WO2021084484A3 - Surgical navigation tracker - Google Patents

Surgical navigation tracker Download PDF

Info

Publication number
WO2021084484A3
WO2021084484A3 PCT/IB2020/060187 IB2020060187W WO2021084484A3 WO 2021084484 A3 WO2021084484 A3 WO 2021084484A3 IB 2020060187 W IB2020060187 W IB 2020060187W WO 2021084484 A3 WO2021084484 A3 WO 2021084484A3
Authority
WO
WIPO (PCT)
Prior art keywords
tracker
clamp
mount
base
markers
Prior art date
Application number
PCT/IB2020/060187
Other languages
French (fr)
Other versions
WO2021084484A2 (en
Inventor
Sahil BAWEJA
Ankur BHAGAT
Fadi GHANAM
Rachana Gupta
Ritesh Hooda
Clifford Edwin Lambarth
Varun Sudarshan RAGHU
James G. Walen
Original Assignee
Stryker European Operations Limited
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
Application filed by Stryker European Operations Limited filed Critical Stryker European Operations Limited
Publication of WO2021084484A2 publication Critical patent/WO2021084484A2/en
Publication of WO2021084484A3 publication Critical patent/WO2021084484A3/en

Links

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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions 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
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B90/57—Accessory clamps
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B33—ADDITIVE MANUFACTURING TECHNOLOGY
    • B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y10/00—Processes of additive manufacturing
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B33—ADDITIVE MANUFACTURING TECHNOLOGY
    • B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
    • B33Y80/00—Products made by additive manufacturing
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00—Friction-grip releasable fastenings
    • F16B2/02—Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
    • F16B2/18—Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening using cams, levers, eccentrics, or toggles
    • F16B2/185—Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening using cams, levers, eccentrics, or toggles using levers
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B5/00—Joining sheets or plates, e.g. panels, to one another or to strips or bars parallel to them
    • F16B5/12—Fastening strips or bars to sheets or plates, e.g. rubber strips, decorative strips for motor vehicles, by means of clips
    • F16B5/123—Auxiliary fasteners specially designed for this purpose
    • 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
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00734—Aspects not otherwise provided for battery operated
    • 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
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • 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
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI
    • 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
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • A61B2090/3762—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy using computed tomography systems [CT]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • 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
    • A61B2090/3945—Active visible markers, e.g. light emitting diodes
    • 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
    • A61B2090/397—Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2200/00—Constructional details of connections not covered for in other groups of this subclass
    • F16B2200/10—Details of socket shapes

Landscapes

  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • General Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Mechanical Engineering (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

A surgical navigation tracker, system, and method including a tracker array and mount, which facilitate consistent alignment and position tracking of a powered surgical handpiece are provided. The mount comprises a base having a complementary shape to the surgical instrument and a clamp. The clamp is fixed to the base and may include a latch mounted to a clamp base for selective displacement relative thereto. The latch has a clamp surface configured to engage the surgical instrument. The tracker array may include a tracker frame, which may be coupled to the mount, and plurality of markers. The tracker frame may be manufactured via an additive manufacturing process to optimize shape and surface finish of the tracker to improve performance. More specifically, the tracker frame comprises arms for supporting the markers, which may have a hollow cross-section to reduce weight of the tracker.
PCT/IB2020/060187 2019-10-29 2020-10-29 Surgical navigation tracker, system, and method WO2021084484A2 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201962927279P 2019-10-29 2019-10-29
US62/927,279 2019-10-29
US202063084331P 2020-09-28 2020-09-28
US63/084,331 2020-09-28

Publications (2)

Publication Number Publication Date
WO2021084484A2 WO2021084484A2 (en) 2021-05-06
WO2021084484A3 true WO2021084484A3 (en) 2021-06-10

Family

ID=73498085

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2020/060187 WO2021084484A2 (en) 2019-10-29 2020-10-29 Surgical navigation tracker, system, and method

Country Status (1)

Country Link
WO (1) WO2021084484A2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20230072142A1 (en) * 2021-09-03 2023-03-09 Depuy Ireland Unlimited Company System and method for verification of location during surgery
CN114259299A (en) * 2021-12-21 2022-04-01 武汉联影智融医疗科技有限公司 Holder navigation positioning system and use method thereof

Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3305234A (en) * 1964-12-22 1967-02-21 Newman Dukes & Cline Inc Weight securing means on a bar bell assembly
CH683204A5 (en) * 1991-02-21 1994-01-31 Gudo Ag Fastening large object to wall of building - involves rigid curved part ring and wire loop connected to tensioning device
EP1217224A1 (en) * 2000-12-20 2002-06-26 Skis Rossignol S.A. Clamping device and length adjustable telescopic rod using such a clamping device
US6434507B1 (en) * 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
EP1498688A1 (en) * 2003-07-17 2005-01-19 AXIOS 3D Services GmbH Probe and optical measuring system
EP1741937A1 (en) * 2005-07-05 2007-01-10 Christian Patron Clamping arrangement for swimming pool accessories
US20070016009A1 (en) * 2005-06-27 2007-01-18 Lakin Ryan C Image guided tracking array and method
WO2007038998A1 (en) * 2005-09-20 2007-04-12 Medsys S.A. Device and method for controlling a remote appliance
WO2007051304A1 (en) * 2005-11-03 2007-05-10 Orthosoft Inc. Multifaceted tracker device for computer-assisted surgery
WO2014127814A1 (en) * 2013-02-20 2014-08-28 Brainlab Ag Disposable reflective marker
DE202014103766U1 (en) * 2014-08-14 2014-12-17 Brainlab Ag Marker arrangement for medical navigation
WO2018220050A1 (en) * 2017-05-31 2018-12-06 Medos International Sarl Coupling devices for surgical instruments and related methods
EP3456616A1 (en) * 2017-09-13 2019-03-20 Beijing Mobike Technology Co., Ltd. Seat rod clamp assembly and vehicle
US20190092439A1 (en) * 2017-09-25 2019-03-28 Johnson Outdoors Inc. Back Pack Cinch

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7537664B2 (en) 2002-11-08 2009-05-26 Howmedica Osteonics Corp. Laser-produced porous surface
US20060147332A1 (en) 2004-12-30 2006-07-06 Howmedica Osteonics Corp. Laser-produced porous structure
US8597316B2 (en) 2008-09-05 2013-12-03 Stryker Corporation Cutting accessory for use with a medical/surgical powered handpiece, the accessory having retention features that facilitate the fine or coarse adjustment of the extension of the accessory shaft
AU2015325104B2 (en) 2014-10-01 2019-11-21 Stryker European Operations Holdings Llc Powered surgical tool system including a cutting accessory with a rotating shaft and a nose capable of cooling the shaft
CA3025300A1 (en) 2016-05-23 2017-11-30 Mako Surgical Corp. Systems and methods for identifying and tracking physical objects during a robotic surgical procedure
JP7189939B2 (en) 2017-05-05 2022-12-14 ストライカー・ユーロピアン・オペレーションズ・リミテッド surgical navigation system
EP3593750A1 (en) 2018-04-19 2020-01-15 Stryker European Holdings I, LLC Tracker for a surgical navigation system
AU2020200077B2 (en) 2019-01-07 2024-04-18 Howmedica Osteonics Corp. Support frame

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3305234A (en) * 1964-12-22 1967-02-21 Newman Dukes & Cline Inc Weight securing means on a bar bell assembly
CH683204A5 (en) * 1991-02-21 1994-01-31 Gudo Ag Fastening large object to wall of building - involves rigid curved part ring and wire loop connected to tensioning device
US6434507B1 (en) * 1997-09-05 2002-08-13 Surgical Navigation Technologies, Inc. Medical instrument and method for use with computer-assisted image guided surgery
EP1217224A1 (en) * 2000-12-20 2002-06-26 Skis Rossignol S.A. Clamping device and length adjustable telescopic rod using such a clamping device
EP1498688A1 (en) * 2003-07-17 2005-01-19 AXIOS 3D Services GmbH Probe and optical measuring system
US20070016009A1 (en) * 2005-06-27 2007-01-18 Lakin Ryan C Image guided tracking array and method
EP1741937A1 (en) * 2005-07-05 2007-01-10 Christian Patron Clamping arrangement for swimming pool accessories
WO2007038998A1 (en) * 2005-09-20 2007-04-12 Medsys S.A. Device and method for controlling a remote appliance
WO2007051304A1 (en) * 2005-11-03 2007-05-10 Orthosoft Inc. Multifaceted tracker device for computer-assisted surgery
WO2014127814A1 (en) * 2013-02-20 2014-08-28 Brainlab Ag Disposable reflective marker
DE202014103766U1 (en) * 2014-08-14 2014-12-17 Brainlab Ag Marker arrangement for medical navigation
WO2018220050A1 (en) * 2017-05-31 2018-12-06 Medos International Sarl Coupling devices for surgical instruments and related methods
EP3456616A1 (en) * 2017-09-13 2019-03-20 Beijing Mobike Technology Co., Ltd. Seat rod clamp assembly and vehicle
US20190092439A1 (en) * 2017-09-25 2019-03-28 Johnson Outdoors Inc. Back Pack Cinch

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Publication number Publication date
WO2021084484A2 (en) 2021-05-06

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