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    • 4. 发明授权
    • Instrument guidance method and system for image guided surgery
    • 图像引导手术仪器指导方法和系统
    • US06491699B1
    • 2002-12-10
    • US09557004
    • 2000-04-20
    • Jaimie HendersonRichard D. BucholzKurt R. SmithKevin J. FrankJohn B. ClaytonCatalina J. CarrollPhillip T. Ulberg
    • Jaimie HendersonRichard D. BucholzKurt R. SmithKevin J. FrankJohn B. ClaytonCatalina J. CarrollPhillip T. Ulberg
    • A61B1900
    • A61B19/52A61B34/20A61B90/11A61B90/36A61B2034/107A61B2034/2055A61B2034/2072A61B2034/256A61B2090/3983
    • Generally, the present invention is directed to a method and system for a aligning surgical guide instrument over a burr hole in a patient's body. More particularly, the present invention is directed to a stand-alone instrument guidance unit that is attachable to a patient's skull. Adjustments of a surgical instrument can be made in x, y, z, and angular directions using the system and method of the present invention. In one aspect of the present invention, an instrument guide unit includes an instrument guide for guiding a surgical instrument into the body of a patient and a base unit operative to be secured to the body in an area in which surgery. is to occur. The base unit is coupled to the instrument guide. An adjustment mechanism, coupled to the base unit and the instrument guide, is operative to adjust the instrument guide in lateral directions with respect the surface of the area. The adjustment mechanism is operative to adjust the instrument guide in x and y directions. The adjustment mechanism includes an x direction control mechanism for adjusting the instrument in an x direction and a y direction control mechanism for adjusting the instrument in a y direction. The y direction control mechanism may be coupled to the x direction control mechanism. The positional movement of the surgical instrument in the z direction may be tracked by sensing the location of a transducer coupled to the surgical instrument.
    • 通常,本发明涉及一种用于使外科引导器械对准患者身体中的钻孔的方法和系统。 更具体地,本发明涉及一种可附接到患者颅骨的独立的仪器引导单元。 可以使用本发明的系统和方法在x,y,z和角度方向上进行手术器械的调整。 在本发明的一个方面中,仪器引导单元包括用于将外科器械引导到患者体内的仪器引导件和在外科手术区域中固定到身体的基部单元。 是要发生的 基座单元耦合到仪器导轨。 联接到基座单元和仪器引导件的调节机构可操作以相对于该区域的表面在横向方向上调节仪器引导件。 调节机构可以在x和y方向上调整仪器导板。 调整机构包括用于在x方向上调整仪器的x方向控制机构和用于在y方向上调节仪器的y方向控制机构。 y方向控制机构可以耦合到x方向控制机构。 可以通过感测耦合到外科器械的换能器的位置来跟踪手术器械在z方向上的位置运动。
    • 10. 发明授权
    • Surgical navigation systems including reference and localization frames
    • 手术导航系统包括参考和定位框架
    • US06490467B1
    • 2002-12-03
    • US09105067
    • 1998-06-26
    • Richard D. BucholzKevin T. FoleyKurt R. SmithDaniel BassThomas WiedenmaierTodd PopeUdo Wiedenmaier
    • Richard D. BucholzKevin T. FoleyKurt R. SmithDaniel BassThomas WiedenmaierTodd PopeUdo Wiedenmaier
    • A61B600
    • A61B5/0073A61B5/0064A61B5/055A61B5/06A61B5/1077A61B6/12A61B6/501A61B6/5235A61B8/00A61B8/0833A61B8/4227A61B8/5238A61B17/1703A61B17/1739A61B17/3403A61B34/10A61B34/20A61B90/10A61B90/11A61B90/36A61B2017/00022A61B2034/2055A61B2034/2068A61B2034/207A61B2034/2072A61B2090/363A61B2090/364A61B2090/376A61B2090/378A61B2090/3929A61B2090/3945A61B2090/3983
    • A system for use during a medical or surgical procedure on a body. The system generates an image representing the position of one or more body elements during the procedure using scans generated by a scanner prior or during the procedure. The image data set has reference points for each of the body elements, the reference points of a particular body element having a fixed spatial relation to the particular body element. The system includes an apparatus for identifying, during the procedure, the relative position of each of the reference points of each of the body elements to be displayed. The system also includes a processor for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by the identifying apparatus, said processor generating a displaced image data set representing the position of the body elements during the procedure. The system also includes a display utilizing the displaced image data set generated by the processor, illustrating the relative to the system are also disclosed. Also disclosed are devices for use with a surgical navigation system having a sensor array which is in communication with the device to identify its position. The device may be a reference frame for attachment of a body part of the patient, such as a cranial reference are frame for attachment to the head or a spine reference are frame for attachment to the spine. The device may also be a localization frame for positioning an instrument relative to a body part, such as a localization biopsy guide frame for positioning a biopsy needle, a localization drill guide assembly for positioning a drill bit, a localization drill yoke assembly for positioning a drill, or a ventriculostomy probe for positioning a catheter.
    • 在身体的医疗或外科手术过程中使用的系统。 在该过程期间,该系统使用由扫描仪生成的扫描器在过程之前或过程期间生成表示一个或多个身体元件的位置的图像。 图像数据集具有每个身体元素的参考点,特定身体元件的参考点与特定身体元件具有固定的空间关系。 该系统包括用于在过程期间识别要显示的每个身体元素的每个参考点的相对位置的装置。 该系统还包括处理器,用于根据识别装置识别的过程期间根据所识别的每个参考点的相对位置修改图像数据集,所述处理器生成表示身体元件的位置的位移图像数据集 在程序中。 该系统还包括利用由处理器生成的移位的图像数据集的显示器,还示出了相对于系统的显示。 还公开了一种与外科导航系统一起使用的装置,该外科导航系统具有与装置通信以识别其位置的传感器阵列。 该装置可以是用于附接患者的身体部分的参考框架,例如头部参考是用于附接到头部的框架,或者脊柱参考是用于附接到脊柱的框架。 该装置还可以是用于相对于身体部位定位器械的定位框架,例如用于定位活检针的定位活检引导框架,用于定位钻头的定位钻子引导器组件,用于定位钻头的定位钻杆组件 钻孔或用于定位导管的脑室造口术探针。