MX2018004479A - Patient-matched apparatus and methods for performing surgical procedures. - Google Patents

Patient-matched apparatus and methods for performing surgical procedures.

Info

Publication number
MX2018004479A
MX2018004479A MX2018004479A MX2018004479A MX2018004479A MX 2018004479 A MX2018004479 A MX 2018004479A MX 2018004479 A MX2018004479 A MX 2018004479A MX 2018004479 A MX2018004479 A MX 2018004479A MX 2018004479 A MX2018004479 A MX 2018004479A
Authority
MX
Mexico
Prior art keywords
patient
data
matched
surgical procedures
methods
Prior art date
Application number
MX2018004479A
Other languages
Spanish (es)
Inventor
Frey George
LAI Geoff
Starkman Sean
Ginzburg Paul
Voelkel Caleb
Cooke Kana Gregory
Original Assignee
Mighty Oak Medical 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
Priority claimed from US14/883,299 external-priority patent/US9642633B2/en
Application filed by Mighty Oak Medical Inc filed Critical Mighty Oak Medical Inc
Priority claimed from PCT/US2016/056970 external-priority patent/WO2017066518A1/en
Publication of MX2018004479A publication Critical patent/MX2018004479A/en

Links

Classifications

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    • 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
    • A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
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    • 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
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    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
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    • 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
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4405—Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
    • 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
    • A61F2/3094—Designing or manufacturing processes
    • A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30948—Designing 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
    • 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
    • A61F2/3094—Designing or manufacturing processes
    • A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
    • A61F2002/30952—Designing 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 CAD-CAM techniques or NC-techniques
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4687—Mechanical guides for implantation instruments
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00035—Other metals or alloys
    • A61F2310/00047—Aluminium or Al-based alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00035—Other metals or alloys
    • A61F2310/00059—Chromium or Cr-based alloys

Abstract

A system and method for developing customized apparatus for use in one or more surgical procedures is disclosed. The system and method incorporates a patient's unique anatomical features or morphology, which may be derived from capturing MRI data or CT data, to fabricate at least one custom apparatus. According to a preferred embodiment, the customized apparatus comprises a plurality of complementary surfaces based on a plurality of data points from the MRI or CT data. Thus, each apparatus may be matched in duplicate and oriented around the patient's own anatomy, and may further provide any desired axial alignments or insertional trajectories. In an alternate embodiment, the apparatus may further be aligned and/or matched with at least one other apparatus used during the surgical procedure.
MX2018004479A 2015-10-14 2016-10-14 Patient-matched apparatus and methods for performing surgical procedures. MX2018004479A (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US14/883,299 US9642633B2 (en) 2010-06-29 2015-10-14 Patient-matched apparatus and methods for performing surgical procedures
US201662287134P 2016-01-26 2016-01-26
US201662362440P 2016-07-14 2016-07-14
US201662373855P 2016-08-11 2016-08-11
PCT/US2016/056970 WO2017066518A1 (en) 2010-06-29 2016-10-14 Patient-matched apparatus and methods for performing surgical procedures

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MX2018004479A true MX2018004479A (en) 2019-07-10

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JP (1) JP2018532498A (en)
KR (1) KR102638410B1 (en)
CN (1) CN108366791A (en)
AU (1) AU2016338436B2 (en)
BR (1) BR112018007443A2 (en)
CA (1) CA3001898C (en)
MX (1) MX2018004479A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2836879A1 (en) * 2019-12-26 2021-06-28 Coretti Stephan Meschian Patient-specific surgical medical instruments for posterior spinal instrumentation and positioning and stabilization system (Machine-translation by Google Translate, not legally binding)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3466350B1 (en) 2017-10-06 2020-07-22 Stryker European Holdings I, LLC Pedicle subtraction osteotomy guide
CN109247986B (en) * 2018-11-21 2020-11-03 南方医科大学珠江医院 Fixing method and device for atlantoaxial dislocation assisting incomplete reduction
DE102019101081B4 (en) * 2019-01-16 2020-08-06 Heraeus Medical Gmbh Femoral hip joint spacer with flushing device
EP3712900A1 (en) * 2019-03-20 2020-09-23 Stryker European Holdings I, LLC Technique for processing patient-specific image data for computer-assisted surgical navigation
US20220323085A1 (en) * 2019-09-12 2022-10-13 Cartiva, Inc. Bone cutting guides
US11759280B2 (en) * 2020-02-06 2023-09-19 Aesculap Ag Surgical instrumentation for fixation of cervical spine
CN112185226B (en) * 2020-08-24 2022-08-26 自贡市第四人民医院(自贡市急救中心) Manufacturing method of simulated lumbar model for training low-age-capital orthopedists to find optimal screw feeding point of lumbar pedicle screw
IT202000020794A1 (en) 2020-09-01 2022-03-01 Medacta Int Sa CUTTING GUIDE FOR SPINAL OSTEOTOMY
JP2022145125A (en) * 2021-03-19 2022-10-03 本田技研工業株式会社 Power system interlock structure
CN113349878B (en) * 2021-04-30 2023-04-28 四川大学华西医院 Operation guide plate for anterior cervical vertebral body osteotomy and design method thereof
CN113876429B (en) * 2021-06-23 2023-01-20 上海极睿医疗科技有限公司 Path planning system of spine surgery robot and robot system
CN114082983A (en) * 2021-11-08 2022-02-25 李鹏 Preparation method of 3D printing spine porous fixing nail rod
FR3136950A1 (en) * 2022-06-27 2023-12-29 Novastep Surgical instrumentation set for bone resection
TWI795335B (en) * 2022-08-23 2023-03-01 長庚醫療財團法人林口長庚紀念醫院 Methods for Designing Surgical Instruments

Family Cites Families (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6063088A (en) * 1997-03-24 2000-05-16 United States Surgical Corporation Method and instrumentation for implant insertion
US6761723B2 (en) * 2002-01-14 2004-07-13 Dynamic Spine, Inc. Apparatus and method for performing spinal surgery
US7955355B2 (en) * 2003-09-24 2011-06-07 Stryker Spine Methods and devices for improving percutaneous access in minimally invasive surgeries
WO2006069260A1 (en) * 2004-12-21 2006-06-29 Smith & Nephew, Inc. Distal femoral trial with removable cutting guide
EP1981409B1 (en) * 2006-02-06 2017-01-11 ConforMIS, Inc. Patient selectable joint arthroplasty devices and surgical tools
US9173661B2 (en) * 2006-02-27 2015-11-03 Biomet Manufacturing, Llc Patient specific alignment guide with cutting surface and laser indicator
WO2008131084A2 (en) * 2007-04-17 2008-10-30 K2M, Inc. Minimally open interbody access retraction device and surgical method
ES2802126T3 (en) * 2007-09-30 2021-01-15 Depuy Products Inc Patient Specific Custom Orthopedic Surgical Instrument
CN104382630B (en) * 2008-03-03 2017-04-12 史密夫和内修有限公司 Low profile patient specific cutting blocks for a knee joint
US9375221B2 (en) * 2008-12-29 2016-06-28 Depuy (Ireland) Orthopaedic cutting block having a chemically etched metal insert
US9017334B2 (en) * 2009-02-24 2015-04-28 Microport Orthopedics Holdings Inc. Patient specific surgical guide locator and mount
JP5762397B2 (en) * 2009-04-01 2015-08-12 セラムテック ゲゼルシャフト ミット ベシュレンクテル ハフツングＣｅｒａｍＴｅｃ ＧｍｂＨ Ceramic cutting template
WO2010150223A1 (en) * 2009-06-24 2010-12-29 John Robert Honiball A positioning guide and a bone cutting guide system
US8419739B2 (en) * 2009-08-24 2013-04-16 Amir A. Jamali Method and apparatus for allograft disc transplantation
CA2778040A1 (en) * 2009-10-23 2011-04-28 Synvasive Technology, Inc. Knee balancing for revision procedures
GB2489884A (en) * 2009-11-04 2012-10-10 Conformis Patient-adapted and improved orthopedic implants, designs and related tools
EP2538853A4 (en) * 2010-02-25 2016-07-27 Depuy Products Inc Customized patient-specific bone cutting blocks
EP2588009B1 (en) * 2010-06-29 2018-12-26 George Frey Patient matching surgical guide
US8870889B2 (en) * 2010-06-29 2014-10-28 George Frey Patient matching surgical guide and method for using the same
EP2627266B1 (en) * 2010-10-14 2019-12-11 Smith&Nephew, Inc. Patient-matched instrumentation
US9017412B2 (en) * 2011-04-29 2015-04-28 Life Spine, Inc. Spinal interbody implant with bone screw retention
EP4344657A2 (en) * 2011-06-16 2024-04-03 Zimmer, Inc. Femoral component for a knee prosthesis with improved articular characteristics
EP2561814A1 (en) * 2011-08-25 2013-02-27 Deru GmbH Cutting guide for creating an external contour for an articulated endoprosthetic
JP6258299B2 (en) * 2012-05-03 2018-01-10 シンセス・ゲーエムベーハーＳｙｎｔｈｅｓ ＧｍｂＨ Surgical guide with cut resistant insert
WO2013173926A1 (en) * 2012-05-24 2013-11-28 Zimmer, Inc. Patient-specific instrumentation and method for articular joint repair
US10022130B2 (en) * 2013-03-05 2018-07-17 Depuy Ireland Unlimited Company Polymer 4-in-1 femoral cutting block
CN104095664B (en) * 2013-04-12 2016-12-28 德普伊（爱尔兰）公司 Distal femur clamp assembly and the distal femur cutting device with this assembly
AU2014274748B2 (en) * 2013-06-07 2018-03-01 George Frey Patient-matched apparatus and methods for performing surgical procedures
US9168062B2 (en) * 2013-06-21 2015-10-27 Warsaw Orthopedic, Inc. Spinal implant system and method
US10905437B2 (en) * 2014-03-13 2021-02-02 The Curators Of The University Of Missouri Device and method for allografting
CN204106133U (en) * 2014-10-08 2015-01-21 联合骨科器材股份有限公司 Distal femoral resection is advised

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2836879A1 (en) * 2019-12-26 2021-06-28 Coretti Stephan Meschian Patient-specific surgical medical instruments for posterior spinal instrumentation and positioning and stabilization system (Machine-translation by Google Translate, not legally binding)

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EP3361959A4 (en) 2019-06-19
CA3001898C (en) 2021-05-18
KR102638410B1 (en) 2024-02-19
CA3001898A1 (en) 2017-04-20
CN108366791A (en) 2018-08-03
AU2016338436A2 (en) 2018-05-24
JP2018532498A (en) 2018-11-08
EP3361959A1 (en) 2018-08-22
AU2016338436A1 (en) 2018-05-10
KR20180077182A (en) 2018-07-06
AU2016338436B2 (en) 2021-09-30

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