BR112023027327A2 - Sistema, guia cirúrgico específico para paciente, e, produto - Google Patents

Sistema, guia cirúrgico específico para paciente, e, produto

Info

Publication number
BR112023027327A2
BR112023027327A2 BR112023027327A BR112023027327A BR112023027327A2 BR 112023027327 A2 BR112023027327 A2 BR 112023027327A2 BR 112023027327 A BR112023027327 A BR 112023027327A BR 112023027327 A BR112023027327 A BR 112023027327A BR 112023027327 A2 BR112023027327 A2 BR 112023027327A2
Authority
BR
Brazil
Prior art keywords
patient
specific surgical
orthopedic element
surgical guide
image
Prior art date
Application number
BR112023027327A
Other languages
English (en)
Inventor
R Harris Brian
Brian Mcdaniel C
W Bowman Fred
S Bryant Paul
Original Assignee
Microport Orthopedics Holdings Inc
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 Microport Orthopedics Holdings Inc filed Critical Microport Orthopedics Holdings Inc
Publication of BR112023027327A2 publication Critical patent/BR112023027327A2/pt

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • 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
    • 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
    • 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
    • A61B17/157Cutting tibia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • 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
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C64/00Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
    • B29C64/30Auxiliary operations or equipment
    • B29C64/386Data acquisition or data processing for additive manufacturing
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C64/00Additive manufacturing, i.e. manufacturing of three-dimensional [3D] objects by additive deposition, additive agglomeration or additive layering, e.g. by 3D printing, stereolithography or selective laser sintering
    • B29C64/30Auxiliary operations or equipment
    • B29C64/386Data acquisition or data processing for additive manufacturing
    • B29C64/393Data acquisition or data processing for additive manufacturing for controlling or regulating additive manufacturing processes
    • 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
    • B33Y50/00Data acquisition or data processing for additive manufacturing
    • B33Y50/02Data acquisition or data processing for additive manufacturing for controlling or regulating additive manufacturing processes
    • 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
    • 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
    • G16H30/40ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
    • 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
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/102Modelling of surgical devices, implants or prosthesis
    • 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
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • 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
    • A61B2034/108Computer aided selection or customisation of medical implants or cutting guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364Correlation of different images or relation of image positions in respect to the body
    • A61B2090/365Correlation of different images or relation of image positions in respect to the body augmented reality, i.e. correlating a live optical image with another image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364Correlation of different images or relation of image positions in respect to the body
    • A61B2090/367Correlation of different images or relation of image positions in respect to the body creating a 3D dataset from 2D images using position information
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T2207/00Indexing scheme for image analysis or image enhancement
    • G06T2207/10Image acquisition modality
    • G06T2207/10116X-ray image

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Materials Engineering (AREA)
  • Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Manufacturing & Machinery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Robotics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Dentistry (AREA)
  • Optics & Photonics (AREA)
  • Mechanical Engineering (AREA)
  • Pathology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Primary Health Care (AREA)
  • Cardiology (AREA)
  • Geometry (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Processing Or Creating Images (AREA)
  • Prostheses (AREA)

Abstract

sistema, guia cirúrgico específico para paciente, e, produto. sistemas e métodos para gerar guias cirúrgicos específicos para paciente que compreendem: capturar uma primeira e segunda imagens de um elemento ortopédico em diferentes quadros de referência usando uma técnica de imageamento radiográfico, detectar dados espaciais que definem pontos de referência anatômicos sobre ou dentro do elemento ortopédico usando uma rede neural, aplicar uma máscara ao elemento ortopédico definido por um ponto de referência anatômico, projetar os dados espaciais a partir da primeira imagem e da segunda imagem para definir dados de volume, aplicar a rede neural aos dados de volume para gerar o modelo tridimensional ("3d") reconstruído do elemento ortopédico; e calcular as dimensões para um guia cirúrgico específico para paciente configurado para estar em contiguidade com o elemento ortopédico.
BR112023027327A 2021-07-20 2022-07-19 Sistema, guia cirúrgico específico para paciente, e, produto BR112023027327A2 (pt)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US202163223844P 2021-07-20 2021-07-20
PCT/US2022/073868 WO2023004299A1 (en) 2021-07-20 2022-07-19 Systems and methods for using photogrammetry to create patient-specific guides for orthopedic surgery

Publications (1)

Publication Number Publication Date
BR112023027327A2 true BR112023027327A2 (pt) 2024-03-12

Family

ID=84977405

Family Applications (1)

Application Number Title Priority Date Filing Date
BR112023027327A BR112023027327A2 (pt) 2021-07-20 2022-07-19 Sistema, guia cirúrgico específico para paciente, e, produto

Country Status (8)

Country Link
US (1) US20230027518A1 (pt)
EP (1) EP4326171A1 (pt)
JP (1) JP2024526601A (pt)
CN (1) CN117580526A (pt)
AU (1) AU2022314050A1 (pt)
BR (1) BR112023027327A2 (pt)
CA (1) CA3225040A1 (pt)
WO (1) WO2023004299A1 (pt)

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TWI434675B (zh) * 2006-02-06 2014-04-21 Conformis Inc 患者可選擇式關節置換術裝置及外科工具
EP1942662B1 (en) * 2007-01-04 2018-06-20 Brainlab AG Automatic improvement of tracking data for intraoperative C-arm images in image guided surgery
CN111329554B (zh) * 2016-03-12 2021-01-05 P·K·朗 用于手术的装置与方法
EP3827777A3 (en) * 2016-03-14 2021-08-25 Mohamed R. Mahfouz A bone-cutting guide
WO2018109556A1 (en) * 2016-12-12 2018-06-21 Medicrea International Systems and methods for patient-specific spinal implants
US11406338B2 (en) * 2017-07-08 2022-08-09 Vuze Medical Ltd. Apparatus and methods for use with image-guided skeletal procedures
US11166764B2 (en) * 2017-07-27 2021-11-09 Carlsmed, Inc. Systems and methods for assisting and augmenting surgical procedures
US11589949B1 (en) * 2018-04-05 2023-02-28 MirrorMe3D, LLC System and methods of creating a 3D medical representation for use in performing reconstructive surgeries
WO2019245852A1 (en) * 2018-06-19 2019-12-26 Tornier, Inc. Virtual checklists for orthopedic surgery
US11553969B1 (en) * 2019-02-14 2023-01-17 Onpoint Medical, Inc. System for computation of object coordinates accounting for movement of a surgical site for spinal and other procedures
WO2021003275A1 (en) * 2019-07-01 2021-01-07 Smith & Nephew, Inc. Surgical assistant device
US11517334B1 (en) * 2019-11-04 2022-12-06 Smith & Nephew, Inc. Patient-specific guides for latarjet procedure
EP4072426A1 (en) * 2019-12-13 2022-10-19 Smith&Nephew, Inc. Anatomical feature extraction and presentation using augmented reality
US20230087709A1 (en) * 2020-02-27 2023-03-23 Smith & Nephew, Inc. Fiducial tracking knee brace device and methods thereof
US11998278B1 (en) * 2020-03-02 2024-06-04 Smith & Nephew, Inc. Intraoperative computer-aided design of bone removal based on selected geometric shapes for robotic assisted surgery
WO2021216516A1 (en) * 2020-04-20 2021-10-28 Smith & Nephew, Inc. Fiducial marker devices
EP4146111A1 (en) * 2020-05-04 2023-03-15 Howmedica Osteonics Corp. Surgical system for revision orthopedic surgical procedures

Also Published As

Publication number Publication date
WO2023004299A1 (en) 2023-01-26
CA3225040A1 (en) 2023-01-26
JP2024526601A (ja) 2024-07-19
EP4326171A1 (en) 2024-02-28
CN117580526A (zh) 2024-02-20
AU2022314050A1 (en) 2024-02-08
US20230027518A1 (en) 2023-01-26

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