ATE320226T1 - Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen - Google Patents

Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen

Info

Publication number
ATE320226T1
ATE320226T1 AT01130400T AT01130400T ATE320226T1 AT E320226 T1 ATE320226 T1 AT E320226T1 AT 01130400 T AT01130400 T AT 01130400T AT 01130400 T AT01130400 T AT 01130400T AT E320226 T1 ATE320226 T1 AT E320226T1
Authority
AT
Austria
Prior art keywords
procedure
during
body elements
image data
data set
Prior art date
Application number
AT01130400T
Other languages
English (en)
Inventor
Richard D Bucholz
Kevin T Foley
Kurt R Smith
Daniel Bass
Thomas Wiedenmaier
Todd Pope
Udo Wiedenmaier
Original Assignee
Univ St Louis
Surgical Navigation Tech
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Univ St Louis, Surgical Navigation Tech filed Critical Univ St Louis
Application granted granted Critical
Publication of ATE320226T1 publication Critical patent/ATE320226T1/de

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0073—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by tomography, i.e. reconstruction of 3D images from 2D projections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0064—Body surface scanning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107—Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1077—Measuring of profiles
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/70—Means for positioning the patient in relation to the detecting, measuring or recording means
    • A61B5/702—Posture restraints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/501—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of the head, e.g. neuroimaging or craniography
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    • A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
    • A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
    • A61B6/5235—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from the same or different ionising radiation imaging techniques, e.g. PET and CT
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    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
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    • A61B8/5215—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data
    • A61B8/5238—Devices using data or image processing specially adapted for diagnosis using ultrasonic, sonic or infrasonic waves involving processing of medical diagnostic data for combining image data of patient, e.g. merging several images from different acquisition modes into one image
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    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
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    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • A61B2034/207—Divots for calibration
    • A—HUMAN NECESSITIES
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072—Reference field transducer attached to an instrument or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363—Use of fiducial points
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A—HUMAN NECESSITIES
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A61B2090/3929—Active markers
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    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
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    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
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    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A61B8/4209—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames
    • A61B8/4227—Details of probe positioning or probe attachment to the patient by using holders, e.g. positioning frames characterised by straps, belts, cuffs or braces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Robotics (AREA)
  • Neurology (AREA)
  • Human Computer Interaction (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurosurgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Position Fixing By Use Of Radio Waves (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Image Processing (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Measurement Of Velocity Or Position Using Acoustic Or Ultrasonic Waves (AREA)
  • Manipulator (AREA)
  • Navigation (AREA)
  • Control Of Position, Course, Altitude, Or Attitude Of Moving Bodies (AREA)
  • Production Of Multi-Layered Print Wiring Board (AREA)
AT01130400T 1994-10-07 1995-10-05 Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen ATE320226T1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US31961594A 1994-10-07 1994-10-07
US341595P 1995-09-08 1995-09-08

Publications (1)

Publication Number Publication Date
ATE320226T1 true ATE320226T1 (de) 2006-04-15

Family

ID=26671725

Family Applications (3)

Application Number Title Priority Date Filing Date
AT95937379T ATE228338T1 (de) 1994-10-07 1995-10-05 Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen
AT01130400T ATE320226T1 (de) 1994-10-07 1995-10-05 Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen
AT99114109T ATE262844T1 (de) 1994-10-07 1995-10-05 Vorrichtung zur benutzung mit einem chirurgischen navigationssystem

Family Applications Before (1)

Application Number Title Priority Date Filing Date
AT95937379T ATE228338T1 (de) 1994-10-07 1995-10-05 Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen

Family Applications After (1)

Application Number Title Priority Date Filing Date
AT99114109T ATE262844T1 (de) 1994-10-07 1995-10-05 Vorrichtung zur benutzung mit einem chirurgischen navigationssystem

Country Status (8)

Country Link
US (3) US6236875B1 (de)
EP (3) EP0869745B8 (de)
JP (1) JP3492697B2 (de)
AT (3) ATE228338T1 (de)
AU (1) AU3950595A (de)
CA (1) CA2201877C (de)
DE (4) DE69534862T2 (de)
WO (1) WO1996011624A2 (de)

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US8603095B2 (en) 1994-09-02 2013-12-10 Puget Bio Ventures LLC Apparatuses for femoral and tibial resection
US6695848B2 (en) 1994-09-02 2004-02-24 Hudson Surgical Design, Inc. Methods for femoral and tibial resection
US6978166B2 (en) * 1994-10-07 2005-12-20 Saint Louis University System for use in displaying images of a body part
EP0869745B8 (de) * 1994-10-07 2003-04-16 St. Louis University Chirurgische navigationsanordnung einschliesslich referenz- und ortungssystemen
US5592939A (en) 1995-06-14 1997-01-14 Martinelli; Michael A. Method and system for navigating a catheter probe
US6256529B1 (en) * 1995-07-26 2001-07-03 Burdette Medical Systems, Inc. Virtual reality 3D visualization for surgical procedures
US5951571A (en) * 1996-09-19 1999-09-14 Surgical Navigation Specialist Inc. Method and apparatus for correlating a body with an image of the body
US6132441A (en) 1996-11-22 2000-10-17 Computer Motion, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US6731966B1 (en) 1997-03-04 2004-05-04 Zachary S. Spigelman Systems and methods for targeting a lesion
US6119033A (en) * 1997-03-04 2000-09-12 Biotrack, Inc. Method of monitoring a location of an area of interest within a patient during a medical procedure
SE511291C2 (sv) * 1997-03-18 1999-09-06 Anders Widmark Förfarande, arrangemang samt referensorgan vid strålbehandling
US5970499A (en) 1997-04-11 1999-10-19 Smith; Kurt R. Method and apparatus for producing and accessing composite data
DE19751761B4 (de) * 1997-04-11 2006-06-22 Brainlab Ag System und Verfahren zur aktuell exakten Erfassung von Behandlungszielpunkten
US6752812B1 (en) 1997-05-15 2004-06-22 Regent Of The University Of Minnesota Remote actuation of trajectory guide
JP4155344B2 (ja) * 1997-07-03 2008-09-24 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 画像誘導手術システム
US6096050A (en) * 1997-09-19 2000-08-01 Surgical Navigation Specialist Inc. Method and apparatus for correlating a body with an image of the body
US6226548B1 (en) 1997-09-24 2001-05-01 Surgical Navigation Technologies, Inc. Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US6081336A (en) * 1997-09-26 2000-06-27 Picker International, Inc. Microscope calibrator
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US6021343A (en) * 1997-11-20 2000-02-01 Surgical Navigation Technologies Image guided awl/tap/screwdriver
CA2333583C (en) * 1997-11-24 2005-11-08 Everette C. Burdette Real time brachytherapy spatial registration and visualization system
US6348058B1 (en) * 1997-12-12 2002-02-19 Surgical Navigation Technologies, Inc. Image guided spinal surgery guide, system, and method for use thereof
AU2022799A (en) 1997-12-31 1999-07-19 Surgical Navigation Technologies, Inc. Wireless probe system for use with a stereotactic surgical device
CA2318252A1 (en) * 1998-01-28 1999-08-05 Eric R. Cosman Optical object tracking system
FR2779339B1 (fr) 1998-06-09 2000-10-13 Integrated Surgical Systems Sa Procede et appareil de mise en correspondance pour la chirurgie robotisee, et dispositif de mise en correspondance en comportant application
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EP0950379B1 (de) 2004-03-31
WO1996011624A2 (en) 1996-04-25
AU3950595A (en) 1996-05-06
WO1996011624A3 (en) 1996-07-18
EP0869745A2 (de) 1998-10-14
EP0950379A3 (de) 2003-01-02
US6490467B1 (en) 2002-12-03
EP0869745B1 (de) 2002-11-27
JP3492697B2 (ja) 2004-02-03
EP0950379A2 (de) 1999-10-20
JP2002510214A (ja) 2002-04-02
DE69534862D1 (de) 2006-05-11
EP1201199B1 (de) 2006-03-15
ATE262844T1 (de) 2004-04-15
ATE228338T1 (de) 2002-12-15
DE69534862T2 (de) 2006-08-17
DE69528998D1 (de) 2003-01-09
US20020035321A1 (en) 2002-03-21
EP1201199A2 (de) 2002-05-02
DE29521895U1 (de) 1998-09-10
US6236875B1 (en) 2001-05-22
EP1201199A3 (de) 2003-02-26
CA2201877C (en) 2004-06-08
DE69532829T2 (de) 2005-01-27
US7139601B2 (en) 2006-11-21
EP0869745B8 (de) 2003-04-16
DE69532829D1 (de) 2004-05-06
DE69528998T2 (de) 2003-07-03
CA2201877A1 (en) 1996-04-25
EP0869745A4 (de) 1998-10-14

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