 2017-12-05 | Biomet Sports Medicine, Llc | Tibial tubercule osteotomy |
US9839436B2 (en) | 2014-06-03 | 2017-12-12 | Biomet Manufacturing, Llc | Patient-specific glenoid depth control |
US9839438B2 (en) | 2013-03-11 | 2017-12-12 | Biomet Manufacturing, Llc | Patient-specific glenoid guide with a reusable guide holder |
US9907659B2 (en) | 2007-04-17 | 2018-03-06 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US9918740B2 (en) | 2006-02-27 | 2018-03-20 | Biomet Manufacturing, Llc | Backup surgical instrument system and method |
US9968376B2 (en) | 2010-11-29 | 2018-05-15 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US10226262B2 (en) | 2015-06-25 | 2019-03-12 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US10282488B2 (en) | 2014-04-25 | 2019-05-07 | Biomet Manufacturing, Llc | HTO guide with optional guided ACL/PCL tunnels |
US10278711B2 (en) | 2006-02-27 | 2019-05-07 | Biomet Manufacturing, Llc | Patient-specific femoral guide |
US10492798B2 (en) | 2011-07-01 | 2019-12-03 | Biomet Manufacturing, Llc | Backup kit for a patient-specific arthroplasty kit assembly |
US10568647B2 (en) | 2015-06-25 | 2020-02-25 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US10603179B2 (en) | 2006-02-27 | 2020-03-31 | Biomet Manufacturing, Llc | Patient-specific augments |
US10722310B2 (en) | 2017-03-13 | 2020-07-28 | Zimmer Biomet CMF and Thoracic, LLC | Virtual surgery planning system and method |
US11179165B2 (en) | 2013-10-21 | 2021-11-23 | Biomet Manufacturing, Llc | Ligament guide registration |
US11419618B2 (en) | 2011-10-27 | 2022-08-23 | Biomet Manufacturing, Llc | Patient-specific glenoid guides |
Families Citing this family (82)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8234097B2 (en) | 2001-05-25 | 2012-07-31 | Conformis, Inc. | Automated systems for manufacturing patient-specific orthopedic implants and instrumentation |
US10085839B2 (en) | 2004-01-05 | 2018-10-02 | Conformis, Inc. | Patient-specific and patient-engineered orthopedic implants |
US8771365B2 (en) | 2009-02-25 | 2014-07-08 | Conformis, Inc. | Patient-adapted and improved orthopedic implants, designs, and related tools |
US8735773B2 (en) | 2007-02-14 | 2014-05-27 | Conformis, Inc. | Implant device and method for manufacture |
US8556983B2 (en) | 2001-05-25 | 2013-10-15 | Conformis, Inc. | Patient-adapted and improved orthopedic implants, designs and related tools |
US8617242B2 (en) | 2001-05-25 | 2013-12-31 | Conformis, Inc. | Implant device and method for manufacture |
US8480754B2 (en) | 2001-05-25 | 2013-07-09 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
US9603711B2 (en) | 2001-05-25 | 2017-03-28 | Conformis, Inc. | Patient-adapted and improved articular implants, designs and related guide tools |
US8801720B2 (en) | 2002-05-15 | 2014-08-12 | Otismed Corporation | Total joint arthroplasty system |
CN101420911B (en) | 2006-02-06 | 2012-07-18 | 康复米斯公司 | Patient selectable arthroplasty device and surjical tool |
US9808262B2 (en) | 2006-02-15 | 2017-11-07 | Howmedica Osteonics Corporation | Arthroplasty devices and related methods |
US9017336B2 (en) | 2006-02-15 | 2015-04-28 | Otismed Corporation | Arthroplasty devices and related methods |
US8298237B2 (en) | 2006-06-09 | 2012-10-30 | Biomet Manufacturing Corp. | Patient-specific alignment guide for multiple incisions |
US8337426B2 (en) | 2009-03-24 | 2012-12-25 | Biomet Manufacturing Corp. | Method and apparatus for aligning and securing an implant relative to a patient |
US8282646B2 (en) | 2006-02-27 | 2012-10-09 | Biomet Manufacturing Corp. | Patient specific knee alignment guide and associated method |
US8070752B2 (en) | 2006-02-27 | 2011-12-06 | Biomet Manufacturing Corp. | Patient specific alignment guide and inter-operative adjustment |
US20080058949A1 (en) * | 2006-09-06 | 2008-03-06 | Roger Ryan Dees | Implants with Transition Surfaces and Related Processes |
GB2442441B (en) | 2006-10-03 | 2011-11-09 | Biomet Uk Ltd | Surgical instrument |
US8460302B2 (en) | 2006-12-18 | 2013-06-11 | Otismed Corporation | Arthroplasty devices and related methods |
US8265949B2 (en) | 2007-09-27 | 2012-09-11 | Depuy Products, Inc. | Customized patient surgical plan |
US8357111B2 (en) | 2007-09-30 | 2013-01-22 | Depuy Products, Inc. | Method and system for designing patient-specific orthopaedic surgical instruments |
ES2733937T3 (en) | 2007-09-30 | 2019-12-03 | Depuy Products Inc | Specific patient-specific orthopedic surgical instrument |
WO2011106430A1 (en) | 2010-02-25 | 2011-09-01 | Depuy Products, Inc | Customized patient-specific bone cutting blocks |
US9173662B2 (en) | 2007-09-30 | 2015-11-03 | DePuy Synthes Products, Inc. | Customized patient-specific tibial cutting blocks |
USD642263S1 (en) | 2007-10-25 | 2011-07-26 | Otismed Corporation | Arthroplasty jig blank |
US8460303B2 (en) | 2007-10-25 | 2013-06-11 | Otismed Corporation | Arthroplasty systems and devices, and related methods |
US10582934B2 (en) | 2007-11-27 | 2020-03-10 | Howmedica Osteonics Corporation | Generating MRI images usable for the creation of 3D bone models employed to make customized arthroplasty jigs |
US8221430B2 (en) | 2007-12-18 | 2012-07-17 | Otismed Corporation | System and method for manufacturing arthroplasty jigs |
US8545509B2 (en) | 2007-12-18 | 2013-10-01 | Otismed Corporation | Arthroplasty system and related methods |
US8617171B2 (en) | 2007-12-18 | 2013-12-31 | Otismed Corporation | Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide |
US8737700B2 (en) | 2007-12-18 | 2014-05-27 | Otismed Corporation | Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide |
US8311306B2 (en) | 2008-04-30 | 2012-11-13 | Otismed Corporation | System and method for image segmentation in generating computer models of a joint to undergo arthroplasty |
US8715291B2 (en) | 2007-12-18 | 2014-05-06 | Otismed Corporation | Arthroplasty system and related methods |
US8777875B2 (en) | 2008-07-23 | 2014-07-15 | Otismed Corporation | System and method for manufacturing arthroplasty jigs having improved mating accuracy |
US8480679B2 (en) | 2008-04-29 | 2013-07-09 | Otismed Corporation | Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices |
US8160345B2 (en) | 2008-04-30 | 2012-04-17 | Otismed Corporation | System and method for image segmentation in generating computer models of a joint to undergo arthroplasty |
US8734455B2 (en) | 2008-02-29 | 2014-05-27 | Otismed Corporation | Hip resurfacing surgical guide tool |
WO2009111626A2 (en) | 2008-03-05 | 2009-09-11 | Conformis, Inc. | Implants for altering wear patterns of articular surfaces |
JP2011519713A (en) | 2008-05-12 | 2011-07-14 | コンフォーミス・インコーポレイテッド | Devices and methods for treatment of facet joints and other joints |
US8617175B2 (en) | 2008-12-16 | 2013-12-31 | Otismed Corporation | Unicompartmental customized arthroplasty cutting jigs and methods of making the same |
EP3678144A1 (en) * | 2009-02-13 | 2020-07-08 | Biomet Manufacturing, LLC | Method and apparatus for manufacturing an implant |
US8170641B2 (en) | 2009-02-20 | 2012-05-01 | Biomet Manufacturing Corp. | Method of imaging an extremity of a patient |
TWI397397B (en) * | 2009-10-21 | 2013-06-01 | Univ Chang Gung | Method of manufacturing guide device |
JP6161900B2 (en) | 2010-01-29 | 2017-07-12 | スミス アンド ネフュー インコーポレイテッド | Cruciate ligament-preserving artificial knee joint |
EP2538855A4 (en) | 2010-02-25 | 2016-08-03 | Depuy Products Inc | Customized patient-specific tibial cutting blocks |
EP2538853A4 (en) | 2010-02-25 | 2016-07-27 | Depuy Products Inc | Customized patient-specific bone cutting blocks |
US10149722B2 (en) * | 2010-02-25 | 2018-12-11 | DePuy Synthes Products, Inc. | Method of fabricating customized patient-specific bone cutting blocks |
US9066727B2 (en) | 2010-03-04 | 2015-06-30 | Materialise Nv | Patient-specific computed tomography guides |
EP2389901B8 (en) | 2010-05-24 | 2013-05-15 | Episurf IP Management AB | An implant for cartilage repair |
EP2389904B1 (en) | 2010-05-24 | 2013-07-24 | Episurf IP Management AB | Surgical kit for cartilage repair comprising implant and a set of tools |
EP2389905B1 (en) * | 2010-05-24 | 2012-05-23 | Episurf Medical AB | Method of designing a surgical kit for cartilage repair in a joint |
EP2389899B1 (en) | 2010-05-24 | 2015-04-29 | Episurf IP Management AB | Method of manufacturing a surgical kit for cartilage repair in a joint |
US9474582B2 (en) * | 2010-08-25 | 2016-10-25 | Siemens Aktiengesellschaft | Personalized orthopedic implant CAD model generation |
US20120276509A1 (en) * | 2010-10-29 | 2012-11-01 | The Cleveland Clinic Foundation | System of preoperative planning and provision of patient-specific surgical aids |
EP2754419B1 (en) | 2011-02-15 | 2024-02-07 | ConforMIS, Inc. | Patient-adapted and improved orthopedic implants |
US10130378B2 (en) * | 2011-05-11 | 2018-11-20 | The Cleveland Clinic Foundation | Generating patient specific instruments for use as surgical aids |
US8641721B2 (en) | 2011-06-30 | 2014-02-04 | DePuy Synthes Products, LLC | Customized patient-specific orthopaedic pin guides |
US10540479B2 (en) * | 2011-07-15 | 2020-01-21 | Stephen B. Murphy | Surgical planning system and method |
EP2760362B1 (en) | 2011-09-29 | 2018-11-07 | ArthroMeda, Inc. | System for precise prosthesis positioning in hip arthroplasty |
US9408686B1 (en) | 2012-01-20 | 2016-08-09 | Conformis, Inc. | Devices, systems and methods for manufacturing orthopedic implants |
US9486226B2 (en) | 2012-04-18 | 2016-11-08 | Conformis, Inc. | Tibial guides, tools, and techniques for resecting the tibial plateau |
US9675471B2 (en) | 2012-06-11 | 2017-06-13 | Conformis, Inc. | Devices, techniques and methods for assessing joint spacing, balancing soft tissues and obtaining desired kinematics for joint implant components |
US9629646B2 (en) | 2012-07-11 | 2017-04-25 | Jens Kather | Curved burr surgical instrument |
US9402637B2 (en) | 2012-10-11 | 2016-08-02 | Howmedica Osteonics Corporation | Customized arthroplasty cutting guides and surgical methods using the same |
US8868178B2 (en) | 2012-12-11 | 2014-10-21 | Galvani, Ltd. | Arrhythmia electrotherapy device and method with provisions for mitigating patient discomfort |
US9888967B2 (en) | 2012-12-31 | 2018-02-13 | Mako Surgical Corp. | Systems and methods for guiding a user during surgical planning |
US9387083B2 (en) | 2013-01-30 | 2016-07-12 | Conformis, Inc. | Acquiring and utilizing kinematic information for patient-adapted implants, tools and surgical procedures |
US10064700B2 (en) * | 2013-02-14 | 2018-09-04 | Zvi Fudim | Surgical guide kit apparatus and method |
WO2014145540A2 (en) | 2013-03-15 | 2014-09-18 | Arthromeda, Inc. | Systems and methods for providing alignment in total knee arthroplasty |
US9778648B2 (en) * | 2013-03-15 | 2017-10-03 | Biomet Manufacturing, Llc | Systems and methods for remote manufacturing of medical devices |
US20140259629A1 (en) * | 2013-03-15 | 2014-09-18 | Conformis, Inc. | Devices, methods and systems for forming implant components |
US20150054195A1 (en) * | 2013-08-20 | 2015-02-26 | Arthur Greyf | Method for 3-D Printing a Custom Bone Graft |
WO2016019437A1 (en) * | 2014-08-05 | 2016-02-11 | D Urso Paul S | System for delivering personalized health care |
US9532845B1 (en) * | 2015-08-11 | 2017-01-03 | ITKR Software LLC | Methods for facilitating individualized kinematically aligned total knee replacements and devices thereof |
DE102016200131A1 (en) * | 2016-01-08 | 2016-04-07 | Rz-Medizintechnik Gmbh | Method for producing a surgical instrument |
WO2017196817A1 (en) * | 2016-05-10 | 2017-11-16 | The General Hospital Corporation | Systems and methods of implants to restore patient specific function |
SE543241C2 (en) | 2018-04-27 | 2020-10-27 | Episurf Ip Man Ab | An implant for cartilage and/or bone repair |
US11051829B2 (en) | 2018-06-26 | 2021-07-06 | DePuy Synthes Products, Inc. | Customized patient-specific orthopaedic surgical instrument |
US11744643B2 (en) | 2019-02-04 | 2023-09-05 | Covidien Lp | Systems and methods facilitating pre-operative prediction of post-operative tissue function |
AU2020257132B2 (en) | 2019-10-28 | 2022-02-17 | Zimmer Biomet Pty Ltd | Adjustable femoral neck osteotomy guide |
US11607233B2 (en) | 2019-12-10 | 2023-03-21 | Zimmer, Inc. | Acetabular guide |
CN113380391A (en) * | 2021-06-24 | 2021-09-10 | 南通市第一人民医院 | Intelligent management method and system for orthopedic implant |
Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2541408A (en) | 1946-11-08 | 1951-02-13 | Ciba Pharm Prod Inc | Catalytic chloromethylation of aromatic compounds |
US3984908A (en) | 1975-10-01 | 1976-10-12 | Amp Incorporated | Stator terminal assembly machine |
US6165223A (en) | 1999-03-01 | 2000-12-26 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6413279B1 (en) | 1999-03-01 | 2002-07-02 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6589283B1 (en) | 2001-05-15 | 2003-07-08 | Biomet, Inc. | Elongated femoral component |
US20040212586A1 (en) * | 2003-04-25 | 2004-10-28 | Denny Trueman H. | Multi-function pointing device |
WO2008021494A2 (en) * | 2006-08-18 | 2008-02-21 | Smith & Nephew, Inc. | Systems and methods for designing, analyzing and using orthopaedic devices |
US20080257363A1 (en) * | 2007-04-17 | 2008-10-23 | Biomet Manufacturing Corp. | Method And Apparatus For Manufacturing An Implant |
US10383408B2 (en) | 2015-11-18 | 2019-08-20 | Ykk Corporation | Slide fastener chain |
Family Cites Families (617)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1480285A (en) | 1917-12-31 | 1924-01-08 | Robert A Moore | Portable sanding machine |
US2181746A (en) | 1939-02-04 | 1939-11-28 | John R Siebrandt | Combination bone clamp and adjustable drill guide |
US2407845A (en) | 1943-01-16 | 1946-09-17 | California Inst Res Found | Aligning device for tools |
US2618913A (en) | 1950-02-23 | 1952-11-25 | George H Plancon | Abrading machine shoe construction |
US2910978A (en) | 1955-03-28 | 1959-11-03 | Marshall R Urist | Hip socket means |
US3840904A (en) | 1973-04-30 | 1974-10-15 | R Tronzo | Acetabular cup prosthesis |
GB1563334A (en) | 1977-05-30 | 1980-03-26 | Charnley Surgical Inventions | Acetabular proshesis |
DE2834295B2 (en) | 1978-08-04 | 1980-05-29 | Orthoplant Orthopaedische Implantate Gmbh & Co Kg, 2800 Bremen | Device for producing a lateral surface that tapers conically from the frontal end section of a bone |
US4306866A (en) | 1979-08-27 | 1981-12-22 | Ipco Corporation | Adjustable dental drill guide |
AU7986682A (en) | 1981-02-12 | 1982-08-19 | New York University | Apparatus for stereotactic surgery |
US4524766A (en) | 1982-01-07 | 1985-06-25 | Petersen Thomas D | Surgical knee alignment method and system |
US4475549A (en) | 1982-01-18 | 1984-10-09 | Indong Oh | Acetabular cup positioner and method |
US4619658A (en) | 1982-02-24 | 1986-10-28 | Pappas Michael J | Spherical kinematic joint |
DE3213434C1 (en) | 1982-04-10 | 1983-10-27 | Günther Dr.med. 7400 Tübingen Aldinger | Process for the production of individually designed endoprostheses or implants |
US4421112A (en) | 1982-05-20 | 1983-12-20 | Minnesota Mining And Manufacturing Company | Tibial osteotomy guide assembly and method |
US4436684A (en) | 1982-06-03 | 1984-03-13 | Contour Med Partners, Ltd. | Method of forming implantable prostheses for reconstructive surgery |
DE3371487D1 (en) | 1982-12-28 | 1987-06-19 | Diffracto Ltd | Apparatus and method for robot calibration |
US4506393A (en) | 1983-03-29 | 1985-03-26 | Murphy Stephen B | Method of prosthesis design |
US4663720A (en) | 1984-02-21 | 1987-05-05 | Francois Duret | Method of and apparatus for making a prosthesis, especially a dental prosthesis |
US4621630A (en) | 1983-04-15 | 1986-11-11 | Pfizer Hospital Products Group, Inc. | Guide for femoral neck osteotomy |
US4778474A (en) | 1984-11-16 | 1988-10-18 | Homsy Charles A | Acetabular prosthesis |
DE3447365A1 (en) | 1984-12-24 | 1986-07-03 | Bernd Dr. 6000 Frankfurt Lammel | Method and device for avoiding blurring in medical imaging techniques, caused by the patient's movement during image recording |
US4632111A (en) | 1985-03-21 | 1986-12-30 | Minnesota Mining And Manufacturing Company | Acetabular cup positioning apparatus |
US4633862A (en) | 1985-05-30 | 1987-01-06 | Petersen Thomas D | Patellar resection sawguide |
US4696292A (en) | 1985-07-02 | 1987-09-29 | Heiple Kingsbury G | Tool for use in anchoring implantable prosthesis and method |
EP0243410A1 (en) | 1985-10-28 | 1987-11-04 | ROGER, Greogory James | Method and apparatus for removing prosthetic cement |
US4721104A (en) | 1985-12-02 | 1988-01-26 | Dow Corning Wright Corporation | Femoral surface shaping apparatus for posterior-stabilized knee implants |
US4703751A (en) | 1986-03-27 | 1987-11-03 | Pohl Kenneth P | Method and apparatus for resecting a distal femoral surface |
US4722330A (en) | 1986-04-22 | 1988-02-02 | Dow Corning Wright Corporation | Femoral surface shaping guide for knee implants |
DE3707518A1 (en) | 1986-05-16 | 1987-11-26 | Copf Franz | PROSTHESE PART AND METHOD FOR THE PRODUCTION THEREOF |
US4822365A (en) | 1986-05-30 | 1989-04-18 | Walker Peter S | Method of design of human joint prosthesis |
US4936862A (en) | 1986-05-30 | 1990-06-26 | Walker Peter S | Method of designing and manufacturing a human joint prosthesis |
AT387711B (en) | 1986-07-15 | 1989-03-10 | David Thomas | BONE FIXATION PLATE |
GB2197790B (en) | 1986-11-17 | 1991-01-16 | Jonathan Paul Beacon | Apparatus for use in accurately inserting prostheses |
US4821213A (en) | 1986-12-19 | 1989-04-11 | General Electric Co. | System for the simultaneous display of two or more internal surfaces within a solid object |
US4841975A (en) | 1987-04-15 | 1989-06-27 | Cemax, Inc. | Preoperative planning of bone cuts and joint replacement using radiant energy scan imaging |
EP0322766B1 (en) | 1987-12-24 | 1994-09-07 | Nec Corporation | Carrier recovery circuit for offset QPSK demodulators |
US4976737A (en) | 1988-01-19 | 1990-12-11 | Research And Education Institute, Inc. | Bone reconstruction |
EP0326768A3 (en) | 1988-02-01 | 1991-01-23 | Faro Medical Technologies Inc. | Computer-aided surgery apparatus |
US5251127A (en) | 1988-02-01 | 1993-10-05 | Faro Medical Technologies Inc. | Computer-aided surgery apparatus |
US4893619A (en) | 1988-02-04 | 1990-01-16 | Intermedics Orthopedics, Inc. | Humeral osteotomy guide |
US5007936A (en) | 1988-02-18 | 1991-04-16 | Cemax, Inc. | Surgical method for hip joint replacement |
US4979949A (en) | 1988-04-26 | 1990-12-25 | The Board Of Regents Of The University Of Washington | Robot-aided system for surgery |
US4896663A (en) | 1988-10-14 | 1990-01-30 | Boehringer Mannheim Corporation | Self centering femoral drill jig |
US4952213A (en) | 1989-02-03 | 1990-08-28 | Boehringer Mannheim Corporation | Tibial cutting guide |
US4959066A (en) | 1989-02-24 | 1990-09-25 | Zimmer, Inc. | Femoral osteotomy guide assembly |
US4985037A (en) | 1989-05-22 | 1991-01-15 | Petersen Thomas D | Universal modular prosthesis stem extension |
US4927422A (en) | 1989-08-31 | 1990-05-22 | Boehringer Mannheim Corporation | Elbow arthroplasty instrumentation and surgical procedure |
US5041117A (en) | 1989-08-31 | 1991-08-20 | Boehringer Mannheim Corporation | Elbow arthroplasty instrumentation and surgical procedure |
US5053039A (en) | 1989-09-14 | 1991-10-01 | Intermedics Orthopedics | Upper tibial osteotomy system |
US5122144A (en) | 1989-09-26 | 1992-06-16 | Kirschner Medical Corporation | Method and instrumentation for unicompartmental total knee arthroplasty |
JPH0661691B2 (en) | 1989-09-29 | 1994-08-17 | オリンパス光学工業株式会社 | Optical element polishing method and apparatus |
EP0425714A1 (en) | 1989-10-28 | 1991-05-08 | Metalpraecis Berchem + Schaberg Gesellschaft Für Metallformgebung Mbh | Process for manufacturing an implantable joint prosthesis |
US5030221A (en) | 1989-12-13 | 1991-07-09 | Buechel Frederick F | Prosthesis holding system |
US5246444A (en) | 1990-01-08 | 1993-09-21 | Schreiber Saul N | Osteotomy device and method |
US5129908A (en) | 1990-01-23 | 1992-07-14 | Petersen Thomas D | Method and instruments for resection of the patella |
US5098383A (en) | 1990-02-08 | 1992-03-24 | Artifax Ltd. | Device for orienting appliances, prostheses, and instrumentation in medical procedures and methods of making same |
US5133760A (en) | 1990-02-12 | 1992-07-28 | Alvarado Orthopedic Research, Inc. | Universal modular prosthesis stem extension |
FR2659226B1 (en) | 1990-03-07 | 1992-05-29 | Jbs Sa | PROSTHESIS FOR INTERVERTEBRAL DISCS AND ITS IMPLEMENTATION INSTRUMENTS. |
US5086401A (en) | 1990-05-11 | 1992-02-04 | International Business Machines Corporation | Image-directed robotic system for precise robotic surgery including redundant consistency checking |
US5108425A (en) | 1990-05-30 | 1992-04-28 | Hwang Ned H C | Low turbulence heart valve |
US5300077A (en) | 1990-07-16 | 1994-04-05 | Arthrotek | Method and instruments for ACL reconstruction |
US6254604B1 (en) | 1990-07-16 | 2001-07-03 | Arthrotek, Inc. | Tibial guide |
US5274565A (en) | 1990-10-03 | 1993-12-28 | Board Of Regents, The University Of Texas System | Process for making custom joint replacements |
SE468198B (en) | 1990-12-12 | 1992-11-23 | Nobelpharma Ab | PROCEDURE AND DEVICE FOR MANUFACTURE OF INDIVIDUALLY DESIGNED THREE-DIMENSIONAL BODIES USEFUL AS TENDERS, PROTESTES, ETC |
US5206023A (en) | 1991-01-31 | 1993-04-27 | Robert F. Shaw | Method and compositions for the treatment and repair of defects or lesions in cartilage |
US5098436A (en) | 1991-03-07 | 1992-03-24 | Dow Corning Wright Corporation | Modular guide for shaping of femur to accommodate intercondylar stabilizing housing and patellar track of implant |
US5053037A (en) | 1991-03-07 | 1991-10-01 | Smith & Nephew Richards Inc. | Femoral instrumentation for long stem surgery |
US5129909A (en) | 1991-03-13 | 1992-07-14 | Sutherland Charles J | Apparatus and method for making precise bone cuts in total knee replacement |
US5438263A (en) | 1991-03-15 | 1995-08-01 | Fonar Corporation | Method of selectable resolution magnetic resonance imaging |
US7527628B2 (en) | 1991-05-30 | 2009-05-05 | Synvasive Technology, Inc. | Surgical saw blade having at least one pair of opposed teeth shaped as right triangles |
US5899907A (en) | 1991-06-27 | 1999-05-04 | Johnson; Lanny L. | Instrumentation for proximal femoral compaction broaching |
US5449360A (en) | 1991-08-23 | 1995-09-12 | Schreiber; Saul N. | Osteotomy device and method |
EP0535984B1 (en) | 1991-10-02 | 1998-08-19 | Spectra Group Limited Inc | Production of three-dimensional objects |
US5677107A (en) | 1991-10-02 | 1997-10-14 | Spectra Group Limited, Inc. | Production of three-dimensional objects |
US5344423A (en) | 1992-02-06 | 1994-09-06 | Zimmer, Inc. | Apparatus and method for milling bone |
GB9202561D0 (en) | 1992-02-07 | 1992-03-25 | Howmedica | Orthopaedic instrument |
US5507833A (en) | 1992-02-10 | 1996-04-16 | Kim-Med, Inc. | Hip replacement system and method for implanting the same |
US5520695A (en) | 1992-02-14 | 1996-05-28 | Johnson & Johnson Professional, Inc. | Instruments for use in knee replacement surgery |
US5342366A (en) | 1992-02-19 | 1994-08-30 | Biomet, Inc. | Surgical instruments for hip revision |
US5176684A (en) | 1992-02-20 | 1993-01-05 | Dow Corning Wright | Modular shaping and trial reduction guide for implantation of posterior-stabilized femoral prosthesis and method of using same |
ATE167995T1 (en) | 1992-02-20 | 1998-07-15 | Synvasive Technology Inc | SURGICAL CUTTING BLOCK |
US5258032A (en) | 1992-04-03 | 1993-11-02 | Bertin Kim C | Knee prosthesis provisional apparatus and resection guide and method of use in knee replacement surgery |
US5261915A (en) | 1992-04-16 | 1993-11-16 | Scott M. Durlacher | Femur bone rasp with adjustable handle |
DE4213597A1 (en) | 1992-04-24 | 1993-10-28 | Klaus Draenert | Femoral prosthesis component to be anchored with bone cement and process for its production |
US5365996A (en) | 1992-06-10 | 1994-11-22 | Amei Technologies Inc. | Method and apparatus for making customized fixation devices |
DE4219939C2 (en) | 1992-06-18 | 1995-10-19 | Klaus Dipl Ing Radermacher | Device for aligning, positioning and guiding machining tools, machining or measuring devices for machining a bony structure and method for producing this device |
IT1256891B (en) | 1992-07-24 | 1995-12-27 | FEMORAL STEM FOR TOTAL HIP PROSTHESIS | |
US5370692A (en) | 1992-08-14 | 1994-12-06 | Guild Associates, Inc. | Rapid, customized bone prosthesis |
GB9322327D0 (en) | 1993-10-29 | 1993-12-15 | Howmedica | Method and apparatus for implanting an acetabular cup |
WO1994010935A1 (en) | 1992-11-09 | 1994-05-26 | Ormco Corporation | Custom orthodontic appliance forming method and apparatus |
US5360446A (en) | 1992-12-18 | 1994-11-01 | Zimmer, Inc. | Interactive prosthesis design system for implantable prosthesis |
US5320625A (en) | 1993-01-21 | 1994-06-14 | Bertin Kim C | Apparatus and method for implanting a prosthetic acetabular cup and then testing the stability of the implant |
US5370699A (en) | 1993-01-21 | 1994-12-06 | Orthomet, Inc. | Modular knee joint prosthesis |
WO1994018638A1 (en) | 1993-02-10 | 1994-08-18 | Southwest Research Institute | Automated design and manufacture of artificial limbs |
US5405395A (en) | 1993-05-03 | 1995-04-11 | Wright Medical Technology, Inc. | Modular femoral implant |
CA2126627C (en) | 1993-07-06 | 2005-01-25 | Kim C. Bertin | Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment |
US5474559A (en) | 1993-07-06 | 1995-12-12 | Zimmer, Inc. | Femoral milling instrumentation for use in total knee arthroplasty with optional cutting guide attachment |
GB9322383D0 (en) | 1993-10-29 | 1993-12-15 | Howmedica | Method and apparatus for implanting an acetabular cup |
US5658294A (en) | 1993-12-02 | 1997-08-19 | Sulzer Orthopedics Inc. | Instrument for holding an acetabular cup |
DE4341367C1 (en) | 1993-12-04 | 1995-06-14 | Harald Dr Med Dr Med Eufinger | Process for the production of endoprostheses |
NL9302200A (en) | 1993-12-16 | 1995-07-17 | Endocare Ag | Elliptical acetabulum component for a hip prosthesis. |
US5540695A (en) | 1994-02-18 | 1996-07-30 | Howmedica Inc. | Osteotomy cutting guide |
US5885298A (en) | 1994-02-23 | 1999-03-23 | Biomet, Inc. | Patellar clamp and reamer with adjustable stop |
RU2125835C1 (en) | 1994-03-02 | 1999-02-10 | Владимир Беньевич Низковолос | Stereotaxic system |
BE1008128A3 (en) | 1994-03-10 | 1996-01-23 | Materialise Nv | Method for supporting an object manufactured by stereo lithography or any rapid prototype manufacturing and method for manufacturing the taking used steunkonstruktie. |
BE1008372A3 (en) | 1994-04-19 | 1996-04-02 | Materialise Nv | METHOD FOR MANUFACTURING A perfected MEDICAL MODEL BASED ON DIGITAL IMAGE INFORMATION OF A BODY. |
US5472415A (en) | 1994-04-26 | 1995-12-05 | Zimmer, Inc. | Disposable provisional instrument component for evaluating the fit of an orthopaedic implant |
US5723331A (en) | 1994-05-05 | 1998-03-03 | Genzyme Corporation | Methods and compositions for the repair of articular cartilage defects in mammals |
DE4421153A1 (en) | 1994-06-10 | 1995-12-14 | Artos Med Produkte | Prodn. of hip joint endoprosthesis insertable in bone cavity of patient |
US5496324A (en) | 1994-06-20 | 1996-03-05 | Zimmer, Inc. | Proximal body milling apparatus |
FR2721195B1 (en) | 1994-06-21 | 1996-09-13 | Jacques Afriat | Device for placing a plate-blade for performing a re-orientation osteotomy in a bone area. |
RU2083179C1 (en) | 1994-07-08 | 1997-07-10 | Михаил Петрович Лисицын | Stereotaxic apparatus for locating and making bony canals during plastic operations on cruciform ligaments of knee joint |
FR2722392A1 (en) | 1994-07-12 | 1996-01-19 | Biomicron | APPARATUS FOR RESECTING KNEE CONDYLES FOR PLACING A PROSTHESIS AND METHOD FOR PLACING SUCH AN APPARATUS |
US5549688A (en) | 1994-08-04 | 1996-08-27 | Smith & Nephew Richards Inc. | Asymmetric femoral prosthesis |
US5639402A (en) | 1994-08-08 | 1997-06-17 | Barlow; Joel W. | Method for fabricating artificial bone implant green parts |
US6497727B1 (en) | 2000-01-30 | 2002-12-24 | Diamicron, Inc. | Component for use in prosthetic hip, the component having a polycrystalline diamond articulation surface and a plurality of substrate layers |
DE4434539C2 (en) | 1994-09-27 | 1998-06-04 | Luis Dr Med Schuster | Process for the production of an endoprosthesis as a joint replacement for knee joints |
US5578037A (en) | 1994-11-14 | 1996-11-26 | Johnson & Johnson Professional, Inc. | Surgical guide for femoral resection |
US5560096B1 (en) | 1995-01-23 | 1998-03-10 | Smith & Nephew Richards Inc | Method of manufacturing femoral knee implant |
US5613969A (en) | 1995-02-07 | 1997-03-25 | Jenkins, Jr.; Joseph R. | Tibial osteotomy system |
US5671018A (en) | 1995-02-07 | 1997-09-23 | Texas Instruments Incorporated | Motion adaptive vertical scaling for interlaced digital image data |
US5607431A (en) | 1995-02-09 | 1997-03-04 | Howmedica Inc. | Prosthetic hip implantation method and apparatus |
US5879398A (en) | 1995-02-14 | 1999-03-09 | Zimmer, Inc. | Acetabular cup |
US5702460A (en) | 1995-02-15 | 1997-12-30 | Smith & Nephew, Inc. | Revision femoral trial prosthesis |
IT1273952B (en) | 1995-02-22 | 1997-07-11 | Francesco Caracciolo | TOTAL ANATOMICAL PROSTHESIS OF THE HIP |
US5620448A (en) | 1995-03-24 | 1997-04-15 | Arthrex, Inc. | Bone plate system for opening wedge proximal tibial osteotomy |
SE9501828D0 (en) | 1995-05-17 | 1995-05-17 | Astra Ab | Cutting guide |
RU2113182C1 (en) | 1995-05-22 | 1998-06-20 | Лисицын Михаил Петрович | Method for carrying out static stabilization of knee joint |
JPH11505735A (en) | 1995-05-26 | 1999-05-25 | マチス メディツィナルテクニック アクチエンゲゼルシャフト | Leg adjustment osteotomy instrument |
US5634927A (en) | 1995-07-06 | 1997-06-03 | Zimmer, Inc. | Sizing plate and drill guide assembly for orthopaedic knee instrumentation |
US5716361A (en) | 1995-11-02 | 1998-02-10 | Masini; Michael A. | Bone cutting guides for use in the implantation of prosthetic joint components |
US5704941A (en) | 1995-11-03 | 1998-01-06 | Osteonics Corp. | Tibial preparation apparatus and method |
ATE203884T1 (en) | 1995-11-08 | 2001-08-15 | Stratec Medical Ag | ARTIFICIAL HIP JOINT |
US5662656A (en) | 1995-12-08 | 1997-09-02 | Wright Medical Technology, Inc. | Instrumentation and method for distal femoral sizing, and anterior and distal femoral resections |
DE29522352U1 (en) | 1995-12-12 | 2002-07-18 | Busch Dieter & Co Prueftech | Position measuring probe for the mutual alignment of bodies |
US5682886A (en) | 1995-12-26 | 1997-11-04 | Musculographics Inc | Computer-assisted surgical system |
NZ331107A (en) | 1996-02-13 | 2000-04-28 | Gen Hospital Corp | Radiation and melt treated ultra high molecular weight polyethylene prosthetic devices |
US5681354A (en) | 1996-02-20 | 1997-10-28 | Board Of Regents, University Of Colorado | Asymmetrical femoral component for knee prosthesis |
US5769092A (en) * | 1996-02-22 | 1998-06-23 | Integrated Surgical Systems, Inc. | Computer-aided system for revision total hip replacement surgery |
WO1997030648A1 (en) | 1996-02-23 | 1997-08-28 | Midwest Orthopedic Research Foundation | Device and method for distal femur cutting and prothesis measuring |
HU219444B (en) | 1996-02-26 | 2001-04-28 | Gábor Krakovits | Sliding surface for knee-joint prothesis |
US5725376A (en) | 1996-02-27 | 1998-03-10 | Poirier; Michel | Methods for manufacturing a dental implant drill guide and a dental implant superstructure |
US5824078A (en) | 1996-03-11 | 1998-10-20 | The Board Of Trustees Of The University Of Arkansas | Composite allograft, press, and methods |
US5722978A (en) | 1996-03-13 | 1998-03-03 | Jenkins, Jr.; Joseph Robert | Osteotomy system |
US5799055A (en) | 1996-05-15 | 1998-08-25 | Northwestern University | Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy |
US5779710A (en) | 1996-06-21 | 1998-07-14 | Matsen, Iii; Frederick A. | Joint replacement method and apparatus |
US6126690A (en) | 1996-07-03 | 2000-10-03 | The Trustees Of Columbia University In The City Of New York | Anatomically correct prosthesis and method and apparatus for manufacturing prosthesis |
US6066176A (en) | 1996-07-11 | 2000-05-23 | Oshida; Yoshiki | Orthopedic implant system |
US5762125A (en) | 1996-09-30 | 1998-06-09 | Johnson & Johnson Professional, Inc. | Custom bioimplantable article |
US6343987B2 (en) | 1996-11-07 | 2002-02-05 | Kabushiki Kaisha Sega Enterprises | Image processing device, image processing method and recording medium |
DE69722961T2 (en) | 1997-01-08 | 2004-05-13 | Clynch Technologies, Inc., Calgary | METHOD FOR PRODUCING INDIVIDUALLY ADAPTED MEDICAL DEVICES |
US8771365B2 (en) | 2009-02-25 | 2014-07-08 | Conformis, Inc. | Patient-adapted and improved orthopedic implants, designs, and related tools |
US8083745B2 (en) | 2001-05-25 | 2011-12-27 | Conformis, Inc. | Surgical tools for arthroplasty |
US8882847B2 (en) | 2001-05-25 | 2014-11-11 | Conformis, Inc. | Patient selectable knee joint arthroplasty devices |
US20090222103A1 (en) | 2001-05-25 | 2009-09-03 | Conformis, Inc. | Articular Implants Providing Lower Adjacent Cartilage Wear |
US7468075B2 (en) | 2001-05-25 | 2008-12-23 | Conformis, Inc. | Methods and compositions for articular repair |
US8545569B2 (en) | 2001-05-25 | 2013-10-01 | Conformis, Inc. | Patient selectable knee arthroplasty devices |
US20070100462A1 (en) | 2001-05-25 | 2007-05-03 | Conformis, Inc | Joint Arthroplasty Devices |
US20070233269A1 (en) | 2001-05-25 | 2007-10-04 | Conformis, Inc. | Interpositional Joint Implant |
US8617242B2 (en) | 2001-05-25 | 2013-12-31 | Conformis, Inc. | Implant device and method for manufacture |
US7534263B2 (en) | 2001-05-25 | 2009-05-19 | Conformis, Inc. | Surgical tools facilitating increased accuracy, speed and simplicity in performing joint arthroplasty |
US7618451B2 (en) | 2001-05-25 | 2009-11-17 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty |
JP2001509053A (en) | 1997-01-28 | 2001-07-10 | ニューヨーク ソサイエティ フォア ザ リリーフ オブ ザ ラプチャード アンド クリップルド メインティニング ザ ホスピタル フォア スペシャル サージャリー | Femoral bone resection method and device |
US5824111A (en) | 1997-01-31 | 1998-10-20 | Prosthetic Design, Inc. | Method for fabricating a prosthetic limb socket |
US5976149A (en) | 1997-02-11 | 1999-11-02 | Medidea, Llc | Method and apparatus for aligning a prosthetic element |
US5980526A (en) | 1997-02-12 | 1999-11-09 | Orthopaedic Innovations, Inc. | Wedge osteotomy device including a guide for controlling osteotomy depth |
US6205411B1 (en) | 1997-02-21 | 2001-03-20 | Carnegie Mellon University | Computer-assisted surgery planner and intra-operative guidance system |
US5880976A (en) | 1997-02-21 | 1999-03-09 | Carnegie Mellon University | Apparatus and method for facilitating the implantation of artificial components in joints |
DE19709960A1 (en) | 1997-03-11 | 1998-09-24 | Aesculap Ag & Co Kg | Method and device for preoperatively determining the position data of endoprosthesis parts |
DE19755536A1 (en) | 1997-12-13 | 1999-06-17 | Ceramtec Ag | Acetabular cup |
US5792143A (en) | 1997-04-21 | 1998-08-11 | Biomet, Inc | Neck length measuring device and method of using same for implanting a hip prosthesis |
US6120544A (en) | 1997-05-16 | 2000-09-19 | Eska Implants Gmbh & Co. | Femur endoprosthesis for articial hip joint |
US5895389A (en) | 1997-05-29 | 1999-04-20 | Synthes (U.S.A.) | Drilling guide and measuring instrumentation |
DE19731442A1 (en) | 1997-07-22 | 1999-02-11 | Plus Endoprothetik Ag | Cup for a joint endoprosthesis |
GB9717433D0 (en) | 1997-08-19 | 1997-10-22 | Univ Nottingham | Biodegradable composites |
FR2768916B1 (en) | 1997-10-01 | 2000-02-25 | Transysteme Sa | TIBIAL OSTEOTOMY STAPLE |
US5924987A (en) | 1997-10-06 | 1999-07-20 | Meaney; James F. M. | Method and apparatus for magnetic resonance arteriography using contrast agents |
JP4217925B2 (en) | 1997-10-24 | 2009-02-04 | ソニー株式会社 | Planar lens manufacturing method |
US5876456A (en) | 1997-11-14 | 1999-03-02 | Sulzer Orthopedics Inc. | Implantable prosthesis having interference-locked hole plugs |
US6161080A (en) | 1997-11-17 | 2000-12-12 | The Trustees Of Columbia University In The City Of New York | Three dimensional multibody modeling of anatomical joints |
GB9724280D0 (en) | 1997-11-17 | 1998-01-14 | Benoist Girard & Cie | Device to pressurise cement when implanting an acetabular cup |
US5967777A (en) | 1997-11-24 | 1999-10-19 | Klein; Michael | Surgical template assembly and method for drilling and installing dental implants |
EP0943297B1 (en) | 1998-02-11 | 2000-03-08 | PLUS Endoprothetik AG | Femoral part for a hip joint prosthesis |
RU2138223C1 (en) | 1998-02-19 | 1999-09-27 | Иова Александр Сергеевич | Device for stereotaxic guiding of surgical tool |
US6258095B1 (en) | 1998-03-28 | 2001-07-10 | Stryker Technologies Corporation | Methods and tools for femoral intermedullary revision surgery |
SE510968C2 (en) | 1998-04-01 | 1999-07-12 | Stig Lindequist | Method and apparatus for determining the position of fixation means in hip fracture |
AU2695799A (en) | 1998-05-22 | 1999-12-02 | Howmedica Osteonics Corp. | Acetabular cup assembly with selected bearing |
ATE272365T1 (en) | 1998-05-28 | 2004-08-15 | Orthosoft Inc | INTERACTIVE AND COMPUTER-ASSISTED SURGICAL SYSTEM |
JP2002519093A (en) | 1998-06-29 | 2002-07-02 | プルス、エンドプロテーティク、アクチエンゲゼルシャフト | Apparatus and method for inserting an artificial knee |
US6086593A (en) | 1998-06-30 | 2000-07-11 | Bonutti; Peter M. | Method and apparatus for use in operating on a bone |
US6327491B1 (en) | 1998-07-06 | 2001-12-04 | Neutar, Llc | Customized surgical fixture |
US6099531A (en) | 1998-08-20 | 2000-08-08 | Bonutti; Peter M. | Changing relationship between bones |
US6033415A (en) | 1998-09-14 | 2000-03-07 | Integrated Surgical Systems | System and method for performing image directed robotic orthopaedic procedures without a fiducial reference system |
US7239908B1 (en) | 1998-09-14 | 2007-07-03 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and devising treatment |
JP2002532126A (en) | 1998-09-14 | 2002-10-02 | スタンフォード ユニバーシティ | Joint condition evaluation and damage prevention device |
US9289153B2 (en) | 1998-09-14 | 2016-03-22 | The Board Of Trustees Of The Leland Stanford Junior University | Joint and cartilage diagnosis, assessment and modeling |
DE19843797A1 (en) | 1998-09-24 | 2000-03-30 | Gmt Medizinische Technik Gmbh | Socket unit for an artificial hip joint comprises a raised section which partially surrounds the spherical joint head accommodated in the socket |
US6547823B2 (en) | 1999-01-22 | 2003-04-15 | Osteotech, Inc. | Intervertebral implant |
US6156069A (en) | 1999-02-04 | 2000-12-05 | Amstutz; Harlan C. | Precision hip joint replacement method |
US6285902B1 (en) | 1999-02-10 | 2001-09-04 | Surgical Insights, Inc. | Computer assisted targeting device for use in orthopaedic surgery |
US20070233272A1 (en) | 1999-02-23 | 2007-10-04 | Boyce Todd M | Shaped load-bearing osteoimplant and methods of making same |
US6696073B2 (en) | 1999-02-23 | 2004-02-24 | Osteotech, Inc. | Shaped load-bearing osteoimplant and methods of making same |
US6622567B1 (en) | 1999-03-01 | 2003-09-23 | Microstrain, Inc. | Micropower peak strain detection system for remote interrogation |
US6629999B1 (en) | 1999-03-08 | 2003-10-07 | Louis A. Serafin, Jr. | Modular joint |
US6203844B1 (en) | 1999-04-01 | 2001-03-20 | Joon B. Park | Precoated polymeric prosthesis and process for making same |
US6206927B1 (en) | 1999-04-02 | 2001-03-27 | Barry M. Fell | Surgically implantable knee prothesis |
US6923831B2 (en) | 1999-05-10 | 2005-08-02 | Barry M. Fell | Surgically implantable knee prosthesis having attachment apertures |
DE19922279A1 (en) | 1999-05-11 | 2000-11-16 | Friedrich Schiller Uni Jena Bu | Procedure for generating patient-specific implants |
CA2371914A1 (en) | 1999-05-20 | 2000-11-30 | Russell A. Giordano | Polymer re-inforced anatomically accurate bioactive prostheses |
US6391251B1 (en) | 1999-07-07 | 2002-05-21 | Optomec Design Company | Forming structures from CAD solid models |
US6203546B1 (en) | 1999-07-27 | 2001-03-20 | Macmahon Edward B | Method and apparatus for medial tibial osteotomy |
US6312258B1 (en) | 1999-08-19 | 2001-11-06 | Arthur Ashman | Kit for immediate post-extraction implantation |
US20050027361A1 (en) | 1999-10-22 | 2005-02-03 | Reiley Mark A. | Facet arthroplasty devices and methods |
US7013191B2 (en) | 1999-11-30 | 2006-03-14 | Orametrix, Inc. | Interactive orthodontic care system based on intra-oral scanning of teeth |
US7635390B1 (en) | 2000-01-14 | 2009-12-22 | Marctec, Llc | Joint replacement component having a modular articulating surface |
US6770078B2 (en) | 2000-01-14 | 2004-08-03 | Peter M. Bonutti | Movable knee implant and methods therefor |
US6610095B1 (en) | 2000-01-30 | 2003-08-26 | Diamicron, Inc. | Prosthetic joint having substrate surface topographical featurers and at least one diamond articulation surface |
US6354011B1 (en) | 2000-02-01 | 2002-03-12 | Pruftechnik Dieter Busch Ag | Orientation measuring device |
US6591581B2 (en) | 2000-03-08 | 2003-07-15 | Arthrex, Inc. | Method for preparing and inserting round, size specific osteochondral cores in the knee |
US7682398B2 (en) | 2000-03-14 | 2010-03-23 | Smith & Nephew, Inc. | Variable geometry rim surface acetabular shell liner |
CN1208033C (en) | 2000-03-14 | 2005-06-29 | 史密夫和内修有限公司 | Variable geometry rim surface acetabular shell liner |
US6712856B1 (en) | 2000-03-17 | 2004-03-30 | Kinamed, Inc. | Custom replacement device for resurfacing a femur and method of making the same |
EP1312025A2 (en) | 2000-04-05 | 2003-05-21 | Therics, Inc. | System and method for rapidly customizing a design and remotely manufacturing biomedical devices using a computer system |
US6772026B2 (en) | 2000-04-05 | 2004-08-03 | Therics, Inc. | System and method for rapidly customizing design, manufacture and/or selection of biomedical devices |
US6701174B1 (en) | 2000-04-07 | 2004-03-02 | Carnegie Mellon University | Computer-aided bone distraction |
US20040068187A1 (en) | 2000-04-07 | 2004-04-08 | Krause Norman M. | Computer-aided orthopedic surgery |
US6711432B1 (en) | 2000-10-23 | 2004-03-23 | Carnegie Mellon University | Computer-aided orthopedic surgery |
US6395005B1 (en) | 2000-04-14 | 2002-05-28 | Howmedica Osteonics Corp. | Acetabular alignment apparatus and method |
US6676706B1 (en) | 2000-04-26 | 2004-01-13 | Zimmer Technology, Inc. | Method and apparatus for performing a minimally invasive total hip arthroplasty |
US6520964B2 (en) | 2000-05-01 | 2003-02-18 | Std Manufacturing, Inc. | System and method for joint resurface repair |
US8177841B2 (en) | 2000-05-01 | 2012-05-15 | Arthrosurface Inc. | System and method for joint resurface repair |
US6379299B1 (en) | 2000-05-04 | 2002-04-30 | German Borodulin | Vaginal speculum with adjustable blades |
SG92703A1 (en) | 2000-05-10 | 2002-11-19 | Nanyang Polytechnic | Method of producing profiled sheets as prosthesis |
DE10026172A1 (en) | 2000-05-26 | 2001-11-29 | Roche Diagnostics Gmbh | Body fluid withdrawal system |
US6823871B2 (en) | 2000-06-01 | 2004-11-30 | Arthrex, Inc. | Allograft bone or synthetic wedges for osteotomy |
US6258097B1 (en) | 2000-06-02 | 2001-07-10 | Bristol-Myers Squibb Co | Head center instrument and method of using the same |
DE10029585C2 (en) | 2000-06-15 | 2002-04-18 | Siemens Ag | Method for operating a magnetic resonance device with detection of changes in position |
US20020082741A1 (en) | 2000-07-27 | 2002-06-27 | Jyoti Mazumder | Fabrication of biomedical implants using direct metal deposition |
DE10036987A1 (en) | 2000-07-29 | 2002-02-07 | Klaus Draenert | Modular pan replacement |
US20020128872A1 (en) * | 2000-08-07 | 2002-09-12 | Giammattei Charles P. | Medical data recordation system |
TW508860B (en) | 2000-08-30 | 2002-11-01 | Mitsui & Amp Co Ltd | Paste-like thin electrode for battery, its manufacturing method, and battery |
US6799066B2 (en) | 2000-09-14 | 2004-09-28 | The Board Of Trustees Of The Leland Stanford Junior University | Technique for manipulating medical images |
EP1322224B1 (en) | 2000-09-14 | 2008-11-05 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing condition of a joint and cartilage loss |
WO2002022014A1 (en) | 2000-09-14 | 2002-03-21 | The Board Of Trustees Of The Leland Stanford Junior University | Assessing the condition of a joint and devising treatment |
DE60109541T2 (en) | 2000-09-18 | 2006-02-16 | Fuji Photo Film Co., Ltd., Minami-Ashigara | System for selecting, displaying and storing artificial bone templates and record carriers therefor |
AU2001212621A1 (en) | 2000-11-03 | 2002-05-15 | Hopital Sainte-Justine | Adjustable surgical templates |
FR2816200A1 (en) | 2000-11-06 | 2002-05-10 | Praxim | DETERMINING THE POSITION OF A KNEE PROSTHESIS |
US6510334B1 (en) | 2000-11-14 | 2003-01-21 | Luis Schuster | Method of producing an endoprosthesis as a joint substitute for a knee joint |
US6786930B2 (en) | 2000-12-04 | 2004-09-07 | Spineco, Inc. | Molded surgical implant and method |
RU2187975C1 (en) | 2000-12-05 | 2002-08-27 | ООО НПО "Остеомед" | Method for setting knee joint prostheses |
US6558391B2 (en) | 2000-12-23 | 2003-05-06 | Stryker Technologies Corporation | Methods and tools for femoral resection in primary knee surgery |
US6725077B1 (en) | 2000-12-29 | 2004-04-20 | Ge Medical Systems Global Technology Company, Llc | Apparatus and method for just-in-time localization image acquisition |
EP1219239A1 (en) | 2000-12-30 | 2002-07-03 | Istituti Ortopedici Rizzoli | Method and apparatus for simultaneous anatomical and functional mapping of a joint |
US6589281B2 (en) | 2001-01-16 | 2003-07-08 | Edward R. Hyde, Jr. | Transosseous core approach and instrumentation for joint replacement and repair |
US6427698B1 (en) | 2001-01-17 | 2002-08-06 | Taek-Rim Yoon | Innominate osteotomy |
US6780190B2 (en) | 2001-01-23 | 2004-08-24 | Depuy Orthopaedics, Inc. | Method and apparatus for resecting a greater tubercle from a humerus of a patient during performance of a shoulder replacement procedure |
ATE387161T1 (en) | 2001-01-25 | 2008-03-15 | Smith & Nephew Inc | RETAINING DEVICE FOR HOLDING A PROSTHETIC COMPONENT |
WO2002061688A2 (en) | 2001-01-29 | 2002-08-08 | The Acrobot Company Limited | Modelling for surgery |
ATE394719T1 (en) | 2001-01-29 | 2008-05-15 | Acrobot Company Ltd | ROBOTS WITH ACTIVE LIMITATIONS |
US6514259B2 (en) | 2001-02-02 | 2003-02-04 | Carnegie Mellon University | Probe and associated system and method for facilitating planar osteotomy during arthoplasty |
US7547307B2 (en) | 2001-02-27 | 2009-06-16 | Smith & Nephew, Inc. | Computer assisted knee arthroplasty instrumentation, systems, and processes |
US20050113846A1 (en) | 2001-02-27 | 2005-05-26 | Carson Christopher P. | Surgical navigation systems and processes for unicompartmental knee arthroplasty |
ATE431111T1 (en) | 2001-02-27 | 2009-05-15 | Smith & Nephew Inc | DEVICE FOR TOTAL KNEE CONSTRUCTION |
US6750653B1 (en) | 2001-04-03 | 2004-06-15 | Usa Instruments, Inc. | Knee/foot/ankle combination coil for MRI systems |
AUPR457901A0 (en) | 2001-04-26 | 2001-05-24 | Sekel, Ronald | Acetabular prosthesis assembly |
US7695521B2 (en) | 2001-05-01 | 2010-04-13 | Amedica Corporation | Hip prosthesis with monoblock ceramic acetabular cup |
AU2002310193B8 (en) | 2001-05-25 | 2007-05-17 | Conformis, Inc. | Methods and compositions for articular resurfacing |
US8439926B2 (en) | 2001-05-25 | 2013-05-14 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools |
US20070156171A1 (en) | 2001-05-25 | 2007-07-05 | Conformis, Inc. | Implant Grasper |
US8951260B2 (en) | 2001-05-25 | 2015-02-10 | Conformis, Inc. | Surgical cutting guide |
US6482209B1 (en) | 2001-06-14 | 2002-11-19 | Gerard A. Engh | Apparatus and method for sculpting the surface of a joint |
US6990220B2 (en) | 2001-06-14 | 2006-01-24 | Igo Technologies Inc. | Apparatuses and methods for surgical navigation |
US6840959B2 (en) | 2001-07-05 | 2005-01-11 | Howmedica Ostenics Corp. | Pelvic prosthesis plus methods and tools for implantation |
FR2826859B1 (en) | 2001-07-09 | 2003-09-19 | Tornier Sa | ANCILLARY OF LAYING OF A HUMERAL COMPONENT OF ELBOW PROSTHESIS |
WO2003005938A1 (en) | 2001-07-12 | 2003-01-23 | Osteotech, Inc. | Intervertebral impant with movement resistant structure |
US20030011624A1 (en) | 2001-07-13 | 2003-01-16 | Randy Ellis | Deformable transformations for interventional guidance |
US7241315B2 (en) | 2001-07-23 | 2007-07-10 | Robert Evans | Femoral head resurfacing apparatus and methods |
US7892288B2 (en) | 2001-08-27 | 2011-02-22 | Zimmer Technology, Inc. | Femoral augments for use with knee joint prosthesis |
US20040162619A1 (en) | 2001-08-27 | 2004-08-19 | Zimmer Technology, Inc. | Tibial augments for use with knee joint prostheses, method of implanting the tibial augment, and associated tools |
JP2003070816A (en) | 2001-08-30 | 2003-03-11 | Pentax Corp | Designing method for implant, and implant |
US7353153B2 (en) | 2001-10-17 | 2008-04-01 | Maria-Grazia Ascenzi | Method and system for modeling bone structure |
FR2831794B1 (en) | 2001-11-05 | 2004-02-13 | Depuy France | METHOD FOR SELECTING KNEE PROSTHESIS ELEMENTS AND DEVICE FOR IMPLEMENTING SAME |
US7060074B2 (en) | 2001-11-28 | 2006-06-13 | Wright Medical Technology, Inc. | Instrumentation for minimally invasive unicompartmental knee replacement |
US7141053B2 (en) | 2001-11-28 | 2006-11-28 | Wright Medical Technology, Inc. | Methods of minimally invasive unicompartmental knee replacement |
US20030105526A1 (en) | 2001-11-30 | 2003-06-05 | Amei Technologies Inc. | High tibial osteotomy (HTO) wedge |
DE10162366A1 (en) | 2001-12-18 | 2003-07-03 | Herbert Hatzlhoffer | Positioning aid for surgical tools |
CN2519658Y (en) | 2001-12-29 | 2002-11-06 | 上海复升医疗器械有限公司 | Apparatus for installing femur neck protector |
DE10200690B4 (en) | 2002-01-10 | 2005-03-03 | Intraplant Ag | Aid for implantation of a hip joint endoprosthesis |
EP1327424B1 (en) | 2002-01-11 | 2012-09-12 | Barry M. Fell | Surgically implantable knee prosthesis having medially shifted tibial surface |
US6709462B2 (en) | 2002-01-11 | 2004-03-23 | Mayo Foundation For Medical Education And Research | Acetabular shell with screw access channels |
GB0201149D0 (en) | 2002-01-18 | 2002-03-06 | Finsbury Dev Ltd | Prosthesis |
US7819925B2 (en) | 2002-01-28 | 2010-10-26 | Depuy Products, Inc. | Composite prosthetic bearing having a crosslinked articulating surface and method for making the same |
NO315217B1 (en) | 2002-02-08 | 2003-07-28 | Scandinavian Customized Prosth | System and method for preparing and transferring specifications for patient-adapted dentures |
US6711431B2 (en) | 2002-02-13 | 2004-03-23 | Kinamed, Inc. | Non-imaging, computer assisted navigation system for hip replacement surgery |
EP1476097A4 (en) | 2002-02-20 | 2010-12-08 | Zimmer Inc | Knee arthroplasty prosthesis and method |
EP1480549A4 (en) | 2002-03-05 | 2010-05-26 | Zimmer Inc | Minimally invasive total knee arthroplasty method and instrumentation |
US8010180B2 (en) | 2002-03-06 | 2011-08-30 | Mako Surgical Corp. | Haptic guidance system and method |
US6942475B2 (en) | 2002-03-13 | 2005-09-13 | Ortho Development Corporation | Disposable knee mold |
AU2003228341A1 (en) | 2002-03-19 | 2003-10-08 | The Board Of Trustees Of The University Of Illinois | System and method for prosthetic fitting and balancing in joints |
US7275218B2 (en) | 2002-03-29 | 2007-09-25 | Depuy Products, Inc. | Method, apparatus, and program for analyzing a prosthetic device |
US6945976B2 (en) | 2002-03-29 | 2005-09-20 | Depuy Products, Inc. | Method and apparatus for resecting bone from an ulna in preparation for prosthetic implantation |
US6695883B2 (en) | 2002-04-11 | 2004-02-24 | Theodore W. Crofford | Femoral neck fixation prosthesis |
AU2003224997A1 (en) | 2002-04-16 | 2003-11-03 | Michael Conditt | Computer-based training methods for surgical procedures |
US6887247B1 (en) | 2002-04-17 | 2005-05-03 | Orthosoft Inc. | CAS drill guide and drill tracking system |
JP2005523766A (en) | 2002-04-30 | 2005-08-11 | オルトソフト インコーポレイテッド | Determination of femoral cutting in knee surgery |
WO2003094698A2 (en) | 2002-05-09 | 2003-11-20 | Hayes Medical, Inc. | Bone milling instrument |
US7048741B2 (en) | 2002-05-10 | 2006-05-23 | Swanson Todd V | Method and apparatus for minimally invasive knee arthroplasty |
US8801720B2 (en) | 2002-05-15 | 2014-08-12 | Otismed Corporation | Total joint arthroplasty system |
US20050244239A1 (en) | 2002-05-30 | 2005-11-03 | Shimp Lawrence A | Method and apparatus for machining a surgical implant |
US7993353B2 (en) | 2002-06-04 | 2011-08-09 | Brainlab Ag | Medical tracking system with universal interface |
US7651501B2 (en) | 2004-03-05 | 2010-01-26 | Wright Medical Technology, Inc. | Instrument for use in minimally invasive hip surgery |
US6749829B2 (en) | 2002-07-23 | 2004-06-15 | Bp Corporation North America Inc. | Hydrogen to steam reforming of natural gas to synthesis gas |
US7628793B2 (en) | 2002-07-23 | 2009-12-08 | Ortho Development Corporation | Knee balancing block |
GB2393625C (en) | 2002-09-26 | 2004-08-18 | Meridian Tech Ltd | Orthopaedic surgery planning |
US8086336B2 (en) | 2002-09-30 | 2011-12-27 | Medical Modeling Inc. | Method for design and production of a custom-fit prosthesis |
CN1728976A (en) | 2002-10-07 | 2006-02-01 | 康复米斯公司 | Minimally invasive joint implant with 3-dimensional geometry matching the articular surfaces |
ATE497740T1 (en) | 2002-10-07 | 2011-02-15 | Conformis Inc | MINIMALLY INVASIVE JOINT IMPLANT WITH A THREE-DIMENSIONAL GEOMETRY ADAPTED TO THE JOINT SURFACES |
US7799084B2 (en) | 2002-10-23 | 2010-09-21 | Mako Surgical Corp. | Modular femoral component for a total knee joint replacement for minimally invasive implantation |
EP3075356B1 (en) | 2002-11-07 | 2023-07-05 | ConforMIS, Inc. | Method of selecting a meniscal implant |
US20040102852A1 (en) | 2002-11-22 | 2004-05-27 | Johnson Erin M. | Modular knee prosthesis |
US6749638B1 (en) | 2002-11-22 | 2004-06-15 | Zimmer Technology, Inc. | Modular knee prosthesis |
US7318827B2 (en) | 2002-12-02 | 2008-01-15 | Aesculap Ag & Co. Kg | Osteotomy procedure |
AU2003298919A1 (en) | 2002-12-04 | 2004-06-23 | Conformis, Inc. | Fusion of multiple imaging planes for isotropic imaging in mri and quantitative image analysis using isotropic or near-isotropic imaging |
US7811312B2 (en) | 2002-12-04 | 2010-10-12 | Morphographics, Lc | Bone alignment implant and method of use |
US20040122439A1 (en) | 2002-12-20 | 2004-06-24 | Dwyer Kimberly A. | Adjustable biomechanical templating & resection instrument and associated method |
US7789885B2 (en) | 2003-01-15 | 2010-09-07 | Biomet Manufacturing Corp. | Instrumentation for knee resection |
US20040143336A1 (en) | 2003-01-22 | 2004-07-22 | Brian Burkinshaw | Two-piece modular patellar prosthetic system |
US7542791B2 (en) | 2003-01-30 | 2009-06-02 | Medtronic Navigation, Inc. | Method and apparatus for preplanning a surgical procedure |
US20040220583A1 (en) | 2003-02-04 | 2004-11-04 | Zimmer Technology, Inc. | Instrumentation for total knee arthroplasty, and methods of performing same |
US7309339B2 (en) | 2003-02-04 | 2007-12-18 | Howmedica Osteonics Corp. | Apparatus for aligning an instrument during a surgical procedure |
US20040153087A1 (en) | 2003-02-04 | 2004-08-05 | Sanford Adam H. | Provisional orthopedic implant with removable guide |
WO2004071310A1 (en) | 2003-02-10 | 2004-08-26 | Smith & Nephew, Inc. | Acetabular reamer |
US7364589B2 (en) | 2003-02-12 | 2008-04-29 | Warsaw Orthopedic, Inc. | Mobile bearing articulating disc |
EP2153797A3 (en) | 2003-02-28 | 2012-01-25 | Materialise Dental N.V. | Method for placing and manufacturing dental superstructure and accessoires used thereby |
US20040243133A1 (en) | 2003-03-05 | 2004-12-02 | Therics, Inc. | Method and system for manufacturing biomedical articles, such as using biomedically compatible infiltrant metal alloys in porous matrices |
US6960216B2 (en) | 2003-03-21 | 2005-11-01 | Depuy Acromed, Inc. | Modular drill guide |
US7527631B2 (en) | 2003-03-31 | 2009-05-05 | Depuy Products, Inc. | Arthroplasty sizing gauge |
US7938861B2 (en) | 2003-04-15 | 2011-05-10 | Depuy Products, Inc. | Implantable orthopaedic device and method for making the same |
US8518051B2 (en) | 2003-05-16 | 2013-08-27 | Mazor Robotics Ltd. | Robotic total/partial knee arthroplastics |
US7601155B2 (en) | 2003-05-20 | 2009-10-13 | Petersen Thomas D | Instruments and method for minimally invasive surgery for total hips |
US8057482B2 (en) | 2003-06-09 | 2011-11-15 | OrthAlign, Inc. | Surgical orientation device and method |
US7559931B2 (en) | 2003-06-09 | 2009-07-14 | OrthAlign, Inc. | Surgical orientation system and method |
WO2004110309A2 (en) | 2003-06-11 | 2004-12-23 | Case Western Reserve University | Computer-aided-design of skeletal implants |
GB0313445D0 (en) | 2003-06-11 | 2003-07-16 | Midland Medical Technologies L | Hip resurfacing |
US20050027303A1 (en) | 2003-06-17 | 2005-02-03 | Lionberger David R. | Pelvic waypoint clamp assembly and method |
US7104997B2 (en) | 2003-06-19 | 2006-09-12 | Lionberger Jr David R | Cutting guide apparatus and surgical method for use in knee arthroplasty |
EP1654104A4 (en) | 2003-07-09 | 2007-09-05 | D4D Technologies Lp | Mill blank library and computer-implemented method for efficient selection of blanks to satisfy given criteria |
US7218232B2 (en) | 2003-07-11 | 2007-05-15 | Depuy Products, Inc. | Orthopaedic components with data storage element |
US7427272B2 (en) | 2003-07-15 | 2008-09-23 | Orthosoft Inc. | Method for locating the mechanical axis of a femur |
WO2005009303A1 (en) | 2003-07-24 | 2005-02-03 | San-Tech Surgical Sarl | Orientation device for surgical implement |
US7419507B2 (en) | 2003-08-21 | 2008-09-02 | The Curators Of The University Of Missouri | Elbow arthroplasty system |
US8484001B2 (en) * | 2003-08-26 | 2013-07-09 | Voyant Health Ltd. | Pre-operative medical planning system and method for use thereof |
US20050055024A1 (en) | 2003-09-08 | 2005-03-10 | James Anthony H. | Orthopaedic implant and screw assembly |
GB0321582D0 (en) | 2003-09-15 | 2003-10-15 | Benoist Girard Sas | Prosthetic acetabular cup and prosthetic femoral joint incorporating such a cup |
US6944518B2 (en) | 2003-09-18 | 2005-09-13 | Depuy Products, Inc. | Customized prosthesis and method of designing and manufacturing a customized prosthesis by utilizing computed tomography data |
GB0322084D0 (en) | 2003-09-22 | 2003-10-22 | Depuy Int Ltd | A drill guide assembly |
US20050070897A1 (en) | 2003-09-29 | 2005-03-31 | Petersen Thomas D. | Laser triangulation of the femoral head for total knee arthroplasty alignment instruments and surgical method |
US8388690B2 (en) | 2003-10-03 | 2013-03-05 | Linvatec Corporation | Osteotomy system |
US7364580B2 (en) | 2003-10-08 | 2008-04-29 | Biomet Manufacturing Corp. | Bone-cutting apparatus |
WO2005037135A2 (en) | 2003-10-14 | 2005-04-28 | The University Of Iowa Research Foundation | Ankle prosthesis and method for implanting ankle prosthesis |
WO2005037147A1 (en) | 2003-10-17 | 2005-04-28 | Smith & Nephew, Inc. | High flexion articular insert |
US7392076B2 (en) | 2003-11-04 | 2008-06-24 | Stryker Leibinger Gmbh & Co. Kg | System and method of registering image data to intra-operatively digitized landmarks |
ATE495706T1 (en) | 2003-11-14 | 2011-02-15 | Smith & Nephew Inc | ADJUSTABLE SURGICAL CUTTING SYSTEMS |
US7591821B2 (en) | 2003-11-18 | 2009-09-22 | Smith & Nephew, Inc. | Surgical technique and instrumentation for minimal incision hip arthroplasty surgery |
US7042222B2 (en) | 2003-11-19 | 2006-05-09 | General Electric Company | Phased array knee coil |
WO2005051209A1 (en) | 2003-11-20 | 2005-06-09 | Wright Medical Technology, Inc. | Guide clamp for guiding placement of a guide wire in a femur |
US7723395B2 (en) | 2004-04-29 | 2010-05-25 | Kensey Nash Corporation | Compressed porous materials suitable for implant |
US20050137708A1 (en) | 2003-12-23 | 2005-06-23 | Ron Clark | Device and method of arthroscopic knee joint resurfacing |
US7282054B2 (en) | 2003-12-26 | 2007-10-16 | Zimmer Technology, Inc. | Adjustable cut block |
US8175683B2 (en) | 2003-12-30 | 2012-05-08 | Depuy Products, Inc. | System and method of designing and manufacturing customized instrumentation for accurate implantation of prosthesis by utilizing computed tomography data |
US8535383B2 (en) | 2004-01-12 | 2013-09-17 | DePuy Synthes Products, LLC | Systems and methods for compartmental replacement in a knee |
CN1972646B (en) | 2004-01-12 | 2010-05-26 | 德普伊产品公司 | Systems and methods for compartmental replacement in a knee |
CN1981210A (en) | 2004-01-13 | 2007-06-13 | 光谱动力学有限责任公司 | Multi-dimensional image reconstruction |
US7815645B2 (en) | 2004-01-14 | 2010-10-19 | Hudson Surgical Design, Inc. | Methods and apparatus for pinplasty bone resection |
US20050171545A1 (en) | 2004-01-30 | 2005-08-04 | Howmedica Osteonics Corp. | Knee computer-aided navigation instruments |
US20050267353A1 (en) | 2004-02-04 | 2005-12-01 | Joel Marquart | Computer-assisted knee replacement apparatus and method |
AU2005211722B2 (en) | 2004-02-05 | 2011-06-02 | Osteobiologics, Inc. | Absorbable orthopedic implants |
US7442196B2 (en) | 2004-02-06 | 2008-10-28 | Synvasive Technology, Inc. | Dynamic knee balancer |
FR2865928B1 (en) | 2004-02-10 | 2006-03-17 | Tornier Sa | SURGICAL DEVICE FOR IMPLANTATION OF A TOTAL HIP PROSTHESIS |
GB0404345D0 (en) | 2004-02-27 | 2004-03-31 | Depuy Int Ltd | Surgical jig and methods of use |
US7383164B2 (en) | 2004-03-05 | 2008-06-03 | Depuy Products, Inc. | System and method for designing a physiometric implant system |
US20050203540A1 (en) | 2004-03-09 | 2005-09-15 | Broyles Joseph E. | Pelvis level |
WO2005087116A2 (en) | 2004-03-11 | 2005-09-22 | Branch Thomas P | Method and apparatus for aligning a knee for surgery or the like |
US20060089621A1 (en) | 2004-03-18 | 2006-04-27 | Mike Fard | Bone mill and template |
JP4436835B2 (en) | 2004-03-23 | 2010-03-24 | 株式会社ビー・アイ・テック | Manufacturing method of artificial joint stem using composite material |
CA2560960C (en) | 2004-03-26 | 2012-01-31 | Synthes (U.S.A.) | Allograft implant |
DE602005014018D1 (en) | 2004-04-20 | 2009-05-28 | Finsbury Dev Ltd | alignment guide |
EP1588668B1 (en) | 2004-04-20 | 2008-12-10 | Finsbury (Development) Limited | Alignment guide for use in femoral head surgery |
US7333013B2 (en) | 2004-05-07 | 2008-02-19 | Berger J Lee | Medical implant device with RFID tag and method of identification of device |
US8083746B2 (en) | 2004-05-07 | 2011-12-27 | Arthrex, Inc. | Open wedge osteotomy system and surgical method |
NO322674B1 (en) | 2004-05-18 | 2006-11-27 | Scandinavian Customized Prosth | Patient-adapted cutting template for accurate cutting of the cervix in a total hip replacement surgery |
US7169185B2 (en) | 2004-05-26 | 2007-01-30 | Impact Science And Technology, Inc. | Canine acetabular cup |
US7294133B2 (en) | 2004-06-03 | 2007-11-13 | Zimmer Technology, Inc. | Method and apparatus for preparing a glenoid surface |
US7632273B2 (en) | 2004-06-29 | 2009-12-15 | Depuy Products, Inc. | Minimally invasive bone broach |
US20060004284A1 (en) | 2004-06-30 | 2006-01-05 | Frank Grunschlager | Method and system for generating three-dimensional model of part of a body from fluoroscopy image data and specific landmarks |
US7198628B2 (en) | 2004-06-30 | 2007-04-03 | Depuy Products, Inc. | Adjustable humeral cutting guide |
US7458435B2 (en) | 2004-08-05 | 2008-12-02 | Yamaha Hatsudoki Kabushiki Kaisha | Vehicle control unit and vehicle |
US8353965B2 (en) | 2004-09-03 | 2013-01-15 | Seitz Jr William H | Small joint orthopedic implants and their manufacture |
GB0420346D0 (en) | 2004-09-13 | 2004-10-13 | Finsbury Dev Ltd | Tool |
GB0422666D0 (en) | 2004-10-12 | 2004-11-10 | Benoist Girard Sas | Prosthetic acetabular cups |
US8043297B2 (en) | 2004-11-03 | 2011-10-25 | Synthes Usa, Llc | Aiming arm for bone plates |
US20060100832A1 (en) | 2004-11-08 | 2006-05-11 | Bowman Gerald D | Method a designing, engineering modeling and manufacturing orthotics and prosthetics integrating algorithm generated predictions |
US20060111722A1 (en) | 2004-11-19 | 2006-05-25 | Hacene Bouadi | Surgical cutting tool |
US7766913B2 (en) | 2004-12-07 | 2010-08-03 | Depuy Products, Inc. | Bone shaping instrument and method for using the same |
WO2006062518A2 (en) | 2004-12-08 | 2006-06-15 | Interpore Spine Ltd. | Continuous phase composite for musculoskeletal repair |
US20060210644A1 (en) | 2004-12-16 | 2006-09-21 | Bruce Levin | Materials, methods, and devices for treatment of arthropathies and spondylopathies |
US20060136058A1 (en) | 2004-12-17 | 2006-06-22 | William Pietrzak | Patient specific anatomically correct implants to repair or replace hard or soft tissue |
US7963968B2 (en) | 2004-12-21 | 2011-06-21 | Smith & Nephew, Inc. | Distal femoral trial with removable cutting guide |
US7896921B2 (en) | 2004-12-30 | 2011-03-01 | Depuy Products, Inc. | Orthopaedic bearing and method for making the same |
CA2593789A1 (en) | 2005-01-14 | 2006-07-20 | National Research Council Of Canada | Implantable biomimetic prosthetic bone |
US20060161167A1 (en) | 2005-01-18 | 2006-07-20 | Reese Myers | Acetabular instrument alignment guide |
US7967823B2 (en) | 2005-01-31 | 2011-06-28 | Arthrex, Inc. | Method and apparatus for performing an open wedge, high tibial osteotomy |
US8062301B2 (en) | 2005-01-31 | 2011-11-22 | Arthrex, Inc. | Method and apparatus for performing a high tibial, dome osteotomy |
US8540777B2 (en) | 2005-01-31 | 2013-09-24 | Arthrex, Inc. | Method and apparatus for performing an open wedge, high tibial osteotomy |
US7935119B2 (en) | 2005-01-31 | 2011-05-03 | Ibalance Medical, Inc. | Method for performing an open wedge, high tibial osteotomy |
US20060172263A1 (en) | 2005-02-01 | 2006-08-03 | D4D Technologies, Lp | Mill blank |
US20060178497A1 (en) | 2005-02-04 | 2006-08-10 | Clemson University And Thordon Bearings, Inc. | Implantable biomedical devices including biocompatible polyurethanes |
CN101247775A (en) | 2005-02-09 | 2008-08-20 | I平衡医疗公司 | Multi-part implant for open wedge knee osteotomies |
EP1690503B1 (en) | 2005-02-15 | 2013-07-24 | BrainLAB AG | User guidance for adjusting the cutting guides for the bones |
EP1850803B1 (en) | 2005-02-18 | 2014-03-26 | Zimmer, Inc. | Smart joint implant sensors |
US8055487B2 (en) | 2005-02-22 | 2011-11-08 | Smith & Nephew, Inc. | Interactive orthopaedic biomechanics system |
US20060190086A1 (en) | 2005-02-22 | 2006-08-24 | Mako Surgical Corporation | Knee implant |
US8007538B2 (en) | 2005-02-25 | 2011-08-30 | Shoulder Innovations, Llc | Shoulder implant for glenoid replacement |
GB0504172D0 (en) | 2005-03-01 | 2005-04-06 | King S College London | Surgical planning |
EP1868544B1 (en) | 2005-04-01 | 2016-07-06 | Arthrex, Inc. | Apparatus for performing an open wedge, high tibial osteotomy |
US20060226570A1 (en) | 2005-04-12 | 2006-10-12 | Zimmer Technology, Inc. | Method for making a metal-backed acetabular implant |
US7474223B2 (en) | 2005-04-18 | 2009-01-06 | Warsaw Orthopedic, Inc. | Method and apparatus for implant identification |
US8066778B2 (en) | 2005-04-21 | 2011-11-29 | Biomet Manufacturing Corp. | Porous metal cup with cobalt bearing surface |
US7809184B2 (en) | 2005-05-04 | 2010-10-05 | Brainlab Ag | Devices and methods for automatically verifying, calibrating and surveying instruments for computer-assisted surgery |
AU2006251751B2 (en) | 2005-05-20 | 2012-09-13 | Smith & Nephew, Inc. | Patello-femoral joint implant and instrumentation |
US20060276797A1 (en) | 2005-05-24 | 2006-12-07 | Gary Botimer | Expandable reaming device |
US7695477B2 (en) | 2005-05-26 | 2010-04-13 | Zimmer, Inc. | Milling system and methods for resecting a joint articulation surface |
US20100030231A1 (en) | 2005-06-02 | 2010-02-04 | Ian Revie | Surgical system and method |
WO2006136955A1 (en) | 2005-06-03 | 2006-12-28 | Depuy Ireland Limited | Instrument for use in a joint replacement procedure |
AU2006260591B2 (en) | 2005-06-03 | 2011-08-25 | Depuy Ireland Limited | Instrument for use in a joint replacement procedure |
GB0511847D0 (en) | 2005-06-13 | 2005-07-20 | Smith & Nephew | Medical apparatus |
US9301845B2 (en) | 2005-06-15 | 2016-04-05 | P Tech, Llc | Implant for knee replacement |
US9058812B2 (en) | 2005-07-27 | 2015-06-16 | Google Technology Holdings LLC | Method and system for coding an information signal using pitch delay contour adjustment |
US7983777B2 (en) | 2005-08-19 | 2011-07-19 | Mark Melton | System for biomedical implant creation and procurement |
US7643862B2 (en) | 2005-09-15 | 2010-01-05 | Biomet Manufacturing Corporation | Virtual mouse for use in surgical navigation |
US7582091B2 (en) | 2005-09-19 | 2009-09-01 | Zimmer Technology, Inc. | Osteotomy guide |
US20070066917A1 (en) | 2005-09-20 | 2007-03-22 | Hodorek Robert A | Method for simulating prosthetic implant selection and placement |
WO2007045000A2 (en) | 2005-10-14 | 2007-04-19 | Vantus Technology Corporation | Personal fit medical implants and orthopedic surgical instruments and methods for making |
GB0521173D0 (en) | 2005-10-18 | 2005-11-23 | Finsbury Dev Ltd | Tool |
US7371260B2 (en) | 2005-10-26 | 2008-05-13 | Biomet Sports Medicine, Inc. | Method and instrumentation for the preparation and transplantation of osteochondral allografts |
CN101351172B (en) | 2005-10-31 | 2013-10-23 | 德普伊产品公司 | Modular fixed and mobile bearing prosthesis system |
US8403985B2 (en) | 2005-11-02 | 2013-03-26 | Zimmer, Inc. | Joint spacer implant |
US20070118055A1 (en) | 2005-11-04 | 2007-05-24 | Smith & Nephew, Inc. | Systems and methods for facilitating surgical procedures involving custom medical implants |
DE102005054575B3 (en) | 2005-11-16 | 2007-04-26 | Deutsches Zentrum für Luft- und Raumfahrt e.V. | Robot arm regulating method, for medical engineering, involves utilizing redundancy of hinges to optimize quality factor to adjust hinges at angle that is perpendicular to instrument axis, where force caused by regulating hinges is zero |
CN101384230A (en) | 2005-11-21 | 2009-03-11 | 福特真公司 | Devices and methods for treating facet joints, uncovertebral joints, costovertebral joints and other joints |
US7855062B2 (en) | 2005-12-14 | 2010-12-21 | The Invention Science Fund I, Llc | Bone cell delivery device |
US20080058947A1 (en) | 2005-12-15 | 2008-03-06 | Zimmer, Inc. | Distal femoral knee prostheses |
GB0525637D0 (en) | 2005-12-16 | 2006-01-25 | Finsbury Dev Ltd | Tool |
US7578851B2 (en) | 2005-12-23 | 2009-08-25 | Howmedica Osteonics Corp. | Gradient porous implant |
US20070156066A1 (en) | 2006-01-03 | 2007-07-05 | Zimmer Technology, Inc. | Device for determining the shape of an anatomic surface |
GB0601803D0 (en) | 2006-01-30 | 2006-03-08 | Finsbury Dev Ltd | Tool |
CN101420911B (en) | 2006-02-06 | 2012-07-18 | 康复米斯公司 | Patient selectable arthroplasty device and surjical tool |
US9017336B2 (en) | 2006-02-15 | 2015-04-28 | Otismed Corporation | Arthroplasty devices and related methods |
US9808262B2 (en) | 2006-02-15 | 2017-11-07 | Howmedica Osteonics Corporation | Arthroplasty devices and related methods |
US8608748B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient specific guides |
US7780672B2 (en) | 2006-02-27 | 2010-08-24 | Biomet Manufacturing Corp. | Femoral adjustment device and associated method |
US20110172672A1 (en) | 2006-02-27 | 2011-07-14 | Biomet Manufacturing Corp. | Instrument with transparent portion for use with patient-specific alignment guide |
US8377066B2 (en) | 2006-02-27 | 2013-02-19 | Biomet Manufacturing Corp. | Patient-specific elbow guides and associated methods |
US8167823B2 (en) | 2009-03-24 | 2012-05-01 | Biomet Manufacturing Corp. | Method and apparatus for aligning and securing an implant relative to a patient |
US8603180B2 (en) | 2006-02-27 | 2013-12-10 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US8337426B2 (en) | 2009-03-24 | 2012-12-25 | Biomet Manufacturing Corp. | Method and apparatus for aligning and securing an implant relative to a patient |
US8864769B2 (en) | 2006-02-27 | 2014-10-21 | Biomet Manufacturing, Llc | Alignment guides with patient-specific anchoring elements |
US8282646B2 (en) | 2006-02-27 | 2012-10-09 | Biomet Manufacturing Corp. | Patient specific knee alignment guide and associated method |
US8092465B2 (en) | 2006-06-09 | 2012-01-10 | Biomet Manufacturing Corp. | Patient specific knee alignment guide and associated method |
US9907659B2 (en) | 2007-04-17 | 2018-03-06 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US8591516B2 (en) | 2006-02-27 | 2013-11-26 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US8298237B2 (en) | 2006-06-09 | 2012-10-30 | Biomet Manufacturing Corp. | Patient-specific alignment guide for multiple incisions |
US8535387B2 (en) | 2006-02-27 | 2013-09-17 | Biomet Manufacturing, Llc | Patient-specific tools and implants |
US8241293B2 (en) | 2006-02-27 | 2012-08-14 | Biomet Manufacturing Corp. | Patient specific high tibia osteotomy |
US8568487B2 (en) | 2006-02-27 | 2013-10-29 | Biomet Manufacturing, Llc | Patient-specific hip joint devices |
US8070752B2 (en) | 2006-02-27 | 2011-12-06 | Biomet Manufacturing Corp. | Patient specific alignment guide and inter-operative adjustment |
US9173661B2 (en) | 2006-02-27 | 2015-11-03 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US9289253B2 (en) | 2006-02-27 | 2016-03-22 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US10278711B2 (en) | 2006-02-27 | 2019-05-07 | Biomet Manufacturing, Llc | Patient-specific femoral guide |
US8608749B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US8133234B2 (en) | 2006-02-27 | 2012-03-13 | Biomet Manufacturing Corp. | Patient specific acetabular guide and method |
US9113971B2 (en) | 2006-02-27 | 2015-08-25 | Biomet Manufacturing, Llc | Femoral acetabular impingement guide |
US8473305B2 (en) | 2007-04-17 | 2013-06-25 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US8407067B2 (en) | 2007-04-17 | 2013-03-26 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US9345548B2 (en) | 2006-02-27 | 2016-05-24 | Biomet Manufacturing, Llc | Patient-specific pre-operative planning |
US20110190899A1 (en) | 2006-02-27 | 2011-08-04 | Biomet Manufacturing Corp. | Patient-specific augments |
US8858561B2 (en) | 2006-06-09 | 2014-10-14 | Blomet Manufacturing, LLC | Patient-specific alignment guide |
US7967868B2 (en) | 2007-04-17 | 2011-06-28 | Biomet Manufacturing Corp. | Patient-modified implant and associated method |
US20110046735A1 (en) | 2006-02-27 | 2011-02-24 | Biomet Manufacturing Corp. | Patient-Specific Implants |
US7704253B2 (en) | 2006-03-06 | 2010-04-27 | Howmedica Osteonics Corp. | Single use resection guide |
US20080058945A1 (en) | 2006-03-13 | 2008-03-06 | Mako Surgical Corp. | Prosthetic device and system and method for implanting prosthetic device |
US7842092B2 (en) | 2006-03-14 | 2010-11-30 | Mako Surgical Corp. | Prosthetic device and system and method for implanting prosthetic device |
US20070219640A1 (en) | 2006-03-16 | 2007-09-20 | Active Implants Corporation | Ceramic-on-ceramic prosthetic device coupled to a flexible bone interface |
US8231634B2 (en) | 2006-03-17 | 2012-07-31 | Zimmer, Inc. | Methods of predetermining the contour of a resected bone surface and assessing the fit of a prosthesis on the bone |
US8858632B2 (en) | 2006-03-23 | 2014-10-14 | Formae, Inc. | Implants for replacing hyaline cartilage, with hydrogel reinforced by three-dimensional fiber arrays |
US8075627B2 (en) | 2006-04-07 | 2011-12-13 | Depuy Products, Inc. | System and method for transmitting orthopaedic implant data |
US8015024B2 (en) | 2006-04-07 | 2011-09-06 | Depuy Products, Inc. | System and method for managing patient-related data |
US8246663B2 (en) | 2006-04-10 | 2012-08-21 | Scott Lovald | Osteosynthesis plate, method of customizing same, and method for installing same |
US20070255412A1 (en) | 2006-04-18 | 2007-11-01 | Binyamin Hajaj | Prosthetic device |
US7794466B2 (en) | 2006-04-19 | 2010-09-14 | Alan C. Merchant | Method and apparatus for performing multidirectional tibial tubercle transfers |
BRPI0709519B8 (en) | 2006-04-19 | 2021-06-22 | Brehm Peter | modular hip implant and tool for mounting a modular hip implant |
US7623702B2 (en) | 2006-04-27 | 2009-11-24 | Mako Surgical Corp. | Contour triangulation system and method |
US8461992B2 (en) | 2006-05-12 | 2013-06-11 | Solstice Medical, Llc | RFID coupler for metallic implements |
US7385498B2 (en) | 2006-05-19 | 2008-06-10 | Delphi Technologies, Inc. | Wristband reader apparatus for human-implanted radio frequency identification device |
US8635082B2 (en) * | 2006-05-25 | 2014-01-21 | DePuy Synthes Products, LLC | Method and system for managing inventories of orthopaedic implants |
WO2007139949A2 (en) | 2006-05-25 | 2007-12-06 | Spinemedica Corporation | Patient-specific spinal implants and related systems and methods |
WO2007137327A1 (en) | 2006-05-26 | 2007-12-06 | Ellysian Ltd | Hip resurfacing clamp |
EP2032087A1 (en) | 2006-06-19 | 2009-03-11 | IGO Technologies Inc. | Joint placement methods and apparatuses |
US20080009952A1 (en) | 2006-06-30 | 2008-01-10 | Hodge W A | Precision acetabular machining system and resurfacing acetabular implant |
US8241292B2 (en) | 2006-06-30 | 2012-08-14 | Howmedica Osteonics Corp. | High tibial osteotomy system |
US20080021299A1 (en) | 2006-07-18 | 2008-01-24 | Meulink Steven L | Method for selecting modular implant components |
US20080021567A1 (en) | 2006-07-18 | 2008-01-24 | Zimmer Technology, Inc. | Modular orthopaedic component case |
WO2008014618A1 (en) | 2006-08-03 | 2008-02-07 | Orthosoft Inc. | Computer-assisted surgery tools and system |
US7594933B2 (en) | 2006-08-08 | 2009-09-29 | Aesculap Ag | Method and apparatus for positioning a bone prosthesis using a localization system |
EP1886641A1 (en) | 2006-08-11 | 2008-02-13 | BrainLAB AG | Method and system for determining the position of a medical instrument in relation to a body structure |
US20120150243A9 (en) | 2006-08-31 | 2012-06-14 | Catholic Healthcare West (Chw) | Computerized Planning Tool For Spine Surgery and Method and Device for Creating a Customized Guide for Implantations |
US20080062183A1 (en) | 2006-09-11 | 2008-03-13 | Bart Swaelens | Hybrid data structures for graphics programs |
US7604665B2 (en) | 2006-09-20 | 2009-10-20 | Depuy Products, Inc. | Glenoid component for shoulder arthroplasty |
WO2008039508A2 (en) | 2006-09-27 | 2008-04-03 | Ibalance Medical, Inc. | Method and apparatus for performing an open wedge, high tibial osteotomy |
US8641771B2 (en) | 2006-09-29 | 2014-02-04 | DePuy Synthes Products, LLC | Acetabular cup having a wireless communication device |
GB2442441B (en) | 2006-10-03 | 2011-11-09 | Biomet Uk Ltd | Surgical instrument |
GB0620359D0 (en) | 2006-10-13 | 2006-11-22 | Symmetry Medical Inc | Medical devices |
US8083749B2 (en) | 2006-12-01 | 2011-12-27 | Arthrex, Inc. | Method and apparatus for performing an open wedge, low femoral osteotomy |
US8214016B2 (en) | 2006-12-12 | 2012-07-03 | Perception Raisonnement Action En Medecine | System and method for determining an optimal type and position of an implant |
WO2008073999A2 (en) | 2006-12-12 | 2008-06-19 | Vladimir Alexander | Laser assisted total joint arthroplasty |
US20080146969A1 (en) | 2006-12-15 | 2008-06-19 | Kurtz William B | Total joint replacement component positioning as predetermined distance from center of rotation of the joint using pinless navigation |
US8460302B2 (en) | 2006-12-18 | 2013-06-11 | Otismed Corporation | Arthroplasty devices and related methods |
US8075563B2 (en) | 2006-12-29 | 2011-12-13 | Greatbatch Medical S.A. | Resurfacing reamer with cutting struts |
US8313530B2 (en) | 2007-02-12 | 2012-11-20 | Jmea Corporation | Total knee arthroplasty system |
US20090012526A1 (en) | 2007-02-13 | 2009-01-08 | Fletcher Henry H | Drill system for acetabular cup implants |
US20080195099A1 (en) | 2007-02-13 | 2008-08-14 | The Brigham And Women's Hospital, Inc. | Osteotomy system |
AU2008216173A1 (en) | 2007-02-14 | 2008-08-21 | Smith & Nephew, Inc. | Method and system for computer assisted surgery for bicompartmental knee replacement |
US8600478B2 (en) | 2007-02-19 | 2013-12-03 | Medtronic Navigation, Inc. | Automatic identification of instruments used with a surgical navigation system |
DE102007011093B3 (en) | 2007-02-28 | 2008-06-19 | Aesculap Ag & Co. Kg | Surgical data carrier for implantation system for marking medical implants, particularly surgical plate for fixing of bones or bone fragments, has actuating device, which is actuated by user |
US8043382B2 (en) | 2007-02-28 | 2011-10-25 | Biomet Manufacturing Corp. | Reinforced medical implants |
GB0704125D0 (en) | 2007-03-03 | 2007-04-11 | Univ Dundee | Ossicular replacement prosthesis |
WO2008109751A1 (en) | 2007-03-06 | 2008-09-12 | The Cleveland Clinic Foundation | Method and apparatus for preparing for a surgical procedure |
US7959637B2 (en) | 2007-03-13 | 2011-06-14 | Biomet Manufacturing Corp. | Distal femoral cutting guide |
EP2124764B1 (en) | 2007-03-14 | 2017-07-19 | ConforMIS, Inc. | Surgical tools for arthroplasty |
US8313490B2 (en) | 2007-03-16 | 2012-11-20 | Zimmer Technology, Inc. | Single plane anatomic referencing tissue preparation |
US7794462B2 (en) | 2007-03-19 | 2010-09-14 | Zimmer Technology, Inc. | Handpiece calibration device |
GB2447702A (en) | 2007-03-23 | 2008-09-24 | Univ Leeds | Surgical bone cutting template |
MX2009010707A (en) | 2007-04-04 | 2010-03-26 | Alexandria Res Technologies Llc | Apparatus and method for sculpting the surface of a joint. |
US8357205B2 (en) | 2007-04-10 | 2013-01-22 | Mohamed Naushad Rahaman | Femoral head and method of manufacture thereof |
US8926618B2 (en) | 2007-04-19 | 2015-01-06 | Howmedica Osteonics Corp. | Cutting guide with internal distraction |
US8167951B2 (en) | 2007-05-09 | 2012-05-01 | Arthrex, Inc. | Method and apparatus for reconstructing a ligament and/or repairing cartilage, and for performing an open wedge, high tibial osteotomy |
CN101742972B (en) | 2007-05-14 | 2015-01-07 | 金斯顿女王大学 | Patient-specific surgical guidance tool and method of use |
US7780740B2 (en) | 2007-05-21 | 2010-08-24 | Active Implants Corporation | Methods, systems, and apparatus for implanting prosthetic devices into cartilage |
CN101686863A (en) | 2007-05-21 | 2010-03-31 | 主动式植入公司 | acetabular prosthetic devices |
WO2008153964A1 (en) | 2007-06-07 | 2008-12-18 | Sam Hakki | Apparatus and method of determining acetabular center axis |
GB0712290D0 (en) | 2007-06-25 | 2007-08-01 | Depuy Orthopaedie Gmbh | Surgical instrument |
GB0712247D0 (en) | 2007-06-25 | 2007-08-01 | I J Smith & Nephew Ltd | Medical device |
DE102007032583B3 (en) | 2007-07-09 | 2008-09-18 | Eska Implants Gmbh & Co.Kg | Set for creating an offset resurfacing hip joint implant |
WO2009009660A1 (en) | 2007-07-11 | 2009-01-15 | Daley M D Robert J | Methods and apparatus for determining pin placement during hip surgery |
US8382765B2 (en) | 2007-08-07 | 2013-02-26 | Stryker Leibinger Gmbh & Co. Kg. | Method of and system for planning a surgery |
US8831302B2 (en) | 2007-08-17 | 2014-09-09 | Mohamed Rashwan Mahfouz | Implant design analysis suite |
DE102007045885B4 (en) | 2007-09-25 | 2014-12-31 | Zimmer Gmbh | One-piece medical foot implant as well as system |
US8265949B2 (en) | 2007-09-27 | 2012-09-11 | Depuy Products, Inc. | Customized patient surgical plan |
US8357111B2 (en) | 2007-09-30 | 2013-01-22 | Depuy Products, Inc. | Method and system for designing patient-specific orthopaedic surgical instruments |
ES2733937T3 (en) | 2007-09-30 | 2019-12-03 | Depuy Products Inc | Specific patient-specific orthopedic surgical instrument |
US7916033B2 (en) | 2007-10-12 | 2011-03-29 | Solstice Medical, Llc | Small gamma shielded shorted patch RFID tag |
US20090118736A1 (en) | 2007-11-05 | 2009-05-07 | Stefan Kreuzer | Apparatus and Method for Aligning a Guide Pin for Joint Re-Surfacing |
US20090149977A1 (en) | 2007-11-06 | 2009-06-11 | Schendel Stephen A | Methods, systems, and computer program products for shaping medical implants directly from virtual reality models |
US10582934B2 (en) | 2007-11-27 | 2020-03-10 | Howmedica Osteonics Corporation | Generating MRI images usable for the creation of 3D bone models employed to make customized arthroplasty jigs |
US8702712B2 (en) | 2007-12-06 | 2014-04-22 | Smith & Nephew, Inc. | Systems and methods for determining the mechanical axis of a femur |
WO2009076297A2 (en) | 2007-12-10 | 2009-06-18 | Mako Surgical Corp. | A prosthetic device and system for preparing a bone to receive a prosthetic device |
WO2009076758A1 (en) | 2007-12-18 | 2009-06-25 | The Royal Institution For The Advancement Of Learning/Mcgill University | Orthopaedic implants |
US8221430B2 (en) | 2007-12-18 | 2012-07-17 | Otismed Corporation | System and method for manufacturing arthroplasty jigs |
US8480679B2 (en) | 2008-04-29 | 2013-07-09 | Otismed Corporation | Generation of a computerized bone model representative of a pre-degenerated state and useable in the design and manufacture of arthroplasty devices |
US8715291B2 (en) | 2007-12-18 | 2014-05-06 | Otismed Corporation | Arthroplasty system and related methods |
US8777875B2 (en) | 2008-07-23 | 2014-07-15 | Otismed Corporation | System and method for manufacturing arthroplasty jigs having improved mating accuracy |
US8311306B2 (en) | 2008-04-30 | 2012-11-13 | Otismed Corporation | System and method for image segmentation in generating computer models of a joint to undergo arthroplasty |
US8545509B2 (en) | 2007-12-18 | 2013-10-01 | Otismed Corporation | Arthroplasty system and related methods |
US8617171B2 (en) | 2007-12-18 | 2013-12-31 | Otismed Corporation | Preoperatively planning an arthroplasty procedure and generating a corresponding patient specific arthroplasty resection guide |
WO2009105665A1 (en) | 2008-02-20 | 2009-08-27 | Mako Surgical Corp. | Implant planning using corrected captured joint motion information |
US8702801B2 (en) | 2008-02-25 | 2014-04-22 | Linares Medical Devices, Llc | Artificial wear resistant plug for mounting to existing joint bone |
US8734455B2 (en) | 2008-02-29 | 2014-05-27 | Otismed Corporation | Hip resurfacing surgical guide tool |
US8273090B2 (en) | 2008-03-07 | 2012-09-25 | Traiber, S.L. | Tibial plateau and/or femoral condyle resection system for prosthesis implantation |
CN101977557B (en) | 2008-03-25 | 2013-03-13 | 奥索瑟夫特公司 | System for planning/guiding alterations to a bone |
US8114156B2 (en) | 2008-05-30 | 2012-02-14 | Edwin Burton Hatch | Flexibly compliant ceramic prosthetic meniscus for the replacement of damaged cartilage in orthopedic surgical repair or reconstruction of hip, knee, ankle, shoulder, elbow, wrist and other anatomical joints |
GB0813093D0 (en) | 2008-07-17 | 2008-08-27 | Invibio Ltd | Polymeric materials |
US8206396B2 (en) | 2008-07-21 | 2012-06-26 | Harutaro Trabish | Femoral head surgical resurfacing aid |
US20100023030A1 (en) | 2008-07-24 | 2010-01-28 | Leonard Remia | Surgical fastener devices and methods for their manufacture and use |
US20100063509A1 (en) | 2008-07-24 | 2010-03-11 | OrthAlign, Inc. | Systems and methods for joint replacement |
EP2358310B1 (en) | 2008-09-10 | 2019-07-31 | OrthAlign, Inc. | Hip surgery systems |
US8078440B2 (en) | 2008-09-19 | 2011-12-13 | Smith & Nephew, Inc. | Operatively tuning implants for increased performance |
US8257357B2 (en) | 2008-09-23 | 2012-09-04 | Edwin Burton Hatch | Combination of a motor driven oscillating orthopedic reshaping and resurfacing tool and a surface-matching sheet metal prosthesis |
US8992538B2 (en) | 2008-09-30 | 2015-03-31 | DePuy Synthes Products, Inc. | Customized patient-specific acetabular orthopaedic surgical instrument and method of use and fabrication |
US20100105011A1 (en) | 2008-10-29 | 2010-04-29 | Inpronto Inc. | System, Method And Apparatus For Tooth Implant Planning And Tooth Implant Kits |
GB0822078D0 (en) | 2008-12-03 | 2009-01-07 | Finsbury Dev Ltd | Tool |
US20100185202A1 (en) | 2009-01-16 | 2010-07-22 | Lester Mark B | Customized patient-specific patella resectioning guide |
EP3678144A1 (en) | 2009-02-13 | 2020-07-08 | Biomet Manufacturing, LLC | Method and apparatus for manufacturing an implant |
US8170641B2 (en) | 2009-02-20 | 2012-05-01 | Biomet Manufacturing Corp. | Method of imaging an extremity of a patient |
US9017334B2 (en) | 2009-02-24 | 2015-04-28 | Microport Orthopedics Holdings Inc. | Patient specific surgical guide locator and mount |
US20100217270A1 (en) | 2009-02-25 | 2010-08-26 | Conformis, Inc. | Integrated Production of Patient-Specific Implants and Instrumentation |
WO2010120346A1 (en) | 2009-04-13 | 2010-10-21 | George John Lian | Custom radiographically designed cutting guides and instruments for use in total ankle replacement surgery |
US20100274253A1 (en) | 2009-04-23 | 2010-10-28 | Ure Keith J | Device and method for achieving accurate positioning of acetabular cup during total hip replacement |
KR101660904B1 (en) | 2009-05-07 | 2016-09-28 | 스미스 앤드 네퓨, 인크. | Patient Specific Alignment Guide for a Proximal Femur |
US20110015752A1 (en) | 2009-07-14 | 2011-01-20 | Biomet Manufacturing Corp. | System and Method for Acetabular Cup |
WO2011019797A2 (en) | 2009-08-11 | 2011-02-17 | The Cleveland Clinic Foundation | Method and apparatus for insertion of an elongate pin into a surface |
US8696680B2 (en) | 2009-08-11 | 2014-04-15 | The Cleveland Clinic Foundation | Method and apparatus for insertion of an elongate pin into a surface |
DE102009028503B4 (en) | 2009-08-13 | 2013-11-14 | Biomet Manufacturing Corp. | Resection template for the resection of bones, method for producing such a resection template and operation set for performing knee joint surgery |
WO2011063250A1 (en) | 2009-11-20 | 2011-05-26 | Knee Creations, Llc | Implantable devices for subchondral treatment of joint pain |
US20110151027A1 (en) | 2009-12-21 | 2011-06-23 | Theodore D Clineff | Strontium-doped calcium phosphate bone graft materials |
GB0922339D0 (en) | 2009-12-21 | 2010-02-03 | Mcminn Derek J W | Acetabular cup prothesis and introducer thereof |
US20110190901A1 (en) | 2010-02-03 | 2011-08-04 | Active Implants Corporation | Acetabular Prosthetic Devices and Associated Methods |
US8632547B2 (en) | 2010-02-26 | 2014-01-21 | Biomet Sports Medicine, Llc | Patient-specific osteotomy devices and methods |
US9066727B2 (en) | 2010-03-04 | 2015-06-30 | Materialise Nv | Patient-specific computed tomography guides |
US8974535B2 (en) | 2010-06-11 | 2015-03-10 | Sunnybrook Health Sciences Centre | Method of forming patient-specific implant |
CN102985025B (en) | 2010-07-08 | 2016-06-01 | 斯恩蒂斯有限公司 | For replacing the system of a part for the targeted bone in live body |
CA2841427C (en) | 2010-07-09 | 2018-10-16 | The Cleveland Clinic Foundation | Method and apparatus for providing a relative location indication during a surgical procedure |
US8821499B2 (en) | 2010-09-07 | 2014-09-02 | The Cleveland Clinic Foundation | Positioning apparatus and method for a prosthetic implant |
WO2012058353A1 (en) | 2010-10-29 | 2012-05-03 | The Cleveland Clinic Foundation | System and method for assisting with arrangement of a stock instrument with respect to a patient tissue |
EP3636174B1 (en) | 2010-10-29 | 2021-09-08 | The Cleveland Clinic Foundation | System for association of a guiding aid with a patient tissue |
EP2632349B1 (en) | 2010-10-29 | 2018-03-07 | The Cleveland Clinic Foundation | System for assisting with attachment of a stock implant to a patient tissue |
US9717508B2 (en) | 2010-10-29 | 2017-08-01 | The Cleveland Clinic Foundation | System of preoperative planning and provision of patient-specific surgical aids |
-
2009
- 2009-06-12 US US12/483,807 patent/US8473305B2/en active Active
-
2010
- 2010-06-10 WO PCT/US2010/038177 patent/WO2010144705A1/en active Application Filing
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2541408A (en) | 1946-11-08 | 1951-02-13 | Ciba Pharm Prod Inc | Catalytic chloromethylation of aromatic compounds |
US3984908A (en) | 1975-10-01 | 1976-10-12 | Amp Incorporated | Stator terminal assembly machine |
US6165223A (en) | 1999-03-01 | 2000-12-26 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6413279B1 (en) | 1999-03-01 | 2002-07-02 | Biomet, Inc. | Floating bearing knee joint prosthesis with a fixed tibial post |
US6589283B1 (en) | 2001-05-15 | 2003-07-08 | Biomet, Inc. | Elongated femoral component |
US20040212586A1 (en) * | 2003-04-25 | 2004-10-28 | Denny Trueman H. | Multi-function pointing device |
WO2008021494A2 (en) * | 2006-08-18 | 2008-02-21 | Smith & Nephew, Inc. | Systems and methods for designing, analyzing and using orthopaedic devices |
US20080257363A1 (en) * | 2007-04-17 | 2008-10-23 | Biomet Manufacturing Corp. | Method And Apparatus For Manufacturing An Implant |
US10383408B2 (en) | 2015-11-18 | 2019-08-20 | Ykk Corporation | Slide fastener chain |
Cited By (131)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9345548B2 (en) | 2006-02-27 | 2016-05-24 | Biomet Manufacturing, Llc | Patient-specific pre-operative planning |
US8828087B2 (en) | 2006-02-27 | 2014-09-09 | Biomet Manufacturing, Llc | Patient-specific high tibia osteotomy |
US9913734B2 (en) | 2006-02-27 | 2018-03-13 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US9539013B2 (en) | 2006-02-27 | 2017-01-10 | Biomet Manufacturing, Llc | Patient-specific elbow guides and associated methods |
US11534313B2 (en) | 2006-02-27 | 2022-12-27 | Biomet Manufacturing, Llc | Patient-specific pre-operative planning |
US10390845B2 (en) | 2006-02-27 | 2019-08-27 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US8535387B2 (en) | 2006-02-27 | 2013-09-17 | Biomet Manufacturing, Llc | Patient-specific tools and implants |
US8568487B2 (en) | 2006-02-27 | 2013-10-29 | Biomet Manufacturing, Llc | Patient-specific hip joint devices |
US8591516B2 (en) | 2006-02-27 | 2013-11-26 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US10278711B2 (en) | 2006-02-27 | 2019-05-07 | Biomet Manufacturing, Llc | Patient-specific femoral guide |
US8603180B2 (en) | 2006-02-27 | 2013-12-10 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US8608749B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US8608748B2 (en) | 2006-02-27 | 2013-12-17 | Biomet Manufacturing, Llc | Patient specific guides |
US9480580B2 (en) | 2006-02-27 | 2016-11-01 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US9480490B2 (en) | 2006-02-27 | 2016-11-01 | Biomet Manufacturing, Llc | Patient-specific guides |
US10206695B2 (en) | 2006-02-27 | 2019-02-19 | Biomet Manufacturing, Llc | Femoral acetabular impingement guide |
US9662216B2 (en) | 2006-02-27 | 2017-05-30 | Biomet Manufacturing, Llc | Patient-specific hip joint devices |
US10507029B2 (en) | 2006-02-27 | 2019-12-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US9662127B2 (en) | 2006-02-27 | 2017-05-30 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US8864769B2 (en) | 2006-02-27 | 2014-10-21 | Biomet Manufacturing, Llc | Alignment guides with patient-specific anchoring elements |
US8900244B2 (en) | 2006-02-27 | 2014-12-02 | Biomet Manufacturing, Llc | Patient-specific acetabular guide and method |
US9700329B2 (en) | 2006-02-27 | 2017-07-11 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US9113971B2 (en) | 2006-02-27 | 2015-08-25 | Biomet Manufacturing, Llc | Femoral acetabular impingement guide |
US10426492B2 (en) | 2006-02-27 | 2019-10-01 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US9005297B2 (en) | 2006-02-27 | 2015-04-14 | Biomet Manufacturing, Llc | Patient-specific elbow guides and associated methods |
US9918740B2 (en) | 2006-02-27 | 2018-03-20 | Biomet Manufacturing, Llc | Backup surgical instrument system and method |
US9522010B2 (en) | 2006-02-27 | 2016-12-20 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US9339278B2 (en) | 2006-02-27 | 2016-05-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US10743937B2 (en) | 2006-02-27 | 2020-08-18 | Biomet Manufacturing, Llc | Backup surgical instrument system and method |
US10603179B2 (en) | 2006-02-27 | 2020-03-31 | Biomet Manufacturing, Llc | Patient-specific augments |
US9173661B2 (en) | 2006-02-27 | 2015-11-03 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US9289253B2 (en) | 2006-02-27 | 2016-03-22 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US8377066B2 (en) | 2006-02-27 | 2013-02-19 | Biomet Manufacturing Corp. | Patient-specific elbow guides and associated methods |
US10206697B2 (en) | 2006-06-09 | 2019-02-19 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US9993344B2 (en) | 2006-06-09 | 2018-06-12 | Biomet Manufacturing, Llc | Patient-modified implant |
US11576689B2 (en) | 2006-06-09 | 2023-02-14 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US9861387B2 (en) | 2006-06-09 | 2018-01-09 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US9795399B2 (en) | 2006-06-09 | 2017-10-24 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US8398646B2 (en) | 2006-06-09 | 2013-03-19 | Biomet Manufacturing Corp. | Patient-specific knee alignment guide and associated method |
US8858561B2 (en) | 2006-06-09 | 2014-10-14 | Blomet Manufacturing, LLC | Patient-specific alignment guide |
US10893879B2 (en) | 2006-06-09 | 2021-01-19 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
US8979936B2 (en) | 2006-06-09 | 2015-03-17 | Biomet Manufacturing, Llc | Patient-modified implant |
US8407067B2 (en) | 2007-04-17 | 2013-03-26 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US11554019B2 (en) | 2007-04-17 | 2023-01-17 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US9907659B2 (en) | 2007-04-17 | 2018-03-06 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US8486150B2 (en) | 2007-04-17 | 2013-07-16 | Biomet Manufacturing Corp. | Patient-modified implant |
US8473305B2 (en) | 2007-04-17 | 2013-06-25 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US10159498B2 (en) | 2008-04-16 | 2018-12-25 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US9393028B2 (en) | 2009-08-13 | 2016-07-19 | Biomet Manufacturing, Llc | Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis |
US10052110B2 (en) | 2009-08-13 | 2018-08-21 | Biomet Manufacturing, Llc | Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis |
US9839433B2 (en) | 2009-08-13 | 2017-12-12 | Biomet Manufacturing, Llc | Device for the resection of bones, method for producing such a device, endoprosthesis suited for this purpose and method for producing such an endoprosthesis |
US11324522B2 (en) | 2009-10-01 | 2022-05-10 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US9456833B2 (en) | 2010-02-26 | 2016-10-04 | Biomet Sports Medicine, Llc | Patient-specific osteotomy devices and methods |
US8632547B2 (en) | 2010-02-26 | 2014-01-21 | Biomet Sports Medicine, Llc | Patient-specific osteotomy devices and methods |
US10893876B2 (en) | 2010-03-05 | 2021-01-19 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US9271744B2 (en) | 2010-09-29 | 2016-03-01 | Biomet Manufacturing, Llc | Patient-specific guide for partial acetabular socket replacement |
US10098648B2 (en) | 2010-09-29 | 2018-10-16 | Biomet Manufacturing, Llc | Patient-specific guide for partial acetabular socket replacement |
US11234719B2 (en) | 2010-11-03 | 2022-02-01 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US9968376B2 (en) | 2010-11-29 | 2018-05-15 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US9241745B2 (en) | 2011-03-07 | 2016-01-26 | Biomet Manufacturing, Llc | Patient-specific femoral version guide |
US9445907B2 (en) | 2011-03-07 | 2016-09-20 | Biomet Manufacturing, Llc | Patient-specific tools and implants |
US9743935B2 (en) | 2011-03-07 | 2017-08-29 | Biomet Manufacturing, Llc | Patient-specific femoral version guide |
US8715289B2 (en) | 2011-04-15 | 2014-05-06 | Biomet Manufacturing, Llc | Patient-specific numerically controlled instrument |
US9717510B2 (en) | 2011-04-15 | 2017-08-01 | Biomet Manufacturing, Llc | Patient-specific numerically controlled instrument |
US10251690B2 (en) | 2011-04-19 | 2019-04-09 | Biomet Manufacturing, Llc | Patient-specific fracture fixation instrumentation and method |
US9675400B2 (en) | 2011-04-19 | 2017-06-13 | Biomet Manufacturing, Llc | Patient-specific fracture fixation instrumentation and method |
US9743940B2 (en) | 2011-04-29 | 2017-08-29 | Biomet Manufacturing, Llc | Patient-specific partial knee guides and other instruments |
US8956364B2 (en) | 2011-04-29 | 2015-02-17 | Biomet Manufacturing, Llc | Patient-specific partial knee guides and other instruments |
US8668700B2 (en) | 2011-04-29 | 2014-03-11 | Biomet Manufacturing, Llc | Patient-specific convertible guides |
US9474539B2 (en) | 2011-04-29 | 2016-10-25 | Biomet Manufacturing, Llc | Patient-specific convertible guides |
US8903530B2 (en) | 2011-06-06 | 2014-12-02 | Biomet Manufacturing, Llc | Pre-operative planning and manufacturing method for orthopedic procedure |
US9757238B2 (en) | 2011-06-06 | 2017-09-12 | Biomet Manufacturing, Llc | Pre-operative planning and manufacturing method for orthopedic procedure |
US8532807B2 (en) | 2011-06-06 | 2013-09-10 | Biomet Manufacturing, Llc | Pre-operative planning and manufacturing method for orthopedic procedure |
US9687261B2 (en) | 2011-06-13 | 2017-06-27 | Biomet Manufacturing, Llc | Drill guides for confirming alignment of patient-specific alignment guides |
US9084618B2 (en) | 2011-06-13 | 2015-07-21 | Biomet Manufacturing, Llc | Drill guides for confirming alignment of patient-specific alignment guides |
US11253269B2 (en) | 2011-07-01 | 2022-02-22 | Biomet Manufacturing, Llc | Backup kit for a patient-specific arthroplasty kit assembly |
US9173666B2 (en) | 2011-07-01 | 2015-11-03 | Biomet Manufacturing, Llc | Patient-specific-bone-cutting guidance instruments and methods |
US10492798B2 (en) | 2011-07-01 | 2019-12-03 | Biomet Manufacturing, Llc | Backup kit for a patient-specific arthroplasty kit assembly |
US8764760B2 (en) | 2011-07-01 | 2014-07-01 | Biomet Manufacturing, Llc | Patient-specific bone-cutting guidance instruments and methods |
US9668747B2 (en) | 2011-07-01 | 2017-06-06 | Biomet Manufacturing, Llc | Patient-specific-bone-cutting guidance instruments and methods |
US9427320B2 (en) | 2011-08-04 | 2016-08-30 | Biomet Manufacturing, Llc | Patient-specific pelvic implants for acetabular reconstruction |
US8597365B2 (en) | 2011-08-04 | 2013-12-03 | Biomet Manufacturing, Llc | Patient-specific pelvic implants for acetabular reconstruction |
US9066734B2 (en) | 2011-08-31 | 2015-06-30 | Biomet Manufacturing, Llc | Patient-specific sacroiliac guides and associated methods |
US9439659B2 (en) | 2011-08-31 | 2016-09-13 | Biomet Manufacturing, Llc | Patient-specific sacroiliac guides and associated methods |
US9603613B2 (en) | 2011-08-31 | 2017-03-28 | Biomet Manufacturing, Llc | Patient-specific sacroiliac guides and associated methods |
US9295497B2 (en) | 2011-08-31 | 2016-03-29 | Biomet Manufacturing, Llc | Patient-specific sacroiliac and pedicle guides |
US9386993B2 (en) | 2011-09-29 | 2016-07-12 | Biomet Manufacturing, Llc | Patient-specific femoroacetabular impingement instruments and methods |
US10456205B2 (en) | 2011-09-29 | 2019-10-29 | Biomet Manufacturing, Llc | Patient-specific femoroacetabular impingement instruments and methods |
US11406398B2 (en) | 2011-09-29 | 2022-08-09 | Biomet Manufacturing, Llc | Patient-specific femoroacetabular impingement instruments and methods |
US9451973B2 (en) | 2011-10-27 | 2016-09-27 | Biomet Manufacturing, Llc | Patient specific glenoid guide |
US9351743B2 (en) | 2011-10-27 | 2016-05-31 | Biomet Manufacturing, Llc | Patient-specific glenoid guides |
US11419618B2 (en) | 2011-10-27 | 2022-08-23 | Biomet Manufacturing, Llc | Patient-specific glenoid guides |
US11298188B2 (en) | 2011-10-27 | 2022-04-12 | Biomet Manufacturing, Llc | Methods for patient-specific shoulder arthroplasty |
US9301812B2 (en) | 2011-10-27 | 2016-04-05 | Biomet Manufacturing, Llc | Methods for patient-specific shoulder arthroplasty |
US9936962B2 (en) | 2011-10-27 | 2018-04-10 | Biomet Manufacturing, Llc | Patient specific glenoid guide |
US11602360B2 (en) | 2011-10-27 | 2023-03-14 | Biomet Manufacturing, Llc | Patient specific glenoid guide |
US10842510B2 (en) | 2011-10-27 | 2020-11-24 | Biomet Manufacturing, Llc | Patient specific glenoid guide |
US10426493B2 (en) | 2011-10-27 | 2019-10-01 | Biomet Manufacturing, Llc | Patient-specific glenoid guides |
US10426549B2 (en) | 2011-10-27 | 2019-10-01 | Biomet Manufacturing, Llc | Methods for patient-specific shoulder arthroplasty |
US9554910B2 (en) | 2011-10-27 | 2017-01-31 | Biomet Manufacturing, Llc | Patient-specific glenoid guide and implants |
US9237950B2 (en) | 2012-02-02 | 2016-01-19 | Biomet Manufacturing, Llc | Implant with patient-specific porous structure |
US9827106B2 (en) | 2012-02-02 | 2017-11-28 | Biomet Manufacturing, Llc | Implant with patient-specific porous structure |
US9060788B2 (en) | 2012-12-11 | 2015-06-23 | Biomet Manufacturing, Llc | Patient-specific acetabular guide for anterior approach |
US9597201B2 (en) | 2012-12-11 | 2017-03-21 | Biomet Manufacturing, Llc | Patient-specific acetabular guide for anterior approach |
US9204977B2 (en) | 2012-12-11 | 2015-12-08 | Biomet Manufacturing, Llc | Patient-specific acetabular guide for anterior approach |
US10441298B2 (en) | 2013-03-11 | 2019-10-15 | Biomet Manufacturing, Llc | Patient-specific glenoid guide with a reusable guide holder |
US11617591B2 (en) | 2013-03-11 | 2023-04-04 | Biomet Manufacturing, Llc | Patient-specific glenoid guide with a reusable guide holder |
US9839438B2 (en) | 2013-03-11 | 2017-12-12 | Biomet Manufacturing, Llc | Patient-specific glenoid guide with a reusable guide holder |
US9579107B2 (en) | 2013-03-12 | 2017-02-28 | Biomet Manufacturing, Llc | Multi-point fit for patient specific guide |
US9700325B2 (en) | 2013-03-12 | 2017-07-11 | Biomet Manufacturing, Llc | Multi-point fit for patient specific guide |
US10376270B2 (en) | 2013-03-13 | 2019-08-13 | Biomet Manufacturing, Llc | Universal acetabular guide and associated hardware |
US9498233B2 (en) | 2013-03-13 | 2016-11-22 | Biomet Manufacturing, Llc. | Universal acetabular guide and associated hardware |
US10426491B2 (en) | 2013-03-13 | 2019-10-01 | Biomet Manufacturing, Llc | Tangential fit of patient-specific guides |
US11191549B2 (en) | 2013-03-13 | 2021-12-07 | Biomet Manufacturing, Llc | Tangential fit of patient-specific guides |
US9826981B2 (en) | 2013-03-13 | 2017-11-28 | Biomet Manufacturing, Llc | Tangential fit of patient-specific guides |
US9517145B2 (en) | 2013-03-15 | 2016-12-13 | Biomet Manufacturing, Llc | Guide alignment system and method |
US11179165B2 (en) | 2013-10-21 | 2021-11-23 | Biomet Manufacturing, Llc | Ligament guide registration |
US10282488B2 (en) | 2014-04-25 | 2019-05-07 | Biomet Manufacturing, Llc | HTO guide with optional guided ACL/PCL tunnels |
US9408616B2 (en) | 2014-05-12 | 2016-08-09 | Biomet Manufacturing, Llc | Humeral cut guide |
US9561040B2 (en) | 2014-06-03 | 2017-02-07 | Biomet Manufacturing, Llc | Patient-specific glenoid depth control |
US9839436B2 (en) | 2014-06-03 | 2017-12-12 | Biomet Manufacturing, Llc | Patient-specific glenoid depth control |
US9826994B2 (en) | 2014-09-29 | 2017-11-28 | Biomet Manufacturing, Llc | Adjustable glenoid pin insertion guide |
US11026699B2 (en) | 2014-09-29 | 2021-06-08 | Biomet Manufacturing, Llc | Tibial tubercule osteotomy |
US9833245B2 (en) | 2014-09-29 | 2017-12-05 | Biomet Sports Medicine, Llc | Tibial tubercule osteotomy |
US10335162B2 (en) | 2014-09-29 | 2019-07-02 | Biomet Sports Medicine, Llc | Tibial tubercle osteotomy |
US9820868B2 (en) | 2015-03-30 | 2017-11-21 | Biomet Manufacturing, Llc | Method and apparatus for a pin apparatus |
US10568647B2 (en) | 2015-06-25 | 2020-02-25 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US10925622B2 (en) | 2015-06-25 | 2021-02-23 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US10226262B2 (en) | 2015-06-25 | 2019-03-12 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US11801064B2 (en) | 2015-06-25 | 2023-10-31 | Biomet Manufacturing, Llc | Patient-specific humeral guide designs |
US10722310B2 (en) | 2017-03-13 | 2020-07-28 | Zimmer Biomet CMF and Thoracic, LLC | Virtual surgery planning system and method |
Also Published As
Publication number | Publication date |
---|---|
US8473305B2 (en) | 2013-06-25 |
US20090254367A1 (en) | 2009-10-08 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US10893876B2 (en) | Method and apparatus for manufacturing an implant | |
US11534313B2 (en) | Patient-specific pre-operative planning | |
EP2396741B1 (en) | Method and apparatus for manufacturing an implant | |
US8473305B2 (en) | Method and apparatus for manufacturing an implant | |
US11554019B2 (en) | Method and apparatus for manufacturing an implant | |
EP2303192B1 (en) | Method for manufacturing an implant | |
US11253269B2 (en) | Backup kit for a patient-specific arthroplasty kit assembly | |
US20190070010A1 (en) | Systems and methods for facilitating surgical procedures involving custom medical implants | |
US9757238B2 (en) | Pre-operative planning and manufacturing method for orthopedic procedure | |
US9402726B2 (en) | Revision systems, tools and methods for revising joint arthroplasty implants | |
US20160331467A1 (en) | Revision Systems, Tools and Methods for Revising Joint Arthroplasty Implants |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 10725565 Country of ref document: EP Kind code of ref document: A1 |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
122 | Ep: pct application non-entry in european phase |
Ref document number: 10725565 Country of ref document: EP Kind code of ref document: A1 |