IP Library Granted Patent US 12,544,141
Granted Patent B2
US 12,544,141 · App. 19/205,207 · Granted Feb 10, 2026

Computer-based platforms for implementing a weight-based personalized implant planning during a total joint arthroplasty and methods of use thereof

Inventors: Laurent Angibaud (Gainesville, FL); Cyril Hamad (Meylan, FR); Prudhvi Chinimilli (Milpitas, CA); Florian Kerveillant (Grenoble, FR); James Huddleston (Woodside, CA)
Assignee: Advita Ortho, LLC
A61B34/10A61B34/25A61B2034/102A61B2034/107A61B2034/108A61B2034/256
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Quick Facts
Patent No.
US 12,544,141
App. No.
19/205,207
Granted
Feb 10, 2026
Kind
B2
Abstract

A method and system for personalized implant planning during total joint arthroplasty include obtaining a plurality of patient-specific data prior to an implantation of at least one implant into a joint of a patient comprising a first bone member and a second bone member; inputting the plurality of patient-specific data into at least one weight-based implant algorithm, at least one weight-based implant machine learning model, or both, configured to output weights assigned to patient-specific functional parameters that facilitate a prioritization for each of the patient-specific functional parameters; utilizing a surgical plan model to obtain a patient-specific intra-operative surgical plan for the implantation of the at least one implant, based at least in part on the plurality of patient-specific data, intra-operative patient-specific data, the plurality of patient-specific functional parameters, and/or the plurality of weights; and performing the implantation based on the patient-specific intra-operative surgical plan.

Claims (63)

1 . A method comprising:

obtaining a plurality of patient-specific data values prior to an implantation of at least one implant into a joint of a patient comprising a first bone member and a second bone member;

inputting the plurality of patient-specific data values into at least one weight-based implant algorithm configured to output a plurality of weights assigned to a plurality of patient-specific functional parameters that facilitate a patient-specific functional parameter prioritization for the plurality of patient-specific functional parameters;

utilizing a surgical plan model to obtain a patient-specific intra-operative surgical plan for the implantation of the at least one implant, based at least in part on:

the plurality of patient-specific data values,

the plurality of patient-specific functional parameters, and

the plurality of weights;

wherein the patient-specific intra-operative surgical plan comprises at least one surgical parameter based on the patient-specific functional parameter prioritization;

initiating a surgical procedure for the implantation based on the patient-specific intra-operative surgical plan;

inputting, during the surgical procedure, a plurality of intra-operative patient-specific data values into the at least one weight-based implant algorithm to generate a plurality of updated weights and an updated patient-specific functional parameter prioritization for the plurality of patient-specific functional parameters;

inputting, during the surgical procedure, the plurality of updated weights, the plurality of intra-operative patient-specific data values, and the updated patient-specific functional parameter prioritization to the surgical plan model to obtain an updated patient-specific intra-operative surgical plan having at least one updated surgical parameter; and

preparing the first bone member, the second bone member, or both during the surgical procedure based on the updated patient-specific intra-operative surgical plan to complete the implantation of the at least one implant.

2 . The method according to claim 1 , wherein the plurality of weights comprises:

at least one implant alignment weight for at least one implant alignment functional parameter of the plurality of patient-specific functional parameters,

at least one implant size weight for at least one implant size functional parameter of the plurality of patient-specific functional parameters, and

at least one joint laxity weight for at least one joint laxity functional parameter of the plurality of patient-specific functional parameters.

3 . The method according to claim 1 , wherein the at least one surgical parameter is at least one of:

at least one surgical bone cut parameter,

at least one implant alignment parameter,

at least one implant size parameter, and

at least one joint laxity parameter.

4 . The method according to claim 1 , wherein the plurality of patient-specific data values comprises data from a plurality of patient-specific inputs, a plurality of surgeon-specific inputs, a plurality of healthcare-specific inputs, or any combination thereof.

5 . The method according to claim 1 , wherein the patient-specific functional parameter prioritization for each of the plurality of patient-specific functional parameters is based at least in part on at least one target threshold associated with:

at least one surgeon-specific preference,

at least one patient-specific joint deformity metric, and

at least one patient-specific soft tissue imbalance metric.

6 . The method according to claim 1 , wherein the at least one weight-based implant algorithm is configured to output the plurality of weights by an error penalty function configured to minimize deviations from target thresholds and the plurality of patient-specific functional parameters.

7 . The method according to claim 6 , wherein the target thresholds comprise

at least one joint laxity error value for at least one joint laxity functional parameter.

8 . The method according to claim 1 , wherein the plurality of intra-operative patient-specific data values comprises

at least one first laxity measurement based on a gap distance between the first bone member and the second bone member.

9 . The method according to claim 1 , further comprising controlling at least one robotic tool for automatically performing the surgical procedure based on the patient-specific intra-operative surgical plan.

10 . The method according to claim 1 , further comprising generating a patient-specific post-operative dataset of the patient and a plurality of other patients to retrain the at least one weight-based implant algorithm.

11 . The method according to claim 10 , wherein the patient-specific post-operative dataset comprises post-operative patient outcome data, post-operative implant performance data, or post-operative surgeon feedback data about the surgical procedure.

12 . The method according to claim 1 , wherein the at least one weight-based implant algorithm is configured to prioritize functional parameters by ranking the plurality of patient-specific functional parameters in an order of importance based on surgeon-specific preferences and patient-specific needs.

13 . The method according to claim 1 , wherein the joint is a knee joint;

wherein the surgical procedure is a total knee arthroplasty incorporating at least one type of joint alignment procedure; and

wherein the at least one weight-based implant algorithm is configured to output the plurality of weights based at least in part on the at least one type of joint alignment procedure.

14 . The method according to claim 13 , wherein the at least one type of joint alignment procedure is based on at least one of:

a mechanical alignment,

an anatomical alignment,

a kinematic alignment,

a restricted kinematic alignment,

an inverse kinematic alignment, or

a functional alignment.

15 . The method according to claim 13 , wherein the at least one type of joint alignment procedure is a mechanical alignment; and

wherein the at least one weight-based implant algorithm is configured to output at least one implant alignment weight with a highest weight.

16 . The method according to claim 13 , wherein the at least one type of joint alignment procedure is a functional alignment; and

wherein the at least one weight-based implant algorithm is configured to output at least one joint laxity weight with a highest weight.

17 . The method according to claim 13 , wherein the at least one type of joint alignment procedure is a kinematic alignment; and

wherein the at least one weight-based implant algorithm is configured to output at least one implant resection thickness weight with a highest weight.

18 . The method according to claim 1 , wherein the patient-specific intra-operative surgical plan is updated by calculating a global error function that incorporates the plurality of weights and deviations of functional parameters from target thresholds.

19 . The method according to claim 1 , wherein the at least one weight-based implant algorithm is configured to assign weights to the plurality of patient-specific functional parameters using a machine learning model trained on historical surgical data and post-operative outcomes.

20 . The method according to claim 1 , wherein the plurality of intra-operative patient-specific data values comprises at least one real-time soft-tissue tension measurement obtained using a distractor.

21 . The method according to claim 1 , wherein the patient-specific intra-operative surgical plan is displayed on a wearable augmented reality device worn by a surgeon during the surgical procedure.

22 . The method according to claim 1 , wherein the patient-specific intra-operative surgical plan is displayed on a display of a surgery assistance device during the surgical procedure.

23 . The method according to claim 1 , wherein the at least one weight-based implant algorithm is configured to assign higher weights to functional parameters associated with fields of interest that exhibit lower error penalties during the surgical procedure.

24 . The method according to claim 1 , wherein the patient-specific intra-operative surgical plan comprises at least one recommendation for balancing soft-tissue tension by adjusting surgical cut parameters for the first bone member and the second bone member.

25 . The method according to claim 1 , further comprising assessing that a surgeon performing the surgical procedure is an expert surgeon based a number of surgical procedures previously performed by the surgeon being above a predefined threshold; and

wherein the at least one weight-based implant algorithm is configured to output the plurality of weights after training with surgeon-specific data associated with the expert surgeon.

26 . The method according to claim 1 , further comprising assessing that a surgeon performing the surgical procedure is a junior surgeon based a number of surgical procedures previously performed by the surgeon being below a predefined threshold; and

wherein the at least one weight-based implant algorithm is configured to output the plurality of weights after training with surgeon-specific data from generalized models based on surgical workflow relevance and the plurality of patient-specific data values.

27 . The method according to claim 1 , further comprising generating the at least one weight-based implant algorithm that is configured to output the plurality of weights based at least in part on surgeon-specific data stored in an expert surgeon database.