WO2004017842A3 - Surgical universal positioning block and tool guide - Google Patents

Surgical universal positioning block and tool guide Download PDF

Info

Publication number
WO2004017842A3
WO2004017842A3 PCT/CA2003/001307 CA0301307W WO2004017842A3 WO 2004017842 A3 WO2004017842 A3 WO 2004017842A3 CA 0301307 W CA0301307 W CA 0301307W WO 2004017842 A3 WO2004017842 A3 WO 2004017842A3
Authority
WO
WIPO (PCT)
Prior art keywords
mounting member
relative
positioning block
element
fastener receiving
Prior art date
Application number
PCT/CA2003/001307
Other languages
French (fr)
Other versions
WO2004017842A2 (en
Inventor
Pierre Couture
Benoit Pelletier
Alain Richard
Jean-Guillaume Abiven
Patrick Garceau
Original Assignee
Orthosoft Inc
Pierre Couture
Benoit Pelletier
Alain Richard
Jean-Guillaume Abiven
Patrick Garceau
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 to US40532602P priority Critical
Priority to US40535302P priority
Priority to US60/405,326 priority
Priority to US60/405,353 priority
Priority to US10/357,493 priority patent/US20040039396A1/en
Priority to US10/357,493 priority
Application filed by Orthosoft Inc, Pierre Couture, Benoit Pelletier, Alain Richard, Jean-Guillaume Abiven, Patrick Garceau filed Critical Orthosoft Inc
Publication of WO2004017842A2 publication Critical patent/WO2004017842A2/en
Publication of WO2004017842A3 publication Critical patent/WO2004017842A3/en
Priority claimed from US11/062,737 external-priority patent/US7736368B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • 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, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • 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, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00725Calibration or performance testing
    • 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
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916Bone tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983Reference marker arrangements for use with image guided surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations

Abstract

A positioning block (10) for use in total knee replacement surgery, permitting five degrees-of-freedom movement relative to a bone element (39) to which it is fixed. The positioning block (10) comprises a mounting member (14) including a fastener receiving mount element (24) by means of which mounting member (14) is removably engaged to the bone element such that the mounting member (14) is selectively rotatable relative to the bone element, about three substantially perpendicular axes of rotation. Fastener receiving mount element (24) slides within a central guide slot (22) disposed within a mounting member body (20) which also forms part of mounting member (14) A guide body portion (12) is engaged with the mounting member (14) such that it is translatable relative there to along a proximal-distal axis (43) and together with the mounting member-body(20) is translatable relative to the fastener receiving mount element(24) along an anterior-posterior axis (47), while being rotationally fixed relative to the mounting member(14) such that the guide body portion(12) and the mounting member(14) rotate together relative to the bone element(39). Computer means identify and display the position of the positioning block(10).
PCT/CA2003/001307 2002-08-23 2003-08-25 Surgical universal positioning block and tool guide WO2004017842A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
US40532602P true 2002-08-23 2002-08-23
US40535302P true 2002-08-23 2002-08-23
US60/405,326 2002-08-23
US60/405,353 2002-08-23
US10/357,493 2003-02-04
US10/357,493 US20040039396A1 (en) 2002-08-23 2003-02-04 Universal positioning block

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
AU2003258434A AU2003258434B8 (en) 2002-08-23 2003-08-25 Total knee replacement surgery system
JP2005501199A JP4463197B2 (en) 2002-08-23 2003-08-25 Universal positioning block and the tool guide for surgery
EP03792080.8A EP1531743B1 (en) 2002-08-23 2003-08-25 Total knee replacement surgery system
US11/062,737 US7736368B2 (en) 2002-08-23 2005-02-23 Surgical universal positioning block and tool guide
US11/936,854 US7857821B2 (en) 2002-08-23 2007-11-08 Surgical universal positioning block and tool guide
US11/936,861 US7896882B2 (en) 2002-08-23 2007-11-08 Surgical universal positioning block and tool guide
US12/771,396 US8147496B2 (en) 2002-08-23 2010-04-30 Surgical universal positioning block and tool guide

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10/357,493 Continuation US20040039396A1 (en) 2002-08-23 2003-02-04 Universal positioning block

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/062,737 Continuation US7736368B2 (en) 2002-08-23 2005-02-23 Surgical universal positioning block and tool guide

Publications (2)

Publication Number Publication Date
WO2004017842A2 WO2004017842A2 (en) 2004-03-04
WO2004017842A3 true WO2004017842A3 (en) 2004-06-24

Family

ID=31950530

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CA2003/001307 WO2004017842A2 (en) 2002-08-23 2003-08-25 Surgical universal positioning block and tool guide

Country Status (4)

Country Link
EP (1) EP1531743B1 (en)
JP (2) JP4463197B2 (en)
AU (1) AU2003258434B8 (en)
WO (1) WO2004017842A2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8265949B2 (en) 2007-09-27 2012-09-11 Depuy Products, Inc. Customized patient surgical plan
US8357111B2 (en) 2007-09-30 2013-01-22 Depuy Products, Inc. Method and system for designing patient-specific orthopaedic surgical instruments

Families Citing this family (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004017842A2 (en) * 2002-08-23 2004-03-04 Orthosoft Inc. Surgical universal positioning block and tool guide
US7094241B2 (en) 2002-11-27 2006-08-22 Zimmer Technology, Inc. Method and apparatus for achieving correct limb alignment in unicondylar knee arthroplasty
US7029477B2 (en) * 2002-12-20 2006-04-18 Zimmer Technology, Inc. Surgical instrument and positioning method
US20040122305A1 (en) * 2002-12-20 2004-06-24 Grimm James E. Surgical instrument and method of positioning same
US7862570B2 (en) 2003-10-03 2011-01-04 Smith & Nephew, Inc. Surgical positioners
US7764985B2 (en) 2003-10-20 2010-07-27 Smith & Nephew, Inc. Surgical navigation system component fault interfaces and related processes
AT495706T (en) 2003-11-14 2011-02-15 Smith & Nephew Inc An adjustable surgical cutting systems
DE502004009884D1 (en) 2004-02-03 2009-09-24 Brainlab Ag Apparatus for determining the position of a cutting block
EP1734882A1 (en) * 2004-04-15 2006-12-27 Smith and Nephew, Inc. Quick disconnect and repositionable reference frame for computer assisted surgery
EP1737375A1 (en) 2004-04-21 2007-01-03 Smith and Nephew, Inc. Computer-aided methods, systems, and apparatuses for shoulder arthroplasty
JP2008508013A (en) * 2004-07-27 2008-03-21 バイオメット ユーケー リミテッド Bone jig
US8167888B2 (en) 2004-08-06 2012-05-01 Zimmer Technology, Inc. Tibial spacer blocks and femoral cutting guide
GB2420717A (en) * 2004-12-06 2006-06-07 Biomet Uk Ltd Surgical Instrument
WO2006091704A1 (en) 2005-02-22 2006-08-31 Smith & Nephew, Inc. In-line milling system
US7740593B2 (en) 2005-12-09 2010-06-22 Senorx, Inc Guide block for biopsy or surgical devices
US7780671B2 (en) 2006-01-23 2010-08-24 Zimmer Technology, Inc. Bone resection apparatus and method for knee surgery
US8231634B2 (en) 2006-03-17 2012-07-31 Zimmer, Inc. Methods of predetermining the contour of a resected bone surface and assessing the fit of a prosthesis on the bone
GB0610572D0 (en) * 2006-05-27 2006-07-05 Depuy Int Ltd Guide assembly
GB0618153D0 (en) * 2006-09-15 2006-10-25 Bullivant Michael Surgical guide
GB2447702A (en) 2007-03-23 2008-09-24 Univ Leeds Surgical bone cutting template
US9179983B2 (en) 2007-08-14 2015-11-10 Zimmer, Inc. Method of determining a contour of an anatomical structure and selecting an orthopaedic implant to replicate the anatomical structure
US9138239B2 (en) 2007-09-30 2015-09-22 DePuy Synthes Products, Inc. Customized patient-specific tibial cutting blocks
US9786022B2 (en) 2007-09-30 2017-10-10 DePuy Synthes Products, Inc. Customized patient-specific bone cutting blocks
US8979855B2 (en) 2007-09-30 2015-03-17 DePuy Synthes Products, Inc. Customized patient-specific bone cutting blocks
US9173662B2 (en) 2007-09-30 2015-11-03 DePuy Synthes Products, Inc. Customized patient-specific tibial cutting blocks
EP2957244A1 (en) 2007-09-30 2015-12-23 DePuy Products, Inc. Customized patient-specific orthopaedic surgical instrumentation
CA2716550A1 (en) * 2008-03-25 2009-10-01 Orthosoft Inc. Method and system for planning/guiding alterations to a bone
ES2588231T3 (en) * 2009-09-10 2016-10-31 Exactech Inc. Alignment guides for use in computer assisted orthopedic surgery to prepare an element for an implant bone
WO2011106407A1 (en) 2010-02-25 2011-09-01 Depuy Products, Inc. Method of fabricating customized patient-specific bone cutting blocks
US8641721B2 (en) 2011-06-30 2014-02-04 DePuy Synthes Products, LLC Customized patient-specific orthopaedic pin guides
US9801685B2 (en) 2011-12-23 2017-10-31 Orthosoft Inc. Connection method for MEMS navigation unit for computer-assisted surgery
EP3096693A4 (en) * 2014-01-23 2017-10-25 ConforMIS, Inc. Spring-fit surgical guides

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4710075A (en) * 1986-10-01 1987-12-01 Boehringer Mannheim Corporation Adjustable drill gauge
US4952213A (en) * 1989-02-03 1990-08-28 Boehringer Mannheim Corporation Tibial cutting guide
FR2690067A1 (en) * 1992-04-17 1993-10-22 Jbs Sa Adjustable surgical spacing and/or positioning instrument - comprises pair of arms with adjustable spacing levers, connected together by slideway with rapid-action spring-biassed fastening assembly
US5682886A (en) * 1995-12-26 1997-11-04 Musculographics Inc Computer-assisted surgical system
US6139493A (en) * 1998-07-08 2000-10-31 Koros; Tibor B. Retractor with adjustable length blades and light pipe guides
WO2002036031A1 (en) * 2000-11-06 2002-05-10 Perception Raisonnement Action En Medecine System for determining the position of a knee prosthesis
US20020068942A1 (en) * 2000-09-26 2002-06-06 Timo Neubauer Device, system and method for determining the positon of an incision block
US20020095083A1 (en) * 1997-03-11 2002-07-18 Philippe Cinquin Process and device for the preoperative determination of the positioning data of endoprosthetic parts

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004017842A2 (en) * 2002-08-23 2004-03-04 Orthosoft Inc. Surgical universal positioning block and tool guide

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4710075A (en) * 1986-10-01 1987-12-01 Boehringer Mannheim Corporation Adjustable drill gauge
US4952213A (en) * 1989-02-03 1990-08-28 Boehringer Mannheim Corporation Tibial cutting guide
FR2690067A1 (en) * 1992-04-17 1993-10-22 Jbs Sa Adjustable surgical spacing and/or positioning instrument - comprises pair of arms with adjustable spacing levers, connected together by slideway with rapid-action spring-biassed fastening assembly
US5682886A (en) * 1995-12-26 1997-11-04 Musculographics Inc Computer-assisted surgical system
US20020095083A1 (en) * 1997-03-11 2002-07-18 Philippe Cinquin Process and device for the preoperative determination of the positioning data of endoprosthetic parts
US6139493A (en) * 1998-07-08 2000-10-31 Koros; Tibor B. Retractor with adjustable length blades and light pipe guides
US20020068942A1 (en) * 2000-09-26 2002-06-06 Timo Neubauer Device, system and method for determining the positon of an incision block
WO2002036031A1 (en) * 2000-11-06 2002-05-10 Perception Raisonnement Action En Medecine System for determining the position of a knee prosthesis

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8265949B2 (en) 2007-09-27 2012-09-11 Depuy Products, Inc. Customized patient surgical plan
US8357111B2 (en) 2007-09-30 2013-01-22 Depuy Products, Inc. Method and system for designing patient-specific orthopaedic surgical instruments

Also Published As

Publication number Publication date
JP2010110635A (en) 2010-05-20
AU2003258434B8 (en) 2009-03-05
EP1531743B1 (en) 2015-03-11
JP4463197B2 (en) 2010-05-12
AU2003258434A1 (en) 2004-03-11
JP2005536319A (en) 2005-12-02
JP4970527B2 (en) 2012-07-11
WO2004017842A2 (en) 2004-03-04
AU2003258434B2 (en) 2009-02-19
EP1531743A2 (en) 2005-05-25

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