WO2014090908A1 - Outils de guidage chirurgicaux pour chirurgie orthopédique, et leurs systèmes et procédés de fabrication - Google Patents

Outils de guidage chirurgicaux pour chirurgie orthopédique, et leurs systèmes et procédés de fabrication Download PDF

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Publication number
WO2014090908A1
WO2014090908A1 PCT/EP2013/076296 EP2013076296W WO2014090908A1 WO 2014090908 A1 WO2014090908 A1 WO 2014090908A1 EP 2013076296 W EP2013076296 W EP 2013076296W WO 2014090908 A1 WO2014090908 A1 WO 2014090908A1
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WO
WIPO (PCT)
Prior art keywords
vertebra
clamp
surgical
surgical guiding
guiding tool
Prior art date
Application number
PCT/EP2013/076296
Other languages
English (en)
Inventor
Benjamin Geebelen
Original Assignee
Materialise N.V.
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
Application filed by Materialise N.V. filed Critical Materialise N.V.
Publication of WO2014090908A1 publication Critical patent/WO2014090908A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/568—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor produced with shape and dimensions specific for an individual patient

Definitions

  • This application relates to surgical guiding tools for use in guiding a surgical instrument during orthopedic surgery. This application also relates to methods of manufacturing surgical guiding tools and methods of using the tools for placement onto a vertebra.
  • Surgical guiding tools assist surgeons and have wide applications in orthopedic surgery.
  • Surgical guiding tools can allow a surgeon to accurately transfer a pre-operative surgical plan into the operating room.
  • surgical guiding tools can help guide a surgical instrument, such as a cutting or drilling instrument, along a predefined cutting or drilling path.
  • the surgical guiding tool for removable engagement with a vertebra.
  • the surgical guiding tool comprises one or more apertures for guiding a surgical instrument and configured to contact one or more sections of a posterior side of the vertebra; and a clamp assembly coupled to the one or more apertures, the clamp assembly comprising one or more clamps configured to grip the spinous process of the vertebra.
  • the method includes designing the surgical guiding tool to create a surgical guiding tool design, wherein the surgical tool design includes one or more apertures for guiding a surgical instrument and configured to contact one or more sections of a posterior side of the vertebra; and a clamp assembly coupled to the one or more apertures, the clamp assembly comprising one or more clamps configured to grip the spinous process of the vertebra. Furthermore, the method includes manufacturing the surgical guiding tool based on the surgical guiding tool design.
  • FIG. 1 illustrates an example of an axial view of a vertebra.
  • FIG. 2 illustrates an example of a surgical guiding tool configured to attach to a vertebra.
  • FIG. 3 illustrates yet another example of a surgical guiding tool configured to attach to a vertebra.
  • FIG. 4 illustrates an example of a clamp portion of a clamp assembly.
  • FIG. 5 illustrates an aspect of a method of manufacturing a surgical guiding tool.
  • the present application discloses surgical guiding tools that can be patient-specific.
  • the surgical guiding tools provide accurate and stable attachment to a vertebra, which allows stable and accurate introduction of a surgical instrument into the vertebra.
  • This application further describes medical-image-based surgical guiding tools that can be patient- specific. These patient- specific tools can provide the ability to accurately insert a surgical instrument into the patient's bone according to a predefined plan.
  • patient-specific refers to surgical devices, tools, and/or guides that are designed starting from an individual patient's anatomy to provide a custom fit and/or function for the particular individual patient.
  • patient-specific devices, tools, or guides allows for improved or optimized surgical interventions, orthopedic structures, and/or kinematics for the patient. Similar benefits are obtained when such patient-specific devices are used in combination with standard implants, tools, devices, surgical procedures, and/or other methods.
  • pre-operative procedures can be performed to identify various regions of a bone of a specific patient, such as those described below with respect to a vertebra, and to determine, based on the identified regions of the bone, an optimal design for various surgical guiding tool components (e.g., a clamp, body, aperture, etc. of a surgical guiding tool).
  • Pre-operative procedures can also be performed to determine optimal locations for attaching a surgical guiding tool based on the identified regions of the bone.
  • Pre-operative procedures often involve obtaining an image of a patient's bone prior to performing surgery.
  • Digital patient- specific image information can be provided by any suitable means known in the art, such as, for example, a computer tomography (CT) scanner, a magnetic resonance imaging (MRI) scanner, or an ultrasound ultrasound scanner.
  • Pre-operative planning can include the construction of a two- dimensional (2D) image or a three-dimensional (3D) virtual model of a bone, or a part thereof.
  • a 3D virtual model can be created from 2D images, such as X-rays.
  • construction of the 2D image or 3D virtual model can begin with scanning of a patient.
  • the scanning can include using a scanning technique that generates medical volumetric data, such as a CT scan, a MRI scan, or the like.
  • the output of the scan can include a stack of 2D slices forming a 3D data set.
  • the output of the scan can be digitally imported into a computer program and can be converted using algorithms known in the field of image processing technology to produce a 3D computer model of the vertebra.
  • the virtual 3D model can be constructed from the data set using a computer program such as Mimics® as supplied by Materialise N.V., Leuven, Belgium.
  • Mimics® supplied by Materialise N.V., Leuven, Belgium.
  • FIG. 1 illustrates one example of an axial view of a vertebra 100.
  • One or more sections of a posterior side of the vertebrae 101 can be used as a contact surface or point to secure a surgical guiding tool to the vertebrae 100.
  • a section of the posterior side of the vertebra 101 includes any sections suited for providing stable support to a surgical guiding tool on the posterior side of the vertebra. Examples of a section of a posterior side of the vertebra 101 include, but are not limited to, the lamina 103 and 104, the transverse process 105 and 106, and the articular process 107 and 108.
  • the spinous process 102 can be used to attach and secure a surgical guiding tool to the vertebra.
  • vertebra 100 While the description herein may describe a vertebra 100 as an example of the bone, one of skill in the art will understand that the content of the present application applies equally to other bones with a pronounced feature and ligaments surrounding the bone, such as the femoral or humerus bones. Details regarding various embodiments of surgical guiding tools will be discussed below.
  • the patient-specific regions of a vertebra can comprise specific anatomical features that can be used to attach a surgical guiding tool.
  • Detailed geometrical, patient-specific information is used in the design and manufacture of a surgical guiding tool in order to determine those sections of the vertebra that are suitable for this purpose.
  • the posterior side of the vertebra can provide one or more sections from which a surgical guiding tool can contact. Examples of a contact between the posterior side of the vertebra and the surgical guiding tool include, but are not limited to, a surface contact, a line contact, and a point contact.
  • the spinous process can provide one or more portions that can be used to attach and secure a surgical guiding tool thereto.
  • a method of manufacturing a surgical guiding tool can include designing the surgical guiding tool to create a surgical guiding tool design, which can include identifying and selecting at least one part of a vertebra that contains specific features that can allow attachment of the surgical guiding tool.
  • a surgical guiding tool for a vertebra may be designed and manufactured, and may comprise one or more apertures for guiding a surgical instrument and configured to contact one or more sections of a posterior side of the vertebra; and a clamp assembly coupled to the one or more apertures.
  • the clamp assembly further comprises one or more clamps configured to grip the spinous process of the vertebra.
  • the clamp assembly can include any structure that can be used to increase the stability of the surgical guiding tool in the sagittal plane to allow the ease of engagement or removal of the surgical guiding tool.
  • the one or more clamps can include one or more ends configured to penetrate a soft tissue of at least one ligament.
  • the clamp assembly can include an opening structure configured to open the one or more clamps and allow the spinous process and one or more ligaments to pass through the one or more clamps.
  • a clamp assembly can include a closing structure configured to close the one or more clamps and allow the one or more clamps to grip the spinous process of the vertebra.
  • the closing structure is configured to be closed by exerting a force towards the one or more sections of the posterior side of the vertebra.
  • the one or more apertures are patient- specific.
  • the one or more sections of the posterior side can be selected from a lamina, a transverse process, and an articular process.
  • Manufacturing and/or designing of a surgical guiding tool can further include determining the appropriate position of a guiding component of the surgical guiding tool (e.g., an aperture) with regard to the vertebra. In particular embodiments, this can be done based on the pre-operative planning of the desired path of the surgical tool in the vertebra.
  • the orientation of the guiding component can be such that the surgical instrument is guided in the predetermined direction.
  • Pre-operative planning by a physician makes it possible to determine the required path of the surgical instrument, and accordingly, the required orientation of the guiding component.
  • the pre-operative planning can be done using suitable dedicated software, based on suitable medical images (of which CT, MRI, are examples), taking into account factors like bone quality and proximity to nerve bundles/blood vessels, or other anatomically sensitive objects.
  • preoperative images are imported into a computer workstation running 3D software in order to plan and simulate the surgery.
  • the imported images can be manipulated as 3D volumes, and a computer simulation can be created, which outputs a planning containing the information necessary for adapting the orientation of the guiding component.
  • Manufacturing of a surgical guiding tool can further comprise manufacturing the surgical guiding tool based on the surgical guiding tool design.
  • FIG. 5 provides an example of a method of manufacturing a surgical guiding tool, and is described in further detail below.
  • FIG. 2 illustrates an example of a surgical guiding tool 200 configured to attach to a vertebra 201.
  • the surgical guiding tool 200 includes apertures 204, 205, and 206 that are configured to contact one or more sections of a posterior side of the vertebra 201.
  • the surgical guiding tool 200 also includes a clamp assembly 202 that is coupled to the apertures 204, 205, and 206.
  • the clamp assembly 202 includes one or more clamps configured to grip the spinous process of the vertebrae 201.
  • the clamp assembly 202 can include one clamp 203 as illustrated in FIG. 2.
  • the secure attachment of clamp 203 to the spinous process provides stability in the sagittal plane and ensures that the surgical guiding tool 200 remains in a stable and secure position during surgery.
  • the clamp assembly 202 also includes an opening structure 207 that is configured to open the clamp 203 and allow the ligaments to pass through the clamp 203.
  • the clamp assembly 202 includes a closing structure 208 that is configured to close the clamp 203 and allow the clamp 203 to grip the spinous process of the vertebrae 201.
  • the closing structure 208 can be operated by exerting a force towards the one or more sections of the posterior side of the vertebra 201.
  • the surgical guiding tool 200 can be positioned on the vertebra 201 by opening the clamp 203 and sliding the apertures 204, 205, and 206 towards the one or more sections of the posterior side of the vertebra 201.
  • the surgical guiding tool 200 can then be attached to the vertebra 201 by exerting a force on the closing structure 208 towards sections of the posterior side of the vertebra 201 to close the clamp 203, while pushing the apertures into contact with the posterior side of the vertebra 201.
  • the clamp 203 is illustrated in an engaged position. In this position, the clamp 203 grips the spinous process and the apertures 204, 205, and 206 are positioned in close contact with the posterior side of the vertebra 201, which produces a secure and stable locking fit. While the figure herein illustrates one clamp, one of skill in the art will understand that more than one clamps may also be included in the surgical guiding tool 200 for attaching to other portions to the vertebra 201.
  • the use of the clamp assembly 202 along with the apertures 204, 205, and 206 ensures that the surgical guiding tool 200 remains secured to the vertebra 201 even with limited attachment regions on the vertebra 201 for attaching the guiding tool 200.
  • the surgical guiding tool 200 can be securely and accurately placed on the vertebra 201 so that surgery can be performed more accurately and safely with reduced or even no movement of the guide 200.
  • the apertures 204, 205, and 206 to sections of the posterior side of the vertebra 201 (e.g.
  • the surgical guiding tool 200 will be stable in the sagittal plane and be restricted from various translational and rotational movements (e.g., posterior and anterior sliding, distal and proximal sliding, mediolateral sliding, internal-external rotation, varus-valgus movements, and/or flexion- extension).
  • various translational and rotational movements e.g., posterior and anterior sliding, distal and proximal sliding, mediolateral sliding, internal-external rotation, varus-valgus movements, and/or flexion- extension.
  • apertures are patient-specific.
  • the apertures 204, 205, and 206 can be aligned with areas of the vertebra 201 corresponding to locations that need to be accessed for surgery, such as locations where holes are to be drilled.
  • holes can be created using a surgical tool device inserted into the apertures 204, 205 and 206 such as a drill, bur, saw, jig saw, lateral drill or any other cutting, milling or drilling instrument.
  • the apertures 204, 205, and 206 are positioned so that a surgical tool device that is passed through one or more of the apertures 204, 205, and 206 can reach the vertebra 201 at the desired location.
  • the apertures 204, 205, and 206 can be positioned in any direction relative to the vertebra 201 as long as it provides access for a surgical tool device to reach the vertebra 201 at the desired location. While the description herein describes apertures 204, 205, and 206 located at specific locations, one of skill in the art will understand that the content of the present application applies equally to aperture locations relating to patient-specific locations on different type of bones, which can be determined using pre-operative procedures described above. Further, the orientation and position of the apertures can correspond to pre-operative planning and procedures.
  • the surgical guiding tool 200 can be a single, continuous structure (e.g., a single mold) that includes all of the guiding tool components, including the clamp assembly 202, the clamp 203, and the apertures 204, 205, and 206.
  • each component of the surgical guiding tool 200 can be a separate structure that is integrated with the other components to create the surgical guiding tool 200.
  • FIG. 3 an example of a surgical guiding tool 300 configured to attach to a vertebra 301.
  • the surgical guiding tool 300 includes apertures 304, 305 and 306 that are configured to contact one or more sections of a posterior side of the vertebra 301.
  • the surgical guiding tool 300 also includes a clamp assembly 302 that is coupled to the apertures 304, 305, and 306.
  • the clamp assembly 302 also includes clamp 303 that is configured to grip the spinous process of the vertebra 301.
  • the secure attachment of clamp 303 to the spinous process of vertebra 301 provides stability in the sagittal plane and ensures that the surgical guiding tool 300 remains in a stable and secure position during surgery.
  • the clamp assembly 302 also includes an opening structure 307 that is configured to open the clamp 303 and allow the ligaments to pass through the clamp 303.
  • the clamp assembly 302 can include a closing structure 308 that is configured to close the clamp 303 and allow the clamp 303 to grip the spinous process of the vertebra 301.
  • the closing structure 308 can be operated by exerting a force towards sections of the posterior side of the vertebra 301.
  • the surgical guiding tool 300 can be positioned on vertebra 301 by opening the clamp 303 and sliding the apertures 304, 305, and 306 towards sections of the posterior side of the vertebra 301.
  • the surgical guiding tool 300 can then be attached to the vertebra 301 by exerting a force on the closing structure 308 towards the posterior side of the vertebra 301 to close the clamp 303, while also pushing the apertures 304, 305, and 306 into contact with sections of the posterior side of the vertebra 301.
  • the clamp 303 is illustrated in an engaged position.
  • FIG. 3 illustrates one embodiment of clamp 303, one of skill in the art will understand that more than one clamp can also be included in the surgical guiding tool 300 for attaching to other portions to the vertebra 301.
  • the use of the clamp assembly 302 along with apertures 304, 305, and 306 ensures that the surgical guiding tool 300 remains secured to the vertebra 301 even with limited attachment regions on the vertebra 301 for attaching the guiding tool 300.
  • the surgical guiding tool 300 can be securely and accurately placed on the vertebra 301 so that surgery can be performed more accurately and safely due to little or no movement of the surgical guiding tool 300.
  • the apertures 304, 305, and 306 to sections of the posterior side of the vertebra 301 (e.g.
  • the surgical guiding tool 300 will be stable in the sagittal plane and be restricted from various translational and rotational movements (e.g., posterior and anterior sliding, distal and proximal sliding, mediolateral sliding, internal-external rotation, varus-valgus movements, and/or flexion- extension).
  • various translational and rotational movements e.g., posterior and anterior sliding, distal and proximal sliding, mediolateral sliding, internal-external rotation, varus-valgus movements, and/or flexion- extension).
  • the apertures 304, 305, and 306 can be aligned with areas of the vertebra 301 corresponding to locations that need to be accessed for surgery, such as locations where holes are to be drilled.
  • holes can be created using a surgical tool device inserted into the apertures 304, 305, and 306 such as a drill, bur, saw, jig saw, lateral drill or any other cutting, milling or drilling instrument.
  • the apertures 304, 305, and 306 are positioned so that a surgical tool device that is passed through one or more of the apertures 304, 305, and 306 can reach the vertebra 301 at the desired location.
  • the apertures 304, 305, and 306 can be positioned in any direction relative to the vertebra 301 as long as it provides access for a surgical tool device to reach the vertebra 301 at the desired location. While the description herein describes apertures 304, 305, and 306 located at specific locations, one of skill in the art will understand that the content of the present application applies equally to aperture locations relating to patient-specific locations on different type of bones, which can be determined using pre-operative procedures described above. Further, the orientation and position of the apertures can correspond to pre-operative planning and procedures.
  • the surgical guiding tool 300 can be a single, continuous structure (e.g., a single mold) that includes all of the guiding tool components, including the clamp assembly 302, the clamp 303, and the apertures 304, 305, and 306.
  • each component of the surgical guiding tool 300 can be a separate structure that is integrated with the other components to create the surgical guiding tool 300.
  • FIG. 4 illustrates an example of a clamp portion 400 of a clamp assembly.
  • the clamp portion 400 includes two clamp ends 402 and 403.
  • the clamp ends 402 and 403 can be configured to penetrate a soft tissue of at least one ligament.
  • the clamp ends 402 and 403 can include sharp or pointy structure to pierce through the ligaments attached to the spinous process, allowing the clamp portion 400 to grip the spinous process without removing the ligaments.
  • the clamp portion also includes an opening 401 to grip the spinous process.
  • the attachment of the clamp portion 400 to the spinous process provides stability in the sagittal plane and ensures a stable and secure attachment of the surgical guiding tool to a vertebra.
  • the clamp portion 400 can be coupled with an opening structure and a closing structure to provide removable engagement with a spinous process, allowing a physician to engage or remove the surgical guiding tool with ease.
  • FIG. 5 illustrates a method of manufacturing a surgical guiding tool.
  • the method includes designing the surgical guiding tool to create a surgical tool design, wherein the surgical guiding tool design includes: one or more apertures for guiding a surgical instrument and configured to contact one or more sections of a posterior side of the vertebra; and a clamp assembly coupled to the one or more apertures, the clamp assembly comprising one or more clamps configured to grip the spinous process of the vertebra.
  • the method includes manufacturing the surgical guiding tool based on the surgical guiding tool design.
  • the surgical guiding tool can be designed and/or manufactured according to the pre-operative planning procedures using patient-specific features of a patient's bone discussed above.
  • the surgical guiding tools described above are partially or completely made by additive manufacturing, which allows the integration of patient-specific components (e.g., the body, the one or more clamps, the apertures, etc.) that further increases the accuracy of the guiding tools.
  • patient-specific components of the surgical guiding tools can be designed based on patient-specific parts of a particular bone of a patient.
  • the patient specific components of the surgical guiding tools can be made by generating portions that are complementary to the patient-specific parts of the bone.
  • any suitable technique known in the art can be used, such as for example a rapid prototyping technique.
  • Rapid Prototyping and Manufacturing can be defined as a group of techniques used to quickly fabricate a scale model of an object typically using three-dimensional (3D) computer aided design (CAD) data of the object.
  • CAD computer aided design
  • SLA stereo lithography
  • SLS Selective Laser Sintering
  • FDM Fused Deposition Modeling
  • foil-based techniques etc.
  • a common feature of these techniques is that objects are typically built layer by layer.
  • Stereo lithography utilizes a vat of liquid photopolymer "resin" to build an object a layer at a time.
  • an electromagnetic ray e.g. one or several laser beams which are computer-controlled, traces a specific pattern on the surface of the liquid resin that is defined by the two-dimensional cross-sections of the object to be formed. Exposure to the electromagnetic ray cures, or, solidifies the pattern traced on the resin and adheres it to the layer below. After a coat had been polymerized, the platform descends by a single layer thickness and a subsequent layer pattern is traced, adhering to the previous layer. A complete 3-D object is formed by this process.
  • SLS selective laser sintering
  • Fused deposition modeling (FDM) and related techniques make use of a temporary transition from a solid material to a liquid state, usually due to heating.
  • the material is driven through an extrusion nozzle in a controlled way and deposited in the required place as described, for example, in U.S. Pat. No. 5,141,680, the entire disclosure of which is hereby incorporated by reference.
  • Foil-based techniques fix coats to one another by means of gluing or photo polymerization or other techniques and cut the object from these coats or polymerize the object.
  • Such a technique is described in, for example, U.S. Pat. No. 5,192,539, also incorporated by reference in its entirety.
  • RP&M techniques start from a digital representation of the 3D object to be formed. Generally, the digital is sliced into a series of cross-sectional layers which can be overlaid to form the object as a whole. The RP&M apparatus uses this data for building the object on a layer-by-layer basic.
  • the cross-sectional data representing the layer data of the 3D object can be generated using a computer system and computer aided design and manufacturing (CAD/CAM) software.
  • CAD/CAM computer aided design and manufacturing
  • a selective laser sintering (SLS) apparatus can be used for the manufacture of a surgical guiding tool template instead of a computer model. It should be understood however, that various types of rapid manufacturing and tooling can be used for accurately fabricating these surgical templates including, but not limited to, stereolithography (SLA), Fused Deposition Modeling (FDM) or milling.
  • SLA stereolithography
  • FDM Fused Deposition Modeling
  • the surgical guiding tools described above can be manufactured using different materials. In some embodiments, only materials that are biocompatible (e.g. USP class VI compatible) with the human body are used.
  • a surgical guiding tool template can be formed from a heat-tolerable material allowing it to tolerate high-temperature sterilization. In some embodiments, if selective laser sintering is used as a RP&M technique, the surgical guiding tool template can be fabricated from a polyamide such as PA 2200 as supplied by EOS, Kunststoff, Germany, or any other material known by those skilled in the art can also be used.
  • the invention disclosed herein can be implemented as a method, apparatus, or article of manufacture using standard programming or engineering techniques to produce software, firmware, hardware, or any combination thereof.
  • article of manufacture refers to code or logic implemented in hardware or non-transitory computer readable media such as optical storage devices, and volatile or non-volatile memory devices or transitory computer readable media such as signals, carrier waves, etc.
  • Such hardware can include, but is not limited to, field programmable gate arrays (FPGAs), application-specific integrated circuits (ASICs), complex programmable logic devices (CPLDs), programmable logic arrays (PLAs), microprocessors, or other similar processing devices.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
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  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne des outils de guidage chirurgicaux, qui peuvent être utilisés pour guider un instrument chirurgical pendant une chirurgie orthopédique. Un outil de guidage chirurgical, à mettre en prise de façon amovible avec une vertèbre, comprend une ou plusieurs ouvertures pour guider un instrument chirurgical et est conçu pour entrer en contact avec une ou plusieurs sections d'un côté postérieur de la vertèbre ; et un ensemble pince couplé à la ou aux ouvertures, l'ensemble pince comprenant une ou plusieurs pinces conçues pour saisir l'apophyse épineuse de la vertèbre. La présente invention concerne en outre des procédés de fabrication d'outils de guidage chirurgicaux et des utilisations des outils à positionner sur une vertèbre.
PCT/EP2013/076296 2012-12-14 2013-12-11 Outils de guidage chirurgicaux pour chirurgie orthopédique, et leurs systèmes et procédés de fabrication WO2014090908A1 (fr)

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Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016075660A1 (fr) * 2014-11-14 2016-05-19 Medacta International Sa Guide de navigation spécifique à un patient
US20190201013A1 (en) * 2016-09-23 2019-07-04 Medacta International Sa Patient-specific navigational guide
IT201800005435A1 (it) * 2018-05-16 2019-11-16 Dispositivo di guida monouso specifico per la chirurgia spinale
WO2020074990A1 (fr) * 2018-10-08 2020-04-16 Medacta International Sa Guide de navigation spécifique au patient
US10653454B2 (en) 2007-07-13 2020-05-19 Mighty Oak Medical, Inc. Spinal fixation systems
US10743890B2 (en) 2016-08-11 2020-08-18 Mighty Oak Medical, Inc. Drill apparatus and surgical fixation devices and methods for using the same
US11039889B2 (en) 2010-06-29 2021-06-22 Mighty Oak Medical, Inc. Patient-matched apparatus and methods for performing surgical procedures
US11058443B2 (en) 2016-09-23 2021-07-13 Medacta International Sa Disposable guide device for spinal surgery
USD948717S1 (en) 2018-06-04 2022-04-12 Mighty Oak Medical, Inc. Sacro-iliac guide
US11357519B2 (en) 2017-12-22 2022-06-14 Medacta International Sa Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy
US11376073B2 (en) 2010-06-29 2022-07-05 Mighty Oak Medical Inc. Patient-matched apparatus and methods for performing surgical procedures
US11602355B2 (en) 2017-12-22 2023-03-14 Medacta International Sa Cutting guide for periacetabular osteotomy and kit for periacetabular osteotomy
US11633254B2 (en) 2018-06-04 2023-04-25 Mighty Oak Medical, Inc. Patient-matched apparatus for use in augmented reality assisted surgical procedures and methods for using the same
USD992114S1 (en) 2021-08-12 2023-07-11 Mighty Oak Medical, Inc. Surgical guide
US11806197B2 (en) 2010-06-29 2023-11-07 Mighty Oak Medical, Inc. Patient-matched apparatus for use in spine related surgical procedures and methods for using the same
US11931048B2 (en) 2019-02-22 2024-03-19 Medacta International Sa Cutting guide for spinal osteotomy
US12016573B2 (en) 2016-08-11 2024-06-25 Mighty Oak Medical, Inc. Drill apparatus and surgical fixation devices and methods for using the same

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5141680A (en) 1988-04-18 1992-08-25 3D Systems, Inc. Thermal stereolighography
US5192539A (en) 1988-07-21 1993-03-09 Akzo N.V. Infectious bursal disease virus production in continuous cell lines
WO2008048645A2 (fr) * 2006-10-18 2008-04-24 Vertiflex, Inc. Instrumentation chirurgicale peu invasive servant à positionner un écarteur d'apophyse épineuse
US20080154262A1 (en) * 2006-12-22 2008-06-26 Matthias Brundobler Navigated application guide for targeted spinal drug delivery
US20100023018A1 (en) * 2008-07-23 2010-01-28 Theofilos Charles S Spinous process fixated bilateral drilling guide
US20110319745A1 (en) * 2010-06-29 2011-12-29 Frey George A Patient Matching Surgical Guide and Method for Using the Same
EP2502582A1 (fr) * 2011-03-25 2012-09-26 National Cheng Kung University Ensemble de guidage pour une opération de forage de la colonne vertébrale

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5141680A (en) 1988-04-18 1992-08-25 3D Systems, Inc. Thermal stereolighography
US5192539A (en) 1988-07-21 1993-03-09 Akzo N.V. Infectious bursal disease virus production in continuous cell lines
WO2008048645A2 (fr) * 2006-10-18 2008-04-24 Vertiflex, Inc. Instrumentation chirurgicale peu invasive servant à positionner un écarteur d'apophyse épineuse
US20080154262A1 (en) * 2006-12-22 2008-06-26 Matthias Brundobler Navigated application guide for targeted spinal drug delivery
US20100023018A1 (en) * 2008-07-23 2010-01-28 Theofilos Charles S Spinous process fixated bilateral drilling guide
US20110319745A1 (en) * 2010-06-29 2011-12-29 Frey George A Patient Matching Surgical Guide and Method for Using the Same
EP2502582A1 (fr) * 2011-03-25 2012-09-26 National Cheng Kung University Ensemble de guidage pour une opération de forage de la colonne vertébrale

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US10905444B2 (en) * 2016-09-23 2021-02-02 Medacta International Sa Patient-specific navigational guide
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US20210219996A1 (en) * 2018-05-16 2021-07-22 Medacta International Sa Specific disposable guide device for spinal surgery
US11771441B2 (en) 2018-05-16 2023-10-03 Medacta International Sa Specific disposable guide device for spinal surgery
WO2019220268A1 (fr) * 2018-05-16 2019-11-21 Medacta International Sa Dispositif de guidage jetable spécifique pour chirurgie rachidienne
IT201800005435A1 (it) * 2018-05-16 2019-11-16 Dispositivo di guida monouso specifico per la chirurgia spinale
USD948717S1 (en) 2018-06-04 2022-04-12 Mighty Oak Medical, Inc. Sacro-iliac guide
US11633254B2 (en) 2018-06-04 2023-04-25 Mighty Oak Medical, Inc. Patient-matched apparatus for use in augmented reality assisted surgical procedures and methods for using the same
US11517332B2 (en) 2018-10-08 2022-12-06 Medacta International Sa Patient-specific navigation guide
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WO2020074990A1 (fr) * 2018-10-08 2020-04-16 Medacta International Sa Guide de navigation spécifique au patient
US11931048B2 (en) 2019-02-22 2024-03-19 Medacta International Sa Cutting guide for spinal osteotomy
USD992114S1 (en) 2021-08-12 2023-07-11 Mighty Oak Medical, Inc. Surgical guide

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