Robotic system for shoulder arthroplasty using stemless implant components
Robotic system and methods for preparing a bone of a joint to receive an implant. Virtual object(s) are used to define a volume of material to be removed from the bone for receipt of the implant. A robotic manipulator controls a cutting tool based on the virtual object(s) to form a first cavity and a second cavity in the bone. The second cavity is formed beneath the first cavity and is rotated relative to the first cavity to define an undercut in the bone. The first and second cavities receive a body and a locking member of the implant in an unlocked position. The locking member is rotated within the second cavity to a locked position whereby the undercut engages the locking member to limit withdrawal of the implant from the bone.
1. A robotic surgery system for preparing a bone of a shoulder joint to receive a shoulder implant, the robotic surgery system comprising:
a robotic manipulator;
a cutting tool coupled to the robotic manipulator;
a localizer configured to track movement of the cutting tool and the bone; and
one or more controllers coupled to the robotic manipulator and the localizer, the one or more controllers configured to:
obtain one or more virtual objects that define a volume of material to be removed from the bone for receipt of the shoulder implant, the shoulder implant including a distal body extending along an implant axis and a planar locking member that extends radially outward from the distal body along a plane perpendicular to the implant axis, and wherein the planar locking member is rigidly coupled to the distal body in a fixed position; and
operate the robotic manipulator to control movement of the cutting tool relative to the bone based on the one or more virtual objects to form a first cavity and a second cavity in the bone, the first cavity being sized and shaped to receive the distal body and the planar locking member of the shoulder implant in an unlocked position, and the second cavity being formed beneath the first cavity to define an undercut in the bone, the second cavity being planar and sized and shaped to receive the distal body and the planar locking member of the shoulder implant in the unlocked position and to enable the planar locking member to rotate within the second cavity from the unlocked position to a locked position whereby the undercut engages the planar locking member to limit withdrawal of the shoulder implant from the bone.
2. The robotic surgery system of claim 1 , wherein the one or more controllers are configured to operate the robotic manipulator to control movement of the cutting tool based on the one or more virtual objects to form the second cavity about the implant axis such that the second cavity enables the planar locking member to be rotated about the implant axis from the unlocked position to the locked position.
3. The robotic surgery system of claim 1 , wherein the second cavity is rotationally offset at least 10 degrees relative to the first cavity.
4. The robotic surgery system of claim 1 , wherein the one or more virtual objects comprise a virtual cutting boundary.
5. The robotic surgery system of claim 4 , wherein the robotic manipulator is configured to generate haptic feedback to a user based on a position of the cutting tool relative to the virtual cutting boundary.
6. The robotic surgery system of claim 4 , wherein the robotic manipulator is configured to operate in a haptic mode in which a user manually manipulates the cutting tool to form the first cavity and the second cavity and the robotic manipulator generates haptic feedback in response to the cutting tool reaching or exceeding the virtual cutting boundary.
7. The robotic surgery system of claim 4 , wherein the robotic manipulator is configured to operate in a free mode in which a user is allowed to freely manipulate the cutting tool beyond the virtual cutting boundary.
8. The robotic surgery system of claim 1 , wherein the robotic manipulator is configured to operate in an autonomous mode in which the one or more controllers operate the robotic manipulator to control movement of the cutting tool autonomously along a tool path to form the first cavity and the second cavity.
9. The robotic surgery system of claim 1 , wherein the one or more controllers are configured to:
determine positions of a plurality of landmarks on the bone;
define a virtual resection plane in a coordinate system based on the positions of the plurality of landmarks, the coordinate system being registered to the bone; and
define the one or more virtual objects in the coordinate system based on a location of the virtual resection plane.
10. The robotic surgery system of claim 9 , wherein the one or more controllers are configured to:
define a virtual intramedullary axis of the bone in the coordinate system prior to forming the first cavity and the second cavity; and
define the virtual resection plane in the coordinate system based on a location of the virtual intramedullary axis.
11. A method of operating a robotic surgery system for preparing a bone of a shoulder joint to receive a shoulder implant, the robotic surgery system including a robotic manipulator, a cutting tool coupled to the robotic manipulator, a localizer configured to track movement of the cutting tool and the bone, and one or more controllers, the method comprising:
obtaining, with the one or more controllers, one or more virtual objects that define a volume of material to be removed from the bone for receipt of the shoulder implant, the shoulder implant including a distal body extending along an implant axis and a planar locking member that extends radially outward from the distal body along a plane perpendicular to the implant axis, and wherein the planar locking member is rigidly coupled to the distal body in a fixed position; and
operating, with the one or more controllers, the robotic manipulator to control movement of the cutting tool relative to the bone based on the one or more virtual objects to form a first cavity and a second cavity in the bone, the first cavity being sized and shaped to receive the distal body and the planar locking member of the shoulder implant in an unlocked position, and the second cavity being formed beneath the first cavity to define an undercut in the bone, the second cavity being planar and sized and shaped to receive the distal body and the planar locking member of the shoulder implant in the unlocked position and to enable the planar locking member to rotate within the second cavity from the unlocked position to a locked position whereby the undercut engages the planar locking member to limit withdrawal of the shoulder implant from the bone.
12. The method of claim 11 , comprising operating, with the one or more controllers, the robotic manipulator to control movement of the cutting tool based on the one or more virtual objects to form the second cavity about the implant axis such that the second cavity enables the planar locking member to be rotated about the implant axis from the unlocked position to the locked position.
13. The method of claim 12 , comprising operating, with the one or more controllers, the robotic manipulator to control movement of the cutting tool to form the second cavity being rotationally offset at least 10 degrees relative to the first cavity.
14. The method of claim 11 , wherein the one or more virtual objects comprise a virtual cutting boundary, and comprising generating, with the robotic manipulator, haptic feedback to a user based on a position of the cutting tool relative to the virtual cutting boundary.
15. The method of claim 14 , comprising:
operating the robotic manipulator in a haptic mode in which a user manually manipulates the cutting tool to form the first cavity and the second cavity; and
generating, with the robotic manipulator, haptic feedback in response to the cutting tool reaching or exceeding the virtual cutting boundary.
16. The method of claim 14 , comprising operating the robotic manipulator in a free mode in which a user is allowed to freely manipulate the cutting tool beyond the virtual cutting boundary.
17. The method of claim 11 , comprising operating the robotic manipulator in an autonomous mode in which the one or more controllers operate the robotic manipulator to control movement of the cutting tool autonomously along a tool path to form the first cavity and the second cavity.
18. The method of claim 11 , comprising:
determining, with the one or more controllers, positions of a plurality of landmarks on the bone;
defining, with the one or more controllers, a virtual resection plane in a coordinate system based on the positions of the plurality of landmarks, the coordinate system being registered to the bone; and
defining, with the one or more controllers, the one or more virtual objects in the coordinate system based on a location of the virtual resection plane.
19. The method of claim 18 , comprising:
defining, with the one or more controllers, a virtual intramedullary axis of the bone in the coordinate system prior to forming the first cavity and the second cavity; and
defining, with the one or more controllers, the virtual resection plane in the coordinate system based on a location of the virtual intramedullary axis.