JP2015508293A5 - - Google Patents

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JP2015508293A5
JP2015508293A5 JP2014537811A JP2014537811A JP2015508293A5 JP 2015508293 A5 JP2015508293 A5 JP 2015508293A5 JP 2014537811 A JP2014537811 A JP 2014537811A JP 2014537811 A JP2014537811 A JP 2014537811A JP 2015508293 A5 JP2015508293 A5 JP 2015508293A5
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Japan
Prior art keywords
tracker
marker
surgical
patient
scan
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JP2014537811A
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Japanese (ja)
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JP2015508293A (en
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Priority claimed from US13/571,284 external-priority patent/US8938282B2/en
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Priority claimed from PCT/IL2012/000363 external-priority patent/WO2013061318A1/en
Publication of JP2015508293A publication Critical patent/JP2015508293A/en
Publication of JP2015508293A5 publication Critical patent/JP2015508293A5/ja
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手術位置をモニタリングするためのシステムであって、A system for monitoring a surgical position,
手術部位に隣接した位置に取り付けることができ、スキャン上で認識することができるマーキングを有するキーと、A key with markings that can be attached at a position adjacent to the surgical site and can be recognized on the scan;
前記キーに固定・連結されるマーカーと、A marker fixed and connected to the key;
前記手術部位を観察し、前記手術部位の観察データを転送するための非ステレオ光学トラッカーと、A non-stereo optical tracker for observing the surgical site and transferring observation data of the surgical site;
前記トラッカーと通信するコンピューティング装置として、前記キーを認識することができ、前記スキャン、前記キーの識別及び前記トラッカーから受信した前記観察データに基づいて前記手術部位のモデルを計算することができるソフトウェアを有するコンピューティング装置を含むシステム。Software capable of recognizing the key as a computing device communicating with the tracker and calculating a model of the surgical site based on the scan, key identification and observation data received from the tracker A system including a computing device having:
前記コンピューティング装置と通信するディスプレイシステムを更に含み、前記ディスプレイシステムは、前記手術手順の間、前記患者スキャンに対し、基準レファレンスの現在の位置及び方向を見せるように調節されている、請求項1に記載のシステム。  2. A display system in communication with the computing device, the display system being adjusted to show a current position and orientation of a reference reference to the patient scan during the surgical procedure. The system described in. 前記キーは、手術患者の領域に固定されるように調節されている単一基準レファレンスを含んでいるため、前記手術手順の間、前記基準レファレンスは少なくとも部分的に見えず、前記マーカーは、所定の固定された相対的位置及び方向に前記基準レファレンスに取り付けられており、前記コンピューティング装置は、前記手術患者の領域に固定された前記基準レファレンスを使用した前記患者のスキャンを有し、前記コンピューティング装置は、前記トラッカーに連結され、メモリとソフトウェアを有するプロセッサを含み、前記ソフトウェアプログラムは、前記プロセッサによって実行されたとき、前記トラッカーからの情報に基づいて前記マーカーの相対的位置及び方向を決定し、前記スキャンデータに対する前記基準レファレンスの現在の位置及び方向を連係する一連の命令を有する、請求項1または請求項2に記載のシステム。  The key includes a single reference reference that is adjusted to be secured to the area of the surgical patient, so that the reference reference is at least partially invisible during the surgical procedure, and the marker is Attached to the reference reference at a fixed relative position and orientation of the computing device, wherein the computing device comprises a scan of the patient using the reference reference fixed in the area of the surgical patient. A tracking device includes a processor coupled to the tracker and having a memory and software, and the software program, when executed by the processor, determines a relative position and orientation of the marker based on information from the tracker. And the reference reference for the scan data Having a series of instructions that links the position and direction of the stationary system of claim 1 or claim 2. 前記基準レファレンスは、Xレイ、磁気共鳴映像(MRI)、コンピュータ断層撮影(CT)、超音波検査、またはコーンビームコンピュータ断層撮影(CBCT)ではっきりと識別できる特定素材で構成される、請求項1ないし請求項3のうち、いずれか一項に記載のシステム。  The reference reference comprises a specific material that can be clearly identified by X-ray, magnetic resonance imaging (MRI), computed tomography (CT), ultrasonography, or cone-beam computed tomography (CBCT). The system according to any one of claims 3 to 4. 他のアイテムに取り付けられている多数のマーカーを更に含み、前記ソフトウェアプログラムは、前記多数のマーカーの位置及び方向を更に決定する、請求項1ないし請求項4のうち、いずれか一項に記載のシステム。  5. The method of any one of claims 1-4, further comprising a number of markers attached to other items, wherein the software program further determines the position and orientation of the number of markers. system. 前記基準レファレンスは、その位置及び方向が前記スキャンデータから決定できるユニークな形状を有する、請求項1ないし請求項5のうち、いずれか一項に記載のシステム。  The system according to any one of claims 1 to 5, wherein the reference reference has a unique shape whose position and direction can be determined from the scan data. 前記基準レファレンスの方向が前記スキャンデータから決定できるよう、前記基準レファレンスは、所定の位置にラベルを有する、請求項1ないし請求項6のうち、いずれか一項に記載のシステム。  The system according to any one of claims 1 to 6, wherein the reference reference has a label at a predetermined position so that the direction of the reference reference can be determined from the scan data. 前記基準レファレンスは、スキャニングされる前記患者の一部にフィットするように構成され、配列されている、請求項1ないし請求項7のうち、いずれか一項に記載のシステム。  8. A system according to any one of the preceding claims, wherein the reference reference is configured and arranged to fit a portion of the patient being scanned. 前記マーカーは、前記トラッカーからの情報内で識別できる、ユニークに感知できる特性を有する、請求項1ないし請求項8のうち、いずれか一項に記載のシステム。  9. A system according to any one of the preceding claims, wherein the marker has a uniquely perceptible characteristic that can be identified in information from the tracker. 前記マーカーはユニークな形状を有しており、前記基準レファレンスの前記方向が映像、または連続的な映像、または前記トラッカーから決定される、請求項1ないし請求項9のうち、いずれか一項に記載のシステム。  10. The marker according to any one of claims 1 to 9, wherein the marker has a unique shape, and the direction of the reference reference is determined from an image, a continuous image, or the tracker. The described system. 前記マーカーは、前記トラッカーからの情報から決定できる特定コードとして識別することができ、前記特定コードは、前記基準レファレンスに対するその位置及び方向が知られており、固定されている特定マーカーを決定する、請求項1ないし請求項10のうち、いずれか一項に記載のシステム。  The marker can be identified as a specific code that can be determined from information from the tracker, the specific code being known for its position and orientation relative to the reference reference and determining a fixed specific marker; The system according to any one of claims 1 to 10. 前記取り付けられた道具のそれぞれは、作動ポイントを有しており、前記ソフトウェアプログラムは、前記患者スキャンデータに対する前記作動ポイントの位置を決定する、請求項1ないし請求項11のうち、いずれか一項に記載のシステム。  12. Each of the attached tools has an activation point, and the software program determines the position of the activation point relative to the patient scan data. The system described in. 前記作動ポイントは、歯用ドリルのドリルビット、内視鏡のセンサー、メス(scalpel)のブレード(blade)のうち、一つであり得る、請求項1ないし請求項12のうち、いずれか一項の請求項に記載のシステム。  13. The method according to claim 1, wherein the operating point may be one of a drill bit of a dental drill, an endoscope sensor, and a blade of a scalpel. The system of claim 1. 前記取り付けられた道具のうち、一つの道具は、前記一つの道具の異なる部位に取り付けられる多数のユニークに識別できるマーカーを有しており、前記多数のユニークなマーカーのうち、少なくとも一つのマーカーは、前記一つの道具の任意の方向で前記トラッカーに見える、請求項1ないし請求項13のうち、いずれか一項に記載のシステム。  Of the attached tools, one tool has a number of uniquely identifiable markers that are attached to different parts of the one tool, and at least one marker of the number of unique markers is 14. A system according to any one of the preceding claims, wherein the tracker is visible in any direction of the one tool. 前記道具は、歯用ドリル、内視鏡、生検針、または手術インプラントのうち、一つである、請求項1ないし請求項14のうち、いずれか一項に記載のシステム。  15. The system according to any one of claims 1 to 14, wherein the tool is one of a dental drill, an endoscope, a biopsy needle, or a surgical implant.
JP2014537811A 2011-10-28 2012-10-21 Surgical position monitoring system and method Pending JP2015508293A (en)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US201161553058P 2011-10-28 2011-10-28
US61/553,058 2011-10-28
US201261616718P 2012-03-28 2012-03-28
US201261616673P 2012-03-28 2012-03-28
US61/616,718 2012-03-28
US61/616,673 2012-03-28
US13/571,284 2012-08-09
US13/571,284 US8938282B2 (en) 2011-10-28 2012-08-09 Surgical location monitoring system and method with automatic registration
PCT/IL2012/000363 WO2013061318A1 (en) 2011-10-28 2012-10-21 Surgical location monitoring system and method

Related Child Applications (1)

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JP2016228600A Division JP2017074389A (en) 2011-10-28 2016-11-25 Surgical location monitoring system

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JP2015508293A JP2015508293A (en) 2015-03-19
JP2015508293A5 true JP2015508293A5 (en) 2015-12-10

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JP2016228600A Pending JP2017074389A (en) 2011-10-28 2016-11-25 Surgical location monitoring system

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EP (1) EP2770935A1 (en)
JP (2) JP2015508293A (en)
KR (1) KR20140088167A (en)
CA (1) CA2852793C (en)
WO (1) WO2013061318A1 (en)

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