Abstract: The invention relates to a method for automatically determining, on a bone comprising a head portion contiguous to a neck portion, parameters for characterizing a bump deformation on the head-neck junction of the bone from acquired 3D medical image, the method comprising the following steps: i) constructing a 3D surface model of the bone; ii) fitting a sphere on the spherical portion of the head of the bone; iii) determining a neck axis characterizing the neck portion of the bone; iv) determining from the fitted sphere and the neck axis, a clock face referential on the head of the bone rotating around the neck axis; v) determining a 3D curve on the 3D surface model characterizing the head-neck junction of the bone; vi) determining, from the 3D curve, the summit of the bump deformation of the head-neck junction of the bone; vii) determining, from said summit of the bump deformation, first and a second parameters (?3D, iMax) characterizing the maximum bump deformation of the head-neck junction of the bone.

Abstract: The present application provides an apparatus and method for determining a position of a joint prosthesis using a computer assisted orthopedic surgery system in support of an arthroplasty surgery. The apparatus and method includes attaching a first locatable element to a first bone on one side of a joint, providing a sensor having a second locatable element and moving the sensor in proximity of the joint to locate a plurality of positions of the sensor relative to the first locatable element using a tracking device. The apparatus and method further includes selecting a generic model of a joint, determining the generic model in response to the plurality of positions located using the tracking device to generate a deformed model determining a position for a joint prosthesis on the deformed model, and outputting on a display the determined position upon the deformed model.

Abstract: A device for positioning a cutting guide with respect to a bone comprising a body forming the cutting guide or intended to be fixed to the cutting guide; a least two contact members intended to freely contact the bone; and adjustment means for individually varying the relative position of the body with respect to each contact member.

Abstract: A method for performing computer-assisted orthopaedic surgery includes the steps of: (1) producing and displaying three-dimensional geometrical models of first and second bones, the first and second bones forming a joint; (2) identifying a zone of impingement between the first bone and the second bone on at least one of the bones; and (3) generating and displaying a color map of at least one surface of at least one bone, the at least one surface being within the zone of impingement, the color map including different colors representing different depths of bone to be removed in order to achieve an increased range of motion between the first and second bones.

Abstract: A computerized bone motion tracking system according to one exemplary embodiment is configured to: provide a non-invasive means for accurate measurement and tracking of the motion of a bone using a volumetric ultrasound transducer and a three dimensional position measurement system; provide relative measurements of one bone relative to another bone of a joint; decompose relative joint motion into specific components; and measure joint instability and range of motion.

Abstract: The present application provides an apparatus and method for determining a position of a joint prosthesis using a computer assisted orthopedic surgery system in support of an arthroplasty surgery. The apparatus and method includes attaching a first locatable element to a first bone on one side of a joint, providing a sensor having a second locatable element and moving the sensor in proximity of the joint to locate a plurality of positions of the sensor relative to the first locatable element using a tracking device. The apparatus and method further includes selecting a generic model of a joint, determining the generic model in response to the plurality of positions located using the tracking device to generate a deformed model determining a position for a joint prosthesis on the deformed model, and outputting on a display the determined position upon the deformed model.

Abstract: Methods and apparatus for integrating an electromagnetic navigation system and a tool and aligning the tool with a target are presented, including a sensor tool, a tool, a field generator, a display, and a computer. The sensor tool attaches to a target component in a unique position relative to target features. The field generator is fixed relative to the tool except in rotation about a tool axis. The display is adjustably mounted to the tool and automatically adjusts image parameters. Target registration and error compensation methods are provided. The system detects magnetic field and signal disturbances that may lead to inaccurate navigation, filters navigation data, and adjusts filtering parameters based on detected conditions. Apparatus for proximally locking an IM nail such that a clear passage through the cannulation of the nail is maintained are provided.

Abstract: A device for positioning a cutting guide with respect to a bone comprising a body forming the cutting guide or intended to be fixed to the cutting guide; a least two contact members intended to freely contact the bone; and adjustment means for individually varying the relative position of the body with respect to each contact member.

Abstract: The invention relates to a method of navigation of a tool to be used in a surgical operation for treating a target region within the body of a patient.

Abstract: The present invention provides a method for determining a position of a joint prosthesis using a computer assisted orthopedic surgery system in support of an arthroplasty surgery. The method includes attaching a first locatable element to a first bone on one side of a joint, providing a sensor having a second locatable element and moving the sensor in proximity of the joint to locate a plurality of positions of the sensor relative to the first locatable element using a tracking device. The method further includes selecting a generic model of a joint, determining the generic model in response to the plurality of positions located using the tracking device to generate a deformed model, determining a position for a joint prosthesis on the deformed model, and outputting on a display the determined position upon the deformed model.

Abstract: The invention relates to a method of navigation of a tool to be used in a surgical operation for treating a target region within the body of a patient.

Abstract: A method is provided for automatic identification of the contours of at least one portion of a predefined bone on the basis of a plurality of images representing parallel sections through a measurement volume including the portion of bone and which are obtained by a medical imaging technique. The method includes: a step of obtaining at least one shape of closed contour in at least one of the filtered images; a step of associating with each of the shapes a tag selected within a predefined bone-related nomenclature; a step of classifying the shapes so as to form at least one group of shapes delimiting a common volume isolated in space; a step of selecting the shapes of the group of target shapes.

Abstract: Method of determination of access areas from 3D patient images The invention relates to amethod for automatically determining at least one pre-operative portal for arthroscopy from acquired pre-operative medical images of a bone of a patient, the method comprising the following steps: i)constructing a 3Dsurface(S) of the bone from the 3D image of the bone; ii)determining anatomical landmarks of the bone from the 3D surface; iii)determining a bone reference coordinate system (Rbone); iv)selecting at least one predetermined portal in a database of positions of predetermined portals; v)determining a transform between the bone reference coordinate system (Rbone) and the model coordinate system (Ratlas) so that the bone of the patient and the bone of the reference person are matched in size, in position and/or shape; vi)inferring from the transform and the at least one predetermined portal the pre-operative portal.

Abstract: The invention relates to an automated method for precise determination of the head center and radius and the neck axis of an articulated bone from acquired 3D medical image of an articulation, comprising the following steps: i) determining, from a 3D image of the bone, an approximate sphere (SFO) of the head of the bone that substantially fits the spherical portion of the head of the bone; ii) constructing from the 3D image and the approximate sphere (SFO), a 3D surface model (S) of the bone; iii) determining, from the 3D surface model (S) and from the approximate sphere (SFO), an approximate neck axis (AXO) of the neck of the bone; iv) determining, from the 3D surface model (S) and the approximate sphere (SFO), a precise sphere (SF); v) determining, from the 3D surface model (S), the precise sphere (SF) and the approximate neck axis (AXO), a precise neck axis (AX1).

Abstract: The invention relates to a method for non-invasive reproducible determination of a corrected surface on a 3D bone surface model constructed from 3D medical image of a bone having a deformation consisting in a bump overgrowth at the head-neck junction; wherein said corrected surface comprises: i) a 3D spherical corrected surface patch on the head portion of said 3D bone surface model, and ii) a 3D smooth transition corrected surface patch on the neck portion of said 3D bone surface model, contiguous to said 3D spherical corrected surface patch; Said corrected surface patches are defined by a set of parameters comprising: iii) at least one first parameter (a*) representing a spherical extent value of said 3D spherical corrected surface patch, iv) and a set of at least one second parameter, said set determining the 3D correction boundary of said corrected surface patches, such that said corrected surface patches are continuous with said 3D bone surface model along said boundary.

Abstract: The invention relates to a method for automatically determining, on a bone comprising a head portion contiguous to a neck portion, parameters for characterizing a bump deformation on the head-neck junction of the bone from acquired 3D medical image, the method comprising the following steps: i) constructing a 3D surface model of the bone; ii) fitting a sphere on the spherical portion of the head of the bone; iii) determining a neck axis characterizing the neck portion of the bone; iv) determining from the fitted sphere and the neck axis, a clock face referential on the head of the bone rotating around the neck axis; v) determining a 3D curve on the 3D surface model characterizing the head-neck junction of the bone; vi) determining, from the 3D curve, the summit of the bump deformation of the head-neck junction of the bone; vii) determining, from said summit of the bump deformation, first and a second parameters (?3D, iMax) characterizing the maximum bump deformation of the head-neck junction of the bone.

Abstract: The invention relates to a method for real-time determination an optimal corrected surface of a first bone and/or a second bone forming together an articulation, the first and/or second bones presenting an overgrowth deformation, said corrected surface providing a greater range of motion of the articulation, the method comprising the following steps: i) constructing from acquired images of the articulation 3D voxel models of the first bone and the second bone; ii) for each of first and second bone voxel models, constructing a coordinate system defmed by a center and three axes; iii) applying a motion pattern on the coordinate system of the second bone with respect to the coordinate system of the first bone, a motion pattern being a set of contiguous positions of the first or second bone coordinate systems with respect to the other bone coordinate system, the contiguous positions defining a movement of one bone with respect to the other, wherein said motion pattern is initially loaded from a data base of pre-d

Abstract: In an embodiment, the methodology of the present invention is based on the use of an intraoperative navigation system and of a compact alignment guide for alignment of implant components. In an embodiment, an alignment guide of the present invention includes a first component fixable to a bone element; a second mobile component, and a third mobile component, wherein the second mobile component and two control mechanisms form a first link, wherein the two control mechanisms are working in parallel to perform adjustments in two degrees of freedom, wherein the third mobile component and three control mechanisms form a second link, wherein the three control mechanisms are working in parallel to perform adjustments in three additional degrees of freedom, and wherein the first link adjustments and the second link adjustments are performed in series to provide a total adjustment of five degrees of freedom relative to the first component.

Abstract: According to one aspect of the present invention, a computer assisted orthopaedic surgery system for performing joint replacement or resurfacing surgeries includes a computer that contains software that is adapted to permit an operator of the system to physically evaluate post-operative laxity and stiffness of a joint based on planned implant placement, prior to all cuts being made for at least one side of the joint to accommodate the implant and before components of the implant are installed in the joint, wherein the planned implant placement is measured in terms of a position of at least one virtual implant.

Abstract: A computer-assisted orthopedic surgery system includes a device for generating a three dimensional geometrical surface model of a first bone and a database containing three 3 dimensional implant models of a plurality of available implants. The system includes a computer that is configured to permit a user to select from the database a first implant and display on a screen the three dimensional implant model of the first implant. The computer superimposes on the screen the implant model on top of the model of the first bone such that the two models are visually identifiable from one another.