JP7839096B2 - 肢アライメントのためのシステムおよび方法 - Google Patents

肢アライメントのためのシステムおよび方法

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Publication number
JP7839096B2
JP7839096B2 JP2022556211A JP2022556211A JP7839096B2 JP 7839096 B2 JP7839096 B2 JP 7839096B2 JP 2022556211 A JP2022556211 A JP 2022556211A JP 2022556211 A JP2022556211 A JP 2022556211A JP 7839096 B2 JP7839096 B2 JP 7839096B2
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Japan
Prior art keywords
orientation device
femoral
femur
mechanical axis
tibial
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Legal status (The legal status 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 status listed.)
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JP2022556211A
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English (en)
Japanese (ja)
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JP2023518266A5 (https=
JP2023518266A (ja
Inventor
ジェームズ・ガンノエ
スティーヴン・デビンセンティス
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オースアライン・インコーポレイテッド
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Publication of JP2023518266A publication Critical patent/JP2023518266A/ja
Publication of JP2023518266A5 publication Critical patent/JP2023518266A5/ja
Priority to JP2025211440A priority Critical patent/JP2026034476A/ja
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Publication of JP7839096B2 publication Critical patent/JP7839096B2/ja
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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
    • A61F2/46Special tools for implanting artificial joints
    • A61F2/4603Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/461Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof of knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1764Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/14Surgical saws
    • A61B17/15Guides therefor
    • A61B17/154Guides therefor for preparing bone for knee prosthesis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/14Surgical saws
    • 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
    • A61B17/14Surgical saws
    • 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
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1071Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring angles, e.g. using goniometers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4528Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6878Bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • A61B2017/565Methods for bone or joint treatment for surgical correction of axial deviation, e.g. hallux valgus or genu valgus
    • 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
    • A61B2034/2048Tracking techniques using an accelerometer or inertia sensor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0223Operational features of calibration, e.g. protocols for calibrating sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • 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 for implanting artificial joints
    • A61F2002/4632Special tools for implanting artificial joints using computer-controlled surgery, e.g. robotic surgery
    • 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 for implanting artificial joints
    • A61F2002/4632Special tools for implanting artificial joints using computer-controlled surgery, e.g. robotic surgery
    • A61F2002/4633Special tools for implanting artificial joints 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
    • 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 for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4658Measuring instruments used for implanting artificial joints for measuring dimensions, e.g. length
    • 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 for implanting artificial joints
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4668Measuring instruments used for implanting artificial joints for measuring angles

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Dentistry (AREA)
  • Transplantation (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Chain Conveyers (AREA)
  • Surgical Instruments (AREA)
JP2022556211A 2020-03-20 2021-03-18 肢アライメントのためのシステムおよび方法 Active JP7839096B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025211440A JP2026034476A (ja) 2020-03-20 2025-12-01 肢アライメントのためのシステムおよび方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202062992537P 2020-03-20 2020-03-20
US62/992,537 2020-03-20
PCT/US2021/022973 WO2021188798A1 (en) 2020-03-20 2021-03-18 Systems and methods for limb alignment

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025211440A Division JP2026034476A (ja) 2020-03-20 2025-12-01 肢アライメントのためのシステムおよび方法

Publications (3)

Publication Number Publication Date
JP2023518266A JP2023518266A (ja) 2023-04-28
JP2023518266A5 JP2023518266A5 (https=) 2024-03-29
JP7839096B2 true JP7839096B2 (ja) 2026-04-01

Family

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JP2022556211A Active JP7839096B2 (ja) 2020-03-20 2021-03-18 肢アライメントのためのシステムおよび方法
JP2025211440A Pending JP2026034476A (ja) 2020-03-20 2025-12-01 肢アライメントのためのシステムおよび方法

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Country Status (4)

Country Link
US (1) US20230059247A1 (https=)
JP (2) JP7839096B2 (https=)
AU (1) AU2021238350A1 (https=)
WO (1) WO2021188798A1 (https=)

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* Cited by examiner, † Cited by third party
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US7559931B2 (en) 2003-06-09 2009-07-14 OrthAlign, Inc. Surgical orientation system and method
CA2731436C (en) 2008-07-24 2019-09-24 OrthAlign, Inc. Systems and methods for joint replacement
ES2750264T3 (es) 2008-09-10 2020-03-25 Orthalign Inc Sistemas de cirugía de la cadera
US10869771B2 (en) 2009-07-24 2020-12-22 OrthAlign, Inc. Systems and methods for joint replacement
US9649160B2 (en) 2012-08-14 2017-05-16 OrthAlign, Inc. Hip replacement navigation system and method
US10363149B2 (en) 2015-02-20 2019-07-30 OrthAlign, Inc. Hip replacement navigation system and method
WO2018169980A1 (en) 2017-03-14 2018-09-20 OrthAlign, Inc. Soft tissue measurement & balancing systems and methods
EP4391910B1 (en) * 2021-08-23 2026-05-06 Howmedica Osteonics Corp. Systems for determining tibia coronal alignment
CN114053003B (zh) * 2021-11-16 2023-06-27 陕西麟德惯性电气有限公司 一种e-TKA置换系统
CN116421368A (zh) * 2021-12-31 2023-07-14 北京天智航医疗科技股份有限公司 全膝关节置换术下肢力线角度的计算方法
WO2024015820A2 (en) * 2022-07-11 2024-01-18 Depuy Ireland Unlimited Company Sensorized knee arthroplasty utilizing an intraoperative sensor system

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US20150342516A1 (en) 2014-06-02 2015-12-03 Orthosoft Inc. Device and method for hip-knee-ankle angle verification and femoral mechanical axis digitization
JP2018512928A (ja) 2015-03-24 2018-05-24 エクスパンドーソ,インコーポレイテッド 関節形成術用バランシング装置および使用法
WO2018169980A1 (en) 2017-03-14 2018-09-20 OrthAlign, Inc. Soft tissue measurement & balancing systems and methods
US20190328549A1 (en) 2009-07-24 2019-10-31 OrthAlign, Inc. Systems and methods for joint replacement

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080108912A1 (en) * 2006-11-07 2008-05-08 General Electric Company System and method for measurement of clinical parameters of the knee for use during knee replacement surgery
CN108495591A (zh) * 2015-12-03 2018-09-04 桑吉夫·阿加瓦尔 对准装置
CN109846528B (zh) * 2019-03-01 2021-04-02 山东新华联合骨科器材股份有限公司 基于惯性导航的关节置换手术辅助定位方法及系统

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20190328549A1 (en) 2009-07-24 2019-10-31 OrthAlign, Inc. Systems and methods for joint replacement
US20150342516A1 (en) 2014-06-02 2015-12-03 Orthosoft Inc. Device and method for hip-knee-ankle angle verification and femoral mechanical axis digitization
JP2018512928A (ja) 2015-03-24 2018-05-24 エクスパンドーソ,インコーポレイテッド 関節形成術用バランシング装置および使用法
WO2018169980A1 (en) 2017-03-14 2018-09-20 OrthAlign, Inc. Soft tissue measurement & balancing systems and methods

Also Published As

Publication number Publication date
US20230059247A1 (en) 2023-02-23
WO2021188798A1 (en) 2021-09-23
AU2021238350A1 (en) 2022-09-29
JP2023518266A (ja) 2023-04-28
JP2026034476A (ja) 2026-02-27

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