Granted Patent B2

US 12,262,896 · App. 17/056,660 · Granted Apr 1, 2025

Inventors: Riddhit Mitra (Pittsburgh, PA); Branislav Jaramaz (Pittsburgh, PA); Samuel Dumpe (Beaver, PA); Constantinos Nikou (Monroeville, PA)

Assignees: SMITH & NEPHEW, INC.; SMITH & NEPHEW ORTHOPAEDICS AG; SMITH & NEPHEW ASIA PACIFIC PTE. LIMITED

A61B17/157A61B17/155A61B34/20A61B2034/2055

Abstract

Claims (40)

1. A system for tracking resection planes during a surgical procedure, the system comprising:

an extramedullary alignment system comprising a guide rod;

a cutting block configured to be mounted on an anterior surface of a bone during the surgical procedure, wherein the cutting block comprises at least one cut slot configured to position a resection tool during the surgical procedure and a receiving hole arranged and configured to receive the guide rod;

a pivoting member connecting a first portion of the cutting block comprising the at least one cut slot and a second portion of the cutting block comprising the receiving hole, wherein the pivoting member extends along a coronal plane, and wherein the pivoting member is configured to facilitate rotation of a cut plane defined by the at least one cut slot along a sagittal plane;

one or more markings indicating an angle of the rotation of the cut plane defined by the at least one cut slot along the sagittal plane; and

a position tracker configured to directly couple to the cutting block after the cutting block is mounted on the anterior surface to allow positional tracking of the cutting block by a tracking device during the surgical procedure,

wherein the at least one cut slot is further configured to be movable after the cutting block is mounted on the anterior surface to adjust a slope of the at least one cut slot,

wherein the guide rod is configured to pass through the receiving hole such that the cutting block is translatable along the guide rod, and

wherein the guide rod is substantially aligned to an axis of the bone.

2. The system of claim 1 , wherein the position tracker comprises:

a frame;

one or more mounting points on the frame configured to be received by the receiving hole in a fixed orientation to couple the position tracker to the cutting block; and

one or more position markers on the frame, each position marker being trackable by the tracking device during the surgical procedure.

3. The system of claim 2 , wherein the one or more position markers are reflective to light.

4. The system of claim 2 , wherein the one or more mounting points comprise a clamp.

5. The system of claim 1 , further comprising a locking feature configured to lock a slope of the cutting block with respect to the anterior surface of the bone.

6. The system of claim 1 , wherein the extramedullary alignment system further comprises an ankle clamp coupled to the guide rod, wherein the guide rod is configured to directly couple to the cutting block before the cutting block is mounted on the anterior surface, wherein the guide rod is configured to be aligned with an axis of the bone to position the cutting block, and wherein the ankle clamp is configured to be clamped to the bone when the guide rod is coupled to the cutting block.

7. The system of claim 6 , wherein the receiving hole is arranged and configured to selectively receive: (i) the guide rod to couple the extramedullary alignment system to the cutting block during the alignment with the axis of the bone, and (ii) the position tracker in a rigid, fixed orientation, thereby coupling the position tracker to the cutting block during positional tracking of the cutting block by the tracking device.

8. The system of claim 6 , wherein the guide rod includes a proximal end and a distal end,

wherein the proximal end of the guide rod is configured to directly couple to the cutting block before the cutting block is mounted on the anterior surface, and

wherein the distal end of the guide rod is coupled to the ankle clamp.

9. The system of claim 8 , wherein the guide rod is configured to be aligned with the axis of the bone, such that an axis of the guide rod extending between the proximal end and the distal end of the guide rod is substantially parallel to the axis of the bone, to position the cutting block,

wherein the axis of the bone extends between a proximal end and a distal end of the bone.

10. The system of claim 6 , wherein the ankle clamp is configured to be clamped at a distal end of the bone when the guide rod is coupled to the cutting block and the cutting block is mounted on the anterior surface at a proximal end of the bone.

11. The system of claim 1 , further comprising a tracked probe comprising a plate configured to be inserted in the at least one cut slot, wherein an orientation of the plate is configured to be tracked by the tracking device during the surgical procedure.

12. A system for tracking a resection plane during a surgical procedure, the system comprising:

an extramedullary alignment system comprising a guide rod;

a cutting block configured to be mounted on an anterior surface of a bone, the cutting block comprising a receiving hole arranged and configured to receive the guide rod and at least one cut slot configured to position a resection tool during the surgical procedure, wherein the at least one cut slot is rotatable after the cutting block is mounted on the anterior surface to adjust a slope of the at least one cut slot with respect to the anterior surface, wherein the guide rod is configured to pass through the receiving hole such that the cutting block is translatable along the guide rod;

a pivoting member connecting a first portion of the cutting block comprising the at least one cut slot and a second portion of the cutting block comprising the receiving hole, wherein the pivoting member extends along a coronal plane, and wherein the pivoting member is configured to facilitate rotation of a cut plane defined by the at least one cut slot along a sagittal plane;

one or more markings indicating an angle of the rotation of the cut plane defined by the at least one cut slot along the sagittal plane;

a position tracker comprising a frame and a plurality of position markers disposed on the frame, wherein the position tracker is configured to directly couple to the cutting block after the cutting block is mounted on the anterior surface of the bone, and wherein the receiving hole is arranged and configured to receive a portion of the frame to rigidly couple the position tracker to the cutting block in a fixed orientation to enable positional tracking of the cutting block by a tracking device during the surgical procedure; and

a processor configured to:

receive, from the tracking device, a position of the plurality of position markers of the position tracker after the cutting block is mounted on the anterior surface of the bone,

receive, from the tracking device, an orientation of a plate of a tracked probe when the plate is inserted in the at least one cut slot, and

determine, based on the received position of the plurality of position markers and the received orientation of the plate, the resection plane for the resection tool through the at least one cut slot with respect to the anterior surface;

wherein the guide rod is substantially aligned to an axis of the bone.

13. The system of claim 12 , wherein the resection plane for the resection tool is further determined based on a known geometric relationship between the plurality of position markers and the cutting block.

14. The system of claim 12 , further comprising a tracking device including one or more sensors, the tracking device configured to:

detect the position of the plurality of position markers after the cutting block is mounted on the anterior surface of the bone, and

detect the orientation of the plate when the plate is inserted in the at least one cut slot.

Assignments (2)

Continuity (2)

References Cited (23)