Patient-Specific Revision Jigs for Precise Implant Positioning
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Solution Overview
Problem
Implant revision surgery often results in damaged bone surfaces due to the bond between the implant and bone, leading to imprecise positioning and installation of replacement implants, as conventional cutting blocks lack precision.
Innovation Solution
A patient-specific instrumentation (PSI) system is developed to create virtual models of the bone and implanted implant, using imaging data to determine relative orientations and generate patient-specific jig models for precise implant revision, including reference anchor surfaces and abutment surfaces to guide the placement of intramedullary rods and drill guides.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Manufacturing precision
If conventional cutting blocks are used for bone machining, then the procedure is simple and quick, but the positioning precision is poor due to damaged bone surfaces
Solution Approach 1:
The patent applies preliminary action by creating patient-specific instrumentation (PSI) tools before surgery based on preoperative imaging. The PSI jigs and guides are manufactured in advance using CAD/CAM technology, allowing precise pre-planning of cut locations and orientations. This preliminary preparation enables accurate bone machining during surgery without requiring complex intraoperative measurements or adjustments.
Solution Approach 2:
The patent uses copying by creating digital 3D models of the patient's bone anatomy from imaging data (CT scans, X-rays). These virtual copies are then used to design custom PSI tools that precisely replicate the patient's unique bone geometry. The digital twins allow surgeons to plan and simulate the surgery before actually performing it, improving precision while simplifying the physical instrumentation needed during the procedure.
2Manufacturing precision
If patient-specific instrumentation is used, then positioning precision is improved, but the manufacturing and preparation process becomes more complex
Solution Approach 1:
The patent replaces manual mechanical measurement and marking procedures with digital imaging and computer-aided design. Instead of physically measuring and marking bone surfaces during surgery, the system uses CT scans, MRI, or X-ray imaging to create digital 3D models. These digital models are then processed by software to automatically generate the PSI toolpaths and designs, substituting complex manual mechanical work with automated computational processes.
Solution Approach 2:
The patent applies parameter changes by transforming anatomical data from various imaging modalities into standardized digital models with precise geometric parameters. The system extracts critical parameters such as bone density, cortical thickness, joint line orientation, and implant positioning angles from imaging data. These parameters are then used to generate customized PSI tools with exact dimensional specifications, enabling high precision while streamlining the manufacturing process through standardized digital workflows.
Data Source
AI summary
A system for creating at least one model of a bone and implanted implant comprises a processing unit; and a non-transitory computer-readable memory communicatively coupled to the processing unit and comprising computer-readable program instructions executable by the processing unit for: obtaining at least one image of at least part of a bone and of an implanted implant on the bone, the at least one image being patient specific, obtaining a virtual model of the implanted implant using an identity of the implanted implant, overlaying the virtual model of the implanted implant on the at least one image to determine a relative orientation of the implanted implant relative to the bone in the at least one image, and generating and outputting a current bone and implant model using the at least one image, the virtual model of the implanted implant and the overlaying.


