DK2519165T3 - Specielt fremstillede kirurgiske føringsindretninger, fremgangsmåder til fremstilling og anvendelse heraf - Google Patents

Specielt fremstillede kirurgiske føringsindretninger, fremgangsmåder til fremstilling og anvendelse heraf Download PDF

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Publication number
DK2519165T3
DK2519165T3 DK10801420.0T DK10801420T DK2519165T3 DK 2519165 T3 DK2519165 T3 DK 2519165T3 DK 10801420 T DK10801420 T DK 10801420T DK 2519165 T3 DK2519165 T3 DK 2519165T3
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DK
Denmark
Prior art keywords
implant
patient
specific
bone
guide
Prior art date
Application number
DK10801420.0T
Other languages
English (en)
Inventor
Frederik Gelaude
Tim Clijmans
Original Assignee
Mobelife Nv
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
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Publication of DK2519165T3 publication Critical patent/DK2519165T3/da

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
    • A61B17/1746—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for the acetabulum
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108—Computer aided selection or customisation of medical implants or cutting guides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/34—Acetabular cups
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B33—ADDITIVE MANUFACTURING TECHNOLOGY
    • B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00—Products made by additive manufacturing
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00—Metal working
    • Y10T29/49—Method of mechanical manufacture
    • Y10T29/49764—Method of mechanical manufacture with testing or indicating

Claims (19)

1. Fremgangsmåde til fremstilling af en specielfremstillet kirurgisk føringsindretning til kirurgiske instrumenter til anbringelse på et patientspecifikt knogleimplantat, omfattende: (a) design af en specielfremstillet kirurgisk føringsindretning, som omfatter en eller flere specielfremstillede overfladestrukturer og et eller flere specielfremstillede føringselementer hver for sig baseret på: - et billede af knoglen og det patientspecifikke knogleimplantat herpå, - en eller flere skrueindsatser, som er bestemt ved præoperativ planlægning, (b) fremstilling af den specielfremstillede kirurgiske føringsindretning baseret på det under trinnet (a) opnåede design, hvorved: (i) en eller flere af de specielfremstillede overfladestrukturer (7, 8, 9) strækker sig over i det mindste en del af implantatets udvendige patientspecifikke morfologi af implantatet, og (ii) et eller flere af de specielfremstillede føringselementer (10, 11) er placeret svarende til de præoperativt planlagte skrueindsatser, og hvorved den specielfremstillede kirurgiske føringsindretning og knogleimplantatet indgriber ved hjælp af en unik pasning sikkert ved kongruensen imellem knogleimplantatets patientspecifikke udvendige morfologi og i det mindste en af de en eller flere specielfremstillede overfladestrukturer.
2. Fremgangsmåde ifølge krav 1, hvorved den unikke pasning yderligere sikres ved hjælp af de specielfremstillede føringselementers position og orientering.
3. Fremgangsmåde ifølge krav 1 eller 2, hvorved den specielfremstillede kirurgiske føringsindretning er fremstillet ved hjælp af additiv fremstilling.
4. Fremgangsmåde ifølge ethvert af kravene 1 til 3, hvorved den specielfremstillede kirurgiske føringsindretning omfatter en eller flere forbindelsesstrukturer, som forbinder de en eller flere overfladestrukturer og de en eller flere føringselementer.
5. Fremgangsmåde ifølge krav 4, hvorved de en eller flere forbindelsesstrukturer omfatter et eller flere låsetræk.
6. Fremgangsmåde ifølge ethvert af kravene 1 til 5, hvorved den specielfremstillede kirurgiske føringsindretning yderligere omfatter et element, som tjener som en visuel reference for udøvelse af en kirurgisk vekselvirkning.
7. Fremgangsmåde ifølge ethvert af kravene 1 til 6, hvorved de en eller flere føringselementer omfatter boreføringselementer og/eller skæringsføringselementer og disse boreførings- eller skæringsføringselementer eventuelt skæreeller borestop.
8. Fremgangsmåde ifølge ethvert af kravene 1 til 7, hvorved det patientspecifikke knogleimplantat er et hofteledsimplantat, hvorved (i) forbindelsesstrukturen er en ringstruktur, som passer på hofteledsimplantatets hofteledskant, og (ii) den specielfremstillede kirurgiske føringsindretning og det patientspecifikke hofteledsimplantat indgriber i en unik pasning, som sikres ved hjælp af kongruensen imellem hofteledsimplantatets patientspecifikke udvendige morfologi og i det mindste en af de en eller flere specielfremstillede overfladestrukturer.
9. Fremgangsmåde ifølge ethvert af kravene 1 til 8, hvorved trinnet med hensyn til bestemmelse af en eller flere skruebaner ved brug af en planlægning omfatter hensyntagen til et eller flere følgende kriterier: - opnåelse af et optimalt antal af ikke-skærende boreretninger for skruebanerne, - sikring af at skruebanerne løber igennem knoglevolumen med optimal opnåelig kvalitet, - sikring af optimal skruebanelængde, og - sikring af at det omgivende raske bløde væv bevares optimalt.
10. Kombination af et knogleimplantat, som har en patientspecifik udvendig morfologi (2), som efterligner og/eller funktionsmæssigt erstatter de originale anatomiske træk ved knoglen, og en specielfremstillet kirurgisk føringsindretning (3) til kirurgiske instrumenter til placering på knogleimplantatet, idet den specielfremstillede kirurgiske føringsindretning omfatter: (i) en eller flere specielfremstillede overfladestrukturer (7, 8, 9), som strækker sig over i det mindste en del af implantatets udvendige patientspecifikke morfologi, og (ii) et eller flere specielfremstillede føringselementer (10, 11), hvorved den specielfremstillede kirurgiske føringsindretning og knogleimplantatet indgriber ved hjælp af en unik pasning sikkert ved kongruensen imellem knogleimplantatets patientspecifikke udvendige morfologi og i det mindste en af de en eller flere specielfremstillede overfladestrukturer.
11. Kombination ifølge krav 10, hvorved den unikke pasning yderligere sikres ved hjælp af de specielfremstillede føringselementers position og orientering.
12. Kombination ifølge krav 10 eller 11, hvorved de en eller flere føringselementer omfatter et cylindrisk hul, og føringselementernes position og orientering bestemmes ved hjælp af de præoperativt planlagte skruebaner.
13. Kombination ifølge krav 10 eller 11, hvorved føringsindretningen omfatter føringselementer, hvis retninger skærer hinanden.
14. Kombination ifølge krav 10 eller 11, og som yderligere omfatter en flere forbindelsesstrukturer, som forbinder de en eller flere overfladestrukturer og de et eller flere føringselementer.
15. Kombination ifølge ethvert af kravene 10 til 14, hvorved overfladestrukturerne svarer til to eller flere flanger, som strækker sig langs implantatets overflade i i det mindste to forskellige retninger.
16. Kombination ifølge krav 14 eller 15, hvorved de en eller flere forbindelsesstrukturer omfatter et eller flere låsetræk.
17. Kombination ifølge ethvert af kravene 10 til 16, hvorved den specielfremstillede kirurgiske føringsindretning yderligere omfatter et element, som tjener som en visuel reference for udøvelse af en kirurgisk vekselvirkning.
18. Kombination ifølge ethvert af kravene 10 til 17, hvorved de en eller flere føringselementer omfatter boreføringselementer og/eller skæringsføringselementer og disse boreførings- eller skæringsføringselementer eventuelt skære- eller borestop.
19. Kombination ifølge ethvert af kravene 10 til 18, hvorved det patientspecifikke knogleimplantat er et hofteledsimplantat, hvorved (i) føringsindretningen omfatter en forbindelsesstruktur som forbinder de en eller flere overfladestrukturer og de en eller flere føringselementer, som er en ringstruktur, som passer på hofteledsimplantatets hofteledskant, og (ii) den specielfremstillede kirurgiske føringsindretning og det patientspecifikke hofteledsimplantat indgriber i en unik pasning, som sikres ved hjælp af kongruensen imellem hofteledsimplantatets patientspecifikke udvendige morfologi og i det mindste en af de en eller flere specielfremstillede overfladestrukturer.
DK10801420.0T 2009-12-29 2010-12-28 Specielt fremstillede kirurgiske føringsindretninger, fremgangsmåder til fremstilling og anvendelse heraf DK2519165T3 (da)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US29067309P 2009-12-29 2009-12-29
GBGB0922640.8A GB0922640D0 (en) 2009-12-29 2009-12-29 Customized surgical guides, methods for manufacturing and uses thereof
PCT/EP2010/070777 WO2011080260A1 (en) 2009-12-29 2010-12-28 Customized surgical guides, methods for manufacturing and uses thereof

Publications (1)

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DK2519165T3 true DK2519165T3 (da) 2015-05-26

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Country Status (10)

Country Link
US (1) US9808261B2 (da)
EP (4) EP3251619B1 (da)
JP (2) JP6196446B2 (da)
AU (1) AU2010338263B2 (da)
BE (1) BE1019821A3 (da)
CA (1) CA2782117C (da)
DK (1) DK2519165T3 (da)
GB (1) GB0922640D0 (da)
PL (2) PL2853206T3 (da)
WO (1) WO2011080260A1 (da)

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