WO2010144705A1 - Method and apparatus for manufacturing an implant - Google Patents

Method and apparatus for manufacturing an implant Download PDF

Info

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
Application number
PCT/US2010/038177
Other languages
French (fr)
Inventor
Nathan E. Belcher
Robert Metzger
Joshua B. Catanzarite
Original Assignee
Biomet Manufacturing Corp.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biomet Manufacturing Corp. filed Critical Biomet Manufacturing Corp.
Publication of WO2010144705A1 publication Critical patent/WO2010144705A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/3859Femoral components
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE 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
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B33ADDITIVE MANUFACTURING TECHNOLOGY
    • B33YADDITIVE 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
    • B33Y80/00Products made by additive manufacturing
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06QINFORMATION 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
    • G06Q30/00Commerce
    • G06Q30/06Buying, selling or leasing transactions
    • G06Q30/0601Electronic shopping [e-shopping]
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT 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
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/60ICT 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
    • G16H40/63ICT 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
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/60ICT 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
    • G16H40/67ICT 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
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50ICT 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • A61B17/15Guides therefor
    • A61B17/154Guides therefor for preparing bone for knee prosthesis
    • A61B17/155Cutting femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The 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
    • A61F2002/30535Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30617Visible markings for adjusting, locating or measuring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/30708Means for distinguishing between left-sided and right-sided devices, Sets comprising both left-sided and right-sided prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30667Features concerning an interaction with the environment or a particular use of the prosthesis
    • A61F2002/3071Identification means; Administration of patients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948Designing 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30953Designing 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/3096Designing 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/3094Designing or manufacturing processes
    • A61F2/30942Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30962Designing 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4632Special 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
    • A61F2002/4633Special 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0084Means for distinguishing between left-sided and right-sided devices; Sets comprising both left-sided and right-sided prosthetic parts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0085Identification means; Administration of patients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097Visible 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

CLAIMS What is claimed is:
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.
PCT/US2010/038177 2009-06-12 2010-06-10 Method and apparatus for manufacturing an implant WO2010144705A1 (en)

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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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

Patent Citations (9)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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