Smith + Nephew

Smith & Nephew Orthopaedics Ag

Smith Nephew Asia Pacific Pte. Limited

Randy C Winebarger

Ryan Lloyd Landon

Ruxandra Cristiana Marinescu Tanasoca

William L Bowers, Jr

James Bennett Wiebe, Iii

Zachary Christopher Wilkinson

Nathaniel Milton Lenz

Sean M Haddock

Brian William McKinnon

Brian W Mckinnon

Constantinos Nikou

Branislav Jaramaz

Roger Ryan Dees, Jr

Elizabeth Duxbury

Eric S Kennedy

Paul Alexander Torrie

Jeffrey Andrew Sharp

Aashiish Agnihotri

Laura J Gilmour

Maroun Hanna Tarsha

Shawn P Mcguan

Roger Ryan Dees

Daniel Farley

Timothy J Petteys

Shawn Patrick McGuan

Michael Jackson

Thomas William Lux

Ruxandra Christiana Marinescu Tanasoca

Jr William L Bowers

Brian W Mc Kinnon

James B Wiebe

James Bennett Wiebe Iii

Eric Steven Kennedy

Maroun H Tarsha

A method of determining patient-specific implant parameters for an implant used in a surgical procedure is described. A surgical system receives one or more initial transfer functions and one or more preoperative input factors for a patient and generates a surgical plan comprising one or more patient-specific implant parameters based on the one or more initial transfer functions and the one or more preoperative input factors for the patient. The surgical system further receives one or more intraoperative input factors for the patient and updates the one or more patient-specific implant parameters based on the one or more intraoperative input factors for the patient. An implant for the patient is selected based on the one or more updated patient-specific implant parameters.

Patient-specific surgical method and system

Improved randomized porous structures and methods of manufacturing such porous structures are disclosed. The scaffold of the porous structures are formed from by dividing the space between a plurality of spatial coordinates of a defined volume, where the plurality of spatial coordinates have been moved in a random direction and a random finite distance according to a predetermined randomization limit.

Controlled randomized porous structures and methods for making same

A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.

Algorithm-based optimization for knee arthroplasty procedures

A method for creating a patient-specific surgical plan includes receiving one or more pre-operative images of a patient having one or more infirmities affecting one or more anatomical joints. three-dimensional anatomical model of the one or more anatomical joints is created based on the one or more pre-operative images. One or more transfer functions and the three-dimensional anatomical model are used to identify a patient-specific implantation geometry that corrects the one or more infirmities. The transfer functions model performance of the one or more anatomical joints as a function of anatomical geometry and anatomical implantation features. surgical plan comprising the patient-specific implantation geometry may then be displayed.

Patient-specific simulation data for robotic surgical planning

Systems and methods for optimizing parameters of an orthopaedic procedure for a particular patient, including parameters relating to the anatomic and biomechanic fit of an implant or implant system implanted into the patient's joint. These systems and methods may utilize patient-specific information gathered pre-operatively in conjunction with optimization algorithms to determine an optimal implant design and an optimal position and orientation for implantation of the implant into the particular patient's joint.

Systems and methods for optimizing parameters of orthopaedic procedures

A system and method for pre-operatively optimizing a fit of an orthopaedic implant relative to a particular individuals anatomy is provided. The method includes: receiving information including a three-dimensional anatomic model of the individuals anatomy; computing a periphery of a simulated resection portion of the anatomic model without reference to any abnormal morphology; identifying a preliminary size for an orthopaedic implant component for use on the simulated resection surface; initially positioning the orthopaedic implant model relative to the simulated resection portion; generating random point sets around the peripheries of the simulated resection portion and the orthopaedic implant model; utilizing a position optimizer to determine whether the position of the orthopaedic implant periphery relative to the simulated resection portion periphery is optimal; determining whether the selected orthopaedic implant model results in overhang; and verifying the position of the orthopaedic implant and/or the size of the orthopaedic implant.

Systems and methods for optimizing fit of an implant to anatomy

Disclosed herein is a patella clamp configured to grip a patient's patella. The patella clamp includes a clamping assembly, a ratchet arm assembly, and a handle assembly. The clamping assembly includes first and second patella grip portions mounted in opposing relationship. In use, actuation of the handle assembly moves the second patella grip portion towards the first patella grip portion to clamp the patient's patella. The handle assembly is configured to be moveably adjustable (e.g., rotatable) relative to the clamping assembly. For example, each of the first and second patella grip portions are coupled to mating features mounted on the ratchet arm assembly. Decoupling of the mating features allows the first and second patella grip portions to rotate about the longitudinal axis of the ratchet arm assembly. Thus arranged, the patella clamp is configured to enable the surgeon to reposition the handle assembly to provide increased visibility, etc.

Patella clamp

Patient specific implant technology, in which an outline representation of a portion of an outer surface of a periphery of a bone volume is determined and the outline representation is used in operations related to implant matching. In addition, an instrument may be made to match a perimeter shape of a Patient Specific Knee Implant with features for locating holes in a distal femur such that posts or lugs in a femoral implant locate the femoral implant centered medial-laterally within an acceptable degree of precision to prevent overhang of either the side of the femoral implant over the perimeter of the distal femur bone resections. Further, a two-dimensional outline representation may be segmented into segments that correspond to resection cuts used in fitting an implant on a portion of a bone and operations related to implant matching may be performed based on the segments.

Patient specific implant technology

A method for creating a patient-specific surgical plan includes receiving one or more pre-operative images of a patient having one or more infirmities affecting one or more anatomical joints, three-dimensional anatomical model of the one or more anatomical joints is created based on the one or more pre-operative images. One or more transfer functions and the three-dimensional anatomical model are used to identify a patient-specific implantation geometry that corrects the one or more infirmities. The transfer functions model performance of the one or more anatomical joints as a function of anatomical geometry and anatomical implantation features, surgical plan comprising the patient-specific implantation geometry may then be displayed.

A patient matched instrument is disclosed. The patient matched instrument includes a body having an interior patient matched surface; a cutting slot extending through at least a portion of the body; a first paddle extending from the body; and a second paddle spaced apart from the first paddle and extending from the body; and wherein at least one of the first paddle and the second paddle further comprises a hook.

Patient matched instrument

A gauge assembly includes a distal femur gauge including medial and lateral condyle paddles each having a shape and size corresponding to a pre-operative planned distal resection of a patient's femur, and a tibial cutting block connected to the distal femur gauge. The condyle paddles include features, for example, pin-receiving holes, that permit intra-operative anterior-posterior and/or internal-external adjustment of the position of the distal femur gauge. The tibial cutting block includes features, for example, pin-receiving slot and holes, that permit fixing of the varus-valgus and flexion-extension degrees of freedom prior to fixing the internal-external and medial-lateral degrees of freedom.

Patient-matched total knee arthroscopy

Growing community of inventors

Southaven, MS, United States of America

Randy C Winebarger