(12) United States Patent
`Berez et a].
`
`(10) Patent N0.:
`(45) Date of Patent:
`
`US 7,618,451 B2
`*Nov. 17, 2009
`
`US007618451B2
`
`(54)
`
`(75)
`
`PATIENT SELECTABLE JOINT
`ARTHROPLASTY DEVICES AND SURGICAL
`TOOLS FACILITATING INCREASED
`ACCURACY, SPEED AND SIMPLICITY IN
`PERFORMING TOTAL AND PARTIAL JOINT
`ARTHROPLASTY
`
`Inventors: Aaron Berez, Menlo Park, CA (US);
`Wolfgang Fitz, Natick, MA (US);
`Philipp Lang, Lexington, MA (US);
`Daniel Steines, Palo Alto, CA (US);
`Konstantinos Tsougarakis, Mountain
`View, CA (US); Rene Vargas-Voracek,
`Sunnyvale, CA (US); Cecily Anne
`Snyder, East Falmouth, MA (US)
`
`(51)
`
`(52)
`(58)
`
`Int. Cl.
`(2006.01)
`A61F 2/08
`(2006.01)
`A61F 5/00
`US. Cl. ....................... .. 623/1412; 606/88; 606/84
`Field of Classi?cation Search ................. .. 606/86,
`606/82, 87, 88, 89, 85, 80, 86 A, 86 R, 84;
`623/23.61,14.12,15.2
`See application ?le for complete search history.
`
`(56)
`
`References Cited
`
`U.S. PATENT DOCUMENTS
`
`3,798,679 A
`
`3/1974 Ewald
`(Continued)
`FOREIGN PATENT DOCUMENTS
`
`35 16 743 A1 11/1986
`(Continued)
`OTHER PUBLICATIONS
`
`(73)
`
`Assignee: ConforMIS, Inc., Burlington, MA (US)
`
`DE
`
`(*)
`
`Notice:
`
`Subject to any disclaimer, the term of this
`patent is extended or adjusted under 35
`U.S.C. 154(b) by 0 days.
`
`This patent is subject to a terminal dis
`claimer.
`
`(21)
`
`(22)
`
`(65)
`
`(63)
`
`(60)
`
`App1.No.: 10/724,010
`
`Filed:
`
`Nov. 25, 2003
`
`Prior Publication Data
`
`Taha et al., “Modeling and design of a custom made cranium implant
`for large skull reconstruction before a tumor removal”, Phidias
`Newsletter No. 6, pp. 3-7, Jun. 2001. Retrieved from the Internet:
`URL:http://WWW.materialise.corn/medical/?les/pdf.
`(Continued)
`Primary ExamineriPedro Philogene
`(74) Attorney, Agent, or FirmiSunstein Karm Murphy &
`Timbers LLP
`
`US 2004/0236424 A1
`
`Nov. 25, 2004
`
`(57)
`
`ABSTRACT
`
`Related US. Application Data
`Continuation-in-part of application No. 10/305,652,
`?led on Nov. 27, 2002, noW Pat. No. 7,468,075, Which
`is a continuation-in-part of application No. 10/160,
`667, ?led on May 28, 2002.
`Provisional application No. 60/ 293,488, ?led on May
`25, 2001, provisional application No. 60/363,527,
`?led on Mar. 12, 2002, provisional application No.
`60/380,695, ?led on May 14, 2002, provisional appli
`cation No. 60/380,692, ?led on May 14, 2002.
`
`Disclosed herein are methods, compositions and tools for
`repairing articular surfaces repair materials and for repairing
`an articular surface. The articular surface repairs are customi
`Zable or highly selectable by patient and geared toWard pro
`viding optimal ?t and function. The surgical tools are
`designed to be customizable or highly selectable by patient to
`increase the speed, accuracy and simplicity of performing
`total or partial arthroplasty.
`
`67 Claims, 36 Drawing Sheets
`(3 of 36 Drawing Sheet(s) Filed in Color)
`
`1932-2, '3
`
`-1-
`
`Smith & Nephew Ex. 1029
`IPR Petition - USP 9,295,482
`
`

`
`US 7,618,451 B2
`Page 2
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`-2-
`
`

`
`US 7,618,451 B2
`Page 3
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`
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`10/1989
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`2/1993
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`EP
`EP
`EP
`EP
`EP
`EP
`EP
`EP
`EP
`EP
`FR
`GB
`GB
`JP
`JP
`JP
`JP
`JP
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`W0
`W0
`W0
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`W0
`W0
`W0
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`W0
`W0
`W0
`W0
`WO
`W0
`W0
`W0
`W0
`
`W0
`
`W0
`WO
`W0
`WO
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`W0
`
`W0
`W0
`
`W0
`W0
`W0
`W0
`WO
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`0 809 987 A2 12/1997
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`

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`-5-
`
`

`
`US. Patent
`
`Nov. 17, 2009
`
`f36
`Sheet 1 0
`
`US 7,618,451 B2
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`Nov. 17, 2009
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`Sheet 2 0f 36
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`US 7,618,451 B2
`US 7,618,451 B2
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`US. Patent
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`Nov. 17, 2009
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`Sheet 5 0f 36
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`Sheet 6 0f 36
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`Nov. 17, 2009
`Nov. 17, 2009
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`Sheet 8 0f 36
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`US 7,618,451 B2
`US 7,618,451 B2
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`Nov. 17, 2009
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`Sheet 9 0f 36
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`US. Patent
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`Nov. 17, 2009
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`Sheet 10 0f 36
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`Sheet 11 0f 36
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`-18-
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`Nov. 17, 2009
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`Sheet 14 of 36
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`Sheet 15 0f 36
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`Nov. 17, 2009
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`Nov. 17, 2009
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`Nov. 17, 2009
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`Nov. 17, 2009
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`Sheet 19 of 36
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`Nov. 17, 2009
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`Sheet 20 of 36
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 21 of 36
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`US 7,618,451 B2
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`Nov. 17, 2009
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`Sheet 22 of 36
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`Nov. 17, 2009
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`Sheet 23 of 36
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`
`U.S. Patent
`
`Nov. 17, 2009
`
`Sheet 24 of 36
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`US 7,618,451 B2
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`
`U.S. Patent
`
`Nov. 17, 2009
`
`Sheet 25 of 36
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`US 7,618,451 B2
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 26 of 36
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`US 7,618,451 B2
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` 2320
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`-31-
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`-31-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 27 of 36
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`US 7,618,451 B2
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`2310
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`FIG. 25H
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`-32-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 28 of 36
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`US 7,618,451 B2
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`2352
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`-33-
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`-33-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 29 of 36
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`US 7,618,451 B2
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`2414 2412
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`FIG. 26B
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`FIG. 26A
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`-34-
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`-34-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 30 of 36
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`US 7,618,451 B2
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`
`
`FIG. 26E
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`2448
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 31 of 36
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`US 7,618,451 B2
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`2464
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`FIG. 26J
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`-35-
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`-36-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 32 of 36
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`US 7,618,451 B2
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`-37-
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`-37-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 33 of 36
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`US 7,618,451 B2
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`-33-
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`-38-
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`U.S. Patent
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`Nov. 17, 2009
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`Sheet 34 of 36
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`US 7,618,451 B2
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`
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