US20050277832A1 - Percutaneous registration apparatus and method for use in computer-assisted surgical navigation - Google Patents

Percutaneous registration apparatus and method for use in computer-assisted surgical navigation Download PDF

Info

Publication number
US20050277832A1
US20050277832A1 US11199419 US19941905A US2005277832A1 US 20050277832 A1 US20050277832 A1 US 20050277832A1 US 11199419 US11199419 US 11199419 US 19941905 A US19941905 A US 19941905A US 2005277832 A1 US2005277832 A1 US 2005277832A1
Authority
US
Grant status
Application
Patent type
Prior art keywords
implant
system
surgical
screw
fig
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.)
Abandoned
Application number
US11199419
Inventor
Kevin Foley
John Clayton
Anthony Melkent
Michael Sherman
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Navigation Inc
Original Assignee
Medtronic Navigation Inc
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

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7074Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7083Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072Reference field transducer attached to an instrument or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363Use of fiducial points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • A61B2090/3945Active visible markers, e.g. light emitting diodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983Reference marker arrangements for use with image guided surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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
    • A61B90/11Instruments, 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

Abstract

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. 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.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • [0001]
    This application is a continuation of U.S. patent application Ser. No. 10/423,332 filed on Apr. 24, 2003; which is a reissue of Ser. No. 09/148,498 filed Sep. 4, 1998 which is now U.S. Pat. No. 6,226,548 issued on May 1, 2001; which claims rights under 35 U.S.C. §119 on provisional application No. 60/059,915, filed on Sep. 24, 1997. The disclosures of the above applications are incorporated herein by reference.
  • FIELD
  • [0002]
    The present teachings relate generally to guiding, directing, or navigating instruments or implants in a body percutaneously, in conjunction with systems that use and generate images during medical and surgical procedures, which images assist in executing the procedures and indicate the relative position of various body parts, surgical implants, and instruments. In particular the teachings relate to apparatus and minimally invasive procedures for navigating instruments and providing surgical implants percutaneously in the spine, for example, to stabilize the spine, correct deformity, or enhance fusion in conjunction with a surgical navigation system for generating images during medical and surgical procedures.
  • BACKGROUND
  • [0003]
    Typically, spinal surgical procedures used, for example, to provide stabilization, fusion, or to correct deformities, require large incisions and substantial exposure of the spinal areas to permit the placement of surgical implants such as, for example, various forms of screws or hooks linked by rods, wires, or plates into portions of the spine. This standard procedure is invasive and can result in trauma, blood loss, and post operative pain. Alternatively, fluoroscopes have been used to assist in placing screws beneath the skin. In this alternative procedure at least four incisions must be made in the patient's back for inserting rods or wires through previously inserted screws. However, this technique can be difficult in that fluoroscopes only provide two-dimensional images and require the surgeon to rotate the fluoroscope frequently in order to get a mental image of the anatomy in three dimensions. Fluoroscopes also generate radiation to which the patient and surgical staff may become over exposed over time. Additionally, the subcutaneous implants required for this procedure may irritate the patient. A lever arm effect can also occur with the screws that are not connected by the rods or wires at the spine. Fluoroscopic screw placement techniques have traditionally used rods or plates that are subcutaneous to connect screws from vertebra to vertebra. This is due in part to the fact that there is no fluoroscopic technique that has been designed which can always adequately place rods or plates at the submuscular region (or adjacent to the vertebrae). These subcutaneous rods or plates may not be well tolerated by the patient. They also may not provide the optimal mechanical support to the spine because the moment arm of the construct can be increased, thereby translating higher loads and stresses through the construct.
  • [0004]
    A number of different types of surgical navigation systems have been described that include indications of the positions of medical instruments and patient anatomy used in medical or surgical procedures. For example, U.S. Pat. No. 5,383,454 to Bucholz; PCT Application No. PCT/US94/04530 (Publication No. WO 94/24933) to Bucholz; and PCT Application No. PCT/US95/12894 (Publication No. WO 96/11624) to Bucholz et al., the entire disclosures of which are incorporated herein by reference, disclose systems for use during a medical or surgical procedure using scans generated by a scanner prior to the procedure. Surgical navigation systems typically include tracking means such as, for example, an LED array on the body part, LED emitters on the medical instruments, a digitizer to track the positions of the body part and the instruments, and a display for the position of an instrument used in a medical procedure relative to an image of a body part.
  • [0005]
    Bucholz et al. WO 96/11624 is of particular interest, in that it identifies special issues associated with surgical navigation in the spine, where there are multiple vertebral bodies that can move with respect to each other. Bucholz et al. describes a procedure for operating on the spine during an open process where, after imaging, the spinous process reference points may move with respect to each other. It also discloses a procedure for modifying and repositioning the image data set to match the actual position of the anatomical elements. When there is an opportunity for anatomical movement, such movement degrades the fidelity of the pre-procedural images in depicting the intra-procedural anatomy. Therefore, additional innovations are desirable to bring image guidance to the parts of the body experiencing anatomical movement.
  • [0006]
    Furthermore, spinal surgical procedures are typically highly invasive. There is, thus, a need for more minimally invasive techniques for performing these spinal procedures, such as biopsy, spinal fixation, endoscopy, spinal implant insertion, fusion, and insertion of drug delivery systems, by reducing incision size and amount. One such way is to use surgical navigation equipment to perform procedures percutaneously, that is beneath the skin. To do so by means of surgical navigation also requires apparatus that can indicate the position of the spinal elements, such as, for example the vertebrae, involved in the procedure relative to the instruments and implants being inserted beneath the patient's skin and into the patient's spine. Additionally, because the spinal elements naturally move relative to each other, the user requires the ability to reorient these spinal elements to align with earlier scanned images stored in the surgical navigation system computer, to assure the correct location of those elements relative to the instruments and implants being applied or inserted percutaneously.
  • [0007]
    In light of the foregoing, there is a need in the art for apparatus and minimally invasive procedures for percutaneous placement of surgical implants and instruments in the spine, reducing the size and amount of incisions and utilizing surgical navigation techniques.
  • SUMMARY
  • [0008]
    Accordingly, the present teachings are directed to 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. Various embodiments are directed to apparatus and procedures for the percutaneous placement of surgical implants and instruments into various elements of the spine using image guided surgery.
  • [0009]
    To achieve these objects and other advantages and in accordance with the purpose of the invention, as embodied and broadly described herein, an apparatus for use with a surgical navigation system and comprises 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 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.
  • [0010]
    According to various embodiments, the attaching device is a clamp with jaws and sharp teeth for biting into the spinous process.
  • [0011]
    According to various embodiments, the fixture is a screw, having a head, wherein the screw is implanted into the spinous process and a relatively rigid wire is attached to the head of the screw and also implanted into the spinous process at an angle to the axis of the screw to prevent the screw from rotating in either direction.
  • [0012]
    According to various embodiments, the superstructure includes a central post, and a fiducial array and a reference arc rigidly but removably attached to the central post. The fiducial array is composed of image-compatible materials, and includes fiducials for providing a reference point, indicating the position of the array, which are rigidly attached to the fiducial array, composed of, for example titanium or aluminum spheres. The reference arc includes emitters, such as, for example Light Emitting Diodes (“LEDs”), passive reflective spheres, or other tracking means such as acoustic, magnetic, electromagnetic, radiologic, or micropulsed radar, for indicating the location of the reference arc and, thus, the body part it is attached to, during medical procedures.
  • [0013]
    According to various embodiments, a method for monitoring the location of an instrument, surgical implants and the various portions of the body, for example, vertebrae, to be operated on in a surgical navigation system comprising the steps of: attaching a fixture to the spinous process; attaching a superstructure including a fiducial array with fiducials and a reference arc to the fixture; scanning the patient using CT, MRI or some other three-dimensional method, with fiducial array rigidly fixed to patient to identify it on the scanned image; and thereafter, in an operating room, using image-guided technology, touching an image-guided surgical pointer or other instrument to one or more of the fiducials on the fiducial array to register the location of the spinal element fixed to the array and emitting an audio, visual, radiologic, magnetic or other detectable signal from the reference arc to an instrument such as, for example, a digitizer or other position-sensing unit, to indicate changes in position of the spinal element during a surgical procedure, and performing a surgical or medical procedure percutaneously on the patient using instruments and implants locatable relative to spinal elements in a known position in the surgical navigation system.
  • [0014]
    In another aspect, the method includes inserting screws or rigid wires in spinal elements in the area involved in the anticipated surgical procedure before scanning the patient, and after scanning the patient and bringing the patient to the operating area, touching an image-guided or tracked surgical pointer to these screws and wires attached to the vertebrae to positively register their location in the surgical navigation computer, and manipulating either the patient's spine or the image to align the actual position of the spinal elements with the scanned image.
  • [0015]
    In another aspect, the method includes percutaneously implanting screws into spinal elements, which screws are located using image guided surgical navigation techniques, and further manipulating the orientation of the screw heads percutaneously using a head-positioning probe containing an emitter, that can communicate to the surgical navigation computer the orientation of the screw heads and position them, by use of a specially designed head-positioning tool with an end portion that mates with the heads of the screws and can rotate those screw heads to receive a rod, wire, plate, or other connecting implant. If a rod is being inserted into the screw heads for example, the method further includes tracking the location and position of the rod, percutaneously using a rod inserter having one or more emitters communicating the location and orientation of the rod to the surgical navigation computer.
  • [0016]
    According to various embodiments, a system and method is provided to a user, such as a surgeon, to track an instrument and surgical implants used in conjunction with a surgical navigation system in such a manner to operate percutaneously on a patient's body parts, such as spinal vertebrae which can move relative to each other.
  • [0017]
    According to various embodiments, is provided a system and method to simply and yet positively indicate to the user a change in position of body parts, such as spinal vertebrae segments, from that identified in a stored image scan, such as from an MRI or CAT scan, and provide a method to realign those body parts to correspond with a previously stored image or the image to correspond with the actual current position of the body parts.
  • [0018]
    According to various embodiments, is provided a system or method for allowing a fiducial array or reference arc that is removable from a location rigidly fixed to a body part and replaceable back in that precise location.
  • [0019]
    According to various embodiments, is provided a system and method for positively generating a display of instruments and surgical implants, such as, for example screws and rods, placed percutaneously in a patient using image-guided surgical methods and techniques.
  • [0020]
    According to various embodiments, is provided a percutaneous reference array and fiducial array, as described herein, to be used to register and track the position of the vertebrae for the purposes of targeting a radiation dose to a diseased portion of said vertebrae using a traditional radiosurgical technique.
  • [0021]
    Additional application of the teachings will be set forth in part in the description which follows, and in part will be obvious from the description, or may be learned by practice of the teaching. The applications of the teachings will be realized and attained by means of the elements and combinations particularly pointed out in this description.
  • [0022]
    It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive.
  • [0023]
    Further areas of applicability of the present teachings will become apparent from the detailed description provided hereinafter. It should be understood that the detailed description and various examples, while indicating various embodiments, are intended for purposes of illustration only and are not intended to limit the scope of the teachings.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • [0024]
    The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate various embodiments of the teachings and together with the description, serve to explain the principles of the invention.
  • [0025]
    FIG. 1 is a schematic diagram of various embodiments of a superstructure for use with the current teachings, including a reference arc, center post and fiducial array and rigid Kirschner wires (“K wires”) and screws placed in the spine for use with a surgical navigation system for percutaneous spinal surgical procedures.
  • [0026]
    FIG. 1A is an enlarged view of the superstructure depicted in FIG. 1 engaging a vertebra by a clamp and also K wires implanted in adjacent vertebrae in the superior and inferior positions of the spinous process.
  • [0027]
    FIG. 2 is a diagram of various embodiments of a clamp fixture for rigid connection to the spinous process of a single vertebrae with an H-shaped fiducial array attached to a center post rigidly attached to the clamp and a mating connector at the tip of the post for mating with a reference array, and a reference array for use in the current invention.
  • [0028]
    FIG. 2A is a side view of FIG. 2.
  • [0029]
    FIG. 2B is another side view of FIG. 2.
  • [0030]
    FIG. 2C is a top view of FIG. 2.
  • [0031]
    FIG. 2D is an exploded view of FIG. 2 without the reference arc.
  • [0032]
    FIG. 2E is an exploded view of the interface of the center post and clamp of FIG. 2.
  • [0033]
    FIG. 3 is a diagram of a W-Shaped fiducial array mounted to a central post with generally spherical fiducials attached to the array, for mounting to a single vertebrae.
  • [0034]
    FIG. 3A is a side view of FIG. 3.
  • [0035]
    FIG. 3B is another side view of FIG. 3.
  • [0036]
    FIG. 3C is a top view of FIG. 3.
  • [0037]
    FIG. 4 is a diagram of a reference arc and fiducial attached to a center post for use in the current invention in mounting to a single vertebrae.
  • [0038]
    FIG. 4A is a side view of FIG. 4.
  • [0039]
    FIG. 4B is a back view of FIG. 4.
  • [0040]
    FIG. 4C is a top view of FIG. 4.
  • [0041]
    FIG. 4D is an expanded view of FIG. 4.
  • [0042]
    FIG. 4E is an expanded side view of FIG. 4.
  • [0043]
    FIG. 4F is an expanded view of the array foot and shoe of FIG. 4E.
  • [0044]
    FIG. 5 is a diagram according to various embodiments of a fixture using a cannulated screw for insertion into a vertebrae, with Kirschner wire mounted on a central post and including a fiduciary array and reference arc combined on a single structure.
  • [0045]
    FIG. 6 is a side view of the screw and Kirschner wire fixture of FIG. 5 implanted in a spinous process of a vertebrae.
  • [0046]
    FIG. 7 is a diagram of a screw-head positioning probe and multiaxial screw for insertion into a single vertebrae.
  • [0047]
    FIG. 7A is a diagram of the screw of FIG. 7.
  • [0048]
    FIG. 8 is a diagram of a head positioning probe, multiaxial screw and spinal segment.
  • [0049]
    FIG. 9 is a diagram of a rod inserter with an LED.
  • [0050]
    FIG. 10 is a diagram of various embodiments of the teachings including a cannulated tube and attachment for holding a reference arc.
  • [0051]
    FIG. 11 is a diagram of the cannulated tube of FIG. 10 with a reference arc and screw for attachment to a spinal process.
  • [0052]
    FIG. 12 is a posterior view of spinal segment and implanted screws before alignment.
  • [0053]
    FIG. 13 is a posterior view of spinal segment and implanted screws after alignment.
  • DETAILED DESCRIPTION OF THE VARIOUS EMBODIMENTS
  • [0054]
    Reference will now be made in detail to various embodiments, an example of which is illustrated in the accompanying drawings. Wherever possible, the same reference numbers will be used throughout the drawings to refer to the same or like parts. The following example is intended to be purely exemplary.
  • [0055]
    As generally described in PCT/US95/12894, the entire disclosure of which is incorporated herein by reference, a typical surgical navigation system is shown in FIG. 1. A computer assisted image-guided surgery system, indicated generally at 10, generates an image for display on a monitor 106 representing the position of one or more body elements, such as spinal elements fixedly held in a stabilizing frame or device such as a spinal surgery frame 125 commonly used for spinal surgery. A reference arc 120 bearing tracking means or emitters, such as for example LED emitters 122, is mounted to the spinous process by a central post 150. The structures 20 and K wires 260 of FIG. 1 are depicted in more detail in FIG. 1A. The image 105 is generated from an image data set, usually generated preoperatively by a CAT scanner or by MRI for example, which image 105 has reference points for at least one body element, such as a spinal element or vertebrae. The reference points of the particular body element have a fixed spatial relation to the particular body element.
  • [0056]
    The system includes an apparatus such as a digitizer or other Position Sensing Unit (PSU), such as for example sensor array 110 on support 112 for identifying, during the procedure, the relative position of each of the reference points to be displayed by tracking the position of emitters 122 on arc 120. The system also includes a processor 114 such as a PC or other suitable workstation processor associated with controller 108 for modifying the image data set according to the identified relative position of each of the reference points during the procedure, as identified by digitizer 110. The processor 114 can then, for example, generate an image data set representing the position of the body elements during the procedure for display on monitor 106. A surgical instrument 130, such as a probe or drill or other tool, may be included in the system, which is positioned relative to a body part and similarly tracked by sensor array 110.
  • [0057]
    In summary, the general operation of a surgical navigating system is well known in the art and need not further be described here.
  • [0058]
    With further reference to FIGS. 1 through 6, a registration device 20 is rigidly fixed to a spinal element by, for example, a device such as a bone clamp 30 depicted in FIG. 2. Alternatively, a screw retention device 40, such as the cannulated screw 42 depicted in FIG. 5, and described in more detail below, can be used.
  • [0059]
    With reference now to FIG. 2, bone clamp 30 is fixedly attached to the spinous process. The clamp 30 includes at least two blades (or jaws) 32 with tips or teeth 34, which are preferably sharp, for driving together and penetrating soft tissue or more dense bone for rigid fixation to the spinous process. The teeth 34 are also preferably sized to accommodate the bulb shape of the spinous process. The driving mechanism 40 is, for example, a screw driven into a sleeve 41 and is also preferably located such that it will be accessible in a percutaneous manner. Attached to the clamp 30 is a superstructure 20. The superstructure 20 includes a central post 150 which is relocatable, that is, it fixes to the clamp 30 in a rigid fashion, for example, as depicted in FIGS. 2D and 2E, by being inserted into a V-shaped wedge 44 orienting the post 150 front to back and providing a mating hole 48 along the wedge 44 for insertion of post 150 in a single orientation and also providing fasteners such as screw 43 for tightening to lock the post 150 in place. The post 150 can be removed and reapplied by loosening and tightening screw 43, such that the original geometry and orientation is maintained. The central post 150 has at its apex a connector 60 with unique geometrical configuration, such as, for example, a starburst, onto which a spinal reference arc 120 of the superstructure 20 attaches. Any such standard reference arc 120 can be used, such as depicted in FIGS. 1A, 4, and 11, preferably including emitters 122, such as for example LEDs or reflective spheres for providing a positive indication of movement to the surgical navigation system during a procedure.
  • [0060]
    Also rigidly attached to the central post 150, as part of the superstructure 20 preferably at a location closer to the skin, or possibly collocated with or also performing the function of the reference arc 120, is a fiducial array 170, which can be of various different shapes, such as, for example the H-shaped frame 170 depicted in FIG. 2, the W-shaped frame 170′ as depicted in FIG. 3, the U-shaped frame 170″ as depicted in FIG. 4 or the X-shaped frame 120′, 170′″ depicted in FIG. 5 (depicting a structure that is both a fiducial array and a reference arc). As depicted in FIGS. 2 and 3, this array can include fiducial points 29 or spheres 17, rigidly attached to fiducial array 170, 170′ and is, for example, as depicted in FIG. 3, substantially in the shape of spheres 17 and of a material detectable by the CAT scan or MRI, preferably titanium or aluminum. This fiducial array such as 170 indicates to the surgical navigation system the location of the bone structure to which the clamp 30 and central post 150 are attached by touching a pointed surgical tracker to fiducial points 29 or a cup-shaped probe to fiducial spheres 17, thereby indicating the center of the fiducial to the surgical navigation controller 114. The array 170 and central post 150 are also attached to the clamp 30, as described above, in such a way that they can be removed and replaced in the same geometric orientation and location, for example, by means of a uniquely shaped interface, for example, a triangle, or a single unique shape or a combination of unique angles or pins with the clamp 30 such that the post 150 can only be reinserted the same way it was removed.
  • [0061]
    Additionally, the fiducial array 170, can be located at various heights on the post 150 to accommodate variations in patient tissue depth and size, preferably as close to the patient's body as possible, and then fixed at that specific height by the use of pins or indents matched to holes 19 (shown in FIG. 2) in the central post 150 or by placing the rods 39 of H-shaped array 170 in different holes 31. The fiducial array 170 also has, for example, divots 29 (shown in FIG. 2) shaped to interface with an instrument such as a surgical pointer 130 which can touch that divot 29 to register the location of the divot 29 and, thus, the location of the fiducial array 170 and likewise the spinal element in the surgical navigation system. Multiple divots can be registered to further increase accuracy of the registration system. In one preferred embodiment of the array, the fiducials 17 or 29 can be mounted in a manner such that they can be adjusted, for example by mounting them on a rotatable or collapsible arm 66 (as depicted in FIG. 3) that pivots and folds together, to get the maximum distance between fiducials while not dramatically increasing the field of view required at the time of scanning.
  • [0062]
    Alternatively, rather than using clamp 30, a screw 42 and rigid wire 45 attachment, as depicted in FIGS. 5 and 6, may be used to rigidly attach the central post of the superstructure 20 to a body element, such as, for example, a vertebrae. As depicted in FIG. 6, screw 42 is screwed into the spinal process of spinal element 100. A rigid wire 45, post, or other sufficiently rigid fastener such as for example a Kirschner wire (K-wire), is inserted through the cannulation in the center of post 150 and the screw 42 or is otherwise fixed to the screw 42, and exits the tip of the screw 42 at some angle, and is also implanted into the spinal element 100 to prevent the screw 42 from rotating in either direction.
  • [0063]
    Another embodiment for preventing the superstructure 20 from rotating as depicted in FIGS. 10 and 11 includes the insertion of a screw 85 through a cannulated tube 86 which has teeth 89 in the end (or V-shaped end) that would bite into the tip of the spinous process, preventing rotation.
  • [0064]
    Having described various embodiments of this apparatus of the present system, a method of using this apparatus for registering a single vertebrae will now be discussed. The operation of a surgical navigating system is generally well known and is described in PCT/US95/12894. According to various embodiments method of operation, clamp 30 of FIG. 2 or screw 42 and K-Wire 45 of FIG. 5 are implanted percutaneously through a small incision in the skin and rigidly attached to the spinal process. This attachment occurs with the clamp 30, by driving the blades 32 of the clamp 30 together to hold the spinous process rigidly. The central post 150 is then rigidly fixed to the clamp 30 or screw 42 and the fiducial array 170 is rigidly fixed to the central post 150. The patient is then scanned and imaged with a CAT scan or MRI with a field of view sufficiently large to display the spinal anatomy and the clamp 30 or screw 42 and the fiducial array 170. This scan is loaded into the surgical navigation system processor 104.
  • [0065]
    After scanning the patient, the array 120 and post 150 can be removed from the patient, while leaving in place the rigidly connected clamp 30 or screw 42. For example, as depicted in FIGS. 4D and 4E, a foot 55 located below array 170″ engages with shoe 56 and rigidly connected by screws 57 and 58. Before the surgical procedure, the post 150, array 120 and other remaining portions of the superstructure 20, once removed, may be sterilized. The patient is then moved to the operating room or similar facility from, for example, the scanning room.
  • [0066]
    Once in the operating room, the patient may be positioned in an apparatus, such as, for example, a spinal surgery frame 125 to help keep the spinal elements in a particular position and relatively motionless. The superstructure 20 is then replaced on the clamp 30 or screw 42 in a precise manner to the same relative position to the spinal elements as it was in the earlier CAT scan or MRI imaging. The reference arc 120 is fixed to the starburst or other interface connector 60 on the central post 150 which is fixed to the clamp 30 or screw 42. The operator, for example a surgeon, then touches an instrument with a tracking emitter such as a surgical pointer 130 with emitters 195 to the divots 29 on the fiducial array 170 to register the location of the array 170 and, thus, because the spinal process is fixed to the fiducial array 170, the location of the spinal element is also registered in the surgical navigation system.
  • [0067]
    Once the superstructure 20 is placed back on the patient, any instrument 130 fitted with tracking emitters thereon such as, for example, a drill or screw driver, can be tracked in space relative to the spine in the surgical navigation system without further surgical exposure of the spine. The position of the instrument 130 is determined by the user stepping on a foot pedal 116 to begin tracking the emitter array 190. The emitters 195 generate infrared signals to be picked up by camera digitizer array 110 and triangulated to determine the position of the instrument 130. Additionally, other methods may be employed to track reference arcs, pointer probes, and other tracked instruments, such as with reflective spheres, or sound or magnetic emitters, instead of LED's. For example, reflective spheres can reflect infrared light that is emitted from the camera array 110 back to the camera array 110. The relative position of the body part, such as the spinal process is determined in a similar manner, through the use of similar emitters 122 mounted on the reference frame 120 in mechanical communication with the spinal segment. As is well known in this art and described generally in PCT/US95/12894, based upon the relative position of the spinal segment and the instrument 130 (such as by touching a known reference point) the computer would illustrate a preoperative scan—such as the proper CAT scan slice—on the screen of monitor 106 which would indicate the position of the tool 130 and the spinal segment for the area of the spine involved in the medical procedure.
  • [0068]
    For better access by the operator of various areas near the central post 150, the fiducial array 170 can be removed from the central post 150, by, for example, loosening screw 42 and sliding the array 170 off post 150, leaving the reference arc 120 in place or replacing it after removal of array 170. By leaving the reference arc 120 in place, the registration of the location of the spinal process is maintained. Additionally, the central post 150, reference arc 120, and fiducial array 170 can be removed after the spinal element has been registered leaving only the clamp 30 or screw 42 in place. The entire surgical field can then be sterilized and a sterile post 150 and reference arc 170 fixed to the clamp 30 or screw 42 with the registration maintained.
  • [0069]
    This surgical navigation system, with spinal element registration maintained, can then be used, for example, to place necessary and desired screws, rods, hooks, plates, wires, and other surgical instruments and implants percutaneously, using image-guided technology. Once the location of the spinal element 100 involved in the procedure is registered, by the process described above, in relation to the image data set and image 105 projected on monitor 106, other instruments 130 and surgical implants can be placed under the patient's skin at locations indicated by the instrument 130 relative to the spinal element 100.
  • [0070]
    Additionally, the location of other spinal elements, relative to the spinal element 100 containing the fiducial array 170, can be registered in the surgical navigation system by, for example, inserting additional screws 250, rigid wires 260, or other rigid implants or imageable devices into the spinal segment.
  • [0071]
    For example, as depicted in FIG. 1, and in more detail FIG. 1A, additional screws 250 or rigid and pointed wires 260 are placed in the vertebrae adjacent to the vertebrae containing the clamp 30 and post 150 prior to scanning. On the image 105 provided by monitor 106, the surgeon can see the clamp 30 or screw 42 and fiducial array 170 and also the additional screws 250, wires 260 or other imageable devices. When screws 250 or other devices are used, these screws 250 (as depicted in FIG. 7) may contain a divot 256 or other specially shaped interface on the head 255 so that a pointer probe 130 can be used to point to the head 255 of the screw 250 (or wire) and indicate the orientation of the screw 250 or wire 260 to the surgical navigation system by communicating to the controller 114 or by emission from LEDs 195 on probe 130 to digitizer 110. The image of these additional screws 250 also appear in the scan. Once the patient is then moved to the operating facility, rather than the scanning area, the image of the screw 250 can be compared to the actual position of the screw 250 as indicated by the pointer probe 130 that is touched to the head 255 of the screw 250 or wire 260. If necessary, the operator can manipulate the position of the patient to move the spinal element and thus the location of the screw 250 or wire 260 to realign the spinal elements with the earlier image of the spine. Alternatively, the operator can manipulate the image to correspond to the current position of the spinal segments.
  • [0072]
    For additional positioning information, the operator can place additional rigid wires 260 or screws 250 into the vertebrae, for example, located at the superior (toward the patient's head) and inferior (towards the patient's feet) ends of the spinal process to more accurately position those vertebrae relative to the other vertebrae and the image data. Additionally, the wires 260 and screws 250 implanted to provide positioning information can also be equipped with emitters, such as, for example, LEDs, to provide additional information to the surgical navigation system on the location of the wire 260 or screw 250, and thus the vertebra to which they are affixed.
  • [0073]
    Alternatively, the patient can be placed in a position stabilizing device, such as a spinal surgery frame 125 or board, before a scan is taken, and then moved to the operating facility for the procedure, maintaining the spine segments in the same position from the time of scanning until the time of surgery. Alternatively, a fluoroscope can be used to reposition the spinal segments relative to the earlier image from the scan. An ultrasound probe can be used to take real-time images of the spinal segment which can be portrayed by monitor 106 overlayed or superimposed on image 105. Then the operator can manually manipulate the spinal elements and take additional images of these elements with the fluoroscope to, in an iterative fashion, align the spinal elements with the previously scanned image 105.
  • [0074]
    Alternatively, a clamp 30 or screw 42 and superstructure 20 can be rigidly fixed to each vertebra involved in the surgical or medical procedure to register the position of each vertebra as explained previously for a single vertebra.
  • [0075]
    After the spinal elements are registered in the spine, various medical and surgical procedures can be performed on that patient. For example, spinal implants, endoscopes, or biopsy probes can be passed into the spine and procedures such as, for example, spinal fusion, manipulation, or disc removal can be performed percutaneously and facilitated by the surgical navigation image-guiding system. Additionally, a radiation dose can be targeted to a specific region of the vertebrae.
  • [0076]
    One such procedure facilitated by the apparatus and methods described above is the percutaneous insertion of screws and rods, fixed to different vertebra in a spine to stabilize them. Once screws, for example multiaxial screws 250, (as depicted in FIG. 12, before manipulation) are implanted through small incisions they can be manipulated by a head-positioning probe 280. The final position of screws 250 and heads 255 are depicted in FIG. 13. This probe 280, as depicted in FIG. 7, includes a head 285 that mates in a geometrically unique fashion with the head 255 of the screw 250. An emitter, such as, for example, an LED array 380 on the probe 280, indicates the location and orientation of the screw head 255 to the computer 114 of the surgical navigation system by providing an optical signal received by digitizer 110. The screw head 255 can then be rotatably manipulated under the patient's skin by the head positioning probe 280 to be properly oriented for the receipt of a rod 360 inserted through the rotating head 255. The operator can then plan a path from the head 255 of each screw 250 to the other screws 250 to be connected. Then, with reference now to FIG. 9, an optically tracked rod inserter 245 also equipped with emitters, such as, for example LEDs 247, can be placed through another small incision to mate with and guide a rod 360 through the holes or slots in the screw heads 245, through and beneath various tissues of the patient, with the rod inserter 245, and, therefore, the rod 360, fixed to the inserter 245, being tracked in the surgical navigation system. The operator can also use the computer 114 to determine the required bending angles of the rod 360. For greater visualization, the geometry of the screws 250 could be loaded into the computer 114 and when the position and orientation of the head 255 is given to the computer 114 via the probe 280, the computer 114 could place this geometry onto the image data and three-dimensional model. The rod 360 geometry could also be loaded into the computer 114 and could be visible and shown in real time on monitor 106 as the operator is placing it in the screw heads 255.
  • [0077]
    In an alternative procedure, one or more plates and/or one or more wires may be inserted instead of one or more rods 360.
  • [0078]
    It will be apparent to those skilled in the art that various modifications and variations can be made in the present teachings and in construction of this surgical navigation system without departing from the scope or spirit of the teachings. Other embodiments of the teachings will be apparent to those skilled in the art from consideration of the specification and practice of the teachings disclosed herein. It is intended that the specification and examples be considered as exemplary only.

Claims (53)

  1. 1. An implant system for facilitating percutaneous placement of an implant in an anatomy and adapted for use with a surgical navigation system to tracks positions of the implant system in space, said implant system comprising:
    an implant inserter adapted to releasably attach to the implant; and
    a position identification structure rigidly and removably attached to said implant inserter;
    wherein said position identification structure includes an assembly for providing position information to the surgical navigation system.
  2. 2. The implant system of claim 1, wherein said position identification structure includes at least one optical emitter.
  3. 3. The implant system of claim 1, wherein said position identification structure includes at least one light emitting diode.
  4. 4. The implant system of claim 1, wherein said position identification structure includes a selected geometrical shape.
  5. 5. The implant system of claim 1, wherein said position identification structure includes at least one of reflective spheres, sound emitters, magnets, eletromagnets, light emitting diodes, or combinations thereof.
  6. 6. The implant system of claim 5, wherein said reflectors can reflect at least one of visible light, infrared light, ultraviolet light, or combinations thereof.
  7. 7. The implant system of claim 5, wherein said magnets or electromagnets are operable to produce a magnetic field.
  8. 8. The implant system of claim 1, further comprising:
    a rod;
    wherein said rod can form a portion of the surgical implant.
  9. 9. The implant system of claim 8, wherein said rod extends between a first end and a second end;
    wherein said implant inserter is releasably attached to at least one of said first end, said second end, or combinations thereof.
  10. 10. The implant system of claim 8, wherein said rod holder is operable to assist in moving a rod along a selected path.
  11. 11. The implant system of claim 8, wherein said rod holder is operably interconnected with the implant to determine a position of at least a portion of the implant.
  12. 12. The implant system of claim 11, wherein the implant includes a
    screw head and a rod;
    wherein said position identification structure attached to said rod holder is operable to determine a position of the rod relative to the screw head.
  13. 13. The implant system of claim 1, wherein said implant inserter includes a rod holder.
  14. 14. The implant system of claim 1, further comprising:
    a bone screw;
    wherein said bone screw can form a portion of the implant.
  15. 15. The implant system of claim 14, wherein said bone screw includes a slot operable to be aligned.
  16. 16. The implant system of claim 15, further comprising:
    a second screw having a slot operable to be aligned percutaneously with said bone screw.
  17. 17. The implant system of claim 1, further comprising:
    an imaging system operable to produce image data of the anatomy.
  18. 18. The implant system of claim 17, further comprising:
    a display;
    wherein the position of the implant inserter, the position of the implant, or combinations thereof can be displayed on the display with the image data.
  19. 19. The implant system of claim 18, further comprising:
    a bone screw operable to be positioned in the anatomy;
    wherein the geometry of the bone screw can be displayed on said display relative to the image data.
  20. 20. The implant system of claim 19, wherein the position of the implant, the geometry of the screw, and combinations thereof can be used intra-operably to determine bending of a rod.
  21. 21. The implant system of claim 18, wherein the display allows for substantially percutaneous placements of the implant relative to the anatomy.
  22. 22. The implant system of claim 1, further comprising:
    an optical tracking system; an acoustic tracking system; an electromagnetic tracking system; a micropulsed radar tracking system; or combinations thereof.
  23. 23. An implant system for facilitating percutaneous placement of an implant in an anatomy and adapted use with a surgical navigation system to track positions in space, said implant system comprising:
    an implant inserter operably interconnected to the implant;
    a reference structure operably interconnected with said implant inserter;
    wherein said reference structure is operable with the surgical navigation system to determine a position of at least one of said implant inserter, said implant, said reference structure, or combinations thereof.
  24. 24. The implant system of claim 23, further comprising:
    a rod;
    wherein said rod can form a portion of the implant;
    wherein said rod extends between a first end and a second end.
  25. 25. The implant system of claim 24, wherein said implant inserter is operable to be interconnected with at least one of said first end, said second end, or combinations thereof.
  26. 26. The implant system of claim 24, wherein said implant inserter is operable to assist in moving said rod along a selected path.
  27. 27. The implant system of claim 26, further comprising:
    a bone screw;
    wherein said bone screw can form a portion of the implant.
  28. 28. The implant system of claim 27, wherein the surgical navigation system assists in displaying a position of said rod relative to said bone screw to intra-operatively determine a configuration of said rod.
  29. 29. The implant system of claim 23, wherein said position identification structure includes a selected geometrical shape.
  30. 30. The implant system of claim 23, wherein said position identification structure includes at least one of reflective spheres, sound emitters, magnets, electromagnets, emitting members, or combinations thereof.
  31. 31. The implant system of claim 24, wherein said emitting members include light emitting diodes.
  32. 32. The implant system of claim 30, wherein said reflectors can reflect at least one of visible light, infrared light, ultraviolet light, or combinations thereof.
  33. 33. The implant system of claim 23, further comprising:
    an imaging system operable to produce image data of the anatomy.
  34. 34. The implant system of claim 33, further comprising:
    a display;
    wherein the position of the implant inserter, the position of the surgical implant, or combinations thereof can be displayed on the display with the image data.
  35. 35. The implant system of claim 34, further comprising:
    a bone screw operable to be positioned in the anatomy;
    wherein the geometry of the bone screw can be displayed on said display relative to the image data.
  36. 36. The implant system of claim 35, wherein the position of the implant, the geometry of the screw, and combinations thereof can be used intra-operably to determine bending of a rod.
  37. 37. The implant system of claim 34, wherein the display allows for substantially percutaneous placements of the implant relative to the anatomy.
  38. 38. The implant system of claim 23, wherein said reference structure is removably connected to said implant inserter.
  39. 39. The implant system of claim 23, further comprising:
    an optical tracking system; an acoustic tracking system; an electromagnetic tracking system; a micropulsed radar tracking system; or combinations thereof.
  40. 40. An implant system for facilitating percutaneous placement of an implant in an anatomy that can be used with a surgical navigation system to track positions in space, the implant system comprising:
    an implant having a head and a body operable to be positioned relative to a selected portion of the anatomy;
    an implant inserter operable to be interconnected to said head of said implant; and
    a reference structure operable to be interconnected with said implant inserter;
    wherein said reference structure is operable with the surgical navigation system to determine a position and produce position data of at least one of said implant inserter, said implant, said reference structure, or combinations thereof;
    wherein said implant inserter is operable to move said implant relative to the anatomy.
  41. 41. The implant system of claim 40, wherein said implant includes a screw and said body includes a thread operable to engage the anatomy;
    wherein said implant inserter is operable to interconnect with at least the head of said screw.
  42. 42. The implant system of claim 40, further comprising:
    an imaging device that produces image data of the anatomy.
  43. 43. The implant system of claim 42, further comprising:
    a display;
    wherein said display is operable to display the image data of the anatomy.
  44. 44. The implant system of claim 43, wherein the position data of said implant is determined by determining a position of the reference's structure relative to the anatomy;
    wherein said implant position data is displayed on the display.
  45. 45. The implant system of claim 44, wherein said implant position data includes a position of said head.
  46. 46. The implant system of claim 42, wherein said head includes a slot.
  47. 47. The implant system of claim 46, wherein said implant position data includes a position of said slot.
  48. 48. The implant system of claim 44, wherein said position data displayed on the display is determined with a processor.
  49. 49. The implant system of claim 40, wherein said implant is operable to be positioned percutaneously relative to the anatomy via said implant inserter;
    wherein said implant is operable to be manipulated percutaneously via said implant inserter and said referenced structure.
  50. 50. The implant system of claim 49, wherein the position image data of the implant is displayed on a display relative to image data of the anatomy to facilitate percutaneous placement of the implant relative to the anatomy.
  51. 51. The implant system of claim 50, wherein positioning of the implants includes positioning a head of a bone screw in a selected orientation relative to the anatomy.
  52. 52. The implant system of claim 37, wherein said implant is a screw.
  53. 53. The implant system of claim 52, further comprising:
    a rod implant;
    a rod implant inserter;
    a rod inserter reference structure operably interconnected with said rod inserter, wherein said rod inserter reference structure is operable with the surgical navigation system to determine a position of at least a portion of said rod implant;
    wherein said implant inserter is operable to position said head relative to the anatomy percutaneously;
    wherein said rod inserter is operable to position said rod implant relative to said head that has been positioned with said implant inserter.
US11199419 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation Abandoned US20050277832A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US5991597 true 1997-09-24 1997-09-24
US09148498 US6226548B1 (en) 1997-09-24 1998-09-04 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US10423332 USRE39133E1 (en) 1997-09-24 2003-04-24 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11199419 US20050277832A1 (en) 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US11199419 US20050277832A1 (en) 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation

Publications (1)

Publication Number Publication Date
US20050277832A1 true true US20050277832A1 (en) 2005-12-15

Family

ID=26739359

Family Applications (8)

Application Number Title Priority Date Filing Date
US09148498 Active US6226548B1 (en) 1997-09-24 1998-09-04 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US10423332 Active USRE39133E1 (en) 1997-09-24 2003-04-24 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11199419 Abandoned US20050277832A1 (en) 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11199418 Abandoned US20060009780A1 (en) 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11451595 Active USRE42226E1 (en) 1997-09-24 2006-06-12 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11451594 Active USRE42194E1 (en) 1997-09-24 2006-06-12 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US13036939 Active USRE44305E1 (en) 1997-09-24 2011-02-28 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US13919648 Active USRE45509E1 (en) 1997-09-24 2013-06-17 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation

Family Applications Before (2)

Application Number Title Priority Date Filing Date
US09148498 Active US6226548B1 (en) 1997-09-24 1998-09-04 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US10423332 Active USRE39133E1 (en) 1997-09-24 2003-04-24 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation

Family Applications After (5)

Application Number Title Priority Date Filing Date
US11199418 Abandoned US20060009780A1 (en) 1997-09-24 2005-08-08 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11451595 Active USRE42226E1 (en) 1997-09-24 2006-06-12 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US11451594 Active USRE42194E1 (en) 1997-09-24 2006-06-12 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US13036939 Active USRE44305E1 (en) 1997-09-24 2011-02-28 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US13919648 Active USRE45509E1 (en) 1997-09-24 2013-06-17 Percutaneous registration apparatus and method for use in computer-assisted surgical navigation

Country Status (2)

Country Link
US (8) US6226548B1 (en)
WO (1) WO1999015097A3 (en)

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070118139A1 (en) * 2005-10-14 2007-05-24 Cuellar Alberto D System and method for bone resection
US20070270866A1 (en) * 2006-04-13 2007-11-22 General Electric Company Percutaneous Registration-and-Access Tool for Minimally Invasive Spinal Surgery
US20090021475A1 (en) * 2007-07-20 2009-01-22 Wolfgang Steinle Method for displaying and/or processing image data of medical origin using gesture recognition
US20090306779A1 (en) * 2008-06-05 2009-12-10 Alphatec Spine, Inc. Modular anterior locking interbody cage
US7840256B2 (en) 2005-06-27 2010-11-23 Biomet Manufacturing Corporation Image guided tracking array and method
US7953471B2 (en) 2004-05-03 2011-05-31 Medtronic Navigation, Inc. Method and apparatus for implantation between two vertebral bodies
US8165659B2 (en) 2006-03-22 2012-04-24 Garrett Sheffer Modeling method and apparatus for use in surgical navigation
US20130019877A1 (en) * 2011-07-22 2013-01-24 Sklar Frederick H Surgical head holder and surgical accessories for use with same
US8425522B2 (en) 2000-01-14 2013-04-23 Bonutti Skeletal Innovations Llc Joint replacement method
WO2013075500A1 (en) * 2011-11-27 2013-05-30 Zhang Chunlin Following-type spine self-positioning and navigating surgical mechanical hand and positioning method thereof
US8571637B2 (en) 2008-01-21 2013-10-29 Biomet Manufacturing, Llc Patella tracking method and apparatus for use in surgical navigation
US8623030B2 (en) 2001-08-28 2014-01-07 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US8768437B2 (en) 1998-08-20 2014-07-01 Sofamor Danek Holdings, Inc. Fluoroscopic image guided surgery system with intraoperative registration
US8934961B2 (en) 2007-05-18 2015-01-13 Biomet Manufacturing, Llc Trackable diagnostic scope apparatus and methods of use
US9775625B2 (en) 2007-06-19 2017-10-03 Biomet Manufacturing, Llc. Patient-matched surgical component and methods of use

Families Citing this family (334)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6226548B1 (en) 1997-09-24 2001-05-01 Surgical Navigation Technologies, Inc. Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
CA2308636C (en) * 1997-11-05 2007-10-09 Synthes (U.S.A.) Virtual representation of a bone or a bone joint
US6021343A (en) 1997-11-20 2000-02-01 Surgical Navigation Technologies Image guided awl/tap/screwdriver
US6348058B1 (en) 1997-12-12 2002-02-19 Surgical Navigation Technologies, Inc. Image guided spinal surgery guide, system, and method for use thereof
DK1089669T3 (en) 1998-06-22 2008-06-30 Ao Technology Ag Fiduciel matching by means of the screw fiduciel
US6482182B1 (en) 1998-09-03 2002-11-19 Surgical Navigation Technologies, Inc. Anchoring system for a brain lead
JP4612196B2 (en) 1999-03-17 2011-01-12 アーオー テクノロジー アクチエンゲゼルシャフト And contrast for ligament graft placement, Planning device
US6470207B1 (en) * 1999-03-23 2002-10-22 Surgical Navigation Technologies, Inc. Navigational guidance via computer-assisted fluoroscopic imaging
EP1171780A1 (en) 1999-04-20 2002-01-16 Synthes Ag Device for the percutaneous attainment of 3d-coordinates on the surface of a human or animal organ
WO2000066971A1 (en) * 1999-05-03 2000-11-09 Synthes Ag Chur Position detector with auxiliary means for detecting the direction of the gravity vector
US6941323B1 (en) 1999-08-09 2005-09-06 Almen Laboratories, Inc. System and method for image comparison and retrieval by enhancing, defining, and parameterizing objects in images
US6530929B1 (en) 1999-10-20 2003-03-11 Sdgi Holdings, Inc. Instruments for stabilization of bony structures
US6499488B1 (en) * 1999-10-28 2002-12-31 Winchester Development Associates Surgical sensor
US8644907B2 (en) 1999-10-28 2014-02-04 Medtronic Navigaton, Inc. Method and apparatus for surgical navigation
US20010034530A1 (en) * 2000-01-27 2001-10-25 Malackowski Donald W. Surgery system
WO2001064124A1 (en) * 2000-03-01 2001-09-07 Surgical Navigation Technologies, Inc. Multiple cannula image guided tool for image guided procedures
WO2001076480A1 (en) * 2000-04-05 2001-10-18 Georgetown University Stereotactic radiosurgery methods to precisely deliver high dosages of radiation especially to the spine
US6478802B2 (en) * 2000-06-09 2002-11-12 Ge Medical Systems Global Technology Company, Llc Method and apparatus for display of an image guided drill bit
US6887245B2 (en) * 2001-06-11 2005-05-03 Ge Medical Systems Global Technology Company, Llc Surgical drill for use with a computer assisted surgery system
US6899713B2 (en) 2000-06-23 2005-05-31 Vertelink Corporation Formable orthopedic fixation system
WO2002000126A1 (en) 2000-06-23 2002-01-03 University Of Southern California Percutaneous vertebral fusion system
US6749614B2 (en) 2000-06-23 2004-06-15 Vertelink Corporation Formable orthopedic fixation system with cross linking
US6964667B2 (en) * 2000-06-23 2005-11-15 Sdgi Holdings, Inc. Formed in place fixation system with thermal acceleration
US6875212B2 (en) * 2000-06-23 2005-04-05 Vertelink Corporation Curable media for implantable medical device
WO2002005897A1 (en) * 2000-07-17 2002-01-24 Ultrazonix Dnt Ab Device for mini-invasive ultrasound treatment of disc disease
US6837892B2 (en) * 2000-07-24 2005-01-04 Mazor Surgical Technologies Ltd. Miniature bone-mounted surgical robot
EP1190675B1 (en) 2000-09-26 2004-04-28 BrainLAB AG System for navigation-assisted orientation of elements on a body
US6719757B2 (en) 2001-02-06 2004-04-13 Brainlab Ag Device for attaching an element to a body
EP1190676B1 (en) * 2000-09-26 2003-08-13 BrainLAB AG Device for determining the position of a cutting guide
JP4674948B2 (en) * 2000-09-29 2011-04-20 オリンパス株式会社 Method of operating a surgical navigation apparatus and a surgical navigation system
DE50007080D1 (en) * 2000-10-11 2004-08-19 Stryker Leibinger Gmbh & Co Kg An apparatus for detecting or tracking the position of a bone
US6718194B2 (en) * 2000-11-17 2004-04-06 Ge Medical Systems Global Technology Company, Llc Computer assisted intramedullary rod surgery system with enhanced features
DE60136847D1 (en) * 2000-12-06 2009-01-15 Intumed Ltd Apparatus for self-guided intubation
DE10105822C2 (en) * 2001-02-07 2003-02-06 Aesculap Ag & Co Kg Method and apparatus for determining the contour of a recess in a piece of material
US7547307B2 (en) * 2001-02-27 2009-06-16 Smith & Nephew, Inc. Computer assisted knee arthroplasty instrumentation, systems, and processes
EP1372516B1 (en) * 2001-02-27 2009-05-13 SMITH & NEPHEW, INC. Surgical navigation systems for unicompartmental knee
US20160242816A9 (en) * 2001-05-09 2016-08-25 Roger P. Jackson Dynamic spinal stabilization assembly with elastic bumpers and locking limited travel closure mechanisms
US6636757B1 (en) 2001-06-04 2003-10-21 Surgical Navigation Technologies, Inc. Method and apparatus for electromagnetic navigation of a surgical probe near a metal object
ES2315378T3 (en) * 2001-06-29 2009-04-01 Warsaw Orthopedic, Inc. Spinal localizer.
US7063705B2 (en) 2001-06-29 2006-06-20 Sdgi Holdings, Inc. Fluoroscopic locator and registration device
GB0127659D0 (en) * 2001-11-19 2002-01-09 Acrobot Company The Ltd Apparatus and method for registering the position of a surgical robot
GB0127658D0 (en) * 2001-11-19 2002-01-09 Acrobot Company The Ltd Apparatus for surgical instrument location
JP3905393B2 (en) * 2002-02-07 2007-04-18 オリンパス株式会社 Surgical device
US6947786B2 (en) 2002-02-28 2005-09-20 Surgical Navigation Technologies, Inc. Method and apparatus for perspective inversion
US6638281B2 (en) * 2002-03-21 2003-10-28 Spinecore, Inc. Gravity dependent pedicle screw tap hole guide
US6990368B2 (en) 2002-04-04 2006-01-24 Surgical Navigation Technologies, Inc. Method and apparatus for virtual digital subtraction angiography
US7427200B2 (en) * 2002-04-16 2008-09-23 Noble Philip C Computer-based training methods for surgical procedures
US7998062B2 (en) 2004-03-29 2011-08-16 Superdimension, Ltd. Endoscope structures and techniques for navigating to a target in branched structure
US8180429B2 (en) * 2002-04-17 2012-05-15 Warsaw Orthopedic, Inc. Instrumentation and method for mounting a surgical navigation reference device to a patient
US6993374B2 (en) * 2002-04-17 2006-01-31 Ricardo Sasso Instrumentation and method for mounting a surgical navigation reference device to a patient
US6980849B2 (en) * 2002-04-17 2005-12-27 Ricardo Sasso Instrumentation and method for performing image-guided spinal surgery using an anterior surgical approach
US7213598B2 (en) * 2002-05-28 2007-05-08 Brainlab Ag Navigation-calibrating rotationally asymmetrical medical instruments or implants
CA2489584C (en) 2002-06-17 2011-02-15 Mazor Surgical Technologies Ltd. Robot for use with orthopaedic inserts
US6736821B2 (en) 2002-06-18 2004-05-18 Sdgi Holdings, Inc. System and method of mating implants and vertebral bodies
US7107091B2 (en) 2002-07-25 2006-09-12 Orthosoft Inc. Multiple bone tracking
US7787934B2 (en) 2002-07-29 2010-08-31 Medtronic, Inc. Fiducial marker devices, tools, and methods
US20040030237A1 (en) * 2002-07-29 2004-02-12 Lee David M. Fiducial marker devices and methods
US20040019265A1 (en) * 2002-07-29 2004-01-29 Mazzocchi Rudy A. Fiducial marker devices, tools, and methods
DE60332038D1 (en) 2002-08-09 2010-05-20 Kinamed Inc Non-imaging radiolocation procedures for hip surgery
US7306603B2 (en) 2002-08-21 2007-12-11 Innovative Spinal Technologies Device and method for percutaneous placement of lumbar pedicle screws and connecting rods
US20060015030A1 (en) * 2002-08-26 2006-01-19 Orthosoft Inc. Method for placing multiple implants during a surgery using a computer aided surgery system
US8876868B2 (en) 2002-09-06 2014-11-04 Roger P. Jackson Helical guide and advancement flange with radially loaded lip
US8926672B2 (en) 2004-11-10 2015-01-06 Roger P. Jackson Splay control closure for open bone anchor
US20040068263A1 (en) * 2002-10-04 2004-04-08 Benoit Chouinard CAS bone reference with articulated support
US6856828B2 (en) 2002-10-04 2005-02-15 Orthosoft Inc. CAS bone reference and less invasive installation method thereof
EP1413258B1 (en) * 2002-10-25 2005-03-23 BrainLAB AG Device and method for calibrating an element
DE50202334D1 (en) * 2002-10-25 2005-03-31 Brainlab Ag Device for positioning an element, for example in the spine
ES2629625T3 (en) 2002-10-30 2017-08-11 Zimmer Spine, Inc. Spinal stabilization system insertion
US9539012B2 (en) 2002-10-30 2017-01-10 Zimmer Spine, Inc. Spinal stabilization systems with quick-connect sleeve assemblies for use in surgical procedures
US7660623B2 (en) 2003-01-30 2010-02-09 Medtronic Navigation, Inc. Six degree of freedom alignment display for medical procedures
EP1667574A4 (en) * 2003-02-04 2008-03-12 Z Kat Inc System and method for providing computer assistance with spinal fixation procedures
EP1605810A2 (en) * 2003-02-04 2005-12-21 Z-Kat, Inc. Computer-assisted knee replacement apparatus and method
US20050267354A1 (en) * 2003-02-04 2005-12-01 Joel Marquart System and method for providing computer assistance with spinal fixation procedures
WO2004069073A3 (en) * 2003-02-04 2004-11-18 Benoit Chouinard Cas modular bone reference and limb position measurement system
WO2004069040A3 (en) * 2003-02-04 2005-03-24 Z Kat Inc Method and apparatus for computer assistance with intramedullary nail procedure
US8002798B2 (en) 2003-09-24 2011-08-23 Stryker Spine System and method for spinal implant placement
USRE45338E1 (en) 2003-09-24 2015-01-13 Stryker Spine System and method for spinal implant placement
US7955355B2 (en) * 2003-09-24 2011-06-07 Stryker Spine Methods and devices for improving percutaneous access in minimally invasive surgeries
US7720522B2 (en) * 2003-02-25 2010-05-18 Medtronic, Inc. Fiducial marker devices, tools, and methods
DE20303499U1 (en) * 2003-02-26 2003-04-30 Aesculap Ag & Co Kg Patella reference device
US7433005B2 (en) * 2003-03-31 2008-10-07 Sharp Kabushiki Kaisha Liquid crystal display device having electrode units each provided with a solid part and an extending part and method of manufacturing the same
US7473267B2 (en) * 2003-04-25 2009-01-06 Warsaw Orthopedic, Inc. System and method for minimally invasive posterior fixation
US7194120B2 (en) * 2003-05-29 2007-03-20 Board Of Regents, The University Of Texas System Methods and systems for image-guided placement of implants
US20040243207A1 (en) * 2003-05-30 2004-12-02 Olson Donald R. Medical implant systems
USRE46431E1 (en) 2003-06-18 2017-06-13 Roger P Jackson Polyaxial bone anchor with helical capture connection, insert and dual locking assembly
US8926670B2 (en) 2003-06-18 2015-01-06 Roger P. Jackson Polyaxial bone screw assembly
US7967850B2 (en) 2003-06-18 2011-06-28 Jackson Roger P Polyaxial bone anchor with helical capture connection, insert and dual locking assembly
FR2856577A1 (en) * 2003-06-27 2004-12-31 Medicrea International Bone characteristics testing device, has transmission head that moves between inactive position in relation to distal end of extended support, and active position in which it emits ultrasounds
US20050021040A1 (en) * 2003-07-21 2005-01-27 Rudolf Bertagnoli Vertebral retainer-distracter and method of using same
DE10335388B4 (en) * 2003-07-25 2006-06-22 Aesculap Ag & Co. Kg Set of surgical Referenzierungsvorrichtungen
US7398116B2 (en) * 2003-08-11 2008-07-08 Veran Medical Technologies, Inc. Methods, apparatuses, and systems useful in conducting image guided interventions
US8150495B2 (en) * 2003-08-11 2012-04-03 Veran Medical Technologies, Inc. Bodily sealants and methods and apparatus for image-guided delivery of same
US7662157B2 (en) * 2003-08-21 2010-02-16 Osteomed L.P. Bone anchor system
EP2113189B1 (en) 2003-09-15 2013-09-04 Covidien LP System of accessories for use with bronchoscopes
EP2316328B1 (en) 2003-09-15 2012-05-09 Super Dimension Ltd. Wrap-around holding device for use with bronchoscopes
US7455685B2 (en) * 2003-09-29 2008-11-25 Warsaw Orthopedic, Inc. Instruments and methods for securing a connecting element along a bony segment
WO2005034781A1 (en) * 2003-09-29 2005-04-21 Promethean Surgical Devices Llc Devices and methods for spine repair
US7862570B2 (en) 2003-10-03 2011-01-04 Smith & Nephew, Inc. Surgical positioners
JP4802100B2 (en) * 2003-10-06 2011-10-26 メイザー サージカル テクノロジーズ リミテッド Spinal fixation devices
US7835778B2 (en) * 2003-10-16 2010-11-16 Medtronic Navigation, Inc. Method and apparatus for surgical navigation of a multiple piece construct for implantation
US7366562B2 (en) 2003-10-17 2008-04-29 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US8239001B2 (en) 2003-10-17 2012-08-07 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US7840253B2 (en) * 2003-10-17 2010-11-23 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US7764985B2 (en) 2003-10-20 2010-07-27 Smith & Nephew, Inc. Surgical navigation system component fault interfaces and related processes
WO2005048851A1 (en) 2003-11-14 2005-06-02 Smith & Nephew, Inc. Adjustable surgical cutting systems
US7527638B2 (en) 2003-12-16 2009-05-05 Depuy Spine, Inc. Methods and devices for minimally invasive spinal fixation element placement
US7666188B2 (en) 2003-12-16 2010-02-23 Depuy Spine, Inc. Methods and devices for spinal fixation element placement
US20050267353A1 (en) * 2004-02-04 2005-12-01 Joel Marquart Computer-assisted knee replacement apparatus and method
EP1563799B2 (en) * 2004-02-11 2012-11-28 BrainLAB AG Adjustable marker arrangement
US7235076B2 (en) * 2004-02-20 2007-06-26 Pacheco Hector O Method of improving pedicle screw placement in spinal surgery
US8292926B2 (en) 2005-09-30 2012-10-23 Jackson Roger P Dynamic stabilization connecting member with elastic core and outer sleeve
US20100010542A1 (en) * 2006-01-09 2010-01-14 Jackson Roger P Flexible spinal stbilization assembly with spacer having off-axis core member
US8105368B2 (en) * 2005-09-30 2012-01-31 Jackson Roger P Dynamic stabilization connecting member with slitted core and outer sleeve
US7862587B2 (en) 2004-02-27 2011-01-04 Jackson Roger P Dynamic stabilization assemblies, tool set and method
CA2701522C (en) 2004-02-27 2012-05-15 Roger P. Jackson Orthopedic implant rod reduction tool set and method
US20080140076A1 (en) * 2005-09-30 2008-06-12 Jackson Roger P Dynamic stabilization connecting member with slitted segment and surrounding external elastomer
US20080294198A1 (en) * 2006-01-09 2008-11-27 Jackson Roger P Dynamic spinal stabilization assembly with torsion and shear control
US8353932B2 (en) 2005-09-30 2013-01-15 Jackson Roger P Polyaxial bone anchor assembly with one-piece closure, pressure insert and plastic elongate member
US7766915B2 (en) 2004-02-27 2010-08-03 Jackson Roger P Dynamic fixation assemblies with inner core and outer coil-like member
US7160300B2 (en) 2004-02-27 2007-01-09 Jackson Roger P Orthopedic implant rod reduction tool set and method
US20050215888A1 (en) * 2004-03-05 2005-09-29 Grimm James E Universal support arm and tracking array
US20060052691A1 (en) * 2004-03-05 2006-03-09 Hall Maleata Y Adjustable navigated tracking element mount
US7641660B2 (en) * 2004-03-08 2010-01-05 Biomet Manufacturing Corporation Method, apparatus, and system for image guided bone cutting
US20070073306A1 (en) * 2004-03-08 2007-03-29 Ryan Lakin Cutting block for surgical navigation
US7799053B2 (en) 2004-03-08 2010-09-21 Warsaw Orthopedic, Inc. Occipital and cervical stabilization systems and methods
US7547318B2 (en) 2004-03-19 2009-06-16 Depuy Spine, Inc. Spinal fixation element and methods
US9801527B2 (en) 2004-04-19 2017-10-31 Gearbox, Llc Lumen-traveling biological interface device
US9220917B2 (en) * 2006-04-12 2015-12-29 The Invention Science Fund I, Llc Systems for autofluorescent imaging and target ablation
US8019413B2 (en) 2007-03-19 2011-09-13 The Invention Science Fund I, Llc Lumen-traveling biological interface device and method of use
US8337482B2 (en) 2004-04-19 2012-12-25 The Invention Science Fund I, Llc System for perfusion management
US8353896B2 (en) 2004-04-19 2013-01-15 The Invention Science Fund I, Llc Controllable release nasal system
US9011329B2 (en) 2004-04-19 2015-04-21 Searete Llc Lumenally-active device
US20120035540A1 (en) 2006-04-12 2012-02-09 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Event-based control of a lumen traveling device
US8361013B2 (en) 2004-04-19 2013-01-29 The Invention Science Fund I, Llc Telescoping perfusion management system
US8163003B2 (en) * 2006-06-16 2012-04-24 The Invention Science Fund I, Llc Active blood vessel sleeve methods and systems
EP1737375A1 (en) 2004-04-21 2007-01-03 Smith and Nephew, Inc. Computer-aided methods, systems, and apparatuses for shoulder arthroplasty
US7749223B2 (en) * 2004-08-09 2010-07-06 Howmedica Osteonics Corp. Navigated femoral axis finder
US7465306B2 (en) * 2004-08-13 2008-12-16 Warsaw Orthopedic, Inc. System and method for positioning a connecting member adjacent the spinal column in minimally invasive procedures
JP4709996B2 (en) * 2004-09-14 2011-06-29 国立大学法人大阪大学 Bone tracking device fixing member
US7651502B2 (en) 2004-09-24 2010-01-26 Jackson Roger P Spinal fixation tool set and method for rod reduction and fastener insertion
US8092549B2 (en) 2004-09-24 2012-01-10 The Invention Science Fund I, Llc Ciliated stent-like-system
US8361128B2 (en) * 2004-09-30 2013-01-29 Depuy Products, Inc. Method and apparatus for performing a computer-assisted orthopaedic procedure
DE502004006267D1 (en) * 2004-10-27 2008-04-03 Brainlab Ag Wirbelspreizinstrument with markers
US9770261B2 (en) 2004-10-28 2017-09-26 Nico Corporation Surgical access assembly and method of using same
US9579121B2 (en) 2011-10-24 2017-02-28 Nico Corporation Holding arrangement for a surgical access system
US9265523B2 (en) 2011-10-24 2016-02-23 Nico Corporation Surgical access system with navigation element and method of using same
US9387010B2 (en) 2004-10-28 2016-07-12 Nico Corporation Surgical access assembly and method of using same
US9161820B2 (en) 2004-10-28 2015-10-20 Nico Corporation Surgical access assembly and method of using same
US9186175B2 (en) 2004-10-28 2015-11-17 Nico Corporation Surgical access assembly and method of using same
US20080109026A1 (en) * 2004-10-28 2008-05-08 Strategic Technology Assessment Group Apparatus and Methods for Performing Brain Surgery
US20060122541A1 (en) * 2004-11-08 2006-06-08 Gregor Tuma Adjusting the length of the leg
US20060100508A1 (en) * 2004-11-10 2006-05-11 Morrison Matthew M Method and apparatus for expert system to track and manipulate patients
US7833250B2 (en) 2004-11-10 2010-11-16 Jackson Roger P Polyaxial bone screw with helically wound capture connection
US8152810B2 (en) 2004-11-23 2012-04-10 Jackson Roger P Spinal fixation tool set and method
US7621918B2 (en) 2004-11-23 2009-11-24 Jackson Roger P Spinal fixation tool set and method
US9492241B2 (en) 2005-01-13 2016-11-15 Mazor Robotics Ltd. Image guided robotic system for keyhole neurosurgery
DE102005003318A1 (en) * 2005-01-17 2006-07-27 Aesculap Ag & Co. Kg Displaying method for the position of a medical instrument in which planes and an intersection line are defined and determined for the femur and inserted instrument
US20060161059A1 (en) * 2005-01-20 2006-07-20 Zimmer Technology, Inc. Variable geometry reference array
WO2006091704A1 (en) 2005-02-22 2006-08-31 Smith & Nephew, Inc. In-line milling system
EP1858422A4 (en) * 2005-02-23 2011-12-28 Pioneer Surgical Technology Inc Minimally invasive surgical system
KR101121387B1 (en) * 2005-03-07 2012-03-09 헥터 오. 파체코 System and method for improved access to the vertebral body in the spine hugul percutaneous balloon reversal, percutaneous vertebroplasty, vertebral body biopsy or screw arrangement
WO2006106419A3 (en) * 2005-04-07 2006-12-07 Stephane Lavallee Robotic guide assembly for use in computer-aided surgery
US7491208B2 (en) 2005-04-28 2009-02-17 Warsaw Orthopedic, Inc. Instrument and method for guiding surgical implants and instruments during surgery
US7749232B2 (en) * 2005-05-24 2010-07-06 Anthony Salerni Electromagnetically guided spinal rod system and related methods
US7776067B2 (en) 2005-05-27 2010-08-17 Jackson Roger P Polyaxial bone screw with shank articulation pressure insert and method
US7628800B2 (en) * 2005-06-03 2009-12-08 Warsaw Orthopedic, Inc. Formed in place corpectomy device
US20070016008A1 (en) * 2005-06-23 2007-01-18 Ryan Schoenefeld Selective gesturing input to a surgical navigation system
GB0513876D0 (en) * 2005-07-06 2005-08-10 Armstrong Healthcare Ltd A robot and a method of registering a robot
US7909830B2 (en) * 2005-08-25 2011-03-22 Synthes Usa, Llc Methods of spinal fixation and instrumentation
US7695475B2 (en) * 2005-08-26 2010-04-13 Warsaw Orthopedic, Inc. Instruments for minimally invasive stabilization of bony structures
US20070066881A1 (en) * 2005-09-13 2007-03-22 Edwards Jerome R Apparatus and method for image guided accuracy verification
US20070073136A1 (en) * 2005-09-15 2007-03-29 Robert Metzger Bone milling with image guided surgery
US20070073133A1 (en) * 2005-09-15 2007-03-29 Schoenefeld Ryan J Virtual mouse for use in surgical navigation
US7643862B2 (en) * 2005-09-15 2010-01-05 Biomet Manufacturing Corporation Virtual mouse for use in surgical navigation
US7835784B2 (en) 2005-09-21 2010-11-16 Medtronic Navigation, Inc. Method and apparatus for positioning a reference frame
US8357181B2 (en) 2005-10-27 2013-01-22 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
EP1779799B1 (en) * 2005-10-27 2008-12-17 BrainLAB AG Device for fixing a reference element
US8002802B2 (en) * 2005-12-19 2011-08-23 Samy Abdou Devices and methods for inter-vertebral orthopedic device placement
US7704271B2 (en) * 2005-12-19 2010-04-27 Abdou M Samy Devices and methods for inter-vertebral orthopedic device placement
US8998959B2 (en) 2009-06-15 2015-04-07 Roger P Jackson Polyaxial bone anchors with pop-on shank, fully constrained friction fit retainer and lock and release insert
US9216041B2 (en) 2009-06-15 2015-12-22 Roger P. Jackson Spinal connecting members with tensioned cords and rigid sleeves for engaging compression inserts
US9393047B2 (en) 2009-06-15 2016-07-19 Roger P. Jackson Polyaxial bone anchor with pop-on shank and friction fit retainer with low profile edge lock
US8444681B2 (en) 2009-06-15 2013-05-21 Roger P. Jackson Polyaxial bone anchor with pop-on shank, friction fit retainer and winged insert
US9168069B2 (en) 2009-06-15 2015-10-27 Roger P. Jackson Polyaxial bone anchor with pop-on shank and winged insert with lower skirt for engaging a friction fit retainer
US9668771B2 (en) 2009-06-15 2017-06-06 Roger P Jackson Soft stabilization assemblies with off-set connector
US20070173822A1 (en) * 2006-01-13 2007-07-26 Sdgi Holdings, Inc. Use of a posterior dynamic stabilization system with an intradiscal device
US9168102B2 (en) 2006-01-18 2015-10-27 Medtronic Navigation, Inc. Method and apparatus for providing a container to a sterile environment
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US7927360B2 (en) * 2006-01-26 2011-04-19 Warsaw Orthopedic, Inc. Spinal anchor assemblies having extended receivers
EP1981422A1 (en) 2006-02-06 2008-10-22 Stryker Spine Rod contouring apparatus and method for percutaneous pedicle screw extension
US7520879B2 (en) * 2006-02-07 2009-04-21 Warsaw Orthopedic, Inc. Surgical instruments and techniques for percutaneous placement of spinal stabilization elements
US8219178B2 (en) 2007-02-16 2012-07-10 Catholic Healthcare West Method and system for performing invasive medical procedures using a surgical robot
DE102007008521A1 (en) 2006-02-21 2007-08-30 Burgkart, Rainer, Dr. med. Osteosynthesis implant e.g. angle plate, positioning system for use during e.g. accident surgery, has calibrating and tracking device reversibly fixed at bone section for planning of correct position of implant
US20070237307A1 (en) * 2006-03-03 2007-10-11 Loubert Suddaby Radiographic spine marker
US8323290B2 (en) * 2006-03-03 2012-12-04 Biomet Manufacturing Corp. Tensor for use in surgical navigation
US8337508B2 (en) * 2006-03-20 2012-12-25 Perception Raisonnement Action En Medecine Distractor system
WO2007121271A3 (en) * 2006-04-11 2008-03-06 Synthes Usa Minimally invasive fixation system
JP4816281B2 (en) * 2006-06-22 2011-11-16 富士ゼロックス株式会社 Use Document management system, document management server and its program
WO2008002588A3 (en) * 2006-06-28 2008-10-23 Hector O Pacheco Templating and placing artifical discs in spine
WO2008013960A3 (en) * 2006-07-27 2008-12-04 Samy M Abdou Devices and methods for the minimally invasive treatment of spinal stenosis
US8333771B2 (en) 2006-08-04 2012-12-18 Magrod, Llc System for pushing and pulling surgical implants into position in vivo via a tether
US7976546B2 (en) * 2006-08-04 2011-07-12 Magrod, Llc Magnetic targeting system for facilitating navigation
US8092458B2 (en) 2006-08-04 2012-01-10 Magrod, Llc Magnetic targeting system and method of using the same
US8092461B2 (en) 2006-08-04 2012-01-10 Magrod, Llc Method and apparatus for facilitating navigation of an implant
US20080051677A1 (en) * 2006-08-23 2008-02-28 Warsaw Orthopedic, Inc. Method and apparatus for osteochondral autograft transplantation
WO2008024937A3 (en) 2006-08-23 2008-11-20 Pioneer Surgical Tech Inc Minimally invasive surgical system
US7747306B2 (en) 2006-09-01 2010-06-29 Warsaw Orthopedic, Inc. Osteochondral implant procedure
US7686809B2 (en) * 2006-09-25 2010-03-30 Stryker Spine Rod inserter and rod with reduced diameter end
US7918858B2 (en) 2006-09-26 2011-04-05 Depuy Spine, Inc. Minimally invasive bone anchor extensions
US8660635B2 (en) 2006-09-29 2014-02-25 Medtronic, Inc. Method and apparatus for optimizing a computer assisted surgical procedure
CN100435735C (en) 2006-09-30 2008-11-26 南方医科大学 Human body orthopedic navigation system
US20090012563A1 (en) * 2006-10-11 2009-01-08 Nas Medical Technologies, Inc. Spinal fixation devices and methods
US7879040B2 (en) * 2006-10-23 2011-02-01 Warsaw Orthopedic, IN Method and apparatus for osteochondral autograft transplantation
US8025664B2 (en) * 2006-11-03 2011-09-27 Innovative Spine, Llc System and method for providing surgical access to a spine
US8840621B2 (en) 2006-11-03 2014-09-23 Innovative Spine, Inc. Spinal access systems and methods
US8852192B2 (en) * 2006-11-13 2014-10-07 Warsaw Orthopedic, Inc. Method and apparatus for osteochondral autograft transplantation
US20080114457A1 (en) * 2006-11-14 2008-05-15 Warsaw Orthopedic, Inc. Methods and devices for connecting implants and devices
US8262662B2 (en) * 2006-11-20 2012-09-11 Depuy Spine, Inc. Break-off screw extensions
EP2088945A4 (en) 2006-12-08 2010-02-17 Roger P Jackson Tool system for dynamic spinal implants
US8663328B2 (en) * 2006-12-21 2014-03-04 Warsaw Orthopedic, Inc. Methods for positioning a load-bearing component of an orthopedic implant device by inserting a malleable device that hardens in vivo
US8758407B2 (en) * 2006-12-21 2014-06-24 Warsaw Orthopedic, Inc. Methods for positioning a load-bearing orthopedic implant device in vivo
US8475470B2 (en) * 2006-12-21 2013-07-02 General Electric Company Percutaneous registration apparatus and method for use in surgical navigation
US8480718B2 (en) * 2006-12-21 2013-07-09 Warsaw Orthopedic, Inc. Curable orthopedic implant devices configured to be hardened after placement in vivo
US7771476B2 (en) 2006-12-21 2010-08-10 Warsaw Orthopedic Inc. Curable orthopedic implant devices configured to harden after placement in vivo by application of a cure-initiating energy before insertion
US20080161824A1 (en) * 2006-12-27 2008-07-03 Howmedica Osteonics Corp. System and method for performing femoral sizing through navigation
US8475498B2 (en) * 2007-01-18 2013-07-02 Roger P. Jackson Dynamic stabilization connecting member with cord connection
US8366745B2 (en) * 2007-05-01 2013-02-05 Jackson Roger P Dynamic stabilization assembly having pre-compressed spacers with differential displacements
US20080319482A1 (en) * 2007-01-18 2008-12-25 Jackson Roger P Dynamic fixation assemblies with pre-tensioned cord segments
US20080183074A1 (en) * 2007-01-25 2008-07-31 Warsaw Orthopedic, Inc. Method and apparatus for coordinated display of anatomical and neuromonitoring information
US8374673B2 (en) 2007-01-25 2013-02-12 Warsaw Orthopedic, Inc. Integrated surgical navigational and neuromonitoring system having automated surgical assistance and control
US7987001B2 (en) 2007-01-25 2011-07-26 Warsaw Orthopedic, Inc. Surgical navigational and neuromonitoring instrument
US8062217B2 (en) 2007-01-26 2011-11-22 Theken Spine, Llc Surgical retractor with removable blades and method of use
US7901437B2 (en) 2007-01-26 2011-03-08 Jackson Roger P Dynamic stabilization member with molded connection
US9179984B2 (en) * 2007-02-19 2015-11-10 Medtronic Navigation, Inc. Multi-configuration tracking array and related method
US8600478B2 (en) * 2007-02-19 2013-12-03 Medtronic Navigation, Inc. Automatic identification of instruments used with a surgical navigation system
US8233963B2 (en) * 2007-02-19 2012-07-31 Medtronic Navigation, Inc. Automatic identification of tracked surgical devices using an electromagnetic localization system
WO2008106140A3 (en) 2007-02-26 2008-11-20 M Samy Abdou Spinal stabilization systems and methods of use
US20080249531A1 (en) * 2007-02-27 2008-10-09 Warsaw Orthopedic, Inc. Instruments and methods for minimally invasive insertion of dynamic implants
US8197517B1 (en) 2007-05-08 2012-06-12 Theken Spine, Llc Frictional polyaxial screw assembly
US7947046B2 (en) * 2007-06-21 2011-05-24 Warsaw Orthopedic, Inc. Anchor extenders for minimally invasive surgical procedures
US8361126B2 (en) 2007-07-03 2013-01-29 Pioneer Surgical Technology, Inc. Bone plate system
WO2009006935A1 (en) * 2007-07-06 2009-01-15 Karolinska Institutet Innovations Ab Stereotactic surgery system
EP2033670B1 (en) * 2007-07-17 2015-09-02 Brainlab AG Attachment device for medical purposes, in particular for attaching a reference geometry for navigation-assisted operations to a body, in particular to a bone
EP2031531A3 (en) * 2007-07-20 2009-04-29 BrainLAB AG Integrated medical technical display system
US20090082637A1 (en) * 2007-09-21 2009-03-26 Michael Galperin Multi-modality fusion classifier with integrated non-imaging factors
US8905920B2 (en) 2007-09-27 2014-12-09 Covidien Lp Bronchoscope adapter and method
US8414588B2 (en) 2007-10-04 2013-04-09 Depuy Spine, Inc. Methods and devices for minimally invasive spinal connection element delivery
US9265589B2 (en) * 2007-11-06 2016-02-23 Medtronic Navigation, Inc. System and method for navigated drill guide
US20090209851A1 (en) * 2008-01-09 2009-08-20 Stryker Leibinger Gmbh & Co. Kg Stereotactic computer assisted surgery method and system
US20090222011A1 (en) * 2008-02-28 2009-09-03 Warsaw Orthopedic, Inc. Targeting surgical instrument for use in spinal disc replacement and methods for use in spinal disc replacement
US9575140B2 (en) 2008-04-03 2017-02-21 Covidien Lp Magnetic interference detection system and method
US8549888B2 (en) 2008-04-04 2013-10-08 Nuvasive, Inc. System and device for designing and forming a surgical implant
WO2009147671A1 (en) 2008-06-03 2009-12-10 Superdimension Ltd. Feature-based registration method
US8218847B2 (en) 2008-06-06 2012-07-10 Superdimension, Ltd. Hybrid registration method
US8932207B2 (en) 2008-07-10 2015-01-13 Covidien Lp Integrated multi-functional endoscopic tool
EP2358310A4 (en) 2008-09-10 2014-05-07 Orthalign Inc Hip surgery systems and methods
US9033958B2 (en) * 2008-11-11 2015-05-19 Perception Raisonnement Action En Medecine Surgical robotic system
US8366719B2 (en) 2009-03-18 2013-02-05 Integrated Spinal Concepts, Inc. Image-guided minimal-step placement of screw into bone
US8900238B2 (en) * 2009-03-27 2014-12-02 Globus Medical, Inc. Devices and methods for inserting a vertebral fixation member
US9750545B2 (en) 2009-03-27 2017-09-05 Globus Medical, Inc. Devices and methods for inserting a vertebral fixation member
US8611984B2 (en) 2009-04-08 2013-12-17 Covidien Lp Locatable catheter
US9808281B2 (en) * 2009-05-20 2017-11-07 DePuy Synthes Products, Inc. Patient-mounted retraction
EP2442739A1 (en) * 2009-06-15 2012-04-25 Jackson, Roger P. Longitudinal connecting member with sleeved tensioned cords
EP2756799B1 (en) * 2009-06-26 2016-04-20 Cianna Medical, Inc. System for localizing markers or tissue structures within a body
DE102009034671A1 (en) * 2009-07-24 2011-01-27 Siemens Aktiengesellschaft Computer-aided navigation device for detecting position of object e.g. calibrating-phantom, has coordination system attached to orientation device having reference unit, where image markers are arranged within volume image
DE102009034668A1 (en) * 2009-07-24 2011-01-27 Siemens Aktiengesellschaft Orientation device i.e. whirling clamp, for e.g. registering image data of bone of patient, has reference unit with image markers, where device consists of material transparent to X-ray and/or magnetic resonance imaging
ES2588231T3 (en) * 2009-09-10 2016-10-31 Exactech Inc. Alignment guides for use in computer assisted orthopedic surgery to prepare an element for an implant bone
EP2298223A1 (en) 2009-09-21 2011-03-23 Stryker Leibinger GmbH & Co. KG Technique for registering image data of an object
JP5632922B2 (en) 2009-10-02 2014-11-26 メドトロニック・ゾーメド・インコーポレーテッド Endotracheal tube apparatus
EP2485654A4 (en) * 2009-10-05 2014-07-30 Jackson P Roger Polyaxial bone anchor with non-pivotable retainer and pop-on shank, some with friction fit
FR2952518B1 (en) * 2009-11-13 2011-10-28 Univ Paris 6 Pierre Et Marie Curie Device for measuring an activity of the spinal cord of a vertebrate
CN101700184B (en) * 2009-11-26 2011-01-12 北京天智航技术有限公司 Orthopedic robot navigation device and positioning system
DE102010007653A1 (en) * 2010-02-11 2011-08-11 Siemens Aktiengesellschaft, 80333 Method for image assistance of medical intervention during treatment of patient, involves computing projection parameter valid for receiving position by look-up table determined in preceding calibration process
US20110213379A1 (en) * 2010-03-01 2011-09-01 Stryker Trauma Gmbh Computer assisted surgery system
DE102010016448A1 (en) * 2010-04-14 2011-10-20 Aesculap Ag Orthopedic fixation system and target device for such a fixation system
US8535318B2 (en) 2010-04-23 2013-09-17 DePuy Synthes Products, LLC Minimally invasive instrument set, devices and related methods
WO2011134083A1 (en) 2010-04-28 2011-11-03 Ryerson University System and methods for intraoperative guidance feedback
CN103118596B (en) 2010-05-04 2015-11-25 开创治疗股份有限公司 Using pseudo abdominal surface features matching system
US9084634B1 (en) 2010-07-09 2015-07-21 Theken Spine, Llc Uniplanar screw
JP5564149B2 (en) 2010-07-16 2014-07-30 ストライカー トラウマ ゲーエムベーハー Surgical targeting system and method
FR2963693B1 (en) 2010-08-04 2013-05-03 Medtech Method Acquisition automates and assists anatomical surfaces
US9149615B2 (en) 2010-08-17 2015-10-06 DePuy Synthes Products, Inc. Method and tools for implanted device
US8696549B2 (en) 2010-08-20 2014-04-15 Veran Medical Technologies, Inc. Apparatus and method for four dimensional soft tissue navigation in endoscopic applications
WO2012033532A8 (en) 2010-09-08 2014-03-06 Jackson Roger P Dynamic stabilization members with elastic and inelastic sections
DE102010041564B4 (en) * 2010-09-28 2017-09-14 Siemens Healthcare Gmbh orienting device
EP2637585A4 (en) 2010-11-10 2017-01-18 Jackson Roger P Polyaxial bone anchors with pop-on shank, friction fit fully restrained retainer, insert and tool receiving features
US8617218B2 (en) 2011-05-13 2013-12-31 Warsaw Orthoepdic, Inc. Bone anchor extenders
CN103717159B (en) 2011-05-27 2016-08-17 新特斯有限责任公司 Including minimally invasive spinal fixation system alignment feature vertebrae
US9220510B2 (en) 2011-06-15 2015-12-29 Perception Raisonnement Action En Medecine System and method for bone preparation for an implant
US9498231B2 (en) 2011-06-27 2016-11-22 Board Of Regents Of The University Of Nebraska On-board tool tracking system and methods of computer assisted surgery
CN103826560A (en) 2011-09-23 2014-05-28 罗杰.P.杰克逊 Polyaxial bone anchor with pop-on shank and winged insert with friction fit compressive collet
US9924907B2 (en) * 2011-09-30 2018-03-27 Google Technology Holdings LLC Method and system for identifying location of a touched body part
US9757147B2 (en) 2012-04-11 2017-09-12 Nico Corporation Surgical access system with navigation element and method of using same
US9510771B1 (en) 2011-10-28 2016-12-06 Nuvasive, Inc. Systems and methods for performing spine surgery
FR2983059B1 (en) 2011-11-30 2014-11-28 Medtech Assisted Process positioning robotic surgical instrument relative to the body of a patient and implementation of device.
US9931079B2 (en) 2012-01-04 2018-04-03 Medtronic Xomed, Inc. Clamp for securing a terminal end of a wire to a surface electrode
WO2013126659A1 (en) 2012-02-22 2013-08-29 Veran Medical Technologies, Inc. Systems, methods, and devices for four dimensional soft tissue navigation
US9675321B2 (en) * 2012-04-30 2017-06-13 Christopher Schlenger Ultrasonographic systems and methods for examining and treating spinal conditions
US20130289406A1 (en) * 2012-04-30 2013-10-31 Christopher Schlenger Ultrasonographic Systems For Examining And Treating Spinal Conditions
US9713508B2 (en) * 2012-04-30 2017-07-25 Christopher Schlenger Ultrasonic systems and methods for examining and treating spinal conditions
WO2013169674A1 (en) * 2012-05-08 2013-11-14 OrthAlign, Inc. Devices and methods for intra-operative spinal allignment
EP2863827A4 (en) 2012-06-21 2016-04-20 Globus Medical Inc Surgical robot platform
US9011450B2 (en) 2012-08-08 2015-04-21 DePuy Synthes Products, LLC Surgical instrument
US9008757B2 (en) 2012-09-26 2015-04-14 Stryker Corporation Navigation system including optical and non-optical sensors
US9339309B1 (en) 2012-10-11 2016-05-17 Nuvasive, Inc. Systems and methods for inserting cross-connectors
US8911478B2 (en) 2012-11-21 2014-12-16 Roger P. Jackson Splay control closure for open bone anchor
US9060744B2 (en) 2012-11-29 2015-06-23 Medtronic Xomed, Inc. Endobronchial tube apparatus
US9713437B2 (en) 2013-01-26 2017-07-25 Cianna Medical, Inc. Microwave antenna apparatus, systems, and methods for localizing markers or tissue structures within a body
US8852239B2 (en) 2013-02-15 2014-10-07 Roger P Jackson Sagittal angle screw with integral shank and receiver
US9510875B2 (en) 2013-03-14 2016-12-06 Stryker European Holdings I, Llc Systems and methods for percutaneous spinal fusion
US9827020B2 (en) 2013-03-14 2017-11-28 Stryker European Holdings I, Llc Percutaneous spinal cross link system and method
US9241742B2 (en) * 2013-03-14 2016-01-26 DePuy Synthes Products, Inc. Methods and devices for polyaxial screw alignment
US9913594B2 (en) 2013-03-14 2018-03-13 Medtronic Xomed, Inc. Compliant electrode for EMG endotracheal tube
US20140276000A1 (en) * 2013-03-15 2014-09-18 Vector Sight Inc. Laser Tracking of Surgical Instruments and Implants
US9414859B2 (en) * 2013-04-19 2016-08-16 Warsaw Orthopedic, Inc. Surgical rod measuring system and method
WO2014198784A1 (en) * 2013-06-11 2014-12-18 Minmaxmedical System for the treatment of a planned volume of a body part
US9216275B2 (en) 2013-09-30 2015-12-22 DePuy Synthes Products, Inc. Adjustable height hydrocephalus valve location device
WO2015054543A1 (en) 2013-10-09 2015-04-16 Nuvasive, Inc. Surgical spinal correction
US9848922B2 (en) 2013-10-09 2017-12-26 Nuvasive, Inc. Systems and methods for performing spine surgery
US9566092B2 (en) 2013-10-29 2017-02-14 Roger P. Jackson Cervical bone anchor with collet retainer and outer locking sleeve
US9715739B2 (en) * 2013-11-07 2017-07-25 The Johns Hopkins University Bone fragment tracking
WO2015081027A1 (en) * 2013-11-29 2015-06-04 The Johns Hopkins University Patient-specific trackable cutting guides
US9744050B1 (en) 2013-12-06 2017-08-29 Stryker European Holdings I, Llc Compression and distraction system for percutaneous posterior spinal fusion
US9408716B1 (en) 2013-12-06 2016-08-09 Stryker European Holdings I, Llc Percutaneous posterior spinal fusion implant construction and method
US9717533B2 (en) 2013-12-12 2017-08-01 Roger P. Jackson Bone anchor closure pivot-splay control flange form guide and advancement structure
US9451993B2 (en) 2014-01-09 2016-09-27 Roger P. Jackson Bi-radial pop-on cervical bone anchor
US9597119B2 (en) 2014-06-04 2017-03-21 Roger P. Jackson Polyaxial bone anchor with polymer sleeve
US20160058320A1 (en) 2014-08-28 2016-03-03 DePuy Synthes Products, LLC Systems and methods for intraoperatively measuring anatomical orientation
US9950194B2 (en) 2014-09-09 2018-04-24 Mevion Medical Systems, Inc. Patient positioning system
US9913669B1 (en) 2014-10-17 2018-03-13 Nuvasive, Inc. Systems and methods for performing spine surgery
USD788915S1 (en) * 2014-10-17 2017-06-06 Synaptive Medical (Barbados) Inc. Port tracking tool
US20160262800A1 (en) * 2015-02-13 2016-09-15 Nuvasive, Inc. Systems and methods for planning, performing, and assessing spinal correction during surgery
US9439692B1 (en) 2015-10-09 2016-09-13 Spine Wave, Inc. Minimally invasive spinal fixation system and method therefor
US9554411B1 (en) 2015-12-30 2017-01-24 DePuy Synthes Products, Inc. Systems and methods for wirelessly powering or communicating with sterile-packed devices

Citations (89)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1576781A (en) * 1924-04-22 1926-03-16 Herman B Philips Fluoroscopic fracture apparatus
US3016899A (en) * 1958-11-03 1962-01-16 Carl B Stenvall Surgical instrument
US3017887A (en) * 1960-01-19 1962-01-23 William T Heyer Stereotaxy device
US3073310A (en) * 1957-08-05 1963-01-15 Zenon R Mocarski Surgical instrument positioning device
US3367326A (en) * 1965-06-15 1968-02-06 Calvin H. Frazier Intra spinal fixation rod
US3868565A (en) * 1973-07-30 1975-02-25 Jack Kuipers Object tracking and orientation determination means, system and process
US3941127A (en) * 1974-10-03 1976-03-02 Froning Edward C Apparatus and method for stereotaxic lateral extradural disc puncture
US4314251A (en) * 1979-07-30 1982-02-02 The Austin Company Remote object position and orientation locater
US4317078A (en) * 1979-10-15 1982-02-23 Ohio State University Research Foundation Remote position and orientation detection employing magnetic flux linkage
US4368536A (en) * 1979-12-17 1983-01-11 Siemens Aktiengesellschaft Diagnostic radiology apparatus for producing layer images
US4431005A (en) * 1981-05-07 1984-02-14 Mccormick Laboratories, Inc. Method of and apparatus for determining very accurately the position of a device inside biological tissue
US4572198A (en) * 1984-06-18 1986-02-25 Varian Associates, Inc. Catheter for use with NMR imaging systems
US4642786A (en) * 1984-05-25 1987-02-10 Position Orientation Systems, Ltd. Method and apparatus for position and orientation measurement using a magnetic field and retransmission
US4645343A (en) * 1981-11-11 1987-02-24 U.S. Philips Corporation Atomic resonance line source lamps and spectrophotometers for use with such lamps
US4649504A (en) * 1984-05-22 1987-03-10 Cae Electronics, Ltd. Optical position and orientation measurement techniques
US4651732A (en) * 1983-03-17 1987-03-24 Frederick Philip R Three-dimensional light guidance system for invasive procedures
US4653509A (en) * 1985-07-03 1987-03-31 The United States Of America As Represented By The Secretary Of The Air Force Guided trephine samples for skeletal bone studies
US4719419A (en) * 1985-07-15 1988-01-12 Harris Graphics Corporation Apparatus for detecting a rotary position of a shaft
US4722056A (en) * 1986-02-18 1988-01-26 Trustees Of Dartmouth College Reference display systems for superimposing a tomagraphic image onto the focal plane of an operating microscope
US4722336A (en) * 1985-01-25 1988-02-02 Michael Kim Placement guide
US4727565A (en) * 1983-11-14 1988-02-23 Ericson Bjoern E Method of localization
US4797907A (en) * 1987-08-07 1989-01-10 Diasonics Inc. Battery enhanced power generation for mobile X-ray machine
US4803976A (en) * 1985-10-03 1989-02-14 Synthes Sighting instrument
US4905698A (en) * 1988-09-13 1990-03-06 Pharmacia Deltec Inc. Method and apparatus for catheter location determination
US4989606A (en) * 1987-01-30 1991-02-05 Minnesota Mining And Manufactoring Company Intravascular blood gas sensing system
US4991579A (en) * 1987-11-10 1991-02-12 Allen George S Method and apparatus for providing related images over time of a portion of the anatomy using fiducial implants
US5002058A (en) * 1986-04-25 1991-03-26 Intra-Sonix, Inc. Ultrasonic transducer
US5079699A (en) * 1987-11-27 1992-01-07 Picker International, Inc. Quick three-dimensional display
US5086401A (en) * 1990-05-11 1992-02-04 International Business Machines Corporation Image-directed robotic system for precise robotic surgery including redundant consistency checking
US5099845A (en) * 1989-05-24 1992-03-31 Micronix Pty Ltd. Medical instrument location means
US5178621A (en) * 1991-12-10 1993-01-12 Zimmer, Inc. Two-piece radio-transparent proximal targeting device for a locking intramedullary nail
US5186174A (en) * 1987-05-21 1993-02-16 G. M. Piaff Process and device for the reproducible optical representation of a surgical operation
US5187475A (en) * 1991-06-10 1993-02-16 Honeywell Inc. Apparatus for determining the position of an object
US5188126A (en) * 1989-11-16 1993-02-23 Fabian Carl E Surgical implement detector utilizing capacitive coupling
US5190059A (en) * 1989-11-16 1993-03-02 Fabian Carl E Surgical implement detector utilizing a powered marker
US5197476A (en) * 1989-03-16 1993-03-30 Christopher Nowacki Locating target in human body
US5198877A (en) * 1990-10-15 1993-03-30 Pixsys, Inc. Method and apparatus for three-dimensional non-contact shape sensing
US5197965A (en) * 1992-07-29 1993-03-30 Codman & Shurtleff, Inc. Skull clamp pin assembly
US5198768A (en) * 1989-09-27 1993-03-30 Elscint, Ltd. Quadrature surface coil array
US5279309A (en) * 1991-06-13 1994-01-18 International Business Machines Corporation Signaling device and method for monitoring positions in a surgical operation
US5291199A (en) * 1977-01-06 1994-03-01 Westinghouse Electric Corp. Threat signal detection system
US5295483A (en) * 1990-05-11 1994-03-22 Christopher Nowacki Locating target in human body
US5297549A (en) * 1992-09-23 1994-03-29 Endocardial Therapeutics, Inc. Endocardial mapping system
US5299254A (en) * 1989-11-24 1994-03-29 Technomed International Method and apparatus for determining the position of a target relative to a reference of known co-ordinates and without a priori knowledge of the position of a source of radiation
US5377678A (en) * 1991-09-03 1995-01-03 General Electric Company Tracking system to follow the position and orientation of a device with radiofrequency fields
US5383454A (en) * 1990-10-19 1995-01-24 St. Louis University System for indicating the position of a surgical probe within a head on an image of the head
US5385146A (en) * 1993-01-08 1995-01-31 Goldreyer; Bruce N. Orthogonal sensing for use in clinical electrophysiology
US5385148A (en) * 1993-07-30 1995-01-31 The Regents Of The University Of California Cardiac imaging and ablation catheter
US5386828A (en) * 1991-12-23 1995-02-07 Sims Deltec, Inc. Guide wire apparatus with location sensing member
US5389101A (en) * 1992-04-21 1995-02-14 University Of Utah Apparatus and method for photogrammetric surgical localization
US5391199A (en) * 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US5394457A (en) * 1992-10-08 1995-02-28 Leibinger Gmbh Device for marking body sites for medical examinations
US5399146A (en) * 1993-12-13 1995-03-21 Nowacki; Christopher Isocentric lithotripter
US5400384A (en) * 1993-01-29 1995-03-21 Oec Medical Systems, Inc. Time-based attenuation compensation
US5483961A (en) * 1993-03-19 1996-01-16 Kelly; Patrick J. Magnetic field digitizer for stereotactic surgery
US5484437A (en) * 1988-06-13 1996-01-16 Michelson; Gary K. Apparatus and method of inserting spinal implants
US5485849A (en) * 1994-01-31 1996-01-23 Ep Technologies, Inc. System and methods for matching electrical characteristics and propagation velocities in cardiac tissue
US5487391A (en) * 1994-01-28 1996-01-30 Ep Technologies, Inc. Systems and methods for deriving and displaying the propagation velocities of electrical events in the heart
US5487729A (en) * 1992-07-28 1996-01-30 Cordis Corporation Magnetic guidewire coupling for catheter exchange
US5487757A (en) * 1993-07-20 1996-01-30 Medtronic Cardiorhythm Multicurve deflectable catheter
US5490196A (en) * 1994-03-18 1996-02-06 Metorex International Oy Multi energy system for x-ray imaging applications
US5494034A (en) * 1987-05-27 1996-02-27 Georg Schlondorff Process and device for the reproducible optical representation of a surgical operation
US5592939A (en) * 1995-06-14 1997-01-14 Martinelli; Michael A. Method and system for navigating a catheter probe
US5596228A (en) * 1994-03-10 1997-01-21 Oec Medical Systems, Inc. Apparatus for cooling charge coupled device imaging systems
US5595193A (en) * 1993-02-12 1997-01-21 Walus; Richard L. Tool for implanting a fiducial marker
US5600330A (en) * 1994-07-12 1997-02-04 Ascension Technology Corporation Device for measuring position and orientation using non-dipole magnet IC fields
US5603318A (en) * 1992-04-21 1997-02-18 University Of Utah Research Foundation Apparatus and method for photogrammetric surgical localization
US5711299A (en) * 1996-01-26 1998-01-27 Manwaring; Kim H. Surgical guidance method and system for approaching a target within a body
US5715836A (en) * 1993-02-16 1998-02-10 Kliegis; Ulrich Method and apparatus for planning and monitoring a surgical operation
US5715822A (en) * 1995-09-28 1998-02-10 General Electric Company Magnetic resonance devices suitable for both tracking and imaging
US5718241A (en) * 1995-06-07 1998-02-17 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias with no discrete target
US5729129A (en) * 1995-06-07 1998-03-17 Biosense, Inc. Magnetic location system with feedback adjustment of magnetic field generator
US5727553A (en) * 1996-03-25 1998-03-17 Saad; Saad A. Catheter with integral electromagnetic location identification device
US5727552A (en) * 1996-01-11 1998-03-17 Medtronic, Inc. Catheter and electrical lead location system
US5730129A (en) * 1995-04-03 1998-03-24 General Electric Company Imaging of interventional devices in a non-stationary subject
US5730130A (en) * 1993-02-12 1998-03-24 Johnson & Johnson Professional, Inc. Localization cap for fiducial markers
US5865846A (en) * 1994-11-14 1999-02-02 Bryan; Vincent Human spinal disc prosthesis
US5868675A (en) * 1989-10-05 1999-02-09 Elekta Igs S.A. Interactive system for local intervention inside a nonhumogeneous structure
US5868674A (en) * 1995-11-24 1999-02-09 U.S. Philips Corporation MRI-system and catheter for interventional procedures
US5871487A (en) * 1994-06-24 1999-02-16 Cytotherpeutics, Inc. Microdrive for use in stereotactic surgery
US5871445A (en) * 1993-04-26 1999-02-16 St. Louis University System for indicating the position of a surgical probe within a head on an image of the head
US5871455A (en) * 1996-04-30 1999-02-16 Nikon Corporation Ophthalmic apparatus
US5873822A (en) * 1994-09-15 1999-02-23 Visualization Technology, Inc. Automatic registration system for use with position tracking and imaging system for use in medical applications
US6016439A (en) * 1996-10-15 2000-01-18 Biosense, Inc. Method and apparatus for synthetic viewpoint imaging
US6019725A (en) * 1997-03-07 2000-02-01 Sonometrics Corporation Three-dimensional tracking and imaging system
US6172499B1 (en) * 1999-10-29 2001-01-09 Ascension Technology Corporation Eddy current error-reduced AC magnetic position measurement system
US6348058B1 (en) * 1997-12-12 2002-02-19 Surgical Navigation Technologies, Inc. Image guided spinal surgery guide, system, and method for use thereof
US6351659B1 (en) * 1995-09-28 2002-02-26 Brainlab Med. Computersysteme Gmbh Neuro-navigation system
US6694162B2 (en) * 2001-10-24 2004-02-17 Brainlab Ag Navigated microprobe

Family Cites Families (428)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1735726A (en) 1929-11-12 bornhardt
US2407845A (en) 1943-01-16 1946-09-17 California Inst Res Found Aligning device for tools
US2650588A (en) * 1950-12-29 1953-09-01 Drew Harry Guy Radcliffe Artificial femoral head having an x-ray marker
US2697433A (en) 1951-12-04 1954-12-21 Max A Zehnder Device for accurately positioning and guiding guide wires used in the nailing of thefemoral neck
US3061936A (en) 1959-03-07 1962-11-06 Univ Louvain Stereotaxical methods and apparatus
US3109588A (en) 1962-01-26 1963-11-05 William L Polhemus Celestial computers
US3294083A (en) 1963-08-26 1966-12-27 Alderson Res Lab Inc Dosimetry system for penetrating radiation
DE1238814B (en) 1966-02-23 1967-04-13 Merckle Flugzeugwerke G M B H Inductive angle sensor according to the transformer principle
US3577160A (en) 1968-01-10 1971-05-04 James E White X-ray gauging apparatus with x-ray opaque markers in the x-ray path to indicate alignment of x-ray tube, subject and film
GB1257034A (en) 1968-03-25 1971-12-15
GB1283453A (en) 1969-10-28 1972-07-26 Astra Meditec Ab Catheter
US3644825A (en) 1969-12-31 1972-02-22 Texas Instruments Inc Magnetic detection system for detecting movement of an object utilizing signals derived from two orthogonal pickup coils
US3704707A (en) 1971-04-06 1972-12-05 William X Halloran Orthopedic drill guide apparatus
US3702935A (en) 1971-10-13 1972-11-14 Litton Medical Products Mobile fluoroscopic unit for bedside catheter placement
US3821469A (en) 1972-05-15 1974-06-28 Amperex Electronic Corp Graphical data device
US4017858A (en) 1973-07-30 1977-04-12 Polhemus Navigation Sciences, Inc. Apparatus for generating a nutating electromagnetic field
DE2443558C3 (en) 1974-09-11 1979-08-30 Siemens Ag, 1000 Berlin Und 8000 Muenchen
US3983474A (en) 1975-02-21 1976-09-28 Polhemus Navigation Sciences, Inc. Tracking and determining orientation of object using coordinate transformation means, system and process
US4052620A (en) 1975-11-28 1977-10-04 Picker Corporation Method and apparatus for improved radiation detection in radiation scanning systems
US4054881A (en) 1976-04-26 1977-10-18 The Austin Company Remote object position locater
US4037592A (en) 1976-05-04 1977-07-26 Kronner Richard F Guide pin locating tool and method
US4298874A (en) 1977-01-17 1981-11-03 The Austin Company Method and apparatus for tracking objects
DE2718804C3 (en) 1977-04-27 1979-10-31 Karlheinz Prof. Dr. 3000 Hannover Renner
US4173228A (en) 1977-05-16 1979-11-06 Applied Medical Devices Catheter locating device
US4182312A (en) 1977-05-20 1980-01-08 Mushabac David R Dental probe
US4228799A (en) 1977-09-28 1980-10-21 Anichkov Andrei D Method of guiding a stereotaxic instrument at an intracerebral space target point
US4117337A (en) 1977-11-03 1978-09-26 General Electric Company Patient positioning indication arrangement for a computed tomography system
FR2416480B1 (en) 1978-02-03 1982-02-26 Thomson Csf
DE7805301U1 (en) 1978-02-22 1978-07-06 Howmedica International, Inc. Zweigniederlassung Kiel, 2300 Kiel
US4202349A (en) 1978-04-24 1980-05-13 Jones James W Radiopaque vessel markers
USRE32619E (en) 1978-11-20 1988-03-08 Apparatus and method for nuclear magnetic resonance scanning and mapping
US4256112A (en) 1979-02-12 1981-03-17 David Kopf Instruments Head positioner
US4259725A (en) 1979-03-01 1981-03-31 General Electric Company Cursor generator for use in computerized tomography and other image display systems
US4341220A (en) * 1979-04-13 1982-07-27 Pfizer Inc. Stereotactic surgery apparatus and method
FR2458838B1 (en) 1979-06-06 1982-12-31 Thomson Csf
US4287809A (en) 1979-08-20 1981-09-08 Honeywell Inc. Helmet-mounted sighting system
US4608977A (en) 1979-08-29 1986-09-02 Brown Russell A System using computed tomography as for selective body treatment
US4419012A (en) 1979-09-11 1983-12-06 Elliott Brothers (London) Limited Position measuring system
US4398540A (en) 1979-11-05 1983-08-16 Tokyo Shibaura Denki Kabushiki Kaisha Compound mode ultrasound diagnosis apparatus
US4319136A (en) 1979-11-09 1982-03-09 Jinkins J Randolph Computerized tomography radiograph data transfer cap
DE2948986C2 (en) 1979-12-05 1982-10-28 Siemens Ag, 1000 Berlin Und 8000 Muenchen, De
US4328548A (en) 1980-04-04 1982-05-04 The Austin Company Locator for source of electromagnetic radiation having unknown structure or orientation
EP0039206B1 (en) 1980-04-23 1984-10-10 Inoue-Japax Research Incorporated Magnetic treatment device
DE3022497C2 (en) 1980-06-14 1988-04-28 Philips Patentverwaltung Gmbh, 2000 Hamburg, De
US4346384A (en) 1980-06-30 1982-08-24 The Austin Company Remote object position and orientation locator
US4688037A (en) 1980-08-18 1987-08-18 Mcdonnell Douglas Corporation Electromagnetic communications and switching system
US4339953A (en) 1980-08-29 1982-07-20 Aisin Seiki Company, Ltd. Position sensor
US4638798A (en) 1980-09-10 1987-01-27 Shelden C Hunter Stereotactic method and apparatus for locating and treating or removing lesions
US4328813A (en) * 1980-10-20 1982-05-11 Medtronic, Inc. Brain lead anchoring system
US4358856A (en) 1980-10-31 1982-11-09 General Electric Company Multiaxial x-ray apparatus
DE3042343A1 (en) 1980-11-10 1982-06-09 Philips Patentverwaltung Synthetic formation of defect-free images - by superimposed blurring images of defect on reconstituted multiple perspective images
GB2094590A (en) 1981-02-12 1982-09-15 Univ New York Apparatus for stereotactic surgery
NL8101722A (en) 1981-04-08 1982-11-01 Philips Nv Kontourmeter.
US4710708A (en) 1981-04-27 1987-12-01 Develco Method and apparatus employing received independent magnetic field components of a transmitted alternating magnetic field for determining location
FI64282C (en) 1981-06-04 1983-11-10 Instrumentarium Oy Diagnosapparatur Foer bestaemmande of vaevnadernas structure oc sammansaettning
US4422041A (en) 1981-07-30 1983-12-20 The United States Of America As Represented By The Secretary Of The Army Magnet position sensing system
US4396945A (en) 1981-08-19 1983-08-02 Solid Photography Inc. Method of sensing the position and orientation of elements in space
US4485815A (en) 1982-08-30 1984-12-04 Kurt Amplatz Device and method for fluoroscope-monitored percutaneous puncture treatment
US4457311A (en) 1982-09-03 1984-07-03 Medtronic, Inc. Ultrasound imaging system for scanning the human back
US4506676A (en) 1982-09-10 1985-03-26 Duska Alois A Radiographic localization technique
US4584577A (en) 1982-10-20 1986-04-22 Brookes & Gatehouse Limited Angular position sensor
US4961422A (en) 1983-01-21 1990-10-09 Marchosky J Alexander Method and apparatus for volumetric interstitial conductive hyperthermia
NL8300965A (en) 1983-03-17 1984-10-16 Nicolaas Roelof Snijder A system for study of skeletal parts of the body of a living being, in particular the vertebral column of the human body.
US4613866A (en) 1983-05-13 1986-09-23 Mcdonnell Douglas Corporation Three dimensional digitizer with electromagnetic coupling
NL8302228A (en) 1983-06-22 1985-01-16 Optische Ind De Oude Delft Nv A metering system for using a triangulation principle, which are non-contact measurement of a distance given by a surface contour of an object plane to a reference level.
DE3332642C2 (en) * 1983-09-09 1988-06-16 Ortopedia Gmbh, 2300 Kiel, De
US4618978A (en) * 1983-10-21 1986-10-21 Cosman Eric R Means for localizing target coordinates in a body relative to a guidance system reference frame in any arbitrary plane as viewed by a tomographic image through the body
DE3342675A1 (en) 1983-11-25 1985-06-05 Zeiss Carl Fa Method and apparatus for measuring objects beruehrungslosen
US4753528A (en) 1983-12-13 1988-06-28 Quantime, Inc. Laser archery distance device
US4841967A (en) 1984-01-30 1989-06-27 Chang Ming Z Positioning device for percutaneous needle insertion
US4571834A (en) 1984-02-17 1986-02-25 Orthotronics Limited Partnership Knee laxity evaluator and motion module/digitizer arrangement
US4549555A (en) 1984-02-17 1985-10-29 Orthothronics Limited Partnership Knee laxity evaluator and motion module/digitizer arrangement
US4583538A (en) 1984-05-04 1986-04-22 Onik Gary M Method and apparatus for stereotaxic placement of probes in the body utilizing CT scanner localization
DE8417428U1 (en) 1984-06-08 1984-09-13 Howmedica International, Inc. Zweigniederlassung Kiel, 2300 Kiel, De
US4548208A (en) 1984-06-27 1985-10-22 Medtronic, Inc. Automatic adjusting induction coil treatment device
JPS6149205A (en) 1984-08-16 1986-03-11 Seiko Instr & Electronics Ltd Robot control system
US4889526A (en) 1984-08-27 1989-12-26 Magtech Laboratories, Inc. Non-invasive method and apparatus for modulating brain signals through an external magnetic or electric field to reduce pain
US4617925A (en) 1984-10-01 1986-10-21 Laitinen Lauri V Adapter for definition of the position of brain structures
US4705395A (en) 1984-10-03 1987-11-10 Diffracto Ltd. Triangulation data integrity
US4821206A (en) 1984-11-27 1989-04-11 Photo Acoustic Technology, Inc. Ultrasonic apparatus for positioning a robot hand
US4592352A (en) 1984-11-30 1986-06-03 Patil Arun A Computer-assisted tomography stereotactic system
US4706665A (en) 1984-12-17 1987-11-17 Gouda Kasim I Frame for stereotactic surgery
DE3500605A1 (en) * 1985-01-10 1986-07-10 Hansen Markus Device for measurement of the positions and movements of the mandible relative to the maxillary
DE3508730A1 (en) 1985-03-12 1986-09-18 Siemens Ag Measuring device for medical purposes
US4782239A (en) 1985-04-05 1988-11-01 Nippon Kogaku K. K. Optical position measuring apparatus
US4838265A (en) 1985-05-24 1989-06-13 Cosman Eric R Localization device for probe placement under CT scanner imaging
US4737921A (en) 1985-06-03 1988-04-12 Dynamic Digital Displays, Inc. Three dimensional medical image display system
JPS63500119A (en) 1985-06-14 1988-01-14
US4743771A (en) 1985-06-17 1988-05-10 View Engineering, Inc. Z-axis height measurement system
US4805615A (en) 1985-07-02 1989-02-21 Carol Mark P Method and apparatus for performing stereotactic surgery
US4686997A (en) 1985-07-03 1987-08-18 The United States Of America As Represented By The Secretary Of The Air Force Skeletal bone remodeling studies using guided trephine sample
US4705401A (en) 1985-08-12 1987-11-10 Cyberware Laboratory Inc. Rapid three-dimensional surface digitizer
US4737032A (en) 1985-08-26 1988-04-12 Cyberware Laboratory, Inc. Surface mensuration sensor
US4779212A (en) 1985-09-27 1988-10-18 Levy Nessim I Distance measuring device
US4709156A (en) 1985-11-27 1987-11-24 Ex-Cell-O Corporation Method and apparatus for inspecting a surface
US4794262A (en) 1985-12-03 1988-12-27 Yukio Sato Method and apparatus for measuring profile of three-dimensional object
US4742356A (en) 1985-12-09 1988-05-03 Mcdonnell Douglas Corporation Method and apparatus for determining remote object orientation and position
US4737794A (en) 1985-12-09 1988-04-12 Mcdonnell Douglas Corporation Method and apparatus for determining remote object orientation and position
DE3543867C3 (en) 1985-12-12 1994-10-06 Wolf Gmbh Richard A device for spatial positioning and in the destruction of concrements in body cavities
US4742815A (en) 1986-01-02 1988-05-10 Ninan Champil A Computer monitoring of endoscope
JP2685071B2 (en) 1986-03-10 1997-12-03 三菱電機株式会社 Numerical control device
EP0239409A1 (en) 1986-03-28 1987-09-30 Life Technology Research Foundation Robot for surgical operation
US4760851A (en) * 1986-03-31 1988-08-02 Faro Medical Technologies Inc. 3-dimensional digitizer for skeletal analysis
GB2188846B (en) 1986-04-14 1989-11-29 Jonkopings Lans Landsting Method and apparatus for manufacturing a modified, three-dimensional reproduction of a soft, deformable object
US4977655A (en) 1986-04-25 1990-12-18 Intra-Sonix, Inc. Method of making a transducer
US4862893A (en) 1987-12-08 1989-09-05 Intra-Sonix, Inc. Ultrasonic transducer
US4821731A (en) 1986-04-25 1989-04-18 Intra-Sonix, Inc. Acoustic image system and method
US5078140A (en) 1986-05-08 1992-01-07 Kwoh Yik S Imaging device - aided robotic stereotaxis system
US4822163A (en) 1986-06-26 1989-04-18 Robotic Vision Systems, Inc. Tracking vision sensor
US4723544A (en) 1986-07-09 1988-02-09 Moore Robert R Hemispherical vectoring needle guide for discolysis
US4791934A (en) 1986-08-07 1988-12-20 Picker International, Inc. Computer tomography assisted stereotactic surgery system and method
US4733969A (en) 1986-09-08 1988-03-29 Cyberoptics Corporation Laser probe for determining distance
US4743770A (en) 1986-09-22 1988-05-10 Mitutoyo Mfg. Co., Ltd. Profile-measuring light probe using a change in reflection factor in the proximity of a critical angle of light
US4761072A (en) 1986-09-30 1988-08-02 Diffracto Ltd. Electro-optical sensors for manual control
US4945305A (en) 1986-10-09 1990-07-31 Ascension Technology Corporation Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields
US4849692A (en) 1986-10-09 1989-07-18 Ascension Technology Corporation Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields
US4750487A (en) 1986-11-24 1988-06-14 Zanetti Paul H Stereotactic frame
DE3703422A1 (en) 1987-02-05 1988-08-18 Zeiss Carl Fa Optoelectronic distance sensor
US4745290A (en) 1987-03-19 1988-05-17 David Frankel Method and apparatus for use in making custom shoes
US4804261A (en) 1987-03-27 1989-02-14 Kirschen David G Anti-claustrophobic glasses
US4875478A (en) 1987-04-10 1989-10-24 Chen Harry H Portable compression grid & needle holder
US4793355A (en) 1987-04-17 1988-12-27 Biomagnetic Technologies, Inc. Apparatus for process for making biomagnetic measurements
US4733661A (en) 1987-04-27 1988-03-29 Palestrant Aubrey M Guidance device for C.T. guided drainage and biopsy procedures
US4809694A (en) 1987-05-19 1989-03-07 Ferrara Vincent L Biopsy guide
US4836778A (en) 1987-05-26 1989-06-06 Vexcel Corporation Mandibular motion monitoring system
US4845771A (en) 1987-06-29 1989-07-04 Picker International, Inc. Exposure monitoring in radiation imaging
US4989608A (en) 1987-07-02 1991-02-05 Ratner Adam V Device construction and method facilitating magnetic resonance imaging of foreign objects in a body
FR2618211B1 (en) 1987-07-15 1991-11-15 Chardon Bernard Front lighting device for observing narrow and deep cavities.
US4829373A (en) 1987-08-03 1989-05-09 Vexcel Corporation Stereo mensuration apparatus
US4931056A (en) 1987-09-04 1990-06-05 Neurodynamics, Inc. Catheter guide apparatus for perpendicular insertion into a cranium orifice
JPS6472736A (en) 1987-09-14 1989-03-17 Toshiba Corp Mri apparatus
CA1297952C (en) * 1987-10-05 1992-03-24 Diagnospine Research Inc. Method and equipment for evaluating the flexibility of a human spine
US4869255A (en) 1987-12-04 1989-09-26 Ad-Tech Medical Instrument Corp. Electrical connection device
US4875165A (en) 1987-11-27 1989-10-17 University Of Chicago Method for determination of 3-D structure in biplane angiography
US5027818A (en) 1987-12-03 1991-07-02 University Of Florida Dosimetric technique for stereotactic radiosurgery same
US5251127A (en) 1988-02-01 1993-10-05 Faro Medical Technologies Inc. Computer-aided surgery apparatus
EP0326768A3 (en) * 1988-02-01 1991-01-23 Faro Medical Technologies Inc. Computer-aided surgery apparatus
DE69112538D1 (en) * 1990-07-31 1995-10-05 Faro Medical Technologies Inc Computer-assisted surgical device.
US4951653A (en) 1988-03-02 1990-08-28 Laboratory Equipment, Corp. Ultrasound brain lesioning system
US4869247A (en) 1988-03-11 1989-09-26 The University Of Virginia Alumni Patents Foundation Video tumor fighting system
US4884566A (en) 1988-04-15 1989-12-05 The University Of Michigan System and method for determining orientation of planes of imaging
US5772661A (en) 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
NL8801750A (en) 1988-07-11 1990-02-01 Philips Nv Roentgenonderzoekapparaat with a balanced gantry.
US5050608A (en) 1988-07-12 1991-09-24 Medirand, Inc. System for indicating a position to be operated in a patient's body
US4896673A (en) 1988-07-15 1990-01-30 Medstone International, Inc. Method and apparatus for stone localization using ultrasound imaging
US4860331A (en) 1988-09-12 1989-08-22 Williams John F Image marker device
EP0359733A3 (en) * 1988-09-16 1992-02-26 Aktiebolaget Electrolux Pane wiper assembly, preferably for vehicles
US5265611A (en) 1988-09-23 1993-11-30 Siemens Aktiengellschaft Apparatus for measuring weak, location-dependent and time-dependent magnetic field
DE3886044D1 (en) 1988-09-23 1994-01-13 Siemens Ag Apparatus and method for measurement of weak spatially and time-dependent magnetic fields.
US5099846A (en) 1988-12-23 1992-03-31 Hardy Tyrone L Method and apparatus for video presentation from a variety of scanner imaging sources
US5143076A (en) 1988-12-23 1992-09-01 Tyrone L. Hardy Three-dimensional beam localization microscope apparatus for stereotactic diagnoses or surgery
US5098426A (en) 1989-02-06 1992-03-24 Phoenix Laser Systems, Inc. Method and apparatus for precision laser surgery
US5024226A (en) 1989-08-17 1991-06-18 Critikon, Inc. Epidural oxygen sensor
US5285787A (en) 1989-09-12 1994-02-15 Kabushiki Kaisha Toshiba Apparatus for calculating coordinate data of desired point in subject to be examined
US5257998A (en) 1989-09-20 1993-11-02 Mitaka Kohki Co., Ltd. Medical three-dimensional locating apparatus
US5681260A (en) 1989-09-22 1997-10-28 Olympus Optical Co., Ltd. Guiding apparatus for guiding an insertable body within an inspected object
EP0419729A1 (en) 1989-09-29 1991-04-03 Siemens Aktiengesellschaft Position finding of a catheter by means of non-ionising fields
US5005592A (en) 1989-10-27 1991-04-09 Becton Dickinson And Company Method and apparatus for tracking catheters
DE69026196T2 (en) 1989-11-08 1996-09-05 George S Allen Mechanical arm for an interactive, image-controlled surgery system
US5222499A (en) 1989-11-15 1993-06-29 Allen George S Method and apparatus for imaging the anatomy
US5105829A (en) 1989-11-16 1992-04-21 Fabian Carl E Surgical implement detector utilizing capacitive coupling
US5057095A (en) 1989-11-16 1991-10-15 Fabian Carl E Surgical implement detector utilizing a resonant marker
US5329944A (en) 1989-11-16 1994-07-19 Fabian Carl E Surgical implement detector utilizing an acoustic marker
US5047036A (en) 1989-11-17 1991-09-10 Koutrouvelis Panos G Stereotactic device
US5308352A (en) 1989-11-17 1994-05-03 Koutrouvelis Panos G Stereotactic device
CA2260688A1 (en) * 1989-11-21 1991-05-21 I.S.G. Technologies, Inc. Probe-correlated viewing of anatomical image data
US5080662A (en) 1989-11-27 1992-01-14 Paul Kamaljit S Spinal stereotaxic device and method
FR2655415B1 (en) 1989-12-01 1992-02-21 Sextant Avionique Detector of electromagnetic position and orientation.
US5013317A (en) 1990-02-07 1991-05-07 Smith & Nephew Richards Inc. Medical drill assembly transparent to X-rays and targeting drill bit
US5031203A (en) 1990-02-09 1991-07-09 Trecha Randal R Coaxial laser targeting device for use with x-ray equipment and surgical drill equipment during surgical procedures
US5214615A (en) 1990-02-26 1993-05-25 Will Bauer Three-dimensional displacement of a body with computer interface
FI89132C (en) 1990-04-06 1993-08-25 Orion Yhtymae Oy Foerfarande Foer finnaolsbiopsi eller Foer utfoerande of a vaevnadsmarkering in connection with the arrangement of a Mammography Science Foer utfoerande of foerfarandet
US5224049A (en) 1990-04-10 1993-06-29 Mushabac David R Method, system and mold assembly for use in preparing a dental prosthesis
JP2750201B2 (en) 1990-04-13 1998-05-13 オリンパス光学工業株式会社 Of the endoscope insertion status detecting apparatus
US5253647A (en) 1990-04-13 1993-10-19 Olympus Optical Co., Ltd. Insertion position and orientation state pickup for endoscope
US5107839A (en) 1990-05-04 1992-04-28 Pavel V. Houdek Computer controlled stereotaxic radiotherapy system and method
US5030222A (en) 1990-05-09 1991-07-09 James Calandruccio Radiolucent orthopedic chuck
US5457641A (en) 1990-06-29 1995-10-10 Sextant Avionique Method and apparatus for determining an orientation associated with a mobile system, especially a line of sight inside a helmet visor
US5017139A (en) 1990-07-05 1991-05-21 Mushabac David R Mechanical support for hand-held dental/medical instrument
GB9018660D0 (en) 1990-08-24 1990-10-10 Imperial College Probe system
US5193106A (en) 1990-08-28 1993-03-09 Desena Danforth X-ray identification marker
US5160337A (en) 1990-09-24 1992-11-03 Cosman Eric R Curved-shaped floor stand for use with a linear accelerator in radiosurgery
US6347240B1 (en) 1990-10-19 2002-02-12 St. Louis University System and method for use in displaying images of a body part
US5059789A (en) 1990-10-22 1991-10-22 International Business Machines Corp. Optical position and orientation sensor
FR2668359B1 (en) 1990-10-24 1998-02-20 Gen Electric Cgr Mammograph with a perfected needle holder.
US5823958A (en) 1990-11-26 1998-10-20 Truppe; Michael System and method for displaying a structural data image in real-time correlation with moveable body
JP2715762B2 (en) 1990-11-30 1998-02-18 富士写真光機株式会社 Ultrasonic inspection apparatus
US5054492A (en) 1990-12-17 1991-10-08 Cardiovascular Imaging Systems, Inc. Ultrasonic imaging catheter having rotational image correlation
US5295200A (en) 1991-01-09 1994-03-15 Board Of Regents, The University Of Texas System Method and apparatus for determining the alignment of an object
US5662111A (en) 1991-01-28 1997-09-02 Cosman; Eric R. Process of stereotactic optical navigation
US6006126A (en) * 1991-01-28 1999-12-21 Cosman; Eric R. System and method for stereotactic registration of image scan data
EP0496966A1 (en) * 1991-01-31 1992-08-05 Silvio Carmeli Actuator
US5480439A (en) 1991-02-13 1996-01-02 Lunar Corporation Method for periprosthetic bone mineral density measurement
US5228442A (en) 1991-02-15 1993-07-20 Cardiac Pathways Corporation Method for mapping, ablation, and stimulation using an endocardial catheter
US5161536A (en) 1991-03-22 1992-11-10 Catheter Technology Ultrasonic position indicating apparatus and methods
US5257636A (en) 1991-04-02 1993-11-02 Steven J. White Apparatus for determining position of an endothracheal tube
US5339799A (en) 1991-04-23 1994-08-23 Olympus Optical Co., Ltd. Medical system for reproducing a state of contact of the treatment section in the operation unit
US5107862A (en) 1991-05-06 1992-04-28 Fabian Carl E Surgical implement detector utilizing a powered marker
US5291889A (en) 1991-05-23 1994-03-08 Vanguard Imaging Ltd. Apparatus and method for spatially positioning images
FI93607C (en) 1991-05-24 1995-05-10 John Koivukangas Cutting Remedy
DE9107298U1 (en) 1991-06-13 1991-07-25 Howmedica Gmbh, 2314 Schoenkirchen, De
US5261404A (en) 1991-07-08 1993-11-16 Mick Peter R Three-dimensional mammal anatomy imaging system and method
US5249581A (en) 1991-07-15 1993-10-05 Horbal Mark T Precision bone alignment
US5251635A (en) 1991-09-03 1993-10-12 General Electric Company Stereoscopic X-ray fluoroscopy system using radiofrequency fields
US5265610A (en) 1991-09-03 1993-11-30 General Electric Company Multi-planar X-ray fluoroscopy system using radiofrequency fields
US5211165A (en) 1991-09-03 1993-05-18 General Electric Company Tracking system to follow the position and orientation of a device with radiofrequency field gradients
US5255680A (en) 1991-09-03 1993-10-26 General Electric Company Automatic gantry positioning for imaging systems
US5645065A (en) 1991-09-04 1997-07-08 Navion Biomedical Corporation Catheter depth, position and orientation location system
US5425367A (en) 1991-09-04 1995-06-20 Navion Biomedical Corporation Catheter depth, position and orientation location system
DE4134481C2 (en) 1991-10-18 1998-04-09 Zeiss Carl Fa Surgical microscope for computer-assisted stereotactic microsurgery
US5207688A (en) 1991-10-31 1993-05-04 Medco, Inc. Noninvasive head fixation method and apparatus
US5300080A (en) 1991-11-01 1994-04-05 David Clayman Stereotactic instrument guided placement
US5330485A (en) 1991-11-01 1994-07-19 Clayman David A Cerebral instrument guide frame and procedures utilizing it
US5437277A (en) 1991-11-18 1995-08-01 General Electric Company Inductively coupled RF tracking system for use in invasive imaging of a living body
US5445150A (en) 1991-11-18 1995-08-29 General Electric Company Invasive system employing a radiofrequency tracking system
US5274551A (en) 1991-11-29 1993-12-28 General Electric Company Method and apparatus for real-time navigation assist in interventional radiological procedures
US5371778A (en) 1991-11-29 1994-12-06 Picker International, Inc. Concurrent display and adjustment of 3D projection, coronal slice, sagittal slice, and transverse slice images
US5230623A (en) 1991-12-10 1993-07-27 Radionics, Inc. Operating pointer with interactive computergraphics
US5478341A (en) 1991-12-23 1995-12-26 Zimmer, Inc. Ratchet lock for an intramedullary nail locking bolt
US5233990A (en) 1992-01-13 1993-08-10 Gideon Barnea Method and apparatus for diagnostic imaging in radiation therapy
US5212720A (en) 1992-01-29 1993-05-18 Research Foundation-State University Of N.Y. Dual radiation targeting system
US5320111A (en) 1992-02-07 1994-06-14 Livingston Products, Inc. Light beam locator and guide for a biopsy needle
US5237996A (en) 1992-02-11 1993-08-24 Waldman Lewis K Endocardial electrical mapping catheter
US5306271A (en) 1992-03-09 1994-04-26 Izi Corporation Radiation therapy skin markers
DE4207632C2 (en) 1992-03-11 1995-07-20 Bodenseewerk Geraetetech Apparatus and method for positioning a body part for treatment purposes
DE4207901C3 (en) 1992-03-12 1999-10-07 Aesculap Ag & Co Kg A method and device for representing a work area in a three-dimensional structure
US5318025A (en) 1992-04-01 1994-06-07 General Electric Company Tracking system to monitor the position and orientation of a device using multiplexed magnetic resonance detection
US5271400A (en) 1992-04-01 1993-12-21 General Electric Company Tracking system to monitor the position and orientation of a device using magnetic resonance detection of a sample contained within the device
US5299253A (en) 1992-04-10 1994-03-29 Akzo N.V. Alignment system to overlay abdominal computer aided tomography and magnetic resonance anatomy with single photon emission tomography
US5573533A (en) 1992-04-10 1996-11-12 Medtronic Cardiorhythm Method and system for radiofrequency ablation of cardiac tissue
US5417210A (en) 1992-05-27 1995-05-23 International Business Machines Corporation System and method for augmentation of endoscopic surgery
EP0576187B1 (en) 1992-06-16 1997-11-05 Elbit Ltd. Tracker employing a rotating electromagnetic field
GB9314156D0 (en) 1993-07-08 1993-08-18 Innovative Care Ltd A laser guidance device for use with image intensifiers in surgery
US5307072A (en) 1992-07-09 1994-04-26 Polhemus Incorporated Non-concentricity compensation in position and orientation measurement systems
US5325873A (en) 1992-07-23 1994-07-05 Abbott Laboratories Tube placement verifier system
DE4225112C1 (en) 1992-07-30 1993-12-09 Bodenseewerk Geraetetech Instrument position relative to processing object measuring apparatus - has measuring device for measuring position of instrument including inertia sensor unit
FR2694881B1 (en) 1992-07-31 1996-09-06 Univ Joseph Fourier A method of determining the position of an organ.
EP0655138B1 (en) 1992-08-14 1998-04-29 BRITISH TELECOMMUNICATIONS public limited company Position location system
WO1994004938A1 (en) 1992-08-14 1994-03-03 British Telecommunications Public Limited Company Position location system
US5469847A (en) 1992-09-09 1995-11-28 Izi Corporation Radiographic multi-modality skin markers
US5368030A (en) 1992-09-09 1994-11-29 Izi Corporation Non-invasive multi-modality radiographic surface markers
US5647361A (en) 1992-09-28 1997-07-15 Fonar Corporation Magnetic resonance imaging method and apparatus for guiding invasive therapy
US5375596A (en) 1992-09-29 1994-12-27 Hdc Corporation Method and apparatus for determining the position of catheters, tubes, placement guidewires and implantable ports within biological tissue
US5568384A (en) 1992-10-13 1996-10-22 Mayo Foundation For Medical Education And Research Biomedical imaging and analysis
US5456718A (en) 1992-11-17 1995-10-10 Szymaitis; Dennis W. Apparatus for detecting surgical objects within the human body
US5309913A (en) 1992-11-30 1994-05-10 The Cleveland Clinic Foundation Frameless stereotaxy system
US5517990A (en) 1992-11-30 1996-05-21 The Cleveland Clinic Foundation Stereotaxy wand and tool guide
US5732703A (en) 1992-11-30 1998-03-31 The Cleveland Clinic Foundation Stereotaxy wand and tool guide
US5305091A (en) 1992-12-07 1994-04-19 Oreo Products Inc. Optical coordinate measuring system for large objects
US5353807A (en) 1992-12-07 1994-10-11 Demarco Thomas J Magnetically guidable intubation device
US5427097A (en) 1992-12-10 1995-06-27 Accuray, Inc. Apparatus for and method of carrying out stereotaxic radiosurgery and radiotherapy
US5353795A (en) 1992-12-10 1994-10-11 General Electric Company Tracking system to monitor the position of a device using multiplexed magnetic resonance detection
US5353800A (en) 1992-12-11 1994-10-11 Medtronic, Inc. Implantable pressure sensor lead
WO1994015531A1 (en) 1993-01-18 1994-07-21 The State Of Israel Infra-red vascular angiography system
US5423334A (en) 1993-02-01 1995-06-13 C. R. Bard, Inc. Implantable medical device characterization system
US5448610A (en) 1993-02-09 1995-09-05 Hitachi Medical Corporation Digital X-ray photography device
US5799099A (en) 1993-02-12 1998-08-25 George S. Allen Automatic technique for localizing externally attached fiducial markers in volume images of the head
US5433198A (en) 1993-03-11 1995-07-18 Desai; Jawahar M. Apparatus and method for cardiac ablation
DE69311090D1 (en) 1993-03-19 1997-07-03 Vip Ind Ltd Hot welding processes and suitcases
US5787886A (en) 1993-03-19 1998-08-04 Compass International Incorporated Magnetic field digitizer for stereotatic surgery
DE4310993A1 (en) 1993-04-03 1994-10-06 Philips Patentverwaltung MR imaging method and arrangement for performing the method
US5453686A (en) 1993-04-08 1995-09-26 Polhemus Incorporated Pulsed-DC position and orientation measurement system
DE69424733D1 (en) 1993-04-20 2000-07-06 Gen Electric Graphic digital processing system and real-time video system for improving the representation of body structures during a surgical procedure.
DE69431875T2 (en) * 1993-04-22 2003-05-28 Image Guided Technologies Inc Arrangement for determining the mutual position of the bodies
US5325728A (en) 1993-06-22 1994-07-05 Medtronic, Inc. Electromagnetic flow meter
DE4320754A1 (en) 1993-06-23 1995-01-05 Hoechst Ag Apparatus for applying implants
US5738096A (en) 1993-07-20 1998-04-14 Biosense, Inc. Cardiac electromechanics
DE4328690B4 (en) 1993-08-26 2006-08-17 SDGI Holdings, Inc., Wilmington An intervertebral implant for Wirbelkörperverblockung and implantation instrument for positioning of the intervertebral implant
FR2709656B1 (en) 1993-09-07 1995-12-01 Deemed Int Sa Installation for microsurgical operation desktop and processes involved Óoeuvre by said installation.
DE4330873A1 (en) 1993-09-13 1995-03-16 Zeiss Carl Fa Coordinate measuring instrument with a probe and an electronic system for processing the key signal
US5425382A (en) 1993-09-14 1995-06-20 University Of Washington Apparatus and method for locating a medical tube in the body of a patient
DE9314075U1 (en) 1993-09-17 1994-01-20 Dwl Elektron Systeme Gmbh Means for receiving at least one sonography probe
US5908446A (en) 1994-07-07 1999-06-01 Cardiac Pathways Corporation Catheter assembly, catheter and multi-port introducer for use therewith
DK110193D0 (en) 1993-09-30 1993-09-30 Per Baunsgaard Terminal device
US5558091A (en) 1993-10-06 1996-09-24 Biosense, Inc. Magnetic determination of position and orientation
US5446548A (en) 1993-10-08 1995-08-29 Siemens Medical Systems, Inc. Patient positioning and monitoring system
US5464446A (en) 1993-10-12 1995-11-07 Medtronic, Inc. Brain lead anchoring system
EP0649117A3 (en) 1993-10-15 1996-01-31 George S Allen Method for providing medical images.
US6059718A (en) 1993-10-18 2000-05-09 Olympus Optical Co., Ltd. Endoscope form detecting apparatus in which coil is fixedly mounted by insulating member so that form is not deformed within endoscope
US5840024A (en) 1993-10-18 1998-11-24 Olympus Optical Co., Ltd. Endoscope form detecting apparatus in which coil is fixedly mounted by insulating member so that form is not deformed within endoscope
US5394875A (en) 1993-10-21 1995-03-07 Lewis; Judith T. Automatic ultrasonic localization of targets implanted in a portion of the anatomy
DE69433213D1 (en) 1993-11-10 2003-11-06 Medtronic Cardiorhythm San Jos Catheter with the electrode assembly
DE69434653T2 (en) * 1993-12-08 2007-01-04 Allen, George S., Nashville Hood provided with marks for radiolocation
US5445144A (en) 1993-12-16 1995-08-29 Purdue Research Foundation Apparatus and method for acoustically guiding, positioning, and monitoring a tube within a body
JP3400835B2 (en) 1993-12-20 2003-04-28 テルモ株式会社 Accessory pathway detecting apparatus
WO1995020348A1 (en) 1994-01-28 1995-08-03 Ep Technologies, Inc. Matching electrical characteristics and propagation velocities to locate ablation sites
US5531227A (en) 1994-01-28 1996-07-02 Schneider Medical Technologies, Inc. Imaging device and method
US5444756A (en) 1994-02-09 1995-08-22 Minnesota Mining And Manufacturing Company X-ray machine, solid state radiation detector and method for reading radiation detection information
US5800535A (en) 1994-02-09 1998-09-01 The University Of Iowa Research Foundation Wireless prosthetic electrode for the brain
US5503416A (en) 1994-03-10 1996-04-02 Oec Medical Systems, Inc. Undercarriage for X-ray diagnostic equipment
US5426683A (en) 1994-03-14 1995-06-20 Oec Medical Systems, Inc. One piece C-arm for X-ray diagnostic equipment
DE59408360D1 (en) 1994-03-15 1999-07-08 Siemens Ag A method for receive-side clock supply for digital signals transmitted by means of ATM Video in fiber / coaxial subscriber line networks
GB9405299D0 (en) * 1994-03-17 1994-04-27 Guy S Hospital Improvements in or relating to video-based systems for computer assisted surgery and localisation
DE69408826D1 (en) 1994-03-18 1998-04-09 Schneider Europ Ag A magnetic resonance imaging system for tracking a drug device
US5546949A (en) 1994-04-26 1996-08-20 Frazin; Leon Method and apparatus of logicalizing and determining orientation of an insertion end of a probe within a biotic structure
DE4417944A1 (en) 1994-05-21 1995-11-23 Zeiss Carl Fa A method of correlating different coordinate systems in computer-assisted stereotactic surgery
JP3267054B2 (en) 1994-06-13 2002-03-18 トヨタ自動車株式会社 Solar cell power generation power of the power storage device
US5419325A (en) 1994-06-23 1995-05-30 General Electric Company Magnetic resonance (MR) angiography using a faraday catheter
US5619261A (en) 1994-07-25 1997-04-08 Oec Medical Systems, Inc. Pixel artifact/blemish filter for use in CCD video camera
JP3708121B2 (en) 1994-08-19 2005-10-19 バイオセンス・インコーポレイテッドBiosense, Inc. Diagnosis and handling, as well as the video system of medical equipment
US5999840A (en) 1994-09-01 1999-12-07 Massachusetts Institute Of Technology System and method of registration of three-dimensional data sets
US5531520A (en) 1994-09-01 1996-07-02 Massachusetts Institute Of Technology System and method of registration of three-dimensional data sets including anatomical body data
EP0779790A1 (en) 1994-09-06 1997-06-25 Sims Deltec, Inc. Method and apparatus for location of a catheter tip
US5829444A (en) 1994-09-15 1998-11-03 Visualization Technology, Inc. Position tracking and imaging system for use in medical applications
DE4432891C2 (en) 1994-09-15 2003-11-06 Brainlab Ag Apparatus and mask set of parts for non-invasive stereotactic immobilization in a reproducible position
DE4432890B4 (en) 1994-09-15 2004-02-19 Brainlab Ag A device for detecting the position of the irradiation target points
DE4434519A1 (en) 1994-09-27 1996-03-28 Brainlab Med Computersyst Gmbh Fixing pin for fixing reference system in bone structure, esp. for head ring for neurosurgery
US5695501A (en) 1994-09-30 1997-12-09 Ohio Medical Instrument Company, Inc. Apparatus for neurosurgical stereotactic procedures
US5891157A (en) 1994-09-30 1999-04-06 Ohio Medical Instrument Company, Inc. Apparatus for surgical stereotactic procedures
EP0950379B1 (en) * 1994-10-07 2004-03-31 St. Louis University Device for use with a surgical navigation system
US5611025A (en) 1994-11-23 1997-03-11 General Electric Company Virtual internal cavity inspection system
EP0714636B1 (en) 1994-11-28 2003-04-16 The Ohio State University Interventional medicine apparatus
US5583909C1 (en) 1994-12-20 2001-03-27 Oec Medical Systems Inc C-arm mounting structure for mobile x-ray imaging system
US5762064A (en) 1995-01-23 1998-06-09 Northrop Grumman Corporation Medical magnetic positioning system and method for determining the position of a magnetic probe
US5682890A (en) 1995-01-26 1997-11-04 Picker International, Inc. Magnetic resonance stereotactic surgery with exoskeleton tissue stabilization
EP0723783A1 (en) 1995-01-26 1996-07-31 Siemens Elema AB Device for locating a port on a medical implant
US6143003A (en) * 1995-01-31 2000-11-07 Cosman; Eric R. Repositioner for head, neck, and body
US5947981A (en) 1995-01-31 1999-09-07 Cosman; Eric R. Head and neck localizer
US5971997A (en) 1995-02-03 1999-10-26 Radionics, Inc. Intraoperative recalibration apparatus for stereotactic navigators
US5588430A (en) 1995-02-14 1996-12-31 University Of Florida Research Foundation, Inc. Repeat fixation for frameless stereotactic procedure
US6259943B1 (en) * 1995-02-16 2001-07-10 Sherwood Services Ag Frameless to frame-based registration system
DE19506197A1 (en) 1995-02-23 1996-09-05 Aesculap Ag Method and apparatus for determining the location of a body part
CA2211844C (en) 1995-02-27 2001-01-30 Medtronic, Inc. External patient reference sensor
US5636644A (en) 1995-03-17 1997-06-10 Applied Medical Resources Corporation Method and apparatus for endoconduit targeting
JP3307519B2 (en) 1995-03-24 2002-07-24 株式会社モリタ製作所 Medical x-ray imaging apparatus
US5797849A (en) 1995-03-28 1998-08-25 Sonometrics Corporation Method for carrying out a medical procedure using a three-dimensional tracking and imaging system
US5566681A (en) 1995-05-02 1996-10-22 Manwaring; Kim H. Apparatus and method for stabilizing a body part
US6122541A (en) 1995-05-04 2000-09-19 Radionics, Inc. Head band for frameless stereotactic registration
US5640170A (en) 1995-06-05 1997-06-17 Polhemus Incorporated Position and orientation measuring system having anti-distortion source configuration
US5617857A (en) 1995-06-06 1997-04-08 Image Guided Technologies, Inc. Imaging system having interactive medical instruments and methods
US5752513A (en) 1995-06-07 1998-05-19 Biosense, Inc. Method and apparatus for determining position of object
US5843076A (en) 1995-06-12 1998-12-01 Cordis Webster, Inc. Catheter with an electromagnetic guidance sensor
US5627873B1 (en) 1995-08-04 2000-03-14 Oec Medical Systems Mini c-arm assembly for mobile x-ray imaging system
US5642395A (en) 1995-08-07 1997-06-24 Oec Medical Systems, Inc. Imaging chain with miniaturized C-arm assembly for mobile X-ray imaging system
US5617462A (en) 1995-08-07 1997-04-01 Oec Medical Systems, Inc. Automatic X-ray exposure control system and method of use
US5638819A (en) 1995-08-29 1997-06-17 Manwaring; Kim H. Method and apparatus for guiding an instrument to a target
US5769861A (en) * 1995-09-28 1998-06-23 Brainlab Med. Computersysteme Gmbh Method and devices for localizing an instrument
US5889834A (en) 1995-09-28 1999-03-30 Brainlab Med. Computersysteme Gmbh Blade collimator for radiation therapy
US5772594A (en) 1995-10-17 1998-06-30 Barrick; Earl F. Fluoroscopic image guided orthopaedic surgery system with intraoperative registration
US5697377A (en) 1995-11-22 1997-12-16 Medtronic, Inc. Catheter mapping system and method
DE19547977A1 (en) 1995-12-21 1997-06-26 Zeiss Carl Fa Probe system for coordinate
US5682886A (en) 1995-12-26 1997-11-04 Musculographics Inc Computer-assisted surgical system
DE69835422T2 (en) 1998-01-22 2006-12-21 Biosense Webster, Inc., Diamond Bar Measurement inside the body
US5928248A (en) 1997-02-14 1999-07-27 Biosense, Inc. Guided deployment of stents
US6314310B1 (en) 1997-02-14 2001-11-06 Biosense, Inc. X-ray guided surgical location system with extended mapping volume
US6332089B1 (en) 1996-02-15 2001-12-18 Biosense, Inc. Medical procedures and apparatus using intrabody probes
US5769843A (en) 1996-02-20 1998-06-23 Cormedica Percutaneous endomyocardial revascularization
US5828770A (en) 1996-02-20 1998-10-27 Northern Digital Inc. System for determining the spatial position and angular orientation of an object
DE69733341D1 (en) 1996-02-27 2005-06-30 Biosense Webster Inc Locating process with field-confirmation sequences
US5735278A (en) 1996-03-15 1998-04-07 National Research Council Of Canada Surgical procedure with magnetic resonance imaging
US5868749A (en) 1996-04-05 1999-02-09 Reed; Thomas M. Fixation devices
US5782765A (en) 1996-04-25 1998-07-21 Medtronic, Inc. Medical positioning system
US6194639B1 (en) 1996-05-01 2001-02-27 The University Of Queensland ACC synthase genes from pineapple
US5799055A (en) 1996-05-15 1998-08-25 Northwestern University Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy
US5767699A (en) 1996-05-28 1998-06-16 Sun Microsystems, Inc. Fully complementary differential output driver for high speed digital communications
US6013087A (en) 1996-05-29 2000-01-11 U.S. Philips Corporation Image-guided surgery system
US5767669A (en) 1996-06-14 1998-06-16 Ascension Technology Corporation Magnetic field position and orientation measurement system with dynamic eddy current rejection
US5742394A (en) 1996-06-14 1998-04-21 Ascension Technology Corporation Optical 6D measurement system with two fan shaped beams rotating around one axis
US5767960A (en) 1996-06-14 1998-06-16 Ascension Technology Corporation Optical 6D measurement system with three fan-shaped beams rotating around one axis
US5775322A (en) 1996-06-27 1998-07-07 Lucent Medical Systems, Inc. Tracheal tube and methods related thereto
US6167296A (en) 1996-06-28 2000-12-26 The Board Of Trustees Of The Leland Stanford Junior University Method for volumetric image navigation
US5828725A (en) 1996-07-03 1998-10-27 Eliav Medical Imaging Systems Ltd Processing images for removal of artifacts
US5823192A (en) 1996-07-31 1998-10-20 University Of Pittsburgh Of The Commonwealth System Of Higher Education Apparatus for automatically positioning a patient for treatment/diagnoses
US5820553A (en) 1996-08-16 1998-10-13 Siemens Medical Systems, Inc. Identification system and method for radiation therapy
US5744953A (en) 1996-08-29 1998-04-28 Ascension Technology Corporation Magnetic motion tracker with transmitter placed on tracked object
US5831260A (en) 1996-09-10 1998-11-03 Ascension Technology Corporation Hybrid motion tracker
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
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
DE19639924C1 (en) 1996-09-27 1998-04-30 Siemens Ag Thermally insulating material transparent to high-frequency signals for magnetic resonance diagnosis
US5980535A (en) * 1996-09-30 1999-11-09 Picker International, Inc. Apparatus for anatomical tracking
US5810008A (en) 1996-12-03 1998-09-22 Isg Technologies Inc. Apparatus and method for visualizing ultrasonic images
DE69728142D1 (en) 1997-01-03 2004-04-22 Biosense Inc Catheter with adjustable shape
US6122538A (en) 1997-01-16 2000-09-19 Acuson Corporation Motion--Monitoring method and system for medical devices
DE19703556A1 (en) 1997-01-31 1998-08-06 Philips Patentverwaltung Method and arrangement for determining the position in the X-ray imaging
DE69830719D1 (en) 1997-02-28 2005-08-04 Koninkl Philips Electronics Nv The surgical system with image-guidance
DE29704393U1 (en) * 1997-03-11 1997-07-17 Aesculap Ag An apparatus for pre-operative determination of the position data of Endoprothesenteilen
US5921992A (en) 1997-04-11 1999-07-13 Radionics, Inc. Method and system for frameless tool calibration
DE19751761B4 (en) 1997-04-11 2006-06-22 Brainlab Ag System and method for accurate current sensing of treatment target points
DE19715202B4 (en) 1997-04-11 2006-02-02 Brainlab Ag Referencing with a mouthpiece
US5834759A (en) 1997-05-22 1998-11-10 Glossop; Neil David Tracking device having emitter groups with different emitting directions
US5907395A (en) 1997-06-06 1999-05-25 Image Guided Technologies, Inc. Optical fiber probe for position measurement
CA2240776C (en) 1997-07-18 2006-01-10 Image Guided Technologies, Inc. Improved optical tracking system
US6174330B1 (en) * 1997-08-01 2001-01-16 Schneider (Usa) Inc Bioabsorbable marker having radiopaque constituents
US6226548B1 (en) 1997-09-24 2001-05-01 Surgical Navigation Technologies, Inc. Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US5951475A (en) 1997-09-25 1999-09-14 International Business Machines Corporation Methods and apparatus for registering CT-scan data to multiple fluoroscopic images
US5987960A (en) 1997-09-26 1999-11-23 Picker International, Inc. Tool calibrator
US5999837A (en) 1997-09-26 1999-12-07 Picker International, Inc. Localizing and orienting probe for view devices
EP0904733B1 (en) 1997-09-27 2007-09-19 BrainLAB AG A method and apparatus for recording a three-dimensional image of a body part
US5923727A (en) 1997-09-30 1999-07-13 Siemens Corporate Research, Inc. Method and apparatus for calibrating an intra-operative X-ray system
US5978696A (en) 1997-10-06 1999-11-02 General Electric Company Real-time image-guided placement of anchor devices
US6201387B1 (en) 1997-10-07 2001-03-13 Biosense, Inc. Miniaturized position sensor having photolithographic coils for tracking a medical probe
DE19746092C2 (en) 1997-10-17 2002-09-05 Siemens Ag X-ray system for 3D imaging
US6147480A (en) 1997-10-23 2000-11-14 Biosense, Inc. Detection of metal disturbance
US5882304A (en) 1997-10-27 1999-03-16 Picker Nordstar Corporation Method and apparatus for determining probe location
DE19747427C2 (en) 1997-10-28 1999-12-09 Zeiss Carl Fa A device for bone segment navigation
US6014580A (en) 1997-11-12 2000-01-11 Stereotaxis, Inc. Device and method for specifying magnetic field for surgical applications
US6104944A (en) 1997-11-17 2000-08-15 Martinelli; Michael A. System and method for navigating a multiple electrode catheter
US6149592A (en) 1997-11-26 2000-11-21 Picker International, Inc. Integrated fluoroscopic projection image data, volumetric image data, and surgical device position data
US5938603A (en) 1997-12-01 1999-08-17 Cordis Webster, Inc. Steerable catheter with electromagnetic sensor
US5967982A (en) 1997-12-09 1999-10-19 The Cleveland Clinic Foundation Non-invasive spine and bone registration for frameless stereotaxy
US6073043A (en) 1997-12-22 2000-06-06 Cormedica Corporation Measuring position and orientation using magnetic fields
WO1999049783A1 (en) 1998-03-30 1999-10-07 Biosense Inc. Three-axis coil sensor
US6273896B1 (en) 1998-04-21 2001-08-14 Neutar, Llc Removable frames for stereotactic localization
US6298262B1 (en) 1998-04-21 2001-10-02 Neutar, Llc Instrument guidance for stereotactic surgery
US6118845A (en) 1998-06-29 2000-09-12 Surgical Navigation Technologies, Inc. System and methods for the reduction and elimination of image artifacts in the calibration of X-ray imagers
DE19829230A1 (en) 1998-06-30 2000-03-23 Brainlab Med Computersyst Gmbh Method for detecting external contour of objects being treated; prepares flat image for section of area being treated while specifying external contour spots in image surface of section
DE19829224B4 (en) 1998-06-30 2005-12-15 Brainlab Ag A method for localization of treatment objectives in the area of ​​soft body parts
US6285902B1 (en) 1999-02-10 2001-09-04 Surgical Insights, Inc. Computer assisted targeting device for use in orthopaedic surgery
US6470207B1 (en) 1999-03-23 2002-10-22 Surgical Navigation Technologies, Inc. Navigational guidance via computer-assisted fluoroscopic imaging
DE19917867B4 (en) 1999-04-20 2005-04-21 Brainlab Ag Method and apparatus for image support in the treatment of treatment locations with integration of X-ray detection and navigation system
US6233476B1 (en) 1999-05-18 2001-05-15 Mediguide Ltd. Medical positioning system
US6246231B1 (en) 1999-07-29 2001-06-12 Ascension Technology Corporation Magnetic field permeable barrier for magnetic position measurement system
US6381485B1 (en) 1999-10-28 2002-04-30 Surgical Navigation Technologies, Inc. Registration of human anatomy integrated for electromagnetic localization
EP1257317A4 (en) 1999-10-28 2003-05-28 Winchester Dev Associates Patient-shielding and coil system
US6701179B1 (en) 1999-10-28 2004-03-02 Michael A. Martinelli Coil structures and methods for generating magnetic fields
US6493573B1 (en) 1999-10-28 2002-12-10 Winchester Development Associates Method and system for navigating a catheter probe in the presence of field-influencing objects
US6499488B1 (en) 1999-10-28 2002-12-31 Winchester Development Associates Surgical sensor
US6474341B1 (en) 1999-10-28 2002-11-05 Surgical Navigation Technologies, Inc. Surgical communication and power system
DE19953177A1 (en) 1999-11-04 2001-06-21 Brainlab Ag Method to position patient exactly for radiation therapy or surgery; involves comparing positions in landmarks in X-ray image and reconstructed image date, to determine positioning errors
DE19956814B4 (en) 1999-11-25 2004-07-15 Brainlab Ag Shape detection of treatment devices
US6437567B1 (en) 1999-12-06 2002-08-20 General Electric Company Radio frequency coil for open magnetic resonance imaging system
DE19964016B4 (en) 1999-12-30 2005-06-23 Brainlab Ag Method and apparatus for positioning a body with a position sensor for irradiating
DE10000937B4 (en) 2000-01-12 2006-02-23 Brainlab Ag Intraoperative navigation update
US6490475B1 (en) 2000-04-28 2002-12-03 Ge Medical Systems Global Technology Company, Llc Fluoroscopic tracking and visualization system
US6478802B2 (en) 2000-06-09 2002-11-12 Ge Medical Systems Global Technology Company, Llc Method and apparatus for display of an image guided drill bit
EP1190676B1 (en) 2000-09-26 2003-08-13 BrainLAB AG Device for determining the position of a cutting guide
DE50002672D1 (en) 2000-12-19 2003-07-31 Brainlab Ag Method and apparatus for dental treatment navigationsgestüzten
EP1260179B1 (en) 2001-05-22 2003-03-26 BrainLAB AG X-ray image registration device with a medical navigation system

Patent Citations (101)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1576781A (en) * 1924-04-22 1926-03-16 Herman B Philips Fluoroscopic fracture apparatus
US3073310A (en) * 1957-08-05 1963-01-15 Zenon R Mocarski Surgical instrument positioning device
US3016899A (en) * 1958-11-03 1962-01-16 Carl B Stenvall Surgical instrument
US3017887A (en) * 1960-01-19 1962-01-23 William T Heyer Stereotaxy device
US3367326A (en) * 1965-06-15 1968-02-06 Calvin H. Frazier Intra spinal fixation rod
US3868565A (en) * 1973-07-30 1975-02-25 Jack Kuipers Object tracking and orientation determination means, system and process
US3941127A (en) * 1974-10-03 1976-03-02 Froning Edward C Apparatus and method for stereotaxic lateral extradural disc puncture
US5291199A (en) * 1977-01-06 1994-03-01 Westinghouse Electric Corp. Threat signal detection system
US4314251A (en) * 1979-07-30 1982-02-02 The Austin Company Remote object position and orientation locater
US4317078A (en) * 1979-10-15 1982-02-23 Ohio State University Research Foundation Remote position and orientation detection employing magnetic flux linkage
US4368536A (en) * 1979-12-17 1983-01-11 Siemens Aktiengesellschaft Diagnostic radiology apparatus for producing layer images
US4431005A (en) * 1981-05-07 1984-02-14 Mccormick Laboratories, Inc. Method of and apparatus for determining very accurately the position of a device inside biological tissue
US4645343A (en) * 1981-11-11 1987-02-24 U.S. Philips Corporation Atomic resonance line source lamps and spectrophotometers for use with such lamps
US4651732A (en) * 1983-03-17 1987-03-24 Frederick Philip R Three-dimensional light guidance system for invasive procedures
US4727565A (en) * 1983-11-14 1988-02-23 Ericson Bjoern E Method of localization
US4649504A (en) * 1984-05-22 1987-03-10 Cae Electronics, Ltd. Optical position and orientation measurement techniques
US4642786A (en) * 1984-05-25 1987-02-10 Position Orientation Systems, Ltd. Method and apparatus for position and orientation measurement using a magnetic field and retransmission
US4572198A (en) * 1984-06-18 1986-02-25 Varian Associates, Inc. Catheter for use with NMR imaging systems
US4722336A (en) * 1985-01-25 1988-02-02 Michael Kim Placement guide
US4653509A (en) * 1985-07-03 1987-03-31 The United States Of America As Represented By The Secretary Of The Air Force Guided trephine samples for skeletal bone studies
US4719419A (en) * 1985-07-15 1988-01-12 Harris Graphics Corporation Apparatus for detecting a rotary position of a shaft
US4803976A (en) * 1985-10-03 1989-02-14 Synthes Sighting instrument
US4722056A (en) * 1986-02-18 1988-01-26 Trustees Of Dartmouth College Reference display systems for superimposing a tomagraphic image onto the focal plane of an operating microscope
US5002058A (en) * 1986-04-25 1991-03-26 Intra-Sonix, Inc. Ultrasonic transducer
US4989606A (en) * 1987-01-30 1991-02-05 Minnesota Mining And Manufactoring Company Intravascular blood gas sensing system
US5186174A (en) * 1987-05-21 1993-02-16 G. M. Piaff Process and device for the reproducible optical representation of a surgical operation
US5494034A (en) * 1987-05-27 1996-02-27 Georg Schlondorff Process and device for the reproducible optical representation of a surgical operation
US4797907A (en) * 1987-08-07 1989-01-10 Diasonics Inc. Battery enhanced power generation for mobile X-ray machine
US4991579A (en) * 1987-11-10 1991-02-12 Allen George S Method and apparatus for providing related images over time of a portion of the anatomy using fiducial implants
US5178164A (en) * 1987-11-10 1993-01-12 Allen George S Method for implanting a fiducial implant into a patient
US5094241A (en) * 1987-11-10 1992-03-10 Allen George S Apparatus for imaging the anatomy
US5097839A (en) * 1987-11-10 1992-03-24 Allen George S Apparatus for imaging the anatomy
US5397329A (en) * 1987-11-10 1995-03-14 Allen; George S. Fiducial implant and system of such implants
US5079699A (en) * 1987-11-27 1992-01-07 Picker International, Inc. Quick three-dimensional display
US5484437A (en) * 1988-06-13 1996-01-16 Michelson; Gary K. Apparatus and method of inserting spinal implants
US4905698A (en) * 1988-09-13 1990-03-06 Pharmacia Deltec Inc. Method and apparatus for catheter location determination
US4905698B1 (en) * 1988-09-13 1991-10-01 Pharmacia Deltec Inc
US5197476A (en) * 1989-03-16 1993-03-30 Christopher Nowacki Locating target in human body
US5099845A (en) * 1989-05-24 1992-03-31 Micronix Pty Ltd. Medical instrument location means
US5198768A (en) * 1989-09-27 1993-03-30 Elscint, Ltd. Quadrature surface coil array
US5868675A (en) * 1989-10-05 1999-02-09 Elekta Igs S.A. Interactive system for local intervention inside a nonhumogeneous structure
US5188126A (en) * 1989-11-16 1993-02-23 Fabian Carl E Surgical implement detector utilizing capacitive coupling
US5190059A (en) * 1989-11-16 1993-03-02 Fabian Carl E Surgical implement detector utilizing a powered marker
US5299254A (en) * 1989-11-24 1994-03-29 Technomed International Method and apparatus for determining the position of a target relative to a reference of known co-ordinates and without a priori knowledge of the position of a source of radiation
US5086401A (en) * 1990-05-11 1992-02-04 International Business Machines Corporation Image-directed robotic system for precise robotic surgery including redundant consistency checking
US5295483A (en) * 1990-05-11 1994-03-22 Christopher Nowacki Locating target in human body
US5299288A (en) * 1990-05-11 1994-03-29 International Business Machines Corporation Image-directed robotic system for precise robotic surgery including redundant consistency checking
US5198877A (en) * 1990-10-15 1993-03-30 Pixsys, Inc. Method and apparatus for three-dimensional non-contact shape sensing
US5383454A (en) * 1990-10-19 1995-01-24 St. Louis University System for indicating the position of a surgical probe within a head on an image of the head
US5383454B1 (en) * 1990-10-19 1996-12-31 Univ St Louis System for indicating the position of a surgical probe within a head on an image of the head
US5187475A (en) * 1991-06-10 1993-02-16 Honeywell Inc. Apparatus for determining the position of an object
US5279309A (en) * 1991-06-13 1994-01-18 International Business Machines Corporation Signaling device and method for monitoring positions in a surgical operation
US6024695A (en) * 1991-06-13 2000-02-15 International Business Machines Corporation System and method for augmentation of surgery
US5377678A (en) * 1991-09-03 1995-01-03 General Electric Company Tracking system to follow the position and orientation of a device with radiofrequency fields
US5178621A (en) * 1991-12-10 1993-01-12 Zimmer, Inc. Two-piece radio-transparent proximal targeting device for a locking intramedullary nail
US5386828A (en) * 1991-12-23 1995-02-07 Sims Deltec, Inc. Guide wire apparatus with location sensing member
US5603318A (en) * 1992-04-21 1997-02-18 University Of Utah Research Foundation Apparatus and method for photogrammetric surgical localization
US5389101A (en) * 1992-04-21 1995-02-14 University Of Utah Apparatus and method for photogrammetric surgical localization
US5487729A (en) * 1992-07-28 1996-01-30 Cordis Corporation Magnetic guidewire coupling for catheter exchange
US5197965A (en) * 1992-07-29 1993-03-30 Codman & Shurtleff, Inc. Skull clamp pin assembly
US5297549A (en) * 1992-09-23 1994-03-29 Endocardial Therapeutics, Inc. Endocardial mapping system
US5394457A (en) * 1992-10-08 1995-02-28 Leibinger Gmbh Device for marking body sites for medical examinations
US5385146A (en) * 1993-01-08 1995-01-31 Goldreyer; Bruce N. Orthogonal sensing for use in clinical electrophysiology
US5400384A (en) * 1993-01-29 1995-03-21 Oec Medical Systems, Inc. Time-based attenuation compensation
US5730130A (en) * 1993-02-12 1998-03-24 Johnson & Johnson Professional, Inc. Localization cap for fiducial markers
US5595193A (en) * 1993-02-12 1997-01-21 Walus; Richard L. Tool for implanting a fiducial marker
US5715836A (en) * 1993-02-16 1998-02-10 Kliegis; Ulrich Method and apparatus for planning and monitoring a surgical operation
US5483961A (en) * 1993-03-19 1996-01-16 Kelly; Patrick J. Magnetic field digitizer for stereotactic surgery
US5871445A (en) * 1993-04-26 1999-02-16 St. Louis University System for indicating the position of a surgical probe within a head on an image of the head
US5713946A (en) * 1993-07-20 1998-02-03 Biosense, Inc. Apparatus and method for intrabody mapping
US5480422A (en) * 1993-07-20 1996-01-02 Biosense, Inc. Apparatus for treating cardiac arrhythmias
US5391199A (en) * 1993-07-20 1995-02-21 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias
US5487757A (en) * 1993-07-20 1996-01-30 Medtronic Cardiorhythm Multicurve deflectable catheter
US5385148A (en) * 1993-07-30 1995-01-31 The Regents Of The University Of California Cardiac imaging and ablation catheter
US5399146A (en) * 1993-12-13 1995-03-21 Nowacki; Christopher Isocentric lithotripter
US5487391A (en) * 1994-01-28 1996-01-30 Ep Technologies, Inc. Systems and methods for deriving and displaying the propagation velocities of electrical events in the heart
US5485849A (en) * 1994-01-31 1996-01-23 Ep Technologies, Inc. System and methods for matching electrical characteristics and propagation velocities in cardiac tissue
US5596228A (en) * 1994-03-10 1997-01-21 Oec Medical Systems, Inc. Apparatus for cooling charge coupled device imaging systems
US5490196A (en) * 1994-03-18 1996-02-06 Metorex International Oy Multi energy system for x-ray imaging applications
US5871487A (en) * 1994-06-24 1999-02-16 Cytotherpeutics, Inc. Microdrive for use in stereotactic surgery
US5600330A (en) * 1994-07-12 1997-02-04 Ascension Technology Corporation Device for measuring position and orientation using non-dipole magnet IC fields
US5873822A (en) * 1994-09-15 1999-02-23 Visualization Technology, Inc. Automatic registration system for use with position tracking and imaging system for use in medical applications
US6341231B1 (en) * 1994-09-15 2002-01-22 Visualization Technology, Inc. Position tracking and imaging system for use in medical applications
US6175756B1 (en) * 1994-09-15 2001-01-16 Visualization Technology Inc. Position tracking and imaging system for use in medical applications
US5865846A (en) * 1994-11-14 1999-02-02 Bryan; Vincent Human spinal disc prosthesis
US5730129A (en) * 1995-04-03 1998-03-24 General Electric Company Imaging of interventional devices in a non-stationary subject
US5718241A (en) * 1995-06-07 1998-02-17 Biosense, Inc. Apparatus and method for treating cardiac arrhythmias with no discrete target
US5729129A (en) * 1995-06-07 1998-03-17 Biosense, Inc. Magnetic location system with feedback adjustment of magnetic field generator
US5592939A (en) * 1995-06-14 1997-01-14 Martinelli; Michael A. Method and system for navigating a catheter probe
US6351659B1 (en) * 1995-09-28 2002-02-26 Brainlab Med. Computersysteme Gmbh Neuro-navigation system
US5715822A (en) * 1995-09-28 1998-02-10 General Electric Company Magnetic resonance devices suitable for both tracking and imaging
US5868674A (en) * 1995-11-24 1999-02-09 U.S. Philips Corporation MRI-system and catheter for interventional procedures
US5727552A (en) * 1996-01-11 1998-03-17 Medtronic, Inc. Catheter and electrical lead location system
US5711299A (en) * 1996-01-26 1998-01-27 Manwaring; Kim H. Surgical guidance method and system for approaching a target within a body
US5727553A (en) * 1996-03-25 1998-03-17 Saad; Saad A. Catheter with integral electromagnetic location identification device
US5871455A (en) * 1996-04-30 1999-02-16 Nikon Corporation Ophthalmic apparatus
US6016439A (en) * 1996-10-15 2000-01-18 Biosense, Inc. Method and apparatus for synthetic viewpoint imaging
US6019725A (en) * 1997-03-07 2000-02-01 Sonometrics Corporation Three-dimensional tracking and imaging system
US6348058B1 (en) * 1997-12-12 2002-02-19 Surgical Navigation Technologies, Inc. Image guided spinal surgery guide, system, and method for use thereof
US6172499B1 (en) * 1999-10-29 2001-01-09 Ascension Technology Corporation Eddy current error-reduced AC magnetic position measurement system
US6694162B2 (en) * 2001-10-24 2004-02-17 Brainlab Ag Navigated microprobe

Cited By (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8768437B2 (en) 1998-08-20 2014-07-01 Sofamor Danek Holdings, Inc. Fluoroscopic image guided surgery system with intraoperative registration
US8425522B2 (en) 2000-01-14 2013-04-23 Bonutti Skeletal Innovations Llc Joint replacement method
US9192459B2 (en) 2000-01-14 2015-11-24 Bonutti Skeletal Innovations Llc Method of performing total knee arthroplasty
US9101443B2 (en) 2000-01-14 2015-08-11 Bonutti Skeletal Innovations Llc Methods for robotic arthroplasty
US8784495B2 (en) 2000-01-14 2014-07-22 Bonutti Skeletal Innovations Llc Segmental knee arthroplasty
US8632552B2 (en) 2000-01-14 2014-01-21 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US9795394B2 (en) 2000-01-14 2017-10-24 Bonutti Skeletal Innovations Llc Method for placing implant using robotic system
US8623030B2 (en) 2001-08-28 2014-01-07 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US9763683B2 (en) 2001-08-28 2017-09-19 Bonutti Skeletal Innovations Llc Method for performing surgical procedures using optical cutting guides
US9060797B2 (en) 2001-08-28 2015-06-23 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US8858557B2 (en) 2001-08-28 2014-10-14 Bonutti Skeletal Innovations Llc Method of preparing a femur and tibia in knee arthroplasty
US8840629B2 (en) 2001-08-28 2014-09-23 Bonutti Skeletal Innovations Llc Robotic arthroplasty system including navigation
US8834490B2 (en) 2001-08-28 2014-09-16 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US8641726B2 (en) 2001-08-28 2014-02-04 Bonutti Skeletal Innovations Llc Method for robotic arthroplasty using navigation
US7953471B2 (en) 2004-05-03 2011-05-31 Medtronic Navigation, Inc. Method and apparatus for implantation between two vertebral bodies
US7840256B2 (en) 2005-06-27 2010-11-23 Biomet Manufacturing Corporation Image guided tracking array and method
US20070118139A1 (en) * 2005-10-14 2007-05-24 Cuellar Alberto D System and method for bone resection
US8165659B2 (en) 2006-03-22 2012-04-24 Garrett Sheffer Modeling method and apparatus for use in surgical navigation
US20070270866A1 (en) * 2006-04-13 2007-11-22 General Electric Company Percutaneous Registration-and-Access Tool for Minimally Invasive Spinal Surgery
US8114085B2 (en) 2006-04-13 2012-02-14 General Electric Company Percutaneous registration-and-access tool for minimally invasive spinal surgery
US8934961B2 (en) 2007-05-18 2015-01-13 Biomet Manufacturing, Llc Trackable diagnostic scope apparatus and methods of use
US9775625B2 (en) 2007-06-19 2017-10-03 Biomet Manufacturing, Llc. Patient-matched surgical component and methods of use
US20090021475A1 (en) * 2007-07-20 2009-01-22 Wolfgang Steinle Method for displaying and/or processing image data of medical origin using gesture recognition
US8571637B2 (en) 2008-01-21 2013-10-29 Biomet Manufacturing, Llc Patella tracking method and apparatus for use in surgical navigation
US20090306779A1 (en) * 2008-06-05 2009-12-10 Alphatec Spine, Inc. Modular anterior locking interbody cage
US9216125B2 (en) * 2011-07-22 2015-12-22 Frederick H. Sklar Surgical head holder and surgical accessories for use with same
US20130019877A1 (en) * 2011-07-22 2013-01-24 Sklar Frederick H Surgical head holder and surgical accessories for use with same
WO2013016302A1 (en) * 2011-07-22 2013-01-31 Frederick Sklar Surgical head holder and surgical accessories for use with same
WO2013075500A1 (en) * 2011-11-27 2013-05-30 Zhang Chunlin Following-type spine self-positioning and navigating surgical mechanical hand and positioning method thereof

Also Published As

Publication number Publication date Type
US6226548B1 (en) 2001-05-01 grant
WO1999015097A2 (en) 1999-04-01 application
USRE39133E1 (en) 2006-06-13 grant
US20060009780A1 (en) 2006-01-12 application
WO1999015097A3 (en) 1999-06-17 application
USRE42226E1 (en) 2011-03-15 grant
USRE42194E1 (en) 2011-03-01 grant
USRE45509E1 (en) 2015-05-05 grant
USRE44305E1 (en) 2013-06-18 grant

Similar Documents

Publication Publication Date Title
Anon Computer‐aided endoscopic sinus surgery
US6718194B2 (en) Computer assisted intramedullary rod surgery system with enhanced features
Smith et al. The NeurostationTM—A highly accurate, minimally invasive solution to frameless stereotactic neurosurgery
US6856828B2 (en) CAS bone reference and less invasive installation method thereof
US6697664B2 (en) Computer assisted targeting device for use in orthopaedic surgery
US7237556B2 (en) Image-guided fracture reduction
US6895268B1 (en) Medical workstation, imaging system, and method for mixing two images
Shoham et al. Bone-mounted miniature robot for surgical procedures: Concept and clinical applications
US8644907B2 (en) Method and apparatus for surgical navigation
US6873867B2 (en) Referencing or registering a patient or a patient body part in a medical navigation system by means of irradiation of light points
US6546279B1 (en) Computer controlled guidance of a biopsy needle
US7840254B2 (en) Electromagnetically tracked K-wire device
US7657300B2 (en) Registration of human anatomy integrated for electromagnetic localization
US7107091B2 (en) Multiple bone tracking
Schlenzka et al. Computer-assisted spine surgery
US5980535A (en) Apparatus for anatomical tracking
EP0908146B1 (en) Real-time image-guided placement of anchor devices
US6932823B2 (en) Detachable support arm for surgical navigation system reference array
US20020044631A1 (en) Method for determining a coordinate transformation for use in navigating an object
US8239001B2 (en) Method and apparatus for surgical navigation
US6390982B1 (en) Ultrasonic guidance of target structures for medical procedures
US5517990A (en) Stereotaxy wand and tool guide
EP0326768A2 (en) Computer-aided surgery apparatus
US20070233156A1 (en) Surgical instrument
Eggers et al. Image-to-patient registration techniques in head surgery

Legal Events

Date Code Title Description
AS Assignment

Owner name: SURGICAL NAVIGATION TECHNOLOGIES, INC., COLORADO

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:FOLEY, KEVIN T.;CLAYTON, JOHN B.;MELKANT, ANTHONY;AND OTHERS;REEL/FRAME:016874/0524;SIGNING DATES FROM 19980713 TO 19980901