IP Library › Granted Patent US 9,173,662
Granted Patent B2
US 9,173,662 · App. 13/580,257 · Granted Nov 3, 2015

Customized patient-specific tibial cutting blocks

Inventors: Luke J. Aram (Warsaw, IN); William Bugbee (Warsaw, IN); Charles A. Engh, Jr. (Warsaw, IN); Joseph Moskal (Warsaw, IN); Mark W. Pagnano (Warsaw, IN); Michael Swank (Warsaw, IN); Bryan Rose (Warsaw, IN)
Assignee: DePuy Synthes Products, Inc.
A61B17/157A61B17/15A61B17/154A61B17/155A61B17/1764A61B2017/00526
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Quick Facts
Patent No.
US 9,173,662
App. No.
13/580,257
Filed
Nov 2, 2012
Granted
Nov 3, 2015
Kind
B2
Art Unit
3775
USPC
606/88
Abstract

A customized patient-specific tibial cutting block comprising a body having a bone-facing surface that has a customized patient-specific negative contour configured to receive (i) a portion of an anterior side of a patient's tibia that has a corresponding positive contour, and (ii) a portion of a medial side of the patient's tibia that has a corresponding positive contour such that, when viewed superiorly, an angle greater than zero is defined between a vertically-extending, bisecting plane of the body and a bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body, and at least one tab extending posteriorly from the body, the at least one tab having a bone-facing surface having a customized patient-specific negative contour configured to receive a portion of the proximal side of the patient's tibia that has a corresponding positive contour.

Claims (42)

1. A customized patient-specific tibial cutting block, comprising:

a body having a bone-facing surface that has a customized patient-specific negative contour configured to receive (i) a portion of an anterior side of a patient's tibia that has a corresponding positive contour, and (ii) a portion of a medial side of the patient's tibia that has a corresponding positive contour such that, when viewed superiorly, an angle greater than zero is defined between a vertically-extending, bisecting plane of the body and a bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body, and

at least one tab extending posteriorly from the body, the at least one tab having a bone-facing surface having a customized patient-specific negative contour configured to receive a portion of the proximal side of the patient's tibia that has a corresponding positive contour.

2. The customized patient-specific tibial cutting block of claim 1 , wherein:

the at least one tab comprises a first tab extending posteriorly from the body and a second tab extending posteriorly from the body,

each of the first tab and the second tab has a bone-facing surface having a customized patient-specific negative contour configured to receive a respective portion of the proximal end of the patient's tibia that has a corresponding positive contour, and

the first tab and the second tab define an opening therebetween.

3. The customized patient-specific tibial cutting block of claim 1 , wherein the body has a cutting slot defined therein, the cutting slot being positioned to allow a surgeon to perform a proximal cut on the patient's tibia using the cutting slot.

4. The customized patient-specific tibial cutting block of claim 1 , further comprising a cutting guide coupled to the body, wherein:

the cutting guide has a cutting slot defined therein, and

the cutting guide is formed from a material different from the body and being positioned to allow a surgeon to perform a proximal cut on the patient's tibia using the cutting slot.

5. The customized patient-specific tibial cutting block of claim 4 , wherein the cutting guide is formed from a metallic material and is overmolded to the body of the customized patient-specific femoral cutting block.

6. The customized patient-specific tibial cutting block of claim 1 , further comprising a cutting guide coupled to the body, wherein:

the cutting guide has a cutting slot defined therein, the cutting slot having a longitudinal axis, and

the longitudinal axis of the cutting slot defines a substantially perpendicular angle with the vertically-extending, bisecting plane of the body.

7. The customized patient-specific tibial cutting block of claim 1 , further comprising a cutting guide coupled to the body, wherein:

the cutting guide has a cutting slot defined therein, the cutting slot having a longitudinal axis, and

the longitudinal axis of the cutting slot defines a substantially perpendicular angle with the bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body.

8. The customized patient-specific tibial cutting block of claim 1 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is between ten degrees and thirty degrees.

9. The customized patient-specific tibial cutting block of claim 8 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is about twenty degrees.

10. A customized patient-specific tibial cutting block, comprising:

a body having a bone-facing surface that has a customized patient-specific negative contour configured to receive (i) a portion of an anterior side of a patient's tibia that has a corresponding positive contour, and (ii) a portion of a medial side of the patient's tibia that has a corresponding positive contour such that, when viewed superiorly, an angle greater than zero is defined between a vertically-extending, bisecting plane of the body and a bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body,

a cutting guide coupled to the body, the cutting guide having a cutting slot that has a longitudinal axis that defines a substantially perpendicular angle with the vertically-extending, bisecting plane of the body, and

at least one tab extending posteriorly from the body, the at least one tab having a bone-facing surface having a customized patient-specific negative contour configured to receive a portion of the proximal side of the patient's tibia that has a corresponding positive contour.

11. The customized patient-specific tibial cutting block of claim 10 , wherein:

the at least one tab comprises a first tab extending posteriorly from the body and a second tab extending posteriorly from the body,

each of the first tab and the second tab has a bone-facing surface having a customized patient-specific negative contour configured to receive a respective portion of the proximal end of the patient's tibia that has a corresponding positive contour, and

the first tab and the second tab define an opening therebetween.

12. The customized patient-specific tibial cutting block of claim 10 , wherein the cutting guide is formed from a metallic material and is overmolded to the body of the customized patient-specific femoral cutting block.

13. The customized patient-specific tibial cutting block of claim 10 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is between ten degrees and thirty degrees.

14. The customized patient-specific tibial cutting block of claim 13 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is about twenty degrees.

15. A customized patient-specific tibial cutting block, comprising:

a body having a bone-facing surface that has a customized patient-specific negative contour configured to receive (i) a portion of an anterior side of a patient's tibia that has a corresponding positive contour, and (ii) a portion of a medial side of the patient's tibia that has a corresponding positive contour such that, when viewed superiorly, an angle greater than zero is defined between a vertically-extending, bisecting plane of the body and a bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body,

a cutting guide coupled to the body, the cutting guide having a cutting slot that has a longitudinal axis that defines a substantially perpendicular angle with the bisecting sagittal plane of the patient's tibia when the portions of the patient's tibia are received in the customized patient-specific negative contour of the body, and

at least one tab extending posteriorly from the body, the at least one tab having a bone-facing surface having a customized patient-specific negative contour configured to receive a portion of the proximal side of the patient's tibia that has a corresponding positive contour.

16. The customized patient-specific tibial cutting block of claim 15 , wherein:

the at least one tab comprises a first tab extending posteriorly from the body and a second tab extending posteriorly from the body,

each of the first tab and the second tab has a bone-facing surface having a customized patient-specific negative contour configured to receive a respective portion of the proximal end of the patient's tibia that has a corresponding positive contour, and

the first tab and the second tab define an opening therebetween.

17. The customized patient-specific tibial cutting block of claim 15 , wherein the cutting guide is formed from a metallic material and is overmolded to the body of the customized patient-specific femoral cutting block.

18. The customized patient-specific tibial cutting block of claim 15 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is between ten degrees and thirty degrees.

19. The customized patient-specific tibial cutting block of claim 18 , wherein the angle defined between the vertically-extending, bisecting plane of the body and the bisecting sagittal plane of the patient's tibia is about twenty degrees.

Assignments (4)
CHANGE OF NAME Recorded Feb 24, 2015
From: DEPUY SYNTHES PRODUCTS, LLC
To: DEPUY SYNTHES PRODUCTS, INC.
Reel/Frame 035074/0647 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 6, 2013
From: DEPUY PRODUCTS, INC.
To: DEPUY SPINE, LLC
Reel/Frame 030352/0370 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 6, 2013
From: DEPUY SPINE, LLC
To: HAND INNOVATIONS LLC
Reel/Frame 030352/0518 →
CHANGE OF NAME Recorded May 6, 2013
From: HAND INNOVATIONS LLC
To: DEPUY SYNTHES PRODUCTS, LLC
Reel/Frame 030352/0536 →
Continuity (8)
Continuation In Part 12240990 · Sep 29, 2008
Provisional Application 61308136 · Feb 25, 2010
Provisional Application 60976447 · Sep 30, 2007
Provisional Application 60976448 · Sep 30, 2007
Provisional Application 60976451 · Sep 30, 2007
Provisional Application 60976444 · Sep 30, 2007
Provisional Application 60976446 · Sep 30, 2007
Related Publication 20130190768A1 · Jul 25, 2013