WO2018093124A3 - 맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램 - Google Patents

맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램 Download PDF

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WO2018093124A3
WO2018093124A3 PCT/KR2017/012906 KR2017012906W WO2018093124A3 WO 2018093124 A3 WO2018093124 A3 WO 2018093124A3 KR 2017012906 W KR2017012906 W KR 2017012906W WO 2018093124 A3 WO2018093124 A3 WO 2018093124A3
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data
surgical guide
customized surgical
generating
point
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French (fr)
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WO2018093124A2 (ko
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김남국
김국배
고범석
이상욱
안세현
손병호
이종원
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재단법인 아산사회복지재단
울산대학교 산학협력단
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Priority to EP17870686.7A priority Critical patent/EP3542742B1/en
Priority to AU2017361460A priority patent/AU2017361460B2/en
Priority to JP2019526302A priority patent/JP6867486B2/ja
Publication of WO2018093124A2 publication Critical patent/WO2018093124A2/ko
Publication of WO2018093124A3 publication Critical patent/WO2018093124A3/ko
Priority to US16/414,422 priority patent/US11154362B2/en
Priority to AU2020210171A priority patent/AU2020210171B2/en
Priority to AU2022221566A priority patent/AU2022221566A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00796—Breast surgery
    • A61B2017/008—Removal of tumors
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108—Computer aided selection or customisation of medical implants or cutting guides
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3933—Liquid markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/395—Visible markers with marking agent for marking skin or other tissue

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Neurosurgery (AREA)
  • Robotics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Stored Programmes (AREA)
  • Electrotherapy Devices (AREA)
  • Laser Surgery Devices (AREA)

Abstract

본 발명은 맞춤형 수술가이드 장치와 맞춤형 수술가이드 생성방법 및 프로그램에 관한 것이다. 본 발명의 다른 일실시예에 따른 맞춤형 수술가이드 생성방법은, 컴퓨터가 의료영상데이터로부터 신체표면데이터 및 치료영역데이터를 획득하는 단계(S100); 상기 신체표면데이터를 기반으로 상기 제1형상데이터를 생성하되, 상기 제1형상데이터는 신체부위커버의 형상에 상응하는 데이터인, 제1형상데이터생성단계(S300); 하나 이상의 타겟지점을 설정하되, 상기 타겟지점은 치료대상영역의 내부 또는 표면에 해당되는 지점인, 타겟지점설정단계(S500); 상기 타겟지점으로 상기 의료용도구가 접근 가능한 신체표면 상의 각각의 제1지점을 설정하는 단계(S700); 상기 제1지점으로부터 상기 타겟지점까지의 거리를 기반으로 가이드관 길이를 설정하는 단계(S900); 및 상기 제1지점에 상기 가이드관 길이를 적용하여, 상기 제1형상데이터에 하나 이상의 가이드관을 결합한 최종형상데이터를 생성하는 단계(S1100);를 포함한다.
PCT/KR2017/012906 2016-11-16 2017-11-15 맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램 WO2018093124A2 (ko)

Priority Applications (6)

Application Number Priority Date Filing Date Title
EP17870686.7A EP3542742B1 (en) 2016-11-16 2017-11-15 Customized surgical guide
AU2017361460A AU2017361460B2 (en) 2016-11-16 2017-11-15 Customized surgical guide and customized surgical guide generating method and generating program
JP2019526302A JP6867486B2 (ja) 2016-11-16 2017-11-15 オーダーメイド手術ガイド、オーダーメイド手術ガイド生成方法及び生成プログラム
US16/414,422 US11154362B2 (en) 2016-11-16 2019-05-16 Customized surgical guide and customized surgical guide generating method and generating program
AU2020210171A AU2020210171B2 (en) 2016-11-16 2020-07-28 Customized surgical guide and customized surgical guide generating method and generating program
AU2022221566A AU2022221566A1 (en) 2016-11-16 2022-08-26 Customized surgical guide and customized surgical guide generating method and generating program

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020160152885A KR101900785B1 (ko) 2016-11-16 2016-11-16 맞춤형 수술가이드, 및 맞춤형 수술가이드 생성방법 및 생성프로그램
KR10-2016-0152885 2016-11-16

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US16/414,422 Continuation US11154362B2 (en) 2016-11-16 2019-05-16 Customized surgical guide and customized surgical guide generating method and generating program

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WO2018093124A3 true WO2018093124A3 (ko) 2018-08-09

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US (1) US11154362B2 (ko)
EP (1) EP3542742B1 (ko)
JP (3) JP6867486B2 (ko)
KR (1) KR101900785B1 (ko)
AU (3) AU2017361460B2 (ko)
WO (1) WO2018093124A2 (ko)

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JP6867486B2 (ja) 2021-04-28
AU2017361460A1 (en) 2019-06-20
JP2019535413A (ja) 2019-12-12
AU2017361460B2 (en) 2020-04-30
JP2023052907A (ja) 2023-04-12
JP2021079121A (ja) 2021-05-27
US11154362B2 (en) 2021-10-26
EP3542742A4 (en) 2019-09-25
KR101900785B1 (ko) 2018-09-20
AU2020210171A1 (en) 2020-08-13
AU2022221566A1 (en) 2022-09-22
WO2018093124A2 (ko) 2018-05-24
EP3542742B1 (en) 2020-12-16
US20190269460A1 (en) 2019-09-05
EP3542742A2 (en) 2019-09-25
KR20180055260A (ko) 2018-05-25
AU2020210171B2 (en) 2022-05-26

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