Hip Implant Positioning via Posture-Dependent Reference Features

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Solution Overview

Problem

Current hip navigation systems inaccurately correct for pelvic tilt during surgery, as they do not consider the patient's standing posture, leading to deviations due to soft tissue laxity and operating table position changes, especially when implant adjustment parameters are defined for a different posture than the surgical posture.

Innovation Solution

A method that identifies reference features in one posture and determines corresponding adjustment parameters for another posture, using imaging and palpation techniques to ensure accurate implant positioning, specifically considering the frontal plane in a standing posture during artificial hip surgery in a lying position.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If adjustment parameters are defined for a standing posture, then the accuracy of implant positioning is improved, but the complexity of the planning method increases

Engineering Contradiction:
Improveaccuracy of implant positioningVSAvoidcomplexity of planning method
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The method performs preliminary identification of reference features and determination of adjustment parameters while the patient is in a standing posture (first posture). This preliminary action establishes the biunique relationship between reference features and adjustment parameters before the surgery. When the patient is later positioned in the lying posture (second posture) for surgery, the system uses the pre-determined relationship to accurately derive the corresponding adjustment parameters, thereby maintaining high positioning accuracy without requiring complex real-time measurements during the actual surgical procedure.

Inventive Principle:
Principle #10Preliminary action

2Ease of operation

If the patient is positioned in a lying posture during surgery, then the ease of operation is improved, but the accuracy of implant positioning deteriorates due to pelvic tilt deviation

Engineering Contradiction:
Improveease of surgeryVSAvoidaccuracy of implant positioning
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The method introduces reference features (anatomical landmarks) as intermediaries to bridge the gap between the standing posture (first posture) and the lying posture (second posture). By identifying these reference features in both postures and establishing a biunique relationship between them, the system can accurately transform adjustment parameters from the standing posture to the lying posture. This intermediary approach allows the surgical team to benefit from the ease of lying position surgery while maintaining positioning accuracy through the reference feature-based transformation.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If pelvic tilt correction is performed using operating table plane, then the ease of operation is improved, but the measurement precision deteriorates due to soft tissue laxity and position changes

Engineering Contradiction:
Improveease of pelvic tilt correctionVSAvoidprecision of pelvic tilt measurement
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The method replaces the mechanical approach of using the operating table plane for pelvic tilt correction with a navigational approach using reference features and image-based measurement. Instead of relying on mechanical reference surfaces that are affected by soft tissue laxity and position changes, the system uses anatomical landmarks (reference features) that can be identified through imaging and palpation, and mathematically transforms their positions to derive accurate adjustment parameters. This substitution eliminates the harmful effects of soft tissue deformation and position variability while maintaining ease of operation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentUS9916422B2Method for planning the positioning of an implant
Publication Date: 2018.03.13 SMITH & NEPHEW INC
  • US9916422B2 patent drawing
  • US9916422B2 patent drawing

AI summary

The present invention relates to a method for planning the positioning of an implant relative to a body part, comprising the steps of: —identifying at least one reference feature of the body part and determining, in a first posture of the patient, a biunique positional and/or orientational relationship between the at least one reference feature and at least one adjustment parameter defined for the first posture, for positioning the implant; —identifying the at least one reference feature of the body part in a second posture of the patient; —deriving at least one corresponding adjustment parameter defined for the second posture from the position and/or orientation of the at least one reference feature in the second posture and the positional and/or orientational relationship between the at least one reference feature in the first posture and the at least one adjustment parameter defined for the first posture.