TR201901956A2 - A SYSTEM THAT PROVIDES PERSONALIZED JOINT AND BONE STRUCTURE - Google Patents

Abstract

The present invention determines the amount and shape of the disorder to be corrected after comparing the right and left extremities by performing punctuation and / or line drawing operations on the right and left radiographic extremity images taken from the individual for custom joint and bone structuring, and then creating the cutting navigation according to the determined amount and shape of the disorder. It relates to a system (1) that determines prosthesis dimensions.

Description

DESCRIPTION PROVIDING PERSONALIZED JOINT AND BONE CONSTRUCTION A SYSTEM Technical Area This invention is the right and left hand taken from the person for custom joint and bone restructuring. punctuation and/or line drawing operations on radiographic extremity images will be corrected after comparing the right and left extremities by performing according to the amount and form of the disorder determined, which determines the amount and form of the disorder. a system that creates the cutting navigation and then determines the prosthesis dimensions It is related to. Prior Art Joints that move our limbs in the direction we direct them, folk They are bodily parts known as movable or articulated joints. Joints general As a force between two bones, we can force our limbs to the extent we want. It allows us to walk, run, sit and stand up by being moved. it provides. Joints are connected to each other or muscle called capsule associated with its formations. With the help of the liquid between the muscle formations in question. Movement on cartilage surfaces is allowed. But for reasons that will occur in the joints and disrupt the functioning of the joints. an intracorporeal prosthesis that restores the functioning of damaged and/or diseased joints. parts are used. Application of prostheses to joints and/or bones, It is important for the extremities to continue their movements. This Therefore, today, before the operation to be performed, the joint to be treated and/or cutting where measurements are made on the bone, if cutting is to be performed What kind of prosthesis and how and which guides are the main procedure and where to do it. There is a need for solutions that will help doctors that it should be applied with is heard. In the patent application numbered 2016/20016, which is included in the previous art, the artificial knee a planning device used before surgery for joint placement and A surgical support device is mentioned. In this invention, a two dimensions of the leg, including the knee joint, by the computer including the knee joint from the entered image and entering the tomographic images image display showing three-dimensional images of the femur and tibia, such as steps; three-dimensional images of each knee joint of the femur and tibia artificial joint identification steps that determine the artificial joint to be replaced; and The artificial joint and knee identified in the steps to identify the femoral side artificial joint an intramedullary alignment bar to be placed on the femur based on the joint reference points various parameters used in an artificial joint replacement surgery using parameter determination steps are performed.

Brief Description of the Invention The purpose of this invention is to use X-ray, MR (magnetic resonance) or CT (computed tomography-computed tomography) and images of the right and left extremities where it is navigated by punctuation and/or dash, then right and the amount of disorder to be corrected by comparing the left extremity images and the shape of the disorder is determined automatically, the doctor's amount and amount of the disorder to be corrected cutting depending on the amount and shape of the final defect, which can interfere with the shape doctor's cut-off, where the navigation is automatically shared with the user. can interfere with the navigation, then the cut will be applied to the part applied a system in which the optimum shape and size of the prosthesis is determined is to perform.

The other purpose of the invention is to provide the user with a private web interface through a web interface. logs in with a defined unique key code and enters patient information, able to load the extremity images of the patients and on the uploaded images. to realize a system where punctuation and/or line operations can be done.

Another aim of the invention is to upload right and left extremity images together. images by making numerical and observational comparisons on the images. The difference/differences called the disorder to be corrected and two suggest a suitable form of correction by measuring the amount of distortion between images. calculating the incisions that need to be made at the ends of the bones that form the joint Another object of the invention is the recommended amount and type of disorder to be corrected by the doctor. changes can be made or the doctor can correct the amount and type of the disorder. is to implement a system that he decides on himself.

Another object of the invention is the automatically determined, doctor-corrected or The most accurate cut according to the amount to be corrected and the shape entered by the doctor. path is determined, the cutting path can be changed surgically, or the surgical on the uploaded images, where it can determine the cutting path by marking its locations. the user, who can be a surgeon or doctor in two dimensions and / or three dimensions. to realize a system that can work.

Another object of the invention is automatically or user-specified or made by the user in the amount and manner to be corrected automatically determined Prosthesis suitable for the corrected amount and shape created by the changes parts are determined, the manufacturing dimensions for the prosthesis are determined and it is given to the user. The brand, model, to implement a system in which size information is presented to the user.

Another object of the invention is to simulate a defined and user-approved segment. The prosthesis, which is determined in the same way and approved by the user, is attached to the bone. attachment and joint movements are simulated on the images, preferably a system in which two-dimensional and/or three-dimensional simulations are made is to perform.

Another aim of the invention is to determine the selected prosthesis and the joint and bone to which the prosthesis is applied. testing, an analysis of prosthetic friction surfaces and joint tension. system realization.

Another object of the invention is to determine the amount and shape of the disorder to be corrected. cutting guide in dimensions and material in accordance with the measurements in the cutting navigation a company that makes the suggestion and/or presents the material, size or shape and production information. system realization.

Another aim of the invention is to determine the bone and/or joint to be analyzed and processed. pre-cut or post-cut three-dimensional production in three-dimensional printers. A system that creates the output information necessary for its realization is to perform.

Another aim of the invention is to use prosthetic and cutting guide in three-dimensional printers. A tool that creates the output information necessary for the realization of dimensional production. system realization.

Detailed Description of the Invention In order to reach the aim of this invention, the “Used in the treatment of deformity a system” is shown as an appendix and these figures are; Figure 1 - The schematic of a system used in the treatment of deformity, which is the subject of the invention. is the view.

The parts shown in the figure are numbered one by one and the corresponding numbers are given below. 1. System 2. Input interface 3. database 4. Analysis module . Cut navigation module 6. Prosthetic module Personalized joint and bone structuring before the cutting operation a system that provides (1), - the patient's information, which the user logs in with his own information, and the joint and/or bone to be operated on, together with the other extremity X-ray, CT or MR images of the extremity are entered. a minimal input interface (2), - The information of users and patients in communication with the login interface (2) is kept, where the images entered via the input interface (2) are stored, joint and/or possible defect information to be corrected in the bones and the information in question. of the existing prostheses, in which the relevant correction forms are kept. At least one database with application locations, shapes and size information -in the database (3) in line with the patient information entered through the input interface (2) comparison of the images of the right/left extremities involved, the amount of impairment of one extremity compared to the other extremity after with the defect, which is automatically determined and kept in the database (3) the associated correction is suggested to the user and/or the user's right and the amount of distortion to be corrected by making markings on the left images, and the shape of the self-calculated and/or automatically suggested correction at least one defect on which the user can modify the amount and form of the defect. analysis module (4), -communicating with the analysis module (4), determined in the analysis module (4) to be corrected Depending on the amount and form of the defect, the cut places in the joint and/or bone automatically created and/or the user's own cuts It can mark the joint and/or bone information formed as a result of the cutting process. at least one segment navigation module (5) that shares with the user, and -Prosthesis parts suitable for the joint and/or bone surface to be formed after cutting and/or to the joint and/or bone surface after cutting At least one prosthesis that shares the appropriate prosthesis with the user from the database (2) module (6).

In the system (l) which is the subject of the invention, the input interface (2) provides a web connection of the users. they log in with a unique key code assigned to them via and analysis of right and left extremity images taken by MR, CT or X-ray is the unit to which it is loaded. by the user via the input interface (2). The uploaded images are stored in the database (2) along with patient and user information. is stored.

In addition to the database (3) user and patient information, the login interface (2) The joint to be determined by the analysis module (4) together with the images loaded via and/or the possible defect information that is requested to be corrected in the bones and the said joint and/or bones, where correction forms are kept and in the market suitable for the surface where the post-cutting is to be performed. The location of the application places, shapes and measurement information of the existing prostheses. is its unit.

In the inventive system, the analysis module (4), X-ray, MR or CT obtained with the right and left extremity images, magnetosson operations and Paley's method. punctuation and/or line drawing on images using performed and compared the images of the right and left extremities. is the unit. Comparison of analysis module (4) with right and left extremities the amount and type of defect to be corrected afterwards (its shape (mechanical/anatomical) axes and joint orientation angles) automatically determines or the user to make changes on the results that it automatically determines by communicating the amount of defect to be corrected by the user who is waiting or can be a doctor, surgeon, and is the unit whose shape it determines.

Analysis module (4) right and left extremity images in preferred application on the images by making numerical and observational comparisons on calls the difference(s) the disorder to be corrected and the two images are by measuring the amount of distortion between calculates the incisions that need to be made at the ends of the bones forming the joint.

The section navigation module (5) communicates with the analysis module (4) and the cutting process according to the amount and shape to be corrected determined in the module (4). It shows the cut places on the image that make up the way it will be performed.

The cutting navigation module (5) allows the user to navigate on the designated cutting points. the user of the cut places that it changes or that are automatically determined. It is the unit it is recreated by. Cut navigation module (5) preferred which may be radiographic and also two-dimensional and/or three-dimensional in the intended application. It provides an interface for the user to work on the images.

The angle determined at the ends of the bones forming the cutting navigation module (5) joint, shape, distance and dimensions or angle, shape, which can be determined by the user, It determines the cut places at the bone ends in distance and dimensions. Cut The naivgation module (5) can also be attached to any of the bone ends. cutting angle, shape, determines the distance and size. Cut navigation module (5), tibial cut Keeping the cuts at one of 11°” to allow the cutting process to take place. determines.

In the preferred embodiment of the invention, the section navigation module (5), the analysis module The section determined by (4) according to the amount and shape of the defect to be corrected with the user with the help of displays the simulation of the cut is sharing.

In the inventive system (1), the cutting navigation module (5) recommending the most suitable cutting guide for the cutting operation to be performed. and/or the material, size, shape information of the appropriate cutting guide. It shares the production data with the user. In this way, it will be The most suitable cutting guide manufacturing recipe for cutting is obtained. Cut the navigation module (5) also allows the cutting guide to be attached to the bone in surgery. information on how to fix it and how to use the guide with the user. is sharing. In this way, the user knows how and what the cutting guide is before the operation. It provides information on where to use it. Also cut navigation module The most suitable for the prosthesis specified with (5), preferably custom made provides the production of cutting guides.

In the preferred application of the invention, the prosthetic module (6) is the primary prosthetic parts, It is the unit determined by revision prosthesis parts and tumor prosthesis parts. Prosthesis section (6) at the cut points determined in the analysis module (4). Depending on the cutting pattern created with the module (5), it will be applied to the cutting surface. that the manufacturing dimensions of the prosthesis are determined and shared with the user, Among the standard prostheses predefined on the base (3) It is the unit where size selection is performed and reported.

In the inventive system (1), the prosthesis module (6) is placed on the joint and/or bone. creates a simulation for testing the applied prosthesis. Prosthetic module (6) the friction surface of the prosthesis and the tension analysis of the joints. is performing. The prosthetic module (6) is made on the joint and/or bone. It measures joint range of motion after simulative prosthesis application. Prosthesis module (6) anatomical alignment is again on the implantation simulation. measure by analysis.

The prosthetic module (6) can also be used to process the joint and/or bone analyzed before cutting. Joint and/or bone to be formed before or after cutting with the cutting guide 3D printers for the production of the model and prosthesis in 3D printers. generates the data to run. In this way, user operation is easy. 3D joint and/or bone and/or prosthesis models before test and exercise use with pre-operative cutting guide and prosthesis is provided.

In the preferred embodiment of the invention, the prosthetic module (6) is also used during operation. how the prosthesis will be placed in the bone and the helper to be used with the prosthesis It shares the elements and shapes with the user.

The system (1) which is the subject of the invention also displays the specified prosthesis and cutting guide information. It includes an interface that shares with servers. In this way, the user can use a single button. by directly sharing the personnel they need with manufacturers or product providers. provides its supply. The interface in question only includes the prosthesis and cutting guide. not, before and after cutting joint and / or bone models, three-dimensional prosthesis can share models and other tools with external servers.

The subject of the invention is a system that provides personalized joint and bone restructuring. (1) It is possible to develop a wide variety of applications, the invention being described herein. not limited to examples, essentially as specified in the claims.

Claims (19)

REQUESTS l. A system that provides personalized joint and bone structuring before the cutting operation (1), - X-ray, CT or MR of the other extremity, together with the extremity in which the user enters with his own information, the patient's information and the joint and/or bone to be operated on At least one input interface (2) where the images taken with the input interface (2), - the information about the users and the patients are kept in communication with the input interface (2), the images entered via the input interface (2) are stored, correction in the joints and/or bones at least one database containing the desired possible defect information and the correction forms related to the said information, as well as the application sites, shapes and measurement information of the existing prostheses, in the database (3 ) the images of the right/left extremities were compared with each other, and after comparison, the images of one extremity with the other the amount of impairment according to the extremity is automatically determined by the amount and the correction form associated with the disorder kept in the database (3) is suggested to the user and/or the user can calculate the amount and shape of the disorder to be corrected by making markings on the right and left images, and/or the amount of the disorder to be corrected automatically recommended and at least one analysis module (4), the shape of which the user can change, -in which cuts in the joint and/or bone are automatically created depending on the amount and shape of the defect to be corrected, which is in communication with the analysis module (4), determined in the analysis module (4), and/ or at least one cutting navigation module (5) where the user can mark the cutting areas himself and shares the joint and/or bone information formed as a result of the cutting process with the user, and - by determining the prosthesis parts and dimensions suitable for the joint and/or bone surface to be formed after the cutting and/or cutting joint and/or a system (1) characterized by at least one prosthesis module (6), which selects the prosthesis suitable for the mic surface from the database (2) and shares it with the user. 2. The Request, characterized by the login interface (2), where users log in with a unique key code assigned to them via a web connection and right and left extremity images taken by MR, CT or X-ray are loaded for analysis. A system as in 1 (1). 3. In addition to the information about the user and the patients, the images uploaded via the input interface (2), the possible defect information to be corrected in the joints and/or bones to be determined by the analysis module (4) and the correction forms related to the said information are kept and the joint and/or A system (1) as in Claim 1 or ?, characterized by a database (3) that contains application locations, shapes and measurement information of prostheses available in the market, suitable for the surface on which the post-cutting of the bones will be performed. 4. Analysis module that performs magnetosson operations on the right and left extremity images obtained by X-ray, MR or CT and performs the punctuation and/or line drawing process on the images using the Paley method and compares the images of the right and left extremities (4) A system (1) as in any one of the above claims, characterized by. 5. Analysis module that automatically determines the amount and shape of the defect to be corrected after the comparison with the right and left extremities, or waits for the user to make changes on the results determined automatically by contacting the user, or in which the user, who can be a doctor or surgeon, determines the amount and shape of the defect to be corrected (4) any of the above claims characterized by 6. Characterized by the analysis module (4), which calculates the cuts to be made at the ends of the bones forming the joint by making numerical and observational comparisons on the right and left extremity images, which is called the difference/disorder to correct the differences on the images, and by measuring the amount of disorder between the two images and recommending an appropriate correction method. A system (1) as in any one of the above claims (1). 7. A system as in any one of the above claims, characterized by the section navigation module (5) that is in communication with the analysis module (4) and displays the cutting areas on the image that form the path where the cutting process will be performed according to the amount to be corrected and the shape determined in the analysis module (4). ). 8. A system (1) as in any of the above claims, characterized by the section navigation module (5), in which the user makes changes on the determined cut places or where the determined cut places are recreated by the user automatically. A system (1) as in any one of the above claims, characterized by a section navigation module (5) that provides an interface for the user to work on radiographic as well as two-dimensional and/or three-dimensional images. 10. A system (1) as in any of the above claims, characterized by the navigation module (5) shared with the user, with the help of displaying the simulation of the cut from the cut points determined according to the amount and shape of the defect to be corrected determined by the analysis module (4). 11. A system as in any of the above claims, characterized by the cutting navigation module (5), which recommends the most suitable cutting guide for the cutting process to be carried out from the cutting points and/or shares the production data containing the material, size and shape information of the appropriate cutting guide with the user. 12. As in any of the above claims, characterized by the cutting navigation module (5) that shares the information on how the determined cutting guide will be fixed to the bone in surgery and how the guide will be used with the user. 13. The prosthesis in which the manufacturing dimensions of the prosthesis to be applied to the cut surface are determined and shared with the user, depending on the cut model created with the cut navigation module (S) in the cut places determined in the analysis module, and the brand, model, size selection is made and reported among the standard prostheses predefined in the database (3). A system (1) as in any one of the above claims, characterized by its module (6). 14. Any of the above claims, characterized by the prosthesis module (6) that creates simulation for testing the prosthesis applied on the joint and/or bone. 15. A system (1) as in any one of the above claims, characterized by the friction surface of the specified prosthesis and the prosthesis module (6) that performs the tension analysis of the joints. 16. A system (1) as in any one of the above claims, characterized by a prosthesis module (6) that measures the range of motion of the joint after simulative prosthesis application on the joint and/or bone. 17. A system (1) as in any one of the above claims, characterized by a prosthetic module (6) that measures the anatomical alignment by performing deformity analysis on implantation simulation. 18. Characterized by the prosthesis module (6), which produces the data to work in three-dimensional printers for the production of the joint and/or bone model and prosthesis to be formed before the operation or after the cutting process with the cutting guide and cutting process of the joint and/or bone analyzed before cutting. A system (1) as in any one of the preceding claims. 19. A system as in any of the above claims, characterized by the prosthesis module (6) that shares how the prosthesis will be placed on the bone during the operation and the auxiliary elements and shapes to be used with the prosthesis.