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81. 再颁专利

USRE42226E1 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation 有权
公开(公告)号：USRE42226E1
公开(公告)日：2011-03-15
申请号：US11451595
申请日：2006-06-12
申请人： Kevin T Foley , John B Clayton , Anthony Melkent , Michael C Sherman
发明人： Kevin T Foley , John B Clayton , Anthony Melkent , Michael C Sherman
IPC分类号： A61B5/05
CPC分类号： A61B17/70 , A61B17/7032 , A61B17/7083 , A61B34/10 , A61B34/20 , A61B90/11 , A61B2017/00477 , A61B2034/2055 , A61B2034/2072 , A61B2090/363 , A61B2090/3945 , A61B2090/3983
摘要： An apparatus and procedures for percutaneous placement of surgical implants and instruments such as, for example, screws, rods, wires and plates into various body parts using image guided surgery. The invention includes an apparatus for use with a surgical navigation system, an attaching device rigidly connected to a body part, such as the spinous process of a vertebrae, with an identification superstructure rigidly but removably connected to the attaching device. This identification superstructure, for example, is a reference arc and fiducial array which accomplishes the function of identifying the location of the superstructure, and, therefore, the body part to which it is fixed, during imaging by CAT scan or MRI, and later during medical procedures.

82. 发明申请

US20110060213A1 Method and Apparatus for Positioning a Reference Frame 有权
标题翻译：用于定位参考框架的方法和装置
公开(公告)号：US20110060213A1
公开(公告)日：2011-03-10
申请号：US12946309
申请日：2010-11-15
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译：执行可包括处理器辅助外科手术的过程的方法和装置。在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。可以使用动态参考框架来维持患者空间与图像空间的定位。动态参考框架可以与解剖结构的骨骼部分固定地互连。

83. 发明申请

US20110022059A1 Device for Immobilizing a Primary Instrument and Method Therefor 有权
标题翻译：固定主要仪器的装置及其方法
公开(公告)号：US20110022059A1
公开(公告)日：2011-01-27
申请号：US12899677
申请日：2010-10-07
申请人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
发明人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
IPC分类号： A61B19/00
CPC分类号： A61N1/0539 , A61B34/20 , A61B90/11 , A61B2017/0023 , A61B2017/00398 , A61B2017/00911 , A61B2017/3407 , A61B2017/3409 , A61B2017/3411 , A61B2017/347 , A61B2034/2051 , A61B2034/2055 , A61B2090/103 , A61B2090/363 , A61B2090/374 , A61B2090/3762 , A61B2090/3983 , A61N1/0534
摘要： Devices and methods provide accurate targeting, placement, and/or stabilization of an electrode or other instrument(s) into the brain or other body organ, such as to treat severe tremor or other neurological disorders. Targeting is performed using any form of image-guidance, including real-time MRI, CT, or frameless surgical navigation systems.
摘要翻译：装置和方法提供将电极或其他器械精确地靶向，放置和/或稳定到脑或其他身体器官中，例如治疗严重的震颤或其它神经障碍。使用任何形式的图像引导进行定向，包括实时MRI，CT或无框架手术导航系统。

84. 发明申请

US20110022058A1 Device for Immobilizing a Primary Instrument and Method Therefor 有权
公开(公告)号：US20110022058A1
公开(公告)日：2011-01-27
申请号：US12899674
申请日：2010-10-07
申请人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
发明人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
IPC分类号： A61B19/00 , A61N1/00
CPC分类号： A61N1/0539 , A61B34/20 , A61B90/11 , A61B2017/0023 , A61B2017/00398 , A61B2017/00911 , A61B2017/3407 , A61B2017/3409 , A61B2017/3411 , A61B2017/347 , A61B2034/2051 , A61B2034/2055 , A61B2090/103 , A61B2090/363 , A61B2090/374 , A61B2090/3762 , A61B2090/3983 , A61N1/0534
摘要： Devices and methods provide accurate targeting, placement, and/or stabilization of an electrode or other instrument(s) into the brain or other body organ, such as to treat severe tremor or other neurological disorders. Targeting is performed using any form of image-guidance, including real-time MRI, CT, or frameless surgical navigation systems.

85. 发明申请

US20110015518A1 METHOD AND INSTRUMENT FOR SURGICAL NAVIGATION 审中-公开
标题翻译：手术导航的方法和仪器
公开(公告)号：US20110015518A1
公开(公告)日：2011-01-20
申请号：US12831849
申请日：2010-07-07
申请人： Martin Schmidt , Jochen Koetke , Peter Schalt , Stefan Oelkers , Rolf-Rainer Grigat , Thomas Hoell
发明人： Martin Schmidt , Jochen Koetke , Peter Schalt , Stefan Oelkers , Rolf-Rainer Grigat , Thomas Hoell
IPC分类号： A61B5/00
CPC分类号： A61B5/0042 , A61B5/0077 , A61B5/1079 , A61B34/10 , A61B34/20 , A61B90/20 , A61B90/39 , A61B2034/107 , A61B2034/2051 , A61B2034/2055 , A61B2034/2057 , A61B2034/2065 , A61B2034/2068 , A61B2090/363 , A61B2090/364 , A61B2090/371 , A61B2090/3937 , A61B2090/3983 , A61B2576/026
摘要： An operating microscope including an optical unit for forming an image of an object plane in oculars of the microscope, an optoelectronic image receiver coupled to the microscope and optics to form images, of objects placed in a region between a front objective of the microscope and an object plane of the microscope, on the optoelectronic image receiver. The microscope has a magnification factor of the optics to form images, and a system to detect optical markings forming a markings pattern placed on a surgical instrument or an object placed in the region between the front objective of the microscope and the object plane of the microscope. The system calculates a geometrical position and orientation of the markings pattern in relation to the optoelectronic image receiver, relative to the microscope.
摘要翻译：一种操作显微镜，包括用于在显微镜的眼睛中形成物体平面图像的光学单元，耦合到显微镜的光电子图像接收器和用于形成图像的光学图像接收器，放置在显微镜的前目标之间的区域和物镜在显微镜上，在光电图像接收器上。显微镜具有用于形成图像的光学元件的放大系数，以及用于检测形成放置在外科器械上的标记图案的光学标记的系统或放置在显微镜的前目标与显微镜的物平面之间的区域中的物体。相对于显微镜，该系统计算相对于光电图像接收器的标记图案的几何位置和取向。

86. 发明授权

US07835784B2 Method and apparatus for positioning a reference frame 有权
标题翻译：用于定位参考系的方法和装置
公开(公告)号：US07835784B2
公开(公告)日：2010-11-16
申请号：US11232445
申请日：2005-09-21
申请人： David A. Mire , John B. Clayton
发明人： David A. Mire , John B. Clayton
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/108 , A61B2034/2051 , A61B2034/2055 , A61B2034/2068 , A61B2034/256 , A61B2090/363 , A61B2090/3916 , A61B2090/3925 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983
摘要： A method and apparatus to perform a procedure that can include a processor assisted surgical procedure. During the procedure patient space and image space can be registered to allow for tracking of various tracking sensors. A dynamic reference frame can be used to maintain localization of the patient space with the image space. The dynamic reference frame can be fixedly interconnected with a bone portion of the anatomy.
摘要翻译：执行可包括处理器辅助外科手术的过程的方法和装置。在手术过程中，患者空间和图像空间可以被注册，以便跟踪各种跟踪传感器。可以使用动态参考框架来维持患者空间与图像空间的定位。动态参考框架可以与解剖结构的骨骼部分固定地互连。

87. 发明授权

US07833231B2 Device for immobilizing a primary instrument and method therefor 有权
标题翻译：用于固定主仪器的装置及其方法
公开(公告)号：US07833231B2
公开(公告)日：2010-11-16
申请号：US11768077
申请日：2007-06-25
申请人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
发明人： James G. Skakoon , Robert Wharen , Matthew S. Solar , Kari Parmer , Rudy A. Mazzocchi , John David , Frank Murdock , David Hatcher , Thomas I. Miller , Timothy Alan Parmer , Charles L. Truwit
IPC分类号： A61B19/00
CPC分类号： A61N1/0539 , A61B34/20 , A61B90/11 , A61B2017/0023 , A61B2017/00398 , A61B2017/00911 , A61B2017/3407 , A61B2017/3409 , A61B2017/3411 , A61B2017/347 , A61B2034/2051 , A61B2034/2055 , A61B2090/103 , A61B2090/363 , A61B2090/374 , A61B2090/3762 , A61B2090/3983 , A61N1/0534
摘要： Devices and methods provide accurate targeting, placement, and/or stabilization of an electrode or other instrument(s) into the brain or other body organ, such as to treat severe tremor or other neurological disorders. Targeting is performed using any form of image-guidance, including real-time MRI, CT, or frameless surgical navigation systems.
摘要翻译：装置和方法提供将电极或其他器械精确地靶向，放置和/或稳定到脑或其他身体器官中，例如治疗严重的震颤或其它神经障碍。使用任何形式的图像引导进行定向，包括实时MRI，CT或无框架手术导航系统。

88. 发明授权

US07794469B2 Adjustable universal surgical platform 有权
标题翻译：可调通用手术平台
公开(公告)号：US07794469B2
公开(公告)日：2010-09-14
申请号：US11594700
申请日：2006-11-07
申请人： Changquing C. Kao , J. Michael Fitzpatrick , Robert F. Labadie , Peter E. Konrad
发明人： Changquing C. Kao , J. Michael Fitzpatrick , Robert F. Labadie , Peter E. Konrad
IPC分类号： A61B19/00
CPC分类号： A61B90/39 , A61B90/11 , A61B2034/107 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2090/363 , A61B2090/3916 , A61B2090/3983
摘要： A surgical platform usable for performing a surgical procedure. In one embodiment, the surgical platform comprises a base portion configured to receive at least one probe; a plurality of adjustable legs configured to support the base portion, each adjustable legs having a first end portion and an opposite, second end potion defining a length therebetween; and at least one movable portion configured to adjust the length of at least one adjustable leg.
摘要翻译：可用于执行外科手术的手术平台。在一个实施例中，手术平台包括构造成接收至少一个探针的基部; 多个可调节腿，其构造成支撑所述基部，每个可调节腿具有限定其间的长度的第一端部部分和相对的第二端部部分; 以及至少一个可移动部分，其构造成调节至少一个可调节腿部的长度。

89. 发明授权

US07787934B2 Fiducial marker devices, tools, and methods 有权
标题翻译：基准标记设备，工具和方法
公开(公告)号：US07787934B2
公开(公告)日：2010-08-31
申请号：US10454145
申请日：2003-06-04
申请人： Rudy A. Mazzocchi , Matthew S. Solar , David M. Lee
发明人： Rudy A. Mazzocchi , Matthew S. Solar , David M. Lee
IPC分类号： A61B5/00
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/107 , A61B2034/2055 , A61B2034/2068 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983 , A61B2090/3987
摘要： This document discusses, among other things, a fiducial marker assembly that includes an internally engagable base. The base is sized and shaped to be mounted flush to or recessed from an outer surface of a patient's skull, thereby reducing or avoiding patient discomfort. The fiducial marker assembly includes an imagable locator and a registration receptacle. A base insertion instrument is engaged to the base to attach the base to the patient's skull. In one example the base includes a faceted head, permitting a socket-like device to screw or unscrew the base into or out of the skull. In another example, the base includes at least one step or slot for engaging an insertion or extraction tool.
摘要翻译：本文件尤其讨论了包括内部可接合基座的基准标记组件。基座的尺寸和形状被安装成与患者头骨的外表面齐平或凹入安装，从而减少或避免患者的不适。基准标记组件包括可成像定位器和注册容器。基部插入器械接合到基座以将基部附接到患者的颅骨。在一个示例中，底座包括刻面的头部，允许套筒状的装置将基座拧入或旋出到头骨中或从头骨中旋出。在另一示例中，底座包括用于接合插入或取出工具的至少一个台阶或槽。

90. 发明授权

US07780349B2 Apparatus and method for robotic radiosurgery beam geometry quality assurance 有权
标题翻译：机器人放射外科手术器械和方法几何质量保证
公开(公告)号：US07780349B2
公开(公告)日：2010-08-24
申请号：US12006629
申请日：2008-01-03
申请人： Xiaodong Wu
发明人： Xiaodong Wu
IPC分类号： A61B6/08 , A61N5/10
CPC分类号： A61N5/1048 , A61B34/20 , A61B34/25 , A61B90/10 , A61B90/39 , A61B2017/00725 , A61B2090/101 , A61B2090/363 , A61N5/1042
摘要： A method and apparatus for quality assurance of beam geometry of robotic radiosurgery systems. The apparatus comprises two or more radio-opaque markers set at a fixed distance from each other and contained in a housing, which is assembled to a collimator fixture for attachment to the collimator interface of the LINAC of a robotic radiosurgery system. A treatment plan is generated to position the LINAC to a series of pre-defined radiation beam orientations, then a simulation of the treatment is carried out, and radiographic images are taken at each LINAC position. The coordinates of the radio-opaque markers obtained from the images are used to determine beam orientation by calculating their directional cosines, the beam off-axis error and the deviation of the radiation source to iso-center distance (SAD). The imaging system is independently calibrated and the quantitative beam geometric information is used to adjust beam geometry for quality assurance.
摘要翻译：一种用于机器人放射外科系统的束几何质量保证的方法和装置。该装置包括两个或更多个放射线不透明标记，其彼此固定并且容纳在壳体中，该壳体被组装到准直器夹具上，用于附接到机器人放射外科系统的LINAC的准直器界面。产生处理计划以将LINAC定位成一系列预定义的辐射束取向，然后进行处理的模拟，并且在每个LINAC位置拍摄放射照相图像。使用从图像获得的不透射线标记的坐标通过计算它们的方向余弦，光束离轴误差和辐射源与等中心距离的偏差（SAD）来确定波束取向。成像系统被独立校准，并且定量光束几何信息用于调整光束几何形状以确保质量。

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