CA2648357A1 - Apparatus for imparting force between bones to seat an implant - Google Patents
Apparatus for imparting force between bones to seat an implant Download PDFInfo
- Publication number
- CA2648357A1 CA2648357A1 CA002648357A CA2648357A CA2648357A1 CA 2648357 A1 CA2648357 A1 CA 2648357A1 CA 002648357 A CA002648357 A CA 002648357A CA 2648357 A CA2648357 A CA 2648357A CA 2648357 A1 CA2648357 A1 CA 2648357A1
- Authority
- CA
- Canada
- Prior art keywords
- bone
- sculpting
- tool
- mount
- attachment
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
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- 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
- A61B17/1613—Component parts
- A61B17/1628—Motors; Power supplies
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- A—HUMAN NECESSITIES
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- A61B17/1613—Component parts
- A61B17/1631—Special drive shafts, e.g. flexible shafts
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- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1664—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip
- A61B17/1666—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hip for the acetabulum
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- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
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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
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- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
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Abstract
The present invention provides a method and device for restoring individual patient joint kinematics using minimally invasive surgical procedures. The instrumentation of the invention sculpts the articular surfa ce of a first bone that normally articulates in a predetermined manner with a second bone. The instrumentation includes a bone sculpting tool and a mount for attaching the tool to the second bone. The implant system is comprised of implants that provide intraoperative surgical options for articular constraint and facilitate proper alignment and orientation of the joint to restore kinematics as defined by the individual patient anatomy.
Claims (74)
1. An apparatus for sculpting the articular surface of a first bone that normally articulates with a second bone, the apparatus comprising:
a bone-sculpting tool including an attachment portion for attaching the bone-sculpting tool to the second bone in a position or sculpting the articular surface of the first bone as the second bone is articulated in the predetermined manner with respect to the first bone.
a bone-sculpting tool including an attachment portion for attaching the bone-sculpting tool to the second bone in a position or sculpting the articular surface of the first bone as the second bone is articulated in the predetermined manner with respect to the first bone.
2. The apparatus of claim 1, further comprising a mount configured for attachment to the attachment portion of the bone-sculpting tool, the mount being attachable to the first, bone to mount the tool in position to sculpt the articular surface of the first bone.
3. The apparatus of claim 2, wherein the mount is configured for rigid attachment to the second bone.
4. The apparatus of claim 2, wherein the mount is integral to the bone-sculpting tool.
5. The apparatus of claim 2, wherein the mount is an external fixture.
6. The apparatus of claim 1 or 2, wherein the first bone is a femur and the second bone is a tibia, the bone-sculpting tool being configured for attachment to the tibia in a position for sculpting the articular surface of the femur.
7. The apparatus of claim 1 or 2, wherein the first bone is an acetabulum and the second bone is a femur, the bone-sculpting tool being configured for attachment to the femur in a position for sculpting the articular surface of the acetabulum.
8. The apparatus of claim 1 or 2, wherein the attachment portion of the bone-sculpting tool is adapted for direct attachment to the second bone.
9. The apparatus of claim 1 or 2, wherein the attachment portion of the bone-sculpting tool is adapted for indirect attachment to the second bone.
10. The apparatus of claim 9, wherein the second bone is the femur and the attachment portion of the bone-sculpting tool is adapted for attachment to a femoral broach.
11. The apparatus of claim 9, wherein the second bone is the femur and the attachment portion of the bone-sculpting tool is adapted for attachment to a femoral stem.
12. The apparatus of claim 1 or 2, wherein:
the bone-sculpting tool includes a bone-sculpting surface generally symmetrical about an axis of rotation of the tool, and wherein the bone-sculpting tool is positioned with respect to the articular surface of the first bone with the axis of rotation generally parallel to an articular plane defined by normal articulation of one of the bones with respect to the other.
the bone-sculpting tool includes a bone-sculpting surface generally symmetrical about an axis of rotation of the tool, and wherein the bone-sculpting tool is positioned with respect to the articular surface of the first bone with the axis of rotation generally parallel to an articular plane defined by normal articulation of one of the bones with respect to the other.
13. The apparatus of claim 12, wherein:
the bone-sculpting surface includes one or more milling burrs wherein the milling burr or burrs have an axis of rotation generally oriented in an anterior to posterior direction.
the bone-sculpting surface includes one or more milling burrs wherein the milling burr or burrs have an axis of rotation generally oriented in an anterior to posterior direction.
14. The apparatus of claim 12, wherein the bone-sculpting surface is generally cylindrical in shape.
15. The apparatus of claim 1 or 2, wherein:
the bone-sculpting tool includes a bone-sculpting surface generally symmetrical about an axis of rotation of the tool, and wherein the bone-sculpting tool is positioned with respect to the articular surface of the first bone with said axis of rotation generally perpendicular to an articular plane defined by normal articulation of one of the bones with respect to the other.
the bone-sculpting tool includes a bone-sculpting surface generally symmetrical about an axis of rotation of the tool, and wherein the bone-sculpting tool is positioned with respect to the articular surface of the first bone with said axis of rotation generally perpendicular to an articular plane defined by normal articulation of one of the bones with respect to the other.
16. The apparatus of claim 15, wherein:
the bone-sculpting surface includes one or more milling burrs wherein the milling burr or burrs have an axel generally oriented in a medial to lateral direction.
the bone-sculpting surface includes one or more milling burrs wherein the milling burr or burrs have an axel generally oriented in a medial to lateral direction.
17. The apparatus of claim 13 or 16, wherein the one or more milling burrs include an inside burr, an outside burr, and a middle burr, the middle burr having a larger radius than the inside and outside burrs.
18. The apparatus of claim 13 or 16, wherein the burr or burrs are contoured to provide a cutting surface that is convex to the axis of rotation.
19. The apparatus of claim 15, wherein the bone-sculpting surface is generally cylindrical in shape to produce a sculpted groove having a floor that is curved in the plane but that is generally straight in a t' direction perpendicular to the plane.
20. The apparatus of claim 1, 2 or 7 wherein the bone-sculpting tool is designed for rotation.
21. The apparatus of claim 1, 2, or 7, wherein the bone-sculpting tool is designed for oscillation.
22. The apparatus of claim 1, 2, or 7, wherein the bone-sculpting tool comprises a hemispherical reamer.
23. The apparatus of claim 1 or 2, further comprising a distracter configured for insertion between the first and second bones for distracting the first bone from the second bone while allowing normal articulation between the first and second bones.
24. The apparatus of claim 23, wherein the distracter is a fixed thickness spacer.
25. The apparatus of claim 23, wherein the distracter includes one or more surfaces engageable with the respective bones, and means enabling adjustment of the distances between the surfaces.
26. The apparatus of claim 25, wherein the distracter is a fluid filled catheter or balloon.
27. The apparatus of claim 25, wherein the distracter is a mechanical wedge.
28. The apparatus of claim 1, 2, or 7, wherein the bone-sculpting tool is adapted for elongation.
29. The apparatus of claim 26, wherein the bone-sculpting tool has an axis of rotation, and the elongation is along the axis of rotation.
30. The apparatus of claim 26, further comprising a lead screw for elongation of the bone-sculpting tool.
31. The apparatus of claim 26, further comprising shims for elongation of the bone-sculpting tool.
32. The apparatus of claim 26, further comprising a pneumatic powered device for elongation of the bone-sculpting tool.
33. The apparatus of claim 2, wherein the mount further comprises a positioning element for positioning the bone-sculpting tool at variable elevations such that the bone-sculpting tool depth in the first bone during articulation may be adjusted.
34. The apparatus of claim 33, wherein the mount further includes shoulders having skid-surfaces thereon.
35. The apparatus of claim 33, wherein the positioning element provides a dynamic distraction between the first bone and the second bone.
36. The apparatus of claim 1, 2, or 7, further comprising a drive mechanism for driving the bone-sculpting tool.
37. The apparatus of claim 36, wherein the drive mechanism is integral to a mount.
38. The apparatus of claim 36, wherein the drive mechanism is configured for attachment to a femoral stem.
39. The apparatus of claim 36, wherein the drive mechanism comprises a gearbox.
40. The apparatus of claim 36, wherein the drive mechanism comprises a worm and worm gear combination.
41. The apparatus of claim 36, wherein the drive mechanism comprises a bevel gear combination.
42. The apparatus of claim 36, wherein the drive mechanism includes a motor.
43. The apparatus of claim 42, wherein the motor is a hydraulic motor having vanes for driving the hydraulic motor in response to hydraulic fluid flow against the vanes.
44. The apparatus of claim 42, wherein the vanes of the hydraulic motor are integral to the bone-sculpting tool.
45. The apparatus of claim 36, further comprising a flexible drive shaft for connecting the drive mechanism to a motor.
46. The apparatus of claim 42, wherein the motor is a surgical power drill.
47. The apparatus of claim 2, further comprising at least one additional bone-sculpting tool, the at least one additional bone-sculpting tool being configured to mount on the mount or on an additional mount.
48. The apparatus of claim 1 or 2, further comprising an impaction apparatus for providing force between the second bone and the first bone, the impaction apparatus comprising an impaction device including an impaction attachment portion for attaching the impaction device to the second bone.
49. The apparatus of claim 48, wherein the impaction apparatus further comprises an adapter for mounting an implant.
50. The apparatus of claim 48, further comprising a visualization apparatus comprising a light source, an imaging base, an imaging device, and a display.
51. The system of claim 50, wherein the visualization apparatus further includes a monitoring system.
52. The apparatus of claim 50 or 51, wherein the imaging base is integral to a mount configured for attachment to the attachment portion of the bone-sculpting apparatus, the mount being attachable to the first bone.
53. The apparatus of at least one of claims 50 to 52, further comprising an irrigation apparatus integral to the imaging base.
54. The apparatus of at least one of claims 50 to 53, further comprising a suction apparatus integral to the imaging base.
55. The apparatus of claim 48, further comprising an irrigation apparatus.
56. The apparatus of claim 48 or 55, further comprising a suction apparatus.
57. The apparatus of claim 48 or 55 or 56, further comprising a surgical navigation system for positioning, aligning and monitoring the implant.
58. The apparatus of claim 48, further comprising a surgical navigation system for positioning, aligning and monitoring the impaction device.
59. An apparatus for imparting force between first and second adjacent bones to secure an implant, the apparatus comprising:
an impaction device including an attachment portion for attaching the impaction device to the second bone; and an implant for securing to a first bone.
an impaction device including an attachment portion for attaching the impaction device to the second bone; and an implant for securing to a first bone.
60. The apparatus of claim 59, further comprising an external alignment guide for orienting the implant.
61. The apparatus of claim 59, further comprising a surgical navigation system for positioning and aligning the implant with respect to the first bone.
62. The apparatus of claim 59, further comprising a surgical navigation system for positioning, monitoring and aligning the impaction device with respect to the first bone.
63. The apparatus of claim 59, further comprising a mount for attachment to the attachment portion, the mount being adapted for attachment to the second bone.
64. The apparatus of claim 59, wherein the implant is an acetabular shell and the impaction device is configured to secure the acetabular shell in an acetabulum.
65. The apparatus of claims 59 or 64, further comprising an adapter for attaching the implant to the impaction device.
66. The apparatus of claim 65, wherein the adapter restricts the implant from rotating.
67. The apparatus of claim 64, wherein the attachment portion is adapted for direct attachment to the second bone.
68. The apparatus of claim 64, wherein the attachment portion is adapted for indirect attachment to the second bone.
69. The apparatus of claim 59, wherein the impaction device is a pneumatic impaction hammer.
70. The apparatus of claim 59, wherein the impaction device is a linear actuator.
71. The apparatus of claim 59, wherein the impaction device is a hydraulic piston.
72. The apparatus of claim 59, wherein the impaction device is spring activated.
73. The apparatus of claim 59, wherein the impaction device is configured for activation for a single impaction cycle for each activation.
74. The apparatus of claim 59, wherein the impaction device is configured for activation for multiple impactions cycles while activated.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CA2776468A CA2776468A1 (en) | 2001-06-14 | 2002-06-14 | Apparatus for imparting force between bones to seat an implant |
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US09/882,591 US6482209B1 (en) | 2001-06-14 | 2001-06-14 | Apparatus and method for sculpting the surface of a joint |
US09/882,591 | 2001-06-14 | ||
US10/075,829 US6723102B2 (en) | 2001-06-14 | 2002-02-12 | Apparatus and method for minimally invasive total joint replacement |
US10/075,829 | 2002-02-12 | ||
CA002469555A CA2469555C (en) | 2001-06-14 | 2002-06-14 | Apparatus and method for sculpting the surface of a bone joint |
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CA002469555A Division CA2469555C (en) | 2001-06-14 | 2002-06-14 | Apparatus and method for sculpting the surface of a bone joint |
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CA2648357A Expired - Fee Related CA2648357C (en) | 2001-06-14 | 2002-06-14 | Apparatus for imparting force between bones to seat an implant |
CA002469555A Expired - Fee Related CA2469555C (en) | 2001-06-14 | 2002-06-14 | Apparatus and method for sculpting the surface of a bone joint |
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CA2776468A Abandoned CA2776468A1 (en) | 2001-06-14 | 2002-06-14 | Apparatus for imparting force between bones to seat an implant |
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US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US7338524B2 (en) | 1999-05-10 | 2008-03-04 | Fell Barry M | Surgically implantable knee prosthesis |
US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6875235B2 (en) * | 1999-10-08 | 2005-04-05 | Bret A. Ferree | Prosthetic joints with contained compressible resilient members |
US7104996B2 (en) * | 2000-01-14 | 2006-09-12 | Marctec. Llc | Method of performing surgery |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US6702821B2 (en) | 2000-01-14 | 2004-03-09 | The Bonutti 2003 Trust A | Instrumentation for minimally invasive joint replacement and methods for using same |
US7635390B1 (en) | 2000-01-14 | 2009-12-22 | Marctec, Llc | Joint replacement component having a modular articulating surface |
US20130267959A1 (en) * | 2001-06-14 | 2013-10-10 | Alexandria Research Technologies, Inc. | Modular apparatus and method for sculpting the surface of a joint |
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-
2002
- 2002-02-12 US US10/075,829 patent/US6723102B2/en not_active Expired - Lifetime
- 2002-06-14 MX MXPA03011642A patent/MXPA03011642A/en active IP Right Grant
- 2002-06-14 EP EP02742045A patent/EP1416864B1/en not_active Expired - Lifetime
- 2002-06-14 DE DE60224934T patent/DE60224934T2/en not_active Expired - Lifetime
- 2002-06-14 WO PCT/US2002/018742 patent/WO2002102254A2/en active Application Filing
- 2002-06-14 JP JP2003504843A patent/JP4128951B2/en not_active Expired - Fee Related
- 2002-06-14 CA CA2776468A patent/CA2776468A1/en not_active Abandoned
- 2002-06-14 AT AT02742045T patent/ATE385407T1/en not_active IP Right Cessation
- 2002-06-14 EP EP06123844.0A patent/EP1745763B1/en not_active Expired - Lifetime
- 2002-06-14 EP EP06123846.5A patent/EP1745764B1/en not_active Expired - Lifetime
- 2002-06-14 AU AU2002315105A patent/AU2002315105B2/en not_active Ceased
- 2002-06-14 CA CA2648357A patent/CA2648357C/en not_active Expired - Fee Related
- 2002-06-14 IL IL15932502A patent/IL159325A0/en unknown
- 2002-06-14 CA CA002469555A patent/CA2469555C/en not_active Expired - Fee Related
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2003
- 2003-05-05 US US10/429,435 patent/US7604637B2/en not_active Expired - Fee Related
-
2008
- 2008-01-28 JP JP2008016747A patent/JP2008110244A/en not_active Withdrawn
- 2008-01-28 JP JP2008016724A patent/JP4629742B2/en not_active Expired - Fee Related
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2009
- 2009-09-01 IL IL200686A patent/IL200686A/en not_active IP Right Cessation
- 2009-09-01 IL IL200685A patent/IL200685A/en not_active IP Right Cessation
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2011
- 2011-09-21 JP JP2011206008A patent/JP2012016609A/en active Pending
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CA2776468A1 (en) | 2002-12-27 |
EP1745764B1 (en) | 2015-12-23 |
ATE385407T1 (en) | 2008-02-15 |
CA2469555C (en) | 2009-03-17 |
AU2002315105B2 (en) | 2007-07-12 |
US20020193797A1 (en) | 2002-12-19 |
IL200686A (en) | 2010-12-30 |
US6723102B2 (en) | 2004-04-20 |
WO2002102254A3 (en) | 2003-05-22 |
JP2012016609A (en) | 2012-01-26 |
US20030236523A1 (en) | 2003-12-25 |
US7604637B2 (en) | 2009-10-20 |
CA2648357C (en) | 2012-08-21 |
IL159325A0 (en) | 2004-06-01 |
EP1745763A3 (en) | 2011-11-30 |
DE60224934D1 (en) | 2008-03-20 |
DE60224934T2 (en) | 2009-01-22 |
EP1745763B1 (en) | 2016-08-10 |
CA2469555A1 (en) | 2002-12-27 |
EP1745764A2 (en) | 2007-01-24 |
JP4629742B2 (en) | 2011-02-09 |
EP1745763A2 (en) | 2007-01-24 |
EP1745764A3 (en) | 2011-11-30 |
EP1416864A2 (en) | 2004-05-12 |
IL200685A (en) | 2014-03-31 |
JP2008110243A (en) | 2008-05-15 |
MXPA03011642A (en) | 2005-03-07 |
EP1416864B1 (en) | 2008-02-06 |
WO2002102254B1 (en) | 2003-06-26 |
WO2002102254A2 (en) | 2002-12-27 |
JP2005526524A (en) | 2005-09-08 |
JP4128951B2 (en) | 2008-07-30 |
JP2008110244A (en) | 2008-05-15 |
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