Abstract: A method for assisting subchondral injection comprising creating a model of bone and soft tissue of a patient. At least one void is modeled in the bone from the model of bone and soft tissue. An injection site is identified from the model of bone and soft tissue and modeling of the at least one void. Data is output for guiding at least in the locating of the injection site and drilling of the bone to reach the void. A patient-specific jig for subchondral injection may be created based on the injection site location.

Abstract: A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.

Abstract: A system for calculating a position and orientation of an acetabular cup in computer-assisted surgery comprises a first trackable reference secured to a pelvis, with a frame of reference being associated with the first trackable reference. A device is positionable between a femoral neck and the acetabulum of the pelvis in a known relation, the device having a second trackable reference. Sensors track the trackable references for position and orientation. A position/orientation calculator calculates a position and orientation of the frame of reference and of the device and for determining an orientation of the neck axis with respect to the frame of reference from the known relation at a desired position of the femur. An implant position/orientation calculator provides cup implanting information with respect to the orientation of said neck axis as a function of the tracking for position and orientation of at least the first trackable reference.

Abstract: A positioning device assembly for positioning a tool guide block for use in an orthopedic surgery includes a positioning device having a block body with a reference surface adapted to abut a bone element, and first and second adjustment mechanisms that are independently operable. The first adjustment mechanism permits rotation of the tool guide block about a medial-lateral extending axis to provide flexion-extension angle adjustment and the second adjustment mechanism permits rotation of the tool guide block about an anterior-posterior extending axis to provide varus-valgus angle adjustment. The second adjustment mechanism includes integral coarse and fine adjustment mechanisms. A tool guide block assembly mounted to the positioning device includes a platform portion which is engaged to the block body of the positioning device and the tool guide block which is releasably engaged with the platform.

Abstract: A system for calculating a position and orientation of an acetabular cup in computer-assisted surgery comprises a first trackable reference secured to a pelvis, with a frame of reference being associated with the first trackable reference. A device is positionable between a femoral neck and the acetabulum of the pelvis in a known relation, the device having a second trackable reference. Sensors track the trackable references for position and orientation. A position/orientation calculator calculates a position and orientation of the frame of reference and of the device and for determining an orientation of the neck axis with respect to the frame of reference from the known relation at a desired position of the femur. An implant position/orientation calculator provides cup implanting information with respect to the orientation of said neck axis as a function of the tracking for position and orientation of at least the first trackable reference.

Abstract: A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.

Abstract: A digitizer device comprises an elongated body and legs connected to the elongated body. At least one joint is between the legs and the elongated body such that free ends of the legs are displaceable relative to one another. An inertial sensor unit is connected to the elongated body, the inertial sensor unit having a preset orientation aligned with the elongated body. A table reference device comprises a body adapted to be fixed to an operating table. An inertial sensor unit is with a preset orientation related to the operating table.

Abstract: An assembly of a patient specific instrument and tracking system comprises a patient specific instrument having a body with a patient specific contact surface negatively shaped relative to a corresponding surface of a bone for complementary contact therewith. An inertial sensor unit with a preset orientation is connected to the body in a planned connection configuration, such that a geometrical relation between the contact surface and the inertial sensor unit is known. A tracking system has a tracking processor connected to the inertial sensor unit, a user interface, and bone orientation data related to the patient specific contact surface, the tracking processor producing orientation tracking data for the bone using the geometrical relation and the bone orientation data when the preset orientation of the inertial sensor unit is initialized, to output the orientation tracking data on the user interface.

Abstract: A pelvic digitizer device comprises a body comprising: a shaft having a tooling end and a handle end with a handle for being manipulated. A visual guide is oriented in a reference plane of the digitizer device. A cup is connected to the tooling end and adapted to be received in an acetabulum of a patient. An inertial sensor unit is connected to the body, the inertial sensor unit having a preset orientation aligned with the reference plane.

Abstract: A tool for digitizing a mechanical axis of a tibia using a computer-assisted surgery system is described. The tool includes upper and lower mounting ends interconnected by an alignment rod extending therebetween. The upper mounting end is releasably fastenable to an upper reference point on a tibial plateau and the lower mounting end includes a self-centering malleoli engaging mechanism having opposed caliper arms displaceable in a common plane relative to each other for clamping engagement with the medial and lateral malleoli of the ankle. At least one trackable member is mounted to the alignment rod of the tool and is in communication with the computer assisted surgery system for providing at least orientation information of the alignment rod. The mechanical axis of the tibia is parallel to the alignment rod and extends between the upper and lower reference points when the tool is mounted on the tibia.

Abstract: A patient specific instrument (PSI) surgical guide and method for producing same is described. The method includes: obtaining imagery of at least a portion of a patient, and determining one or more surgical targets in the tissue; planning at least a trajectory of the surgical procedure based on a determined surgical target within the tissue; performing segmentation of the imagery; creating a three-dimensional model of the PSI surgical guide, the PSI surgical guide being customized in size and shape and configured to fit on the specific patient. The PSI surgical guide is then produced to correspond to the modeled PSI surgical guide. The PSI surgical guide has a guide element positioned and oriented to guide a surgical implement along the planned trajectory toward the determined surgical target in the tissue.

Abstract: A tool for digitizing a mechanical axis of a tibia using a computer-assisted surgery system is described. The tool includes upper and lower mounting ends interconnected by an alignment rod extending therebetween. The upper mounting end is releasably fastenable to an upper reference point on a tibial plateau and the lower mounting end includes a self-centering malleoli engaging mechanism having opposed caliper arms displaceable in a common plane relative to each other for clamping engagement with the medial and lateral malleoli of the ankle. At least one trackable member is mounted to the alignment rod of the tool and is in communication with the computer assisted surgery system for providing at least orientation information of the alignment rod. The mechanical axis of the tibia is parallel to the alignment rod and extends between the upper and lower reference points when the tool is mounted on the tibia.

Abstract: A device (10,10?,20,20?) for digitizing a center of rotation of a hip joint implant component (A,F) with respect to a bone element in computer-assisted surgery. The device (10,10?,20,20?) comprises a detectable member (12,22) trackable for position and orientation by a computer-assisted surgery system (30). A body (11,21) is connected to the detectable member (12,22) in a known geometry. The body (11,21) has a coupling portion (14,14?,24,25) adapted to be coupled to the hip joint implant component (A,F) in a predetermined configuration. The center of rotation of the hip joint implant component (A,F) is calculable in the predetermined configuration as a function of the known geometry and of the position and orientation of the detectable member (12,22).

Abstract: A computer-assisted surgery system for guiding alterations to a bone, comprises a trackable member secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data. A positioning block is secured to the bone, and is adjustable once the positioning block is secured to the bone to be used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block. A parameter calculator calculates alteration parameters related to an actual orientation of the positioning block with respect to the bone.

Abstract: A positioning device assembly for positioning a tool guide block for use in an orthopedic surgery includes a positioning device having a block body with a reference surface adapted to abut a bone element, and first and second adjustment mechanisms that are independently operable. The first adjustment mechanism permits rotation of the tool guide block about a medial-lateral extending axis to provide flexion-extension angle adjustment and the second adjustment mechanism permits rotation of the tool guide block about an anterior-posterior extending axis to provide varus-valgus angle adjustment. The second adjustment mechanism includes integral coarse and fine adjustment mechanisms. A tool guide block assembly mounted to the positioning device includes a platform portion which is engaged to the block body of the positioning device and the tool guide block which is releasably engaged with the platform.

Abstract: A tracker device of the type is associated with a surgical instrument and being trackable in space by a CAS system such that a position of the surgical instrument is calculable. A support is adapted to be connected to the surgical instrument. Optical elements are mounted to the support in a first pattern so as to be detectable by the CAS system along a first range of visibility. Other optical elements are mounted to the support in a second pattern so as to be detectable by the CAS system along a second range of visibility, with the first range of visibility and the second range of visibility having at most a common portion, whereby a position of the surgical instrument is tracked within the first and the second range of visibility as a function of the detection of any one of the patterns of the optical elements.

Abstract: A positioning device assembly for positioning a tool guide block for use in an orthopedic surgery on a bone element includes a positioning device having a block body with a reference surface adapted to abut the bone element, and first and second adjustment mechanisms that are independently operable. The first adjustment mechanism permits rotation of a tool guide block about a medial-lateral extending axis such as to provide flexion-extension angle adjustment and the second adjustment mechanism permits rotation of a tool guide block about an anterior-posterior extending axis such as to provide varus-valgus angle adjustment. The second adjustment mechanism includes both a coarse and a fine adjustment mechanism integral therewith. A tool guide block assembly mounted to the positioning device, the tool guide block assembly including a platform portion which is engaged to the block body of the positioning device and the tool guide block which is releasably engaged with the platform.

Abstract: A computer-assisted surgery system for planning/guiding alterations to a bone in surgery, comprises a trackable member adapted to be secured to the bone. The trackable member has a first inertial sensor unit producing orientation-based data for at least two degrees of freedom in orientation of the trackable member A positioning block is adapted to be secured to the bone, with at least an orientation of the positioning block being adjustable once the positioning block is secured to the bone to reach a selected orientation at which the positioning block is used to guide tools in altering the bone. The positioning block has a second inertial sensor unit producing orientation-based data for at least two degrees of freedom in orientation of the positioning block. A processing system providing an orientation reference associating the bone to the trackable member comprises a signal interpreter for determining an orientation of the trackable member and of the positioning block from the orientation-based data.

Abstract: A method tracks a tool with respect to a bone in computer-assisted surgery. A reference tracker with a MEMS unit is secured to the bone. The tracker outputs data relating to its orientation. A tool provided with a MEMS unit and secured to the bone is preset with an initial orientation. The tool outputs tracking data related to orientation of the tool once initialized. A trackable frame of reference relating the bone to the orientation of the tracker is created. The MEMS unit of the tool is initialized. A relation between the initial orientation of the tool and the orientation of the tracker at initialization of the MEMS unit of the tool is recorded. Orientational data of the tool relative to the frame of reference of the bone calculated using the relation is displayed. A computer-assisted surgery system for tracking a tool with respect to a bone after an initialization of a MEMS unit is also described.

Abstract: The described method for determining at least orientation of a pelvic bone in space and for tracking movement of the pelvic bone using a computer assisted surgery (CAS) system includes removably attaching, in a non-invasive manner, at least one reference marker, in communication with the CAS system, to a skin surface covering the pelvic bone. Registering at least orientation readings of the reference marker is then performed with respect to a fixed reference in a reference coordinate system, following which at least an orientation of the pelvic bone in the reference coordinate system is determined using the orientation readings of the reference marker. These steps are repeated to update the orientation readings while tracking the pelvic bone in space.