WO2012146814A1 - Dispositivo guía para tratamiento de enfermedades óseas - Google Patents
Dispositivo guía para tratamiento de enfermedades óseas Download PDFInfo
- Publication number
- WO2012146814A1 WO2012146814A1 PCT/ES2012/070269 ES2012070269W WO2012146814A1 WO 2012146814 A1 WO2012146814 A1 WO 2012146814A1 ES 2012070269 W ES2012070269 W ES 2012070269W WO 2012146814 A1 WO2012146814 A1 WO 2012146814A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- holes
- patient
- treatment
- templates
- treated
- Prior art date
Links
- 208000020084 Bone disease Diseases 0.000 title claims abstract description 10
- 238000011282 treatment Methods 0.000 claims abstract description 64
- 210000000988 bone and bone Anatomy 0.000 claims description 20
- 239000000463 material Substances 0.000 claims description 8
- 229920000049 Carbon (fiber) Polymers 0.000 claims description 6
- CERQOIWHTDAKMF-UHFFFAOYSA-M Methacrylate Chemical compound CC(=C)C([O-])=O CERQOIWHTDAKMF-UHFFFAOYSA-M 0.000 claims description 6
- 239000004698 Polyethylene Substances 0.000 claims description 6
- 239000004809 Teflon Substances 0.000 claims description 6
- 229920006362 Teflon® Polymers 0.000 claims description 6
- 239000004917 carbon fiber Substances 0.000 claims description 6
- VNWKTOKETHGBQD-UHFFFAOYSA-N methane Chemical compound C VNWKTOKETHGBQD-UHFFFAOYSA-N 0.000 claims description 6
- -1 polyethylene Polymers 0.000 claims description 6
- 229920000573 polyethylene Polymers 0.000 claims description 6
- 239000004800 polyvinyl chloride Substances 0.000 claims description 6
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 5
- 238000003801 milling Methods 0.000 claims description 3
- 238000001356 surgical procedure Methods 0.000 abstract description 8
- 238000000034 method Methods 0.000 description 22
- 238000002591 computed tomography Methods 0.000 description 15
- 210000003414 extremity Anatomy 0.000 description 13
- 206010028980 Neoplasm Diseases 0.000 description 12
- 208000003388 osteoid osteoma Diseases 0.000 description 9
- 208000008798 osteoma Diseases 0.000 description 8
- 230000003902 lesion Effects 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 238000002271 resection Methods 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 238000002059 diagnostic imaging Methods 0.000 description 4
- 210000001624 hip Anatomy 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 238000004458 analytical method Methods 0.000 description 3
- 238000001574 biopsy Methods 0.000 description 3
- 238000006073 displacement reaction Methods 0.000 description 3
- 210000003141 lower extremity Anatomy 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 239000000523 sample Substances 0.000 description 3
- 241000220223 Fragaria Species 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 230000001788 irregular Effects 0.000 description 2
- 230000004807 localization Effects 0.000 description 2
- 235000021012 strawberries Nutrition 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 230000000659 thermocoagulation Effects 0.000 description 2
- 210000001364 upper extremity Anatomy 0.000 description 2
- 208000010392 Bone Fractures Diseases 0.000 description 1
- 208000018084 Bone neoplasm Diseases 0.000 description 1
- 208000034657 Convalescence Diseases 0.000 description 1
- 206010017076 Fracture Diseases 0.000 description 1
- 229910052688 Gadolinium Inorganic materials 0.000 description 1
- 206010064912 Malignant transformation Diseases 0.000 description 1
- 238000005481 NMR spectroscopy Methods 0.000 description 1
- 239000004098 Tetracycline Substances 0.000 description 1
- 230000004308 accommodation Effects 0.000 description 1
- 230000016571 aggressive behavior Effects 0.000 description 1
- 201000007327 bone benign neoplasm Diseases 0.000 description 1
- 210000002449 bone cell Anatomy 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 230000012085 chronic inflammatory response Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 210000003275 diaphysis Anatomy 0.000 description 1
- 238000003748 differential diagnosis Methods 0.000 description 1
- 230000005670 electromagnetic radiation Effects 0.000 description 1
- 230000008029 eradication Effects 0.000 description 1
- 210000002436 femur neck Anatomy 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- UIWYJDYFSGRHKR-UHFFFAOYSA-N gadolinium atom Chemical compound [Gd] UIWYJDYFSGRHKR-UHFFFAOYSA-N 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 238000002675 image-guided surgery Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 210000002414 leg Anatomy 0.000 description 1
- 231100000518 lethal Toxicity 0.000 description 1
- 230000001665 lethal effect Effects 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 230000036212 malign transformation Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 210000002346 musculoskeletal system Anatomy 0.000 description 1
- 229940021182 non-steroidal anti-inflammatory drug Drugs 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 230000011164 ossification Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 230000000649 photocoagulation Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000011477 surgical intervention Methods 0.000 description 1
- 230000009897 systematic effect Effects 0.000 description 1
- 210000004233 talus Anatomy 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 229960002180 tetracycline Drugs 0.000 description 1
- 229930101283 tetracycline Natural products 0.000 description 1
- 235000019364 tetracycline Nutrition 0.000 description 1
- 150000003522 tetracyclines Chemical class 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3411—Needle locating or guiding means using mechanical guide means with a plurality of holes, e.g. holes in matrix arrangement
Definitions
- the present invention refers to a device intended for use as a guide in the treatment of bone disease patients by percutaneous surgery (performed through the skin by, for example, a needle or a drill), said treatment being assisted by one or More medical imaging systems. More specifically, the invention relates to a guide device intended for use in the treatment of radiofrequency assisted by computed tomography (CT) of benign tumors, such as osteoid osteoma.
- CT computed tomography
- Osteoid osteoma is a benign tumor that is characterized by presenting a nest or nidus of osteoid tissue (corresponding to a plot of bone mineralized tissue) with a diameter usually less than 1 cm.
- Osteoid osteoma is a tumor with limited growth potential and without risk of malignant transformation. It represents 11% of benign bone tumors, and 5% of all bone tumors.
- the nidus that characterizes it is formed by a highly vascularized osteoid cellular tissue.
- OO causes an intense and chronic inflammatory response in surrounding tissues, causing a zone of reactive bone formation.
- the characteristic lesion is a small nidus surrounded by dense reactive bone, however, it can be difficult to see on radiographs.
- the nidus is almost always radiolucent (visible before an x-ray source) with an oval shape of only 3-5 mm in diameter, surrounded by a disproportionately large and dense reactive zone.
- the actual tumor tissue is the nidus, so it is necessary to identify it in order to classify a specific lesion with the diagnosis of osteoid osteoma.
- Surgical treatment It is the most widespread technique, except in asymptomatic cases or with little pain, in which the anatomic location of the lesion poses a risk to the patient or in those cases in which the patient chooses to continue prolonged treatment with AI NE'S ( non-steroidal anti-inflammatory drugs) despite the gastrointestinal effects that it entails.
- AI NE'S non-steroidal anti-inflammatory drugs
- radiofrequency treatments which use high frequency electromagnetic radiation to produce thermocoagulation, stand out. Its use as an osteoid osteoma treatment constitutes its first application in the musculoskeletal system. Temperatures of 50 ° C, caused by radiofrequency through, preferably, an electrode that is located close to the OO, held for 30 seconds are lethal to bone cells.
- CT monitoring allows guiding the biopsy needle and the electrode used as a radiofrequency source into the nidus. When it is necessary to cross areas of solid bone, strawberries of small diameter can be used.
- the diameter of the biopsy needle should allow the passage of the radiofrequency electrode, which is usually about 1 mm in diameter.
- the monitoring of the radiofrequency treatment allows to obtain the location of the tumor in an exact way (from images in two planes) and serves as supervisor in the introduction of the probe that emits the radiofrequency.
- the systematics of the interventions carried out by this technique are based on an initial CT scan where the tumor is located through a cutting image, the surgeon takes some external (cutaneous) reference and from there introduces a needle or drill bit trying to cross the tumor.
- This error trial consists of: introduction of the needle, obtaining CT slices, analysis of the position and angulation, externalization of the CT of the patient, rectification of the needle and starting the whole process again until it is right in the location of the nidus. This translates, not only in a high consumption of surgical time to which the patient is subjected, but also in repetitions of CT that means a high radiation reception by the patient.
- the present invention is oriented to solve the aforementioned problems of the prior art.
- An object of the present invention is a device intended for use as a guide in the treatment of bone disease patients through percutaneous surgery, said treatment assisted by one or more medical imaging systems, preferably for application in long bones (upper and lower extremities), which allows locating and guiding the needle-drill used by the surgeon with a high degree of precision, which results in lower radiation exposure of the patient with shorter surgical times.
- a guiding device for the treatment of a patient with bone diseases through the use of a treatment means (for example, a needle or a cannula), comprising:
- an adjustable means of clamping a limb of the treated patient - a positioning means configured to act as a guide for the treatment means in the application of said treatment means to a region of the limb of the treated patient, where the positioning means comprises one or more interchangeable templates perforated with a plurality of holes made along its surface, said holes are intended to accommodate the treatment medium.
- the clamping means prevents unwanted movements of the limb and allows the patient to stabilize in order to introduce the treatment medium (for example, a needle), without deviations from it.
- the guide device comprises an adjustment system equipped with a modular set of adjustable telescopic arms in different lengths, configured to adapt the shape of the clamping means to the end of the treated patient.
- an adjustment system equipped with a modular set of adjustable telescopic arms in different lengths, configured to adapt the shape of the clamping means to the end of the treated patient.
- the fastening means comprises a system of arms connected by bellows or of arms of variable length fixed by means of screws or stops.
- An alternative to the configuration based on telescopic arms is achieved.
- the treatment means comprises one or more of the following elements: a rod, a drill, a milling cutter, a needle, a cannula. This achieves that the device is adaptable to the necessary tools both to reach the treated area, as well as for its analysis and for the treatment of the affected area, which gives the invention great versatility.
- the treatment means comprises a radiofrequency emitting electrode. This achieves a device adaptable to minimally invasive treatment techniques for the patient.
- the positioning means comprises a frame configured to accommodate the perforated templates on the region of the patient to be treated. This achieves a means by which said templates are easily fixed and exchanged without the need for excessive manipulation.
- the spatial distribution of the holes on each perforated template is carried out according to a regular pattern, placing each hole at a fixed distance in relation to the rest of the holes. This achieves great accuracy in the positioning of the treatment medium.
- the interchangeable templates comprise perforations in two or more parallel templates where the positions of the holes in a given template are offset relative to the positions of the holes in the other templates. This achieves a means of continuous displacement of the treatment medium of great precision.
- the perforated templates comprise one or more fixing holes through which fixing rods or drill bits can be introduced to the patient's bone. An additional tool for fixing the device to the patient is thus achieved, which increases the stability of the device during treatment.
- the positioning means preferably a frame, comprises a plurality of holes made in one or more guiding angles of the fixing rods or drills, and where said guiding angles may all be identical, all different, or a combination of groups of holes that share the same guiding angle of the treatment medium.
- the perforated templates comprise one or more location side groove systems preferably configured as asymmetric marking systems, said systems configured to determine, by TAC, the location of the region to be treated and its location. relationship with the rest of the template holes. This is achieved, by triangulating the measurements obtained from the cut images obtained by TAC, the determination of the necessary template and the hole that best locates the area to be treated.
- the clamping means and / or the positioning means are made of one or more radiolucent materials (i.e. they have little attenuation of the x-rays that pass through them), such as Teflon, polyvinyl chloride (PVC), carbon fiber, polyethylene or methacrylate. This achieves that the monitoring image obtained by CT is not hindered by the presence of the device.
- radiolucent materials i.e. they have little attenuation of the x-rays that pass through them
- PVC polyvinyl chloride
- carbon fiber polyethylene or methacrylate
- the perforated templates are made of one or more of the following materials: Teflon, PVC, carbon fiber, polyethylene or methacrylate.
- the clamping means comprises one or more elastic fixations to the patient. This achieves an alternative system for fixing the region of the patient to be treated, especially indicated for irregular structures such as the hand or the hip.
- Another object of the present invention is a perforated template configured to be used in the guiding device described herein.
- Another object of the present invention is a method of treating a patient of bone diseases comprising the use of a device according to the present document.
- Another object of the present invention is a method of treating a bone disease patient that comprises the use of a perforated template according to the present document.
- Figure 1 shows a perspective view of an embodiment of the device of the invention, showing its main elements.
- Figure 2 shows a front sectional view of an embodiment of the device of the invention, showing its main elements.
- Figure 3 shows an embodiment of the device of the invention in which the telescopic arms of the clamping means are configured to allow oblique access to the area to be treated.
- Figure 4 shows a perspective view of an embodiment of a perforated template of the invention, with its main elements.
- Figure 5 shows a preferred embodiment of the invention where the guide device is adapted to the hand of a patient, and where the clamping means comprises a set of elastic fixations to the patient.
- Figure 6 shows a preferred embodiment of the invention where the guide device is adapted to the hip of a patient, and where the fastening means comprises a set of elastic fixations to the patient.
- Figure 7 shows a section of the positioning means, in a preferred embodiment of the invention in which said means comprises a plurality of holes made in one or more guiding angles of the fixing rods or drills.
- the guiding device of the present invention comprises a means of attachment (1) of the limb of the treated patient.
- said fastening means (1) comprises a structure in the form of a three-dimensional frame, said structure configured to support the limb to be treated, so that it remains in a fixed position and suitable for the intervention of the practitioner.
- said three-dimensional structure is composed of two frames, upper and lower, joined by longitudinal elements, as columns.
- the clamping means (1) is constructed with radiolucent materials or resins (that is, they have little attenuation of the X-rays that pass through them), and more preferably materials that allow them to be subjected to sterilization processes, such such as Teflon, PVC, carbon fiber, polyethylene or methacrylate.
- the function of the clamping means (1) is threefold: First, it embraces the limb and stabilizes the intervened limb externally. Secondly, it allows all possible angles necessary for access to the intervened area. For it It has an adjustment system (2), preferably equipped with a modular set of adjustable telescopic arms in different lengths, according to the needs of each intervention, depending, for example, on the type of limb to be treated (allowing its adjustment in thickness and length).
- the selective variation of the heights of the different telescopic components of the adjustment system (2) allows, in addition, the angle variation of the configuration of the clamping means (1) ( Figure 3), thus allowing oblique access to the area to be treated, if necessary.
- other types of adjustment systems are equally possible, such as bellows-linked or variable-length arm systems fixed by screws or stops, as well as other similar systems.
- the clamping means (1) is configured to accommodate a positioning means (3) that acts as a guide for the treatment medium (4) used by the surgeon, whether this means a rod, a drill or a milling cutter. used to access the area to be treated, a biopsy needle (if a sample is to be taken from the treated area) or a cannula that allows the electrode that is used as a radiofrequency source to be housed over the patient's area to be treated.
- a positioning means (3) that acts as a guide for the treatment medium (4) used by the surgeon, whether this means a rod, a drill or a milling cutter. used to access the area to be treated, a biopsy needle (if a sample is to be taken from the treated area) or a cannula that allows the electrode that is used as a radiofrequency source to be housed over the patient's area to be treated.
- the positioning means (3) comprises a frame (5) attachable to the three-dimensional frame structure, and which is arranged in a fixed position on the treated area of the patient, where said frame (5) comprises one or more perforated templates (6) with a plurality of holes (7) made along its surface, where the thickness of said holes (7) preferably corresponds to the thickness of the treatment medium (4) used to treat the affected area.
- the perforated templates are made of materials such as Teflon, PVC, carbon fiber, polyethylene or methacrylate.
- the spatial distribution of the holes (7) over the perforated template (6) is carried out according to a regular pattern, placing each hole at a fixed distance in relation to the remaining holes (7).
- This spacing distance can be very small, of the order of the millimeter, so that, in this way, the doctor who performs the intervention, assisted by the image of the area to be treated by CT, can apply small variations in the position of the treatment medium (4) (by inserting it in the hole corresponding to the area to be treated) with great precision, guaranteeing, by means of the clamping means (1), that the position of said treatment means (4) and / or the patient's limb remains fixed, which greatly facilitates the accuracy in the positioning of the radio frequency source on the radiated area, thereby reducing treatment times by reducing the position error of the treatment medium ( 4), which entails a benefit both for the patient and for the optimization of operating room times in this type of interventions.
- the guide device in order to provide complete coverage of the bone region in an exhaustive manner, can be equipped with a system of interchangeable perforated templates (6). It consists of several templates with perforations in parallel templates located in a millimeter way with discrete displacements of each other, so that simply by changing one or the other template, access is obtained at the exact point. Therefore, without the need to specify micrometric screws or complex mechanisms, the exact location and orientation of any point on the bone surface is achieved.
- the templates can also comprise: a) Fixing holes (8), through which, rods or drill bits will be introduced to the bone to achieve an intrinsic fixing of the assembly.
- Said fixing holes can be located, for example, in the extreme areas of the templates or in their central region, depending on the needs of the treatment to be carried out, b) An arrangement of lateral markings of location (9) to determine by TAC the location of the region to be treated and its relationship with the rest of the holes (7).
- these lateral marks such marks can be, for example, grooves, cones or similar elements
- Figures 5 and 6 show a preferred embodiment of the invention for irregular anatomical structures, such as the hand ( Figure 5) or the hip ( Figure 6), where the guiding device is capable of adapting to said anatomical structures through the use of a clamping means (1) comprising a set of elastic fixations to the patient, instead of an arrangement of adjustable arms.
- a clamping means (1) comprising a set of elastic fixations to the patient, instead of an arrangement of adjustable arms.
- Figure 7 of the present document shows a section of the positioning means (3), in an embodiment of the invention where said positioning means (3) comprises a plurality of holes (10) made in one or more angles, said holes (10) intended for guiding rods or fixation bits to the patient's bone, and where said guiding angles may be all identical, all different, or a combination of groups of holes that share the same angle of guiding the rods.
- This allows the practitioner to have different positioning configurations of the device and, therefore, of application of the treatment medium (4), which gives the invention a great adaptability to different treated regions, as well as to the physical-morphological particularities of each patient.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ESP201130658 | 2011-04-27 | ||
ES201130658A ES2391194B1 (es) | 2011-04-27 | 2011-04-27 | Dispositivo guía para tratamiento de enfermedades óseas. |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2012146814A1 true WO2012146814A1 (es) | 2012-11-01 |
Family
ID=47071643
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/ES2012/070269 WO2012146814A1 (es) | 2011-04-27 | 2012-04-23 | Dispositivo guía para tratamiento de enfermedades óseas |
Country Status (2)
Country | Link |
---|---|
ES (1) | ES2391194B1 (es) |
WO (1) | WO2012146814A1 (es) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2401860A1 (es) * | 2012-12-13 | 2013-04-25 | Javier FERRER TORREGROSA | Dispositivo de guiado y sujeción para cirugía de mínima incisión del pie o mano |
CN104905851A (zh) * | 2015-06-27 | 2015-09-16 | 唐山市人民医院 | 穿刺用模板装置 |
CN108836507A (zh) * | 2018-06-22 | 2018-11-20 | 朱求亮 | 一种用于股骨颈固定的定位装置及其使用方法 |
CN113244518A (zh) * | 2021-07-06 | 2021-08-13 | 真实维度科技控股(珠海)有限公司 | 一种基于多点定位的非共面穿刺模板 |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4642096A (en) * | 1984-06-29 | 1987-02-10 | Katz Harry R | Position locating device and method for interstitial radiotherapy |
US5943719A (en) * | 1996-11-01 | 1999-08-31 | Picker Medical Systems, Ltd. | Method and device for precise invasive procedures |
US20020049443A1 (en) * | 2000-10-20 | 2002-04-25 | Feiler Frederic C. | Percutaneous scaphoid fixation method and guide wire alignment device |
US6589242B1 (en) * | 2000-10-20 | 2003-07-08 | Frederic C. Feiler | Percutaneous scaphoid fixation method and device |
WO2007046938A2 (en) * | 2005-10-19 | 2007-04-26 | Percutaneous Scaphoid, Llc | Percutaneous scaphoid fixation method and device |
WO2010072004A1 (en) * | 2008-12-22 | 2010-07-01 | Datum Medical Inc. | Needle guide |
-
2011
- 2011-04-27 ES ES201130658A patent/ES2391194B1/es not_active Expired - Fee Related
-
2012
- 2012-04-23 WO PCT/ES2012/070269 patent/WO2012146814A1/es active Application Filing
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4642096A (en) * | 1984-06-29 | 1987-02-10 | Katz Harry R | Position locating device and method for interstitial radiotherapy |
US5943719A (en) * | 1996-11-01 | 1999-08-31 | Picker Medical Systems, Ltd. | Method and device for precise invasive procedures |
US20020049443A1 (en) * | 2000-10-20 | 2002-04-25 | Feiler Frederic C. | Percutaneous scaphoid fixation method and guide wire alignment device |
US6589242B1 (en) * | 2000-10-20 | 2003-07-08 | Frederic C. Feiler | Percutaneous scaphoid fixation method and device |
WO2007046938A2 (en) * | 2005-10-19 | 2007-04-26 | Percutaneous Scaphoid, Llc | Percutaneous scaphoid fixation method and device |
WO2010072004A1 (en) * | 2008-12-22 | 2010-07-01 | Datum Medical Inc. | Needle guide |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2401860A1 (es) * | 2012-12-13 | 2013-04-25 | Javier FERRER TORREGROSA | Dispositivo de guiado y sujeción para cirugía de mínima incisión del pie o mano |
WO2014091054A1 (es) * | 2012-12-13 | 2014-06-19 | Javier Ferrer Torregrosa | Dispositivo de guiado y sujeción para cirugía de mínima incisión del pie |
CN104905851A (zh) * | 2015-06-27 | 2015-09-16 | 唐山市人民医院 | 穿刺用模板装置 |
CN108836507A (zh) * | 2018-06-22 | 2018-11-20 | 朱求亮 | 一种用于股骨颈固定的定位装置及其使用方法 |
CN113244518A (zh) * | 2021-07-06 | 2021-08-13 | 真实维度科技控股(珠海)有限公司 | 一种基于多点定位的非共面穿刺模板 |
CN113244518B (zh) * | 2021-07-06 | 2021-10-08 | 真实维度科技控股(珠海)有限公司 | 一种基于多点定位的非共面穿刺模板 |
Also Published As
Publication number | Publication date |
---|---|
ES2391194B1 (es) | 2013-10-02 |
ES2391194A1 (es) | 2012-11-22 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US10952751B2 (en) | Surgical targeting systems and methods | |
US7853311B1 (en) | Surgical targeting system | |
US20170156800A1 (en) | Surgical Targeting Systems and Methods | |
US7225012B1 (en) | Methods and systems for image-guided surgical interventions | |
JP5198271B2 (ja) | 照準装置 | |
Houten et al. | Clinical assessment of percutaneous lumbar pedicle screw placement using the O-arm multidimensional surgical imaging system | |
US9044252B2 (en) | Method for improving pedicles screw placement in spinal surgery | |
US20210169504A1 (en) | Surgical targeting systems and methods | |
US20060235420A1 (en) | Extramedullary fluoroscopic alignment guide | |
AU2001253671A1 (en) | Surgical targeting system | |
BR102013032051A2 (pt) | instrumento para modelagem de implante intra-operatório por meio de fluoroscopia | |
Kim et al. | Registration accuracy enhancement of a surgical navigation system for anterior cruciate ligament reconstruction: A phantom and cadaveric study | |
JP2012500031A (ja) | 軌道ガイド | |
JP2008539028A (ja) | 生体の蝸牛へのアクセスを提供するための画像誘導を使用するシステムおよび方法 | |
US20230248448A1 (en) | Intraoperative fluoroscopic registration of vertebral bodies | |
WO2012146814A1 (es) | Dispositivo guía para tratamiento de enfermedades óseas | |
Kahler et al. | Evaluation of a computer integrated surgical technique for percutaneous fixation of transverse acetabular fractures | |
Khoury et al. | Computerized fluoroscopic-based navigation-assisted intramedullary nailing | |
US20080013678A1 (en) | Device for Placing Instruments or Implants in Body Organs | |
Saidi | Potential use of computer navigation in the treatment of primary benign and malignant tumors in children | |
Sahovaler et al. | Automatic registration and error color maps to improve accuracy for navigated bone tumor surgery using intraoperative cone-beam CT | |
Rosenberger et al. | Accuracy of minimally invasive navigated acetabular and iliosacral fracture stabilization using a targeting and noninvasive registration device | |
Bale et al. | Stereotactic CT-guided percutaneous stabilization of posterior pelvic ring fractures: a preclinical cadaver study | |
WO2018226224A1 (en) | Surgical targeting systems and methods | |
US10716632B2 (en) | System and technique for accessing extra articular lesions or abnormalities or intra osseous lesions or bone marrow lesions |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 12777653 Country of ref document: EP Kind code of ref document: A1 |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
WPC | Withdrawal of priority claims after completion of the technical preparations for international publication |
Ref document number: P201130658 Country of ref document: ES Date of ref document: 20131025 Free format text: WITHDRAWN AFTER TECHNICAL PREPARATION FINISHED |
|
122 | Ep: pct application non-entry in european phase |
Ref document number: 12777653 Country of ref document: EP Kind code of ref document: A1 |