JP2010519971A - 目標物を特定するシステム及び方法 - Google Patents
目標物を特定するシステム及び方法 Download PDFInfo
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- JP2010519971A JP2010519971A JP2009551851A JP2009551851A JP2010519971A JP 2010519971 A JP2010519971 A JP 2010519971A JP 2009551851 A JP2009551851 A JP 2009551851A JP 2009551851 A JP2009551851 A JP 2009551851A JP 2010519971 A JP2010519971 A JP 2010519971A
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Classifications
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- 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
- A61B17/1707—Guides or aligning means for drills, mills, pins or wires using electromagnetic effects, e.g. with magnet and external sensors
-
- 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
- A61B17/1725—Guides or aligning means for drills, mills, pins or wires for applying transverse screws or pins through intramedullary nails or pins
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/062—Measuring instruments not otherwise provided for penetration depth
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
- A61B2090/3958—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI emitting a signal
-
- 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
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
-
- 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
Abstract
Description
この出願は、2007年2月28日に出願された特許文献1、2007年2月28日に出願された特許文献2、及び2007年4月15日に出願された特許文献3の利益を主張する。各出願の開示内容は、その全体を参照して包含されている。
適用なし
適用なし
12、112 処理装置
14、114 モニター
16 磁場発生器
18、818、918 目標物特定器
19 マーキングセンサー
20、120 第二センサー
22、122 鋸歯状の先端部
23 第三コネクター
24、124 管
21、25 通信モジュール
26 ハンドル
28、60、128 整形外科用インプラント組立て品
30、130、800 インプラント
31 貫通孔
32 第一センサー
33 カニューレ
34、134 溝
36、136 ポケット
37 外側表面
38、138 カバー
39 第二開口部
40、140、700、810 挿入ハンドル
44 位置合わせ機構
46 位置合わせピン
50、64、150 リード線
52 第一コネクター
54 第二コネクター
65 遠位端部
66 長手方向内側溝
70 接触部
72 付勢要素
74 弾性電気接点
76 接点
80 嵌め合いノッチ
82 嵌め合い孔
90 ドリル
92 標識
132 磁石
500 第一部
510 第二部
710 溝
712 往復台
802 目標物
812 ガイド孔
920、922、924 サーボモーター
Claims (15)
- 目標物を特定するシステムであって、前記システムは、
a.磁場を発生させる磁場発生器と、
b.前記磁場発生器内に配置された整形外科用インプラントであって、少なくとも一つの目標物、及び近位端部並びに遠位端部を有する長手方向溝を備えている前記整形外科用インプラントと、
c.前記長手方向溝の前記遠位端部において前記整形外科用インプラントに取り付けられ、且つ前記少なくとも一つの目標物から規定の距離間隔を空けられた第一磁場センサーと、
d.第二磁場センサーを備えている目標物特定器と、
e.前記第一及び第二センサーからのセンサーデータを比較し、且つ前記少なくとも一つの目標物に対して前記目標物特定器の位置を計算するために前記規定の距離を使用する処理装置と、
を備えていることを特徴とする、目標物を特定するシステム。 - 前記目標物は、構造体、くぼみ、隆起部、導管、戻り止め、フランジ、溝、部材、隔壁、段、孔、内腔、空洞、小凹点、管路、間隙、ノッチ、開口部、通路、スリット、穴、又はスロットから成るグループから選択されることを特徴とする、請求項1に記載のシステム。
- 前記整形外科用インプラントは髄内釘であることを特徴とする、請求項1又は2に記載のシステム。
- 前記整形外科用インプラントは、外側表面、カニューレを形成する内側表面、及びそれらの間に壁部を有し、前記第一磁場センサーが前記壁部内に取り付けられていることを特徴とする、請求項1〜3の何れか一項に記載のシステム。
- 前記整形外科用インプラントは、ポケットを更に備え、前記第一センサーは前記ポケット内に配置されていることを特徴とする、請求項1〜4の何れか一項に記載のシステム。
- 前記整形外科用インプラントは、カバーを更に備えていることを特徴とする、請求項1〜5の何れか一項に記載のシステム。
- 前記整形外科用インプラントは、前記カバーを収容するよう適合された第二開口部を更に備えていることを特徴とする、請求項1〜6の何れか一項に記載のシステム。
- 前記整形外科用インプラントに、取り外し可能に取り付けられた挿入ハンドルを更に備えていることを特徴とする、請求項1〜7の何れか一項に記載のシステム。
- 前記処理装置に電気的に接続されたモニターを更に備えていることを特徴とする、請求項1〜8の何れか一項に記載のシステム。
- 前記長手方向溝は、前記インプラントの外側表面に沿っていることを特徴とする、請求項1〜9の何れか一項に記載のシステム。
- 前記整形外科用インプラントはカニューレを更に備え、前記長手方向溝は、前記カニューレに略近接していることを特徴とする、請求項1〜10の何れか一項に記載のシステム。
- 前記第一センサーに接続された、取り外し可能なリード線を更に備えていることを特徴とする、請求項11に記載のシステム。
- 前記目標物特定器は、ドリルスリーブを備えていることを特徴とする、請求項1〜12の何れか一項に記載のシステム。
- 前記目標物特定器は、鋸歯状の先端部を更に備えていることを特徴とする、請求項1〜12の何れか一項に記載のシステム。
- 前記処理装置は、使用者にフィードバック情報を提供することを特徴とする、請求項1〜14の何れか一項に記載のシステム。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US89211607P | 2007-02-28 | 2007-02-28 | |
US60/892,116 | 2007-02-28 | ||
PCT/US2007/063001 WO2008105874A1 (en) | 2007-02-28 | 2007-02-28 | Instrumented orthopaedic implant for identifying a landmark |
USPCT/US2007/063001 | 2007-02-28 | ||
US91190707P | 2007-04-15 | 2007-04-15 | |
US60/911,907 | 2007-04-15 | ||
PCT/US2008/055300 WO2008106593A2 (en) | 2007-02-28 | 2008-02-28 | System and method for identifying a landmark |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010519971A true JP2010519971A (ja) | 2010-06-10 |
JP5726418B2 JP5726418B2 (ja) | 2015-06-03 |
Family
ID=39720395
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2009551851A Expired - Fee Related JP5726418B2 (ja) | 2007-02-28 | 2008-02-28 | 目標物を特定するシステム及び方法 |
Country Status (7)
Country | Link |
---|---|
US (1) | US8739801B2 (ja) |
EP (2) | EP3545878A3 (ja) |
JP (1) | JP5726418B2 (ja) |
CN (1) | CN101621966B (ja) |
AU (2) | AU2008221332B2 (ja) |
CA (1) | CA2678369A1 (ja) |
WO (1) | WO2008106593A2 (ja) |
Cited By (4)
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JP2013544138A (ja) * | 2010-11-01 | 2013-12-12 | スミス アンド ネフュー インコーポレーテッド | 整形外科デバイスの標識の標的化 |
JP2014505524A (ja) * | 2010-12-23 | 2014-03-06 | ストライカー トラウマ ゲーエムベーハー | 骨断片の回転配向をモニタリングする装置および方法 |
JP2014519870A (ja) * | 2011-05-06 | 2014-08-21 | スミス アンド ネフュー インコーポレーテッド | 整形外科デバイスのランドマークのターゲティング |
JP2020519417A (ja) * | 2017-05-12 | 2020-07-02 | サイバー、サージェリー、ソシエダッド、リミターダCyber Surgery, S.L. | 整形外科的介入用の手術ロボット |
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JP2014519870A (ja) * | 2011-05-06 | 2014-08-21 | スミス アンド ネフュー インコーポレーテッド | 整形外科デバイスのランドマークのターゲティング |
JP2020519417A (ja) * | 2017-05-12 | 2020-07-02 | サイバー、サージェリー、ソシエダッド、リミターダCyber Surgery, S.L. | 整形外科的介入用の手術ロボット |
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AU2008221332B2 (en) | 2014-04-03 |
US20100152566A1 (en) | 2010-06-17 |
CA2678369A1 (en) | 2008-09-04 |
US8739801B2 (en) | 2014-06-03 |
AU2008221332A1 (en) | 2008-09-04 |
AU2008351418A1 (en) | 2009-09-03 |
JP5726418B2 (ja) | 2015-06-03 |
CN101621966B (zh) | 2013-06-19 |
EP3545878A3 (en) | 2019-12-25 |
WO2008106593A3 (en) | 2008-11-13 |
CN101621966A (zh) | 2010-01-06 |
EP2114263B1 (en) | 2019-02-20 |
EP3545878A2 (en) | 2019-10-02 |
AU2008351418B2 (en) | 2015-02-05 |
EP2114263A2 (en) | 2009-11-11 |
WO2008106593A2 (en) | 2008-09-04 |
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