JP5432893B2 - 定位治療システム - Google Patents

定位治療システム Download PDF

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Publication number
JP5432893B2
JP5432893B2 JP2010514013A JP2010514013A JP5432893B2 JP 5432893 B2 JP5432893 B2 JP 5432893B2 JP 2010514013 A JP2010514013 A JP 2010514013A JP 2010514013 A JP2010514013 A JP 2010514013A JP 5432893 B2 JP5432893 B2 JP 5432893B2
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JP
Japan
Prior art keywords
unit
frame
patient
stereotaxic
reference marker
Prior art date
Legal status (The legal status 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 status listed.)
Expired - Fee Related
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JP2010514013A
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English (en)
Japanese (ja)
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JP2010532190A5 (enExample
JP2010532190A (ja
Inventor
ウルファラッソン，エルファー
ノーデル，アンダース
ボ ノーデル
Original Assignee
カロリンスカ インスティテュテット イノベーションズ エービー
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Publication of JP2010532190A5 publication Critical patent/JP2010532190A5/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • 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 diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • 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 diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/032—Transmission computed tomography [CT]
    • 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
    • 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
    • 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
    • A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • 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
    • 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
    • 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
    • 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
    • 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
    • A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916—Bone tissue
    • 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
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Human Computer Interaction (AREA)
  • Neurosurgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Theoretical Computer Science (AREA)
  • Pulmonology (AREA)
  • Optics & Photonics (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Radiation-Therapy Devices (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
JP2010514013A 2007-07-06 2008-07-07 定位治療システム Expired - Fee Related JP5432893B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
EPPCT/EP2007/056910 2007-07-06
PCT/EP2007/056910 WO2009006935A1 (en) 2007-07-06 2007-07-06 Stereotactic surgery system
PCT/EP2008/058800 WO2009007347A2 (en) 2007-07-06 2008-07-07 Stereotactic therapy system

Publications (3)

Publication Number Publication Date
JP2010532190A JP2010532190A (ja) 2010-10-07
JP2010532190A5 JP2010532190A5 (enExample) 2011-08-18
JP5432893B2 true JP5432893B2 (ja) 2014-03-05

Family

ID=39413770

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2010514013A Expired - Fee Related JP5432893B2 (ja) 2007-07-06 2008-07-07 定位治療システム

Country Status (4)

Country Link
US (3) US8721660B2 (enExample)
JP (1) JP5432893B2 (enExample)
CA (1) CA2725817A1 (enExample)
WO (2) WO2009006935A1 (enExample)

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US20150025548A1 (en) * 2012-03-08 2015-01-22 Neutar, Llc Patient and Procedure Customized Fixation and Targeting Devices for Stereotactic Frames
US11395706B2 (en) * 2012-06-21 2022-07-26 Globus Medical Inc. Surgical robot platform
US10196850B2 (en) 2013-01-07 2019-02-05 WexEnergy LLC Frameless supplemental window for fenestration
US9845636B2 (en) 2013-01-07 2017-12-19 WexEnergy LLC Frameless supplemental window for fenestration
US10883303B2 (en) 2013-01-07 2021-01-05 WexEnergy LLC Frameless supplemental window for fenestration
US9691163B2 (en) 2013-01-07 2017-06-27 Wexenergy Innovations Llc System and method of measuring distances related to an object utilizing ancillary objects
US9230339B2 (en) 2013-01-07 2016-01-05 Wexenergy Innovations Llc System and method of measuring distances related to an object
US8923650B2 (en) 2013-01-07 2014-12-30 Wexenergy Innovations Llc System and method of measuring distances related to an object
CN105073054B (zh) 2013-01-16 2018-07-10 史赛克公司 指示视线误差的导航系统和方法
US9993273B2 (en) 2013-01-16 2018-06-12 Mako Surgical Corp. Bone plate and tracking device using a bone plate for attaching to a patient's anatomy
US9408691B2 (en) * 2013-03-14 2016-08-09 Restoration Robotics, Inc. Locator device for medical procedures on the body surface and method of its use
GB2512384B (en) * 2013-03-28 2016-07-20 Elekta Ab Markers, Phantoms and Associated Methods for Calibrating Imaging Systems
US9208813B2 (en) * 2013-04-24 2015-12-08 Group 47, Inc. Digital optical tape storage system
US10033961B2 (en) 2013-04-24 2018-07-24 Group 47, Inc. Storage system using unformatted digital optical tape
WO2015003224A1 (en) 2013-07-09 2015-01-15 Cryptych Pty Ltd Spinal surgery navigation
US20150097935A1 (en) * 2013-10-09 2015-04-09 United Sciences, Llc Integrated tracking with world modeling
DE202015009837U1 (de) * 2014-02-19 2020-12-07 Qfix Systems, Llc Verstellbare Immobilisierungsapparatur
EP3116377B1 (en) * 2014-03-14 2021-08-04 BAE Systems PLC Design method and apparatus for the manufacture of an article
WO2016041001A1 (en) 2014-09-15 2016-03-24 Cryptych Pty Ltd A fiducial marker
US20170340297A1 (en) * 2014-12-19 2017-11-30 Brainlab Ag Method for Optimising the Position of a Patient's Body Part Relative to an Irradiation Source
US20170014201A1 (en) * 2015-07-13 2017-01-19 Joachim A. Grotenhuis Non-Invasive Head Stabilization System
US10537395B2 (en) 2016-05-26 2020-01-21 MAKO Surgical Group Navigation tracker with kinematic connector assembly
US10551164B2 (en) 2016-08-19 2020-02-04 National Research Council Of Canada Method, kit and target for multimode 3D imaging systems
AU2018278119B2 (en) 2017-05-30 2023-04-27 WexEnergy LLC Frameless supplemental window for fenestration
KR102079209B1 (ko) * 2017-11-17 2020-02-19 주식회사 고영테크놀러지 정위 장치, 정위 시스템, 및 정위 시스템을 이용하는 정합 방법
US10589360B2 (en) * 2018-06-17 2020-03-17 Arevo, Inc. Systems of articles of manufacture with corresponding fiducial marks and dimensional variations
CN112423697A (zh) * 2018-06-20 2021-02-26 埃因霍温医疗机器人有限公司 允许手术设备附接的、具有集成靶向参考的与骨结构界接的机械接口设备
US12059804B2 (en) 2019-05-22 2024-08-13 Mako Surgical Corp. Bidirectional kinematic mount
US11980426B2 (en) 2020-08-03 2024-05-14 Warsaw Orthopedic, Inc. System and method for preliminary registration
JP2022047374A (ja) * 2020-09-11 2022-03-24 富士フイルムヘルスケア株式会社 手術ナビゲーションシステム、手術ナビゲーション機能を備えた医用撮像システム、および、手術ナビゲーション用の医用画像の位置合わせ方法
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Also Published As

Publication number Publication date
CA2725817A1 (en) 2009-01-15
US8721660B2 (en) 2014-05-13
US20110098722A1 (en) 2011-04-28
WO2009007347A2 (en) 2009-01-15
JP2010532190A (ja) 2010-10-07
WO2009006935A1 (en) 2009-01-15
WO2009007347A3 (en) 2009-02-26
US20150223893A1 (en) 2015-08-13
US20140005524A1 (en) 2014-01-02

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