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US20160008013A1 Active / In Force US ⏱️ 8.9 years remaining

Patient specific alignment guide with cutting surface and laser indicator

Assignee: Biomet Manufacturing LLC
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Filing: 2015-09-25
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Granted: —
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Expires: 2035-09-25
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Abstract

Abstract A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient. The patient-specific guiding system includes a patient-specific guide. The guide includes a first portion having a first patient-specific inner surface that conforms to a first surface of the anatomical feature and an outer surface opposite the first patient-specific inner surface. The first portion also includes a guide surface for use in guiding the instrument relative to the anatomical feature. The guide also includes a second portion having a second patient-specific inner surface that conforms to a second surface of the anatomical feature and an outer surface opposite the second patient-specific inner surface. The second portion is removably connected to the first portion.

Inventors

  • 👤 Robert Metzger
  • 👤 Ryan John Schoenefeld
  • 👤 Nathan Emick Belcher
  • 👤 Brian Uthgenannt

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-08 19:41
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/16; A61B17/17; A61B17/1703; A61B17/14; A61B17/15; A61B17/154; A61B17/1662; A61B17/1675; A61B17/1739; A61B17/1764; A61B34/00; A61B34/10; A61B90/00; A61B90/10; A61B90/11; A61B90/13; A61B17/155; A61B17/157; A61B17/56; A61B2017/568; A61B2034/108; A61B90/39; A61B2090/3937; A61B2090/3945; A61B2560/00; A61B2560/04; A61B2560/0443; A61F; A61F2/00; A61F2/02; A61F2/30; A61F2002/30001; A61F2002/30316; A61F2002/30535; A61F2002/30617; A61F2/46; A61F2/4657; A61F2002/4662; A61F2002/4668; A61F2002/4687; A61F2250/00; A61F2250/0058; A61F2250/0096; A61F2250/0097

Claims Analysis

Total Claims: 23
Claim 1
Independent Claim 156 words
1 . A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient, the patient-specific guiding system comprising: a patient-specific guide having: a first portion having a first patient-specific inner surface that conforms to a first surface of the anatomical feature and an outer surface opposite the first patient-specific inner surface, the first portion including a guide surface for use in guiding the instrument relative to the anatomical feature; and a second portion having a second patient-specific inner surface that conforms to a second surface of the anatomical feature and an outer surface opposite the second patient-specific inner surface, the second portion being removably connected to the first portion; wherein the first and second patient-specific inner surfaces each have a three dimensional contour that nests and closely conforms to the first and second surfaces, respectively, of the anatomical features, to align the guide relative to the anatomical feature.
Claim 2
Dependent Claim 156 words
1 . A patient-specific guiding system for guiding an instrument relative to a portion of an anatomical feature of a patient, the patient-specific guiding system comprising: a patient-specific guide having: a first portion having a first patient-specific inner surface that conforms to a first surface of the anatomical feature and an outer surface opposite the first patient-specific inner surface, the first portion including a guide surface for use in guiding the instrument relative to the anatomical feature; and a second portion having a second patient-specific inner surface that conforms to a second surface of the anatomical feature and an outer surface opposite the second patient-specific inner surface, the second portion being removably connected to the first portion; wherein the first and second patient-specific inner surfaces each have a three dimensional contour that nests and closely conforms to the first and second surfaces, respectively, of the anatomical features, to align the guide relative to the anatomical feature.
Claim 3
Dependent Claim 42 words
2 . The patient-specific guiding system of claim 1 , wherein the second portion is removably connected to the first portion by at least one of a dovetail coupling, a pinned coupling, a scored coupling, a magnetic coupling, and a snap-fit coupling.
Claim 4
Dependent Claim 47 words
3 . The patient-specific guiding system of claim 1 , further comprising a coupling mechanism that couples the first portion directly to the anatomical feature, and wherein the second portion is coupled to the anatomical feature only through the coupling mechanism, by coupling with the first portion.
Claim 5
Dependent Claim 21 words
4 . The patient-specific guiding system of claim 1 , wherein the guide surface is an opening that receives the instrument.
Claim 6
Dependent Claim 39 words
5 . The patient-specific guiding system of claim 1 , further comprising a laser coupled to the guide that emits a light that identifies a reference plane for use in aligning the guide surface relative to the anatomical feature.
Claim 7
Dependent Claim 37 words
6 . The patient-specific guiding system of claim 5 , wherein the reference plane is substantially perpendicular to a cutting plane of the instrument, the instrument cutting the portion of the anatomical feature along the cutting plane.
Claim 8
Dependent Claim 35 words
7 . The patient-specific guiding system of claim 5 , wherein the reference plane lies in a cutting plane of the instrument, the instrument cutting the portion of the anatomical feature along the cutting plane.
Claim 9
Dependent Claim 47 words
8 . The patient-specific guiding system of claim 1 , further comprising a cutting guide having a cutting surface that guides a cutting tool for cutting the anatomical feature, the guide surface removably supporting the cutting guide to align the cutting guide relative to the anatomical feature.
Claim 10
Dependent Claim 42 words
9 . The patient-specific guiding system of claim 8 , wherein the cutting guide is removably connected to the first portion by at least one of a dovetail coupling, a pinned coupling, a scored coupling, a magnetic coupling, and a snap-fit coupling.
Claim 11
Dependent Claim 40 words
10 . The patient-specific guiding system of claim 8 , further comprising a spacer that is removably interposed between the cutting guide and the first portion to space the cutting guide and the first portion apart at a predetermined distance.
Claim 12
Dependent Claim 81 words
11 . The patient-specific guiding system of claim 1 , further comprising a secondary cutting guide that guides a cutting tool for cutting the anatomical feature, and a secondary coupling mechanism that couples the secondary cutting guide to the anatomical feature, the guide surface removably supporting the secondary cutting guide to align the secondary cutting guide relative to the anatomical feature, the first portion being removable from the anatomical feature while the secondary cutting guide is coupled to the anatomical feature.
Claim 13
Dependent Claim 137 words
12 . A guiding system comprising: a first portion configured to extend along a surface of a bone, the first portion comprising: at least one fixation feature disposed on the first portion; and a first coupling feature; and a second portion configured to engage a portion of the bone to be resected, the second portion comprising: a second coupling feature configured to interface with the first coupling feature; and an interior surface that is patient-specific to conform to an anatomical surface of the portion of the bone to be resected; wherein the interior surface is configured to engage the anatomic surface to position the at least one fixation feature at a patient-specific location on the bone; and wherein the second portion is separable from the first portion at the interface between the first and second coupling features.
Claim 14
Dependent Claim 137 words
12 . A guiding system comprising: a first portion configured to extend along a surface of a bone, the first portion comprising: at least one fixation feature disposed on the first portion; and a first coupling feature; and a second portion configured to engage a portion of the bone to be resected, the second portion comprising: a second coupling feature configured to interface with the first coupling feature; and an interior surface that is patient-specific to conform to an anatomical surface of the portion of the bone to be resected; wherein the interior surface is configured to engage the anatomic surface to position the at least one fixation feature at a patient-specific location on the bone; and wherein the second portion is separable from the first portion at the interface between the first and second coupling features.
Claim 15
Dependent Claim 22 words
13 . The guiding system of claim 12 , wherein first portion is patient-specific to conform to the surface of the bone.
Claim 16
Dependent Claim 52 words
14 . The guiding system of claim 12 , wherein the first portion further comprises a first cutting guide feature located between the at least one fixation feature and the first coupling feature, the first cutting guide feature comprising an opening positioned to engage a portion of the bone to be cut.
Claim 17
Dependent Claim 43 words
15 . The guiding system of claim 14 , wherein the second portion is separable from the first portion such that the portion of the bone to be resected is visible when a cutting tool is inserted in the first cutting guide feature.
Claim 18
Dependent Claim 62 words
16 . The guiding system of claim 12 , further comprising a third portion comprising: a third coupling feature configured to join with the first coupling feature; and a second cutting guide feature extending through the third portion; wherein the second cutting guide feature extends beyond an outer perimeter of the first portion when the first and third coupling features are engaged.
Claim 19
Dependent Claim 24 words
17 . The guiding system of claim 12 , further comprising a spacer positioned between the first coupling feature and the second coupling feature.
Claim 20
Dependent Claim 37 words
18 . The guiding system of claim 12 , further comprising a pin, wherein the at least one fixation feature comprises a through-bore configured to receive the pin to fixedly couple the first portion to the bone.
Claim 21
Dependent Claim 133 words
19 . A guiding system comprising: a first portion configured to extend along an anterior surface of a femur, the first portion comprising: at least one through-bore extending through the first portion; a distal side surface; and a cutting guide slot extending through the first portion and disposed between the at least one through-bore and the distal side surface; and a second portion configured to engage a distal end of the femur, the second portion comprising: a proximal side surface configured to join with the distal side surface; and an interior surface having a three-dimensional contour that nests and closely conforms to the distal end of the femur; wherein the first and second portions are configured to position the cutting guide slot at a patient-specific location on the anterior surface of the femur.
Claim 22
Dependent Claim 133 words
19 . A guiding system comprising: a first portion configured to extend along an anterior surface of a femur, the first portion comprising: at least one through-bore extending through the first portion; a distal side surface; and a cutting guide slot extending through the first portion and disposed between the at least one through-bore and the distal side surface; and a second portion configured to engage a distal end of the femur, the second portion comprising: a proximal side surface configured to join with the distal side surface; and an interior surface having a three-dimensional contour that nests and closely conforms to the distal end of the femur; wherein the first and second portions are configured to position the cutting guide slot at a patient-specific location on the anterior surface of the femur.
Claim 23
Dependent Claim 31 words
20 . The guiding system of claim 19 , wherein the second portion is couplable to the femur only through joining of the distal side surface and the proximal side surface.

References Cited (Backward Citations)

US20040138670A1 Cited
US20040260301A1 Cited
US20060122491A1 Cited
US20070233141A1 Cited
WO2009001083A1 Cited

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