JP2014508549A - 手術中のプロテーゼ整列方法およびシステム - Google Patents
手術中のプロテーゼ整列方法およびシステム Download PDFInfo
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Abstract
Description
本出願は米国特許法第119条(e)に基づき、2010年12月17日に出願された米国仮特許出願第61/424,447号の利益を主張するものであり、その開示の全体が参照により本明細書に組み込まれるものとする。
Claims (30)
- 人工股関節置換術を遂行するためのシステムであって、
患者の骨盤に連結されるように適合された、骨盤センサユニットと、
登録センサユニットと、
寛骨臼挿入ツールに連結されるように適合された、挿入ツールセンサユニットと、
患者の大腿骨に連結されるように適合された、大腿骨センサユニットと、
少なくとも1つの処理装置により実行可能な命令を有する、コンピュータ可読記憶媒体と、を備え、
前記命令は実行されると、処理装置が、
(a)前記骨盤センサユニットと前記患者の骨盤との位置関係を、少なくとも3つの参照ポイントに基づく、前記骨盤センサユニットと前記登録センサユニットとの間の登録測定に基づいて計算し、
(b)前記骨盤センサユニットと前記大腿骨センサユニットとの間の初期の位置関係を測定し、
(c)前記骨盤センサユニットと前記挿入ツールセンサユニットとの間の位置関係に基づいて移植処置中の前記寛骨臼挿入ツールの向きを追跡し、
(d)前記寛骨臼挿入ツールの向きに基づいて、外転角及び前傾角を計算し、
(e)移植処置中の前記外転角と前記前傾角を表す、実時間表示を提供し、
(f)前記骨盤センサユニットと前記大腿骨センサユニットとの間の整復後の位置関係を測定し、
(g)前記初期の位置関係と、前記整復後の位置関係と、前記骨盤センサユニットと前記患者の骨盤との間の位置関係とに基づいて、脚位置の変化を計算し、
(h)脚位置変化の表示を提供する、
ことを行う、システム。 - 前記初期の位置関係は、初期の脚の並進測定を含む、請求項1に記載のシステム。
- 前記初期の位置関係は、初期の脚の向き測定を含む、請求項1に記載のシステム。
- 前記コンピュータ可読記憶媒体は更に、少なくとも1つの処理装置により実行可能な命令を含み、前記命令は実行されると処理装置が、
前記骨盤センサユニットと前記大腿骨センサユニットとの間の位置関係に基づいて脚位置調整処置中の大腿骨の向きを追跡し、
前記脚位置調整処置中の前記大腿骨の向きを表す実時間表示を提供する、
ことを行う、請求項1に記載のシステム。 - 前記コンピュータ可読記憶媒体は更に、少なくとも1つの処理装置により実行可能な命令を含み、前記命令は実行されると処理装置が前記患者の大腿骨の回転中心を計算する、請求項1に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと前記登録センサユニットとの間の寛骨臼表面測定に基づいて計算される、請求項5に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと前記大腿骨センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項5に記載のシステム。
- 前記脚位置の変化は、前記初期位置関係と前記整復後の位置関係との間の比較に基づいて計算される、請求項1に記載のシステム。
- 前記脚位置の変化は、前記骨盤センサユニットと前記大腿骨センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項8に記載のシステム。
- 前記脚位置の変化は、脚長測定、オフセット測定、及び/又は前後方向の位置測定を含む、請求項1に記載のシステム。
- 人工股関節置換術を遂行するためのシステムであって、
患者の骨盤に連結されるように適合された、骨盤センサユニットと、
参照センサユニットと、
少なくとも1つの処理装置により実行可能な命令を有する、コンピュータ可読記憶媒体と、を備え、
前記命令は実行されると、処理装置が、
(a)前記骨盤センサユニットと前記患者の骨盤との位置関係を、少なくとも3つの参照ポイントを含む、前記骨盤センサユニットと前記参照センサユニットとの間の登録測定に基づいて計算し、
(b)前記骨盤センサユニットと、移植処置中に前記寛骨臼挿入ツールに連結されている前記参照センサユニットとの間の位置関係に基づいて移植処置中の寛骨臼挿入ツールの向きを追跡し、
(c)前記寛骨臼挿入ツールの向きに基づいて移植パラメータを計算し、
(d)前記移植処置中の前記移植パラメータの実時間表示を提供する、
ことを行う、システム。 - 前記コンピュータ可読記憶媒体は更に、少なくとも1つの処理装置により実行可能な命令を含み、前記命令は実行されると、処理装置が、
(e)前記骨盤センサユニットと、前記患者の大腿骨に連結された前記参照センサユニットとの間の初期位置関係測定に基づいて初期脚位置を計算し、
(f)前記骨盤センサユニットと前記参照センサユニットとの間の整復後の位置関係に基づいて整復後脚位置を測定し、
(g)前記初期脚位置と前記整復後脚位置との間の脚位置変化を計算し、
(h)前記脚位置変化の表示を提供する、
ことを行う、請求項11に記載のシステム。 - 前記初期脚位置は、部分的には初期脚長測定に基づいて計算される、請求項12に記載のシステム。
- 前記初期脚位置は、部分的には初期脚向き測定に基づいて計算される、請求項12に記載のシステム。
- 前記初期脚位置は、前記参照センサユニットが前記患者の大腿骨に連結されている場合、前記骨盤センサユニットと前記参照センサユニットとの間の位置関係に部分的に基づいて計算される、請求項12に記載のシステム。
- 前記コンピュータ可読記憶媒体は更に、実行すると処理装置が前記患者の大腿骨の回転中心を計算する、少なくとも1つの処理装置により実行可能な命令を含む、請求項12に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと、前記寛骨臼表面上の3か所以上のポイントに接触している前記参照センサユニットとの間の寛骨臼表面測定に基づいて計算される、請求項16に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと、大腿骨関節接合測定中は前記患者の大腿骨に連結されている前記参照センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項16に記載のシステム。
- 前記脚位置の変化は、前記骨盤センサユニットと、大腿骨関節接合測定中は前記患者の大腿骨に連結されている前記参照センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項16に記載のシステム。
- 前記脚位置の変化は、脚長測定、オフセット測定、及び/又は前後方向の位置測定を含む、請求項12に記載のシステム。
- 前記コンピュータ可読記憶媒体は更に、少なくとも1つの処理装置により実行可能な命令を含み、前記命令は実行されると、処理装置が、
前記骨盤センサユニットと、前記患者の大腿骨に連結された前記参照センサユニットとの間の位置関係に基づき、脚位置調整処置中の大腿骨の向きを追跡し、
前記脚位置調整処置中の前記大腿骨の向きを表す実時間表示を提供する、
ことを行う、請求項12に記載のシステム。 - 人工股関節置換術を遂行するためのシステムであって、
患者の骨盤に連結されるように適合された、骨盤センサユニットと、
参照センサユニットと、
少なくとも1つの処理装置により実行可能な命令を有する、コンピュータ可読記憶媒体と、を備え、
前記命令は実行されると、前記処理装置が、
(a)前記骨盤センサユニットと前記患者の骨盤との位置関係を、前記骨盤センサユニットと前記参照センサユニットとの間の少なくとも3つの参照ポイントを含む登録測定に基づいて計算し、
(b)前記骨盤センサユニットと、前記患者の大腿骨に連結された前記参照センサユニットとの間の初期位置関係測定に基づいて初期脚位置を計算し、
(c)前記骨盤センサユニットと前記参照センサユニットとの間の位置関係に基づき、脚位置調整処置中の大腿骨の向きを追跡し、
(d)前記脚位置調整処置中の前記大腿骨の向きを表す実時間表示を提供し、
(e)前記骨盤センサユニットと前記参照センサユニットとの間の位置関係に基づいて整復後の脚位置を測定し、
(f)前記初期脚位置と前記整復後脚位置との間の脚位置変化を計算し、
(g)脚位置変化の表示を提供する、
ことを行う、システム。 - 前記コンピュータ可読記憶媒体は更に、実行すると処理装置が前記患者の大腿骨の回転中心を計算する、少なくとも1つの処理装置により実行可能な命令を含む、請求項22に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと、前記寛骨臼表面上の3か所以上のポイントに接触している前記参照センサユニットとの間の寛骨臼表面測定に基づいて計算される、請求項23に記載のシステム。
- 前記回転中心は、前記骨盤センサユニットと、大腿骨関節接合測定中は前記患者の大腿骨に連結されている前記参照センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項23に記載のシステム。
- 前記脚位置の変化は、前記骨盤センサユニットと、大腿骨関節接合測定中は前記患者の大腿骨に連結されている前記参照センサユニットとの間の大腿骨関節接合測定に基づいて計算される、請求項23に記載のシステム。
- 前記脚位置の変化は、脚長測定、オフセット測定、及び/又は前後の位置測定を含む、請求項22に記載のシステム。
- 少なくとも1つの処理装置により実行可能な命令を有する、人工股関節置換術用のコンピュータ可読記憶媒体であって、
前記命令は実行されると、処理装置が、
(a)骨盤センサユニットが患者の骨盤の第1のポイントに連結されている場合には、骨盤センサユニットと患者の骨盤との間の位置関係を計算し、
(b)前記骨盤センサユニットと、前記患者の大腿骨に連結された前記センサユニットとの間の位置関係に基づいて初期脚位置を計算し、
(c)前記骨盤センサユニットと前記寛骨臼挿入ツールに連結されたセンサユニットとの間の位置関係に基づいて、移植処置中の前記寛骨臼挿入ツールの向きを追跡し、
(d)前記寛骨臼挿入ツールの向きに基づいて移植パラメータを計算し、
(e)前記移植処置中の前記移植パラメータを表示する実時間表示を提供し、
(f)前記骨盤センサユニットと前記患者の大腿骨に連結されたセンサユニットとの間の位置関係に基づき、脚位置調整処置中の患者の大腿骨を追跡し、
(g)前記骨盤センサユニットと、前記患者の大腿骨に連結された前記センサユニットとの間の位置関係に基づいて整復後脚位置を測定し、
(h)前記初期脚位置と前記整復後脚位置との間の脚位置変化を計算し、
(i)脚位置変化の表示を提供する、
ことを行うコンピュータ可読記憶媒体。 - 前記移植パラメータは、外転角及び前傾角を含む、請求項28に記載のコンピュータ可読記憶媒体。
- 少なくとも1つの処理装置により実行可能な命令を更に備え、
前記命令は実行されると、前記処理装置が、
(j)前記骨盤センサユニットと前記患者の大腿骨に連結されたセンサユニットとの間の位置関係に基づき、脚位置調整処置中の前記患者の大腿骨の向きを追跡し、
(k)前記脚位置調整処置中の前記患者の大腿骨の向きを示す実時間表示を提供する、
ことを行う、請求項28に記載のコンピュータ可読記憶媒体。
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EP2651344A1 (en) | 2013-10-23 |
US20230200997A1 (en) | 2023-06-29 |
US11229520B2 (en) | 2022-01-25 |
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US20120157887A1 (en) | 2012-06-21 |
US20220175537A1 (en) | 2022-06-09 |
CN103402450A (zh) | 2013-11-20 |
US20130190887A1 (en) | 2013-07-25 |
KR20130129246A (ko) | 2013-11-27 |
US20150313684A1 (en) | 2015-11-05 |
AU2016216525A1 (en) | 2016-09-15 |
US9138319B2 (en) | 2015-09-22 |
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CA2821670A1 (en) | 2012-06-21 |
WO2012080840A1 (en) | 2012-06-21 |
AU2011342900A1 (en) | 2013-07-18 |
US10117748B2 (en) | 2018-11-06 |
US11865008B2 (en) | 2024-01-09 |
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