# US 11,298,189 B2 · Prosthesis guide comprising patient-matched features > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,298,189 B2 - Document ID: US11298189B2 - Status: Granted - Kind: B2 - Application number: 16/790,332 - Filed: 2020-02-13 - Published: 2020-06-11 - Granted: 2022-04-12 - Earliest claimed: 2011-06-03 - Assignees: Smith & Nephew, Inc. - Applicants: Smith & Nephew, Inc. - Inventors: David C. Kelman; Richard D. Lambert; Craig Della Valle; Sachin P. Budhabhatti - Web page: https://patentgrep.com/patent/US11298189B2 ## CPC - A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations - A61F 2/4609: {of acetabular cups} - A61F 2/30942: {for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques} - A61F 2002/30576: {with extending fixation tabs} - A61F 2002/30784: {Plurality of holes} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract Systems, devices and methods for guiding placement, orientation, and fixation of an orthopedic implant. Examples include a surgical guide having a first surface structured to fit within a prosthetic cup, at least one guide hole through the first surface, and an alignment structure having a contour formed from data indicative of the patient anatomy. The contour of the alignment surface is complementary to a portion of the patient anatomy in a unique orientation that aligns the guide hole with tissue suitable for receiving a fastener. The alignment structure preferably includes an arm with a first end coupled to a rim of the guide and a second end coupled to the contour. In certain implementations, the guide includes a plurality of alignment structures. Further disclosed are methods of making and using a surgical guide for aligning an orthopedic implant. ## Claims ### Claim 1 A computer-implemented method comprising: acquiring patient data related to an anatomy of a patient, wherein at least some of the patient data comprises imaging data; processing the imaging data to identify one or more locations of the anatomy suitable for receiving a fastener; determining a target implant position and orientation based on the patient data and one or more required implant characteristics; and generating a pre-operative surgical plan for introducing a prosthetic implant based on the one or more locations and the target implant position and orientation, wherein the pre-operative surgical plan relates to at least one patient-matched surface. ### Claim 2 (depends on 1) The method of claim 1, wherein the patient data is related to a geometry of a bony anatomy, a geometry of soft tissue, a mechanical property of the anatomy, a mechanical axis of the anatomy, a topography of the anatomy, or a combination thereof. ### Claim 3 (depends on 1) The method of claim 1, wherein the patient data relates to at least a portion of an acetabulum of the patient, and wherein the prosthetic implant is an acetabular cup. ### Claim 4 (depends on 1) The method of claim 1, wherein processing the imaging data comprises calculating a color density at each of a plurality of locations of the anatomy, wherein the color density is indicative of a bone density. ### Claim 5 (depends on 3) The method of claim 3, wherein processing the imaging data further comprises identifying, based on the patient data and the bone density, the one or more locations from the plurality of locations. ### Claim 6 (depends on 1) The method of claim 1, wherein a bone thickness at each of the one or more locations meets a predetermined threshold bone thickness. ### Claim 7 (depends on 1) The method of claim 1, wherein generating a pre-operative surgical plan comprises defining, based on the patient data, a patient-matched prosthetic implant having each of the one or more required implant characteristics. ### Claim 8 (depends on 1) The method of claim 1, wherein the one or more required implant characteristics includes one or more fastener hole positions. ### Claim 9 (depends on 8) The method of claim 8, wherein, when placed in the target implant position and orientation, each of the one or more fastener hole positions of the prosthetic implant is aligned with one of the one or more locations. ### Claim 10 (depends on 1) The method of claim 1, wherein processing the imaging data further comprises identifying at least one alignment surface on the anatomy. ### Claim 11 (depends on 10) The method of claim 10, wherein the at least one patient- matched surface is complementary to the at least one alignment surface. ### Claim 12 (depends on 1) The method of claim 1, wherein the target implant position and orientation comprises a target abduction angle, a target anteversion angle, or a combination thereof. ### Claim 13 (depends on 1) The method of claim 1, wherein the pre-operative surgical plan comprises a fastener size, a fastener length, or a combination thereof. ### Claim 14 (depends on 1) The method of claim 1, wherein the pre-operative surgical plan comprises one or more selected fasteners. ### Claim 15 (depends on 14) The method of claim 14, wherein the one or more selected fasteners comprise a cortical screw, a cancellous screw, an osteopenic screw, or a combination thereof. ### Claim 16 (depends on 1) The method of claim 1, wherein the data is related to one or more sensitive areas in the anatomy of the patient, and wherein the one or more locations are at least a predetermined distance from each of the one or more sensitive areas. ### Claim 17 (depends on 16) The method of claim 16, wherein the one or more sensitive areas comprise an area proximate to a nerve, an area proximate to a vessel, an area of low bone quality, or a combination thereof. ### Claim 18 A system for generating a pre-operative surgical plan, the system comprising: a processor; and a non-transitory, processor-readable storage medium that stores instructions executable by the processor to: acquire patient data related to an anatomy of a patient, wherein at least some of the patient data comprises imaging data, process the imaging data to identify one or more locations of the anatomy suitable for receiving a fastener, determine a target implant position and orientation based on the patient data and one or more required implant characteristics, and generate a pre-operative surgical plan for implanting a prosthetic implant based on the one or more locations and the target implant position and orientation, wherein the pre-operative surgical plan relates to at least one patient-matched surface.