SYSTEM AND METHOD FOR AN ORTHOPEDIC DYNAMIC DATA REPOSITORY AND REGISTRY FOR RANGE
At least one embodiment is directed to a system ( 1100 ) to generate an orthopedic dynamic data repository and registry ( 2214 ). The system ( 1100 ) can measure a parameter of the muscular-skeletal system and align at least one of the surfaces to a mechanical axis intra-operatively. The system ( 1100 ) comprises disposable sensors ( 1106 ), disposable targets ( 1110 ), lasers ( 1114 ), a processing unit ( 1122 ), a display ( 1124 ), a reader ( 1120 ), a receiver ( 1118 ), spacer blocks ( 1102 ), and a distractor 1104 . The sensors ( 1106 ) convert measured data to electronic digital form and are in communication with the processing unit ( 1122 ) to display, process, store, and send data to dynamic data repository and registry ( 2214 ). Parameters can be measured pre-operatively, intra-operatively, post-operatively, and long term using sensor ( 1106 ). The measurement data is used to define predetermined ranges for providing guidelines to aid in optimizing an orthopedic procedure.
1 . A computer implemented method for a surgical procedure comprising:
receiving a predetermined range for a parameter of the muscular-skeletal system derived from quantitative measurements stored in a data repository and registry;
comparing an intra-operatively sensed parameter of the muscular-skeletal system of a patient to the predetermined range;
converting at least one intra-operatively sensed parameter to an electronic digital form; and
sending the at least one intra-operatively sensed parameter to a data repository and registry.
2 . The method of claim 1 further including the steps of:
sending the intra-operatively sensed parameter to a processing unit; and
displaying a comparison of the intra-operatively measured parameter to the predetermined range.
3 . The method of claim 2 further including the steps of:
modifying the muscular-skeletal system such that the intra-operatively sensed parameter is within the predetermined range;
selecting a final measurement of the sensed parameter under user control when the sensed parameter is within the predetermined range;
converting the final measurement of the sensed parameter to an electronic digital form; and
sending the final measurement of the sensed parameter to the data repository and registry.
4 . The method of claim 3 further including the steps of:
measuring parameters of the muscular-skeletal system of the patient post-operatively to generate long term data;
converting measured parameters of the muscular-skeletal system to an electronic digital form; and
sending measured parameters of the muscular-skeletal system to the data repository and registry where the measured parameters indicate muscular-skeletal status and where the patient muscular-skeletal status is measured more than one time post-operatively.
5 . The method of claim 1 further including the steps of:
receiving measured parameters of the muscular-skeletal system from more than one entity where the parameters relate to an orthopedic procedure;
generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;
identifying predetermined ranges for each of the one or more parameters from measured parameters in data repository and registry that optimizes an outcome for the orthopedic procedure; and
sending the predetermined ranges to entities performing the orthopedic procedure.
6 . The method of claim 5 further including a step of
analyzing intra-operative measured data and long-term data to provide clinical evidence justifying each predetermined range for parameters related to the orthopedic procedure;
updating each predetermined range periodically as parameter measurements are added to data repository and registry; and
sending updated predetermined ranges to entities performing the orthopedic procedure.
7 . The method of claim 1 further including a step of comparing an intra-operatively sensed loading of the muscular-skeletal system of the patient to a predetermined loading range.
8 . The method of claim 1 further including a step of comparing an intra-operatively sensed alignment of the muscular-skeletal system of the patient to a mechanical axis of the muscular-skeletal system.
9 . The method of claim 1 further including a step of comparing an intra-operatively sensed distance of the muscular-skeletal system of the patient to a predetermined distance range.
10 . The method of claim 1 further including a step of comparing an intra-operatively sensed balance of the muscular-skeletal system of the patient to a predetermined balance range.
11 . A computer implemented method for a surgical procedure comprising:
receiving measured parameters of the muscular-skeletal system in an electronic digital form from more than one entity where the parameters relate to an orthopedic procedure;
storing the measured parameters in a data repository and registry;
generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;
identifying predetermined ranges for each of the one or more parameters from measured parameters in the data repository and registry that optimizes an outcome for the orthopedic procedure; and
sending the predetermined ranges to at least one entity performing the orthopedic procedure.
12 . The method of claim 11 further including the steps of:
receiving predetermined ranges for an orthopedic procedure through a medium;
comparing one or more intra-operatively sensed parameters of the muscular-skeletal system of a patient to a corresponding predetermined range;
converting at least one intra-operatively sensed parameter to an electronic digital form; and
sending the at least one intra-operatively sensed parameter to the data repository and registry.
13 . The method of claim 12 further including the steps of:
sending the predetermined ranges through the internet to a processing unit where the processing unit is coupled to a display; and
displaying a comparison of the intra-operatively sensed parameters and the corresponding predetermined range on the display.
14 . The method of claim 13 further including the steps of:
measuring parameters of the muscular-skeletal system of the patient post-operatively to generate long term data;
converting measured parameters of the muscular-skeletal system to an electronic digital form; and
sending measured parameters of the muscular-skeletal system to the data repository and registry where the measured parameters indicate muscular-skeletal status and where the patient muscular-skeletal status is measured more than one time post-operatively.
15 . The method of claim 14 further including the steps of:
rendering inoperative at least one sensor used intra-operatively to measure the muscular-skeletal system of the patient; and
disposing of the at least one sensor when the procedure is completed.
16 . A computer implemented method for a surgical orthopedic procedure comprising:
receiving at least one predetermined range in an electronic digital form as a quantitative guideline to repair or reconstruct a joint of the muscular-skeletal system where the at least one predetermined range is derived from quantitative measurements stored in a data repository and registry;
measuring at least one intra-operatively sensed parameter of the muscular-skeletal system of a patient during the procedure;
comparing the intra-operatively sensed parameter of the muscular-skeletal system of a patient to the predetermined range;
converting at least one intra-operatively sensed parameter to an electronic digital form; and
sending at least one intra-operatively sensed parameter measurement to the data repository and registry.
17 . The method of claim 16 further including the steps of:
sensing load intra-operatively during the procedure;
comparing a load measurement of the patient to a predetermined load range corresponding to the procedure;
sensing alignment intra-operatively during the procedure; and
comparing an alignment measurement of the patient to a predetermined alignment range corresponding to the procedure.
18 . The method of claim 17 further including the steps of:
completing the procedure with a final load measurement within the predetermined load range and a final alignment measurement within the predetermined alignment range; and
sending the final load and alignment measurement to the data repository and registry.
19 . The method of claim 16 further including the steps of:
sensing parameters of the muscular-skeletal system of the patient post-operatively related to the procedure;
measuring the sensed parameters of the muscular-skeletal system of the patient;
converting measurements of the sensed parameters to an electronic digital form; and
sending the measurements to the data repository and registry.
20 . The method of claim 19 further including the steps of:
receiving measured parameters of the muscular-skeletal system in an electronic digital form from more than one entity where the parameters relate to the orthopedic procedure;
storing the measured parameters in the data repository and registry;
generating a statistically significant sample of clinical data related to one or more parameters of the orthopedic procedure;
identifying predetermined ranges for each of the one or more parameters from measured parameters in the data repository and registry that optimizes an outcome for the orthopedic procedure; and
sending the predetermined ranges to at least one entity performing the orthopedic procedure.