Intelligent Collaborative Platform for Development of Personalized Surgical Orthopedic Guides

Currently, the processes of developing new medical devices (in particular, patient specific guides for orthopedic surgery being of interest in our research), is hampered by the difficulty of correctly and efficiently quantifying and translating the specific medical requirements in terms of technical specifications. This is caused by the intrinsic difficulty of the demarche, but also by a complicated communication between surgeon and engineer given the different practical and research perspectives, specific constraints, motivation, evaluation criteria and professional language barrier. The advent and development of new technologies with applications in the medical field, such as robotics, haptic-based virtual and augmented reality, additive manufacturing, collaborative modeling, knowledge-based support decision systems, etc., make now possible to bridge the gap between surgeons’ ideas and needs and their practical materialization into new customized medical devices. The paper enrolls in this research trend, presenting a general framework for the development of an intelligent e-health platform, which provides in a collaborative environment the necessary knowledge and computer-aided tools for translating surgeons’ needs into technical specifications for the design and manufacturing of patient-specific guides for orthopedic surgery. These guides can be used in the minimally invasive surgical procedures and for reducing the x-ray radiation exposure during surgery, and for increasing accuracy in performing different types of specific orthopedic surgical procedures such as cutting, drilling, tapping and aligning, by transferring the tools trajectories from computer-aided planning to surgery.

[1]  Diana POPESCU,et al.  DESIGN AND RAPID MANUFACTURING OF PATIENT-SPECIFIC SPINAL SURGICAL GUIDES : A SURVEY , 2012 .

[2]  K. Radermacher,et al.  Computer assisted orthopaedic surgery with image based individual templates. , 1998, Clinical orthopaedics and related research.

[3]  Hendrik P. Delport,et al.  The Use of Patient-Specific Intra-Operative Guides for Total Knee Arthroplasty (TKA) - , 2012 .

[4]  G O Barnett,et al.  An approach to evaluating the accuracy of DXplain. , 1990, Computer methods and programs in biomedicine.

[5]  David W. Rosen,et al.  Direct Digital Manufacturing , 2010 .

[6]  R Richards,et al.  A review of rapid prototyped surgical guides for patient-specific total knee replacement. , 2012, The Journal of bone and joint surgery. British volume.

[7]  David A. Parker,et al.  Patient-specific instrumentation for total knee arthroplasty does not match the pre-operative plan as assessed by intra-operative computer-assisted navigation , 2014, Knee Surgery, Sports Traumatology, Arthroscopy.

[8]  P. Cochat,et al.  Et al , 2008, Archives de pediatrie : organe officiel de la Societe francaise de pediatrie.

[9]  R. Barrack,et al.  Patient specific cutting blocks are currently of no proven value. , 2012, The Journal of bone and joint surgery. British volume.

[10]  J. Osheroff,et al.  Clinical Decision Support Systems : State of the Art , 2009 .

[11]  C. Pattyn,et al.  Patient-Specific Modelling in Orthopedics: From Image to Surgery , 2013 .

[12]  Karin A. Thursky,et al.  User-centered design techniques for a computerised antibiotic decision support system in an intensive care unit , 2007, Int. J. Medical Informatics.

[13]  J. Vander Sloten,et al.  Medical image-based design of an individualized surgical guide for pedicle screw insertion , 1996, Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[14]  Timothy C Ryken,et al.  Rapid prototype patient-specific drill template for cervical pedicle screw placement , 2007, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[15]  B B Seedhom,et al.  Personalised image-based templates for intra-operative guidance , 2005, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[16]  Le Xie,et al.  A novel computer-assisted drill guide template for placement of C2 laminar screws , 2009, European Spine Journal.

[17]  David W. Rosen,et al.  Additive Manufacturing Technologies: Rapid Prototyping to Direct Digital Manufacturing , 2009 .

[18]  B. Boonen,et al.  No radiographic difference between patient-specific guiding and conventional Oxford UKA surgery , 2014, Knee Surgery, Sports Traumatology, Arthroscopy.