Methods, systems and devices for a clinical data reporting and surgical navigation

Abstract

Three components are proposed, each having at its core a system for producing measurements of the relative motion of anatomical structures of mammals (the “measurement system”). The measurement system in this case would be comprised of an apparatus for imaging the joint of through a prescribed motion, and a process and mechanism for deriving quantitative measurement output data from the resulting images. The components of the present invention include: (1) a software device for reporting measurement output of the measurement system and for allowing users to interact with the measurement output data; (2) an apparatus and method for utilizing measurement output of the measurement system for therapeutic and surgical applications such as surgical navigation and patient positioning during a therapeutic procedure; and (3) an apparatus providing input image data for the measurement system that assists with the imaging of joints connecting anatomical regions that are in motion during operation.

1 - 25 . (canceled) 
     
     
         26 . A system for evaluating kinematic data from a patient comprising:
 an imaging system adapted to capture one or more images of a target joint from a patient;   a modeler adapted to provide a model of a target biomechanical behavior for the target joint;   a comparer adapted to compare the one or more images of the target joint with the computer implemented model and generate resulting image.   
     
     
         27 . The system of  claim 26  further comprising a communication network. 
     
     
         28 . The system of  claim 26  further comprising one or more of a computer, a smart phone, and a tablet. 
     
     
         29 . The system of  claim 26  further comprising a database of kinematic data. 
     
     
         30 . The system of  claim 26  further comprising a results viewer. 
     
     
         31 . A system for obtaining kinematic data from a patient comprising:
 an imaging system adapted to capture one or more images of a target joint from a patient;   an apparatus for measuring joint motion comprising
 a passive motion device adapted and configured to continuously move a joint of the subject through a range of motion, the passive motion device further comprising,
 a platform base, and 
 a passive motion platform further comprising a static platform connected to an upper surface of the platform base, a movable platform connected to at least one of the static platform or an upper surface of the platform base, wherein the static platform is adjacent the movable platform wherein movement of the movable platform is achieved in operation by a motor in communication with the moveable platform, and 
 
 an imaging device adapted and configured to image the joint of the subject during the motion of the passive motion device 
   a comparer adapted to compare the one or more images of the target joint with the computer implemented model.   
     
     
         32 . The system of  claim 31  further comprising a communication network. 
     
     
         33 . The system of  claim 31  further comprising one or more of a computer, a smart phone, and a tablet. 
     
     
         34 . The system of  claim 31  further comprising a database of kinematic data. 
     
     
         35 . The system of  claim 31  further comprising a results viewer. 
     
     
         36 . A surgical system comprising:
 an imaging system adapted to capture one or more images of a target joint from a patient;   an apparatus for measuring joint motion comprising,
 a passive motion device adapted and configured to continuously move a joint of the subject through a range of motion, the passive motion device further comprising,
 a platform base, and 
 a passive motion platform further comprising a static platform connected to an upper surface of the platform base, a movable platform connected to at least one of the static platform or an upper surface of the platform base, wherein the static platform is adjacent the movable platform wherein movement of the movable platform is achieved in operation by a motor in communication with the moveable platform, and 
 
 an imaging device adapted and configured to image the joint of the subject during the motion of the passive motion device; and 
   a device having a plurality of articulating arms having at least two articulation joints, the articulating arms being adapted to be inserted into an operative space and further adapted to controllably articulate inside the operative space, with at least three degrees of freedom of movement, at least one access port adapted to receive the articulating arms, and a controller adapted to control the articulation of the articulating arms inside the operative space to perform a surgical procedure.   
     
     
         37 . The system of  claim 36  further comprising a communication network. 
     
     
         38 . The system of  claim 36  further comprising one or more of a computer, a smart phone, and a tablet. 
     
     
         39 . The system of  claim 36  further comprising a database of kinematic data. 
     
     
         40 . The system of  claim 36  further comprising a results viewer. 
     
     
         41 . An imaging system comprising:
 a motion device for continuously moving a mammalian joint;   an imaging device mounted to a free floating, ballasted vertical plane, wherein the imaging device is moveable relative to the motion device during use to maintain a target anatomy within a targeted field of view; and   a connector adapted to connect the imaging device to the motion device such that the imaging device and motion device move together when activated.   
     
     
         42 . The system of  claim 41  further comprising one or more actuators in communication with the processing system and adapted to reposition the imaging device in response to the instruction. 
     
     
         43 . The system of  claim 41  further comprising one or more of each of: a collimator, one or more motion sensors positionable on a patient and in communication with one or more of the imaging device and one or more re4cording sensors; and a processing system for processing information from the one or more motion sensors to generate an instruction. 
     
     
         44 . The system of  claim 43  further comprising one or more actuators in communication with the processing system and adapted to reposition the imaging device and motion device in response to an instruction. 
     
     
         45 . The system of  claim 43  wherein the instruction is at least one of automatically generated, semi-automatically generated, or manually generated. 
     
     
         46 . A method for computer-assisted analysis of kinematic data, the method comprising:
 encoding a kinematic evaluation algorithm as one or more decision trees, each decision tree further comprising
 one or more decision points comprising one or more questions; and 
 one or more termination points, 
   providing one or more images for a patient from an imaging system;   initiating an evaluation by identifying one or more proposed procedures for the patient;   evaluating the proposed procedure applied to the one or more images from the imaging system according to the algorithm;   comparing the evaluation of the proposed procedure to a user profile; and   providing a summary of one or more alerts for the one or more proposed procedures based on the user profile and the one or more patient images.   
     
     
         47 . A method for computer-assisted analysis of kinematic data, the method comprising:
 aggregating kinematic data from two or more patients into a database;   encoding a kinematic evaluation algorithm as one or more decision trees, each decision tree further comprising
 one or more decision points comprising one or more questions; and 
 one or more termination points, 
   providing one or more images for a patient from an imaging system according to the algorithm;   initiating an evaluation by identifying one or more proposed procedures for the patient;   evaluating the proposed procedure applied to the one or more images from the imaging system and the database of aggregated data;   comparing the evaluation of the proposed procedure to a user profile; and   providing a summary of one or more alerts for the one or more proposed procedures based on the user profile and the one or more patient images.