WO2020130997A2 - Système de traitement et de correction de fracture osseuse - Google Patents

Système de traitement et de correction de fracture osseuse Download PDF

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Publication number
WO2020130997A2
WO2020130997A2 PCT/TR2019/051142 TR2019051142W WO2020130997A2 WO 2020130997 A2 WO2020130997 A2 WO 2020130997A2 TR 2019051142 W TR2019051142 W TR 2019051142W WO 2020130997 A2 WO2020130997 A2 WO 2020130997A2
Authority
WO
WIPO (PCT)
Prior art keywords
information
application unit
frame
user
deformity
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/TR2019/051142
Other languages
English (en)
Other versions
WO2020130997A3 (fr
Inventor
Tamer ISIN
Zisan Cihangir ISIN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Imed Surgical Teknoloji AS
Original Assignee
Imed Surgical Teknoloji AS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Imed Surgical Teknoloji AS filed Critical Imed Surgical Teknoloji AS
Publication of WO2020130997A2 publication Critical patent/WO2020130997A2/fr
Publication of WO2020130997A3 publication Critical patent/WO2020130997A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones

Definitions

  • the invention relates to a system for use in the treatment of disordered bones with the aid of an external fixation device, providing recipes for measurement, analysis, planning, surgery, fixation, and correction, to adapt the bones to anatomical alignment, and to calculate the amount of correction by controlling the level of bones.
  • correction motion center CORA
  • CORA correction motion center
  • the measurement and calculation works on bringing the axes to the desired position.
  • frames are prepared as cylindrical.Because in non- cylindrical structures, additional angles and lengths are entered into the circuit for calculation. This makes calculation and control difficult. Due to the abundance of human factor in the existing systems and the need for experience due to the arrangement of the devices over time, even small errors require revision, this situation increases the use of x-rays, increases the cost, and results damage on health of people and the environment due to radiation exposure to the patient and the environment
  • the object of this invention is to treat deformity treatment which provides correction prescriptions and simulations for use in adjusting the fractured bone fragments caused or formed by fractures due to primary or secondary causes to the anatomical alignment required, and by following the movement of the bone fragments while finalizing the bone fragments to enable the analysis of the correction.
  • a system for the treatment of bone fracture and correction realized in order to attain the aim of the present invention is illustrated in the attached figure.
  • Figure 1 - Is the schematic view of a system used in the treatment of bone fractures and correction.
  • At least one database (3) in which X-ray films containing a coin and the coin information and dimensions used in the films are stored, with personal information entered on the face (2) and the person / persons to be treated,
  • At least one dimension calculation unit (4) which calculates the actual dimensions on the x-ray films of the person (s) using the coin and dimension information on the database (3),
  • At least one analysis (5) unit that determines the type and amount of deformity by performing navigation operations on the films, measuring and analyzing deformities and providing correction information to the user as a result of the analysis (5),
  • the person to be treated and the parameters of appropriate type depending on the information in the frame and the frame to be used in fixation and implantation of fixation material included in the proposal, if necessary, contained in the proposal osteotomy, deformity validation remediation planning for a prescription (RX), which determines the information during the period of treatment dynamization (dynamization) that you would need based on the information it receives from the user the device will change when used in the treatment of fixation used in determining part of, it contains at least one application module (7) that shares information with the user about when to lock the joints at the end of the rod.
  • the user information such as name, surname, gender, age of the patient to be treated is entered via the interface (2).
  • status information such as extremity, indication, clinical rotation, limb outer diameter, and proposed surgery date are entered.
  • the information entered via the interface (2) is recorded in the database (3) for use.
  • the system (1) of the present invention is defined in the database (3) by the dimensions of the coin information of each country. Thanks to the coin types stored in the database (3), the coin information found in the extremity film during pre-op x- ray shooting is calculated by using the size calculation unit (4) to calculate the actual dimensions of the images on the film. For this purpose, it is expected from the user to enter the country and coin information via the interface (2).
  • the dimension calculation unit (4) receives the measurement information of the coins from the database (3) using the country and currency information entered via the interface (2).
  • the size calculation unit (4) uses the coin information contained in the database (2) and the coin information contained and specified by the user on the shot film.
  • the user defines the coin information on the film by punctuation and markings and the information defined is used in the dimension calculation unit (4).
  • the dimension calculation unit (4) calculates the actual dimensions in the film, which is preferably x-ray, by analyzing the information recorded in the database (2) by the user-defined information on the film.
  • the analysis unit (5) performs the measurement and analysis of the deformity of the person to be treated according to the defined angles and measurements and decides the types and amounts of the deformity using the navigation calculations made by the dimension calculation unit (4).
  • the analysis unit (5) informs the user of the results obtained or the existing x-rays presented to the user or the display element (6), which is simulated according to the deformity measurements defined by the user, on the display element 6, preferably a screen.
  • the user can use the data obtained by the analysis unit (5) directly or by making changes on it.
  • the application unit (7) offers two different options, robotics and analog. The application unit (7) allows the user to modify the data presented in the analog unit, the robotic unit. In this way, the user can apply any recipe in the real transaction after virtual transactions.
  • the application unit (7) first proposes to the user in robotic mode a frame of the type and parameters suitable for the patient to be treated.
  • the application unit (7) provides arm and ring information in the type information.
  • the application unit (7) provides position, limb and frame ratio, bone and frame ratio, and deformity ring and connection ratio in the fixation parameters.
  • the application unit (7) prescribes at what stage of the treatment the insertion or removal of the arm and insertion or removal of the ring part, the change in the portion of the ring to be modified.
  • the application unit (7) also prescribes when the frame is to be used as a full-ring, partial-ring, hybrid or single-sided fixator type, or when and how to switch from one to another.
  • the application unit (7) also prescribes when the joints at the ends of the rods will be locked and released, depending on the insertion or removal of parts in the frame.
  • the application unit (7) prescribes when the tilted arms are to be compressed or released for dynamization and when the joints at the ends of the arms are fixed and released.
  • the application unit (7) also gives recommendations for fixation materials and implantation of the frame to be used during the fixation of the bone.
  • the application unit (7) provides the user with frame connection and implantation data, while providing material information such as screws, pins and clamps to be used during the fixing process.
  • the administration unit (7) proposes an osteotomy in the most suitable location, shape and method according to the deformity analysis, if necessary for treatment.
  • the application unit (7) also provides connection and positioning information for the osteotomy apparatus to be suitable and combined with any fixation device such as "Adam Frame", the manner of attachment of the apparatus to the fixation device and the positioning of the osteotomy prescription to be applied.
  • the application unit (7) provides the user with osteotomy type, method, location, and osteotomy guide connection information to the frame.
  • the application unit (7) also proposes correction recipe to the user by planning the deformity correction according to the Paley principles.
  • the application unit (7) manages the frame position by determining the days and amounts of movement of the arms. In this way, correction of deformity is provided.
  • the application unit (7) adds to the information of correcting the amount and dates of the arm change for the self-locking operation with the arms of the frame, depending on the period of dynamization of the treatment received by the user.
  • the application unit (7) makes additions to the recipe information depending on the rigid or dynamic fixation information received from the user.
  • the user can switch between as many rigid and dynamic as he wants.
  • the application unit (7) preferably asks the user to specify the pass information in a calendar.
  • the fixation device used in conjunction with the system (1) is Adam Frame with a modular ring and a locked articulated arm structure.
  • the application unit (7) determines the whole frame or with which parts it will replace for the correction period in the fixation device.
  • the application unit (7) also determines the complete or partial replacement schedule and part subtraction or addition within the fixation device after the correction period.
  • the application unit (7) determines the periods of insertion or removal of the ring to be made in the frame, the insertion or removal of the arm, the locking periods of the joints at the arm ends.
  • the application unit (7) shows the frame change according to the correction plan on the display element (6) as a frame simulation on the patient's film.
  • the application unit (7) also shows the exchange of representative bone fragments according to the correction plan on the patient's film (x-ray) in the imaging element (6) at the desired time intervals, preferably day by day.
  • the application unit (7) can display simulations on the display element (6) in two- dimensional (2D) and / or three-dimensional (3D).
  • the application unit (7) shows the simulations on the patient's films (x-ray) and / or the limb picture.
  • the application unit (7) shows the simulation with the bone and the frame it forms on the display element (6).
  • the system (1) according to the invention also allows the correction plans generated by the application unit (7) to be printed out.
  • the system (1) according to the invention used in the treatment of deformity necessary preparations are made by using frame, fixation parts and osteotomia guide parts depending on the correction prescriptions created by the application unit (7).
  • correction prescription determined by the application unit (7) is applied or post-up measurement, analysis and planning operations are performed by using x-ray films.
  • the control unit and the dimension calculation unit (4) recalculate and the analysis unit (5) accepts the correction if the amount of deformity in the imaging element (6) is zero or a predetermined, acceptable limit. If the amount of deformity is not within the determined limits, the analysis unit (5) triggers the application unit (7) to generate a correction recipe. Since the correction plan is made according to Paley principles, the correction result is also measured according to these criteria.
  • the application unit (7) performs measurement and analysis of deformity on control films and monitors their simulations.
  • the application unit 7 comparatively simulates the pre-op and post-op control results in the simulation and reports the results.
  • the application unit (7) prepares a report according to the result.
  • Application unit (7) in the report pre-op deformity measurement results, control x-ray measurements and results, pre-op x rays and final control x-rays, comparison pictures, and, if available, the revised correction recipe.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

La présente invention concerne un système (1) qui se rapporte aux tentatives d'adaptation des os à un alignement anatomique en fournissant des prescriptions de mesure, d'analyse, de planification, de chirurgie, de fixation et de correction destiné à être utilisé dans le traitement d'os désordonnés à l'aide d'un dispositif de fixation externe et calcule la quantité de correction par contrôle des étapes de correction d'os.
PCT/TR2019/051142 2018-12-21 2019-12-20 Système de traitement et de correction de fracture osseuse Ceased WO2020130997A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2018/20090A TR201820090A2 (tr) 2018-12-21 2018-12-21 Kemi̇k kirik ve düzeltme tedavi̇si̇nde kullanilan bi̇r si̇stem
TR2018/20090 2018-12-21

Publications (2)

Publication Number Publication Date
WO2020130997A2 true WO2020130997A2 (fr) 2020-06-25
WO2020130997A3 WO2020130997A3 (fr) 2020-08-13

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/TR2019/051142 Ceased WO2020130997A2 (fr) 2018-12-21 2019-12-20 Système de traitement et de correction de fracture osseuse

Country Status (2)

Country Link
TR (1) TR201820090A2 (fr)
WO (1) WO2020130997A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020162860A3 (fr) * 2019-02-08 2020-09-10 Imed Surgical Teknoloji A.S. Système fournissant une structure articulaire et osseuse spéciale

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2013116812A1 (fr) * 2012-02-03 2013-08-08 Orthohub, Inc. Systèmes et procédés de correction de la déformation d'un fixateur externe
TR201205660A2 (tr) * 2012-05-15 2012-12-21 Tuna Medi̇kal Ürünleri̇ Paz. Ltd. Şti̇ Bilgisayar destekli, dairesel fiksatör uygulamasına ilişkin parametrik navigasyon yöntemi
US9204937B2 (en) * 2013-02-19 2015-12-08 Stryker Trauma Gmbh Software for use with deformity correction
US20170105802A1 (en) * 2014-03-27 2017-04-20 Bresmedical Pty Limited Computer aided surgical navigation and planning in implantology

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020162860A3 (fr) * 2019-02-08 2020-09-10 Imed Surgical Teknoloji A.S. Système fournissant une structure articulaire et osseuse spéciale

Also Published As

Publication number Publication date
WO2020130997A3 (fr) 2020-08-13
TR201820090A2 (tr) 2020-07-21

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