Apparatus and method for targeting for surgical procedures
First Claim
1. A targeting instrument adapted for use by a surgeon for performing surgical procedures or identifying anatomical targets on a patient comprising a main body having an indicating portion, said indicating portion having a predetermined configuration and size, said main body being substantially planar.
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Accused Products
Abstract
A targeting instrument that consists of an indicating surface that is a planar body that can be placed so as to lie on the skin of a patient or placed in a cavity in the patient where an operation is being performed by a surgeon, so as to align the operation site with the target being operated on by the surgeon. The targeting instrument can be dimensioned to match the size and shape of the cannula or the desired size of the surgical exposure and can include a stencil configuration to allow the surgeon to inscribe the target area on the skin of the patient. The targeting instrument may include a handle. The method of use is to insert the targeting instrument in the location where the target of the operation is and to hone in on the target with the use of an imaging device. In one method of use this will align the target, select the entry incision and allowing the surgeon to make an accurate and minimally sized incision. In other methods of use, the targeting instrument can be placed in proximity to the skin or thereon of the patient for locating anatomical targets, for localizing bony anatomy
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Citations
34 Claims
- 1. A targeting instrument adapted for use by a surgeon for performing surgical procedures or identifying anatomical targets on a patient comprising a main body having an indicating portion, said indicating portion having a predetermined configuration and size, said main body being substantially planar.
- 4. A targeting instrument adapted for use in aligning the incision to be made on a patient by a surgeon with the location of the anatomical target that is being operated on by the surgeon, including a generally planar body having a particular configuration that is sized and shaped to minimize the incision and operative area of the patient.
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9. A targeting instrument as claimed 4 wherein said configuration includes a stencil portion for guiding a pen to insert a mark on the skin of a patient.
- 12. A targeting instrument adapted for locating the anatomical target of a patient including a generally planar body portion having a particular configuration, a handle attached to said planar body portion, and indicia indicative of the length of the location of the planar body portion on said handle.
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19. The method of targeting an anatomical location for performing an operation on a patient where the incision is at a minimal size including the steps of:
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i) providing a targeting instrument that is configured to lie on the skin of a patient and to locate the incision to be made;
ii) placing the targeting instrument on the skin of the patient in the vicinity of the location of the anticipated anatomical target;
iii) providing an imaging device to view the anatomical target and the targeting instrument and positioning the targeting instrument to align with the anatomical target. - View Dependent Claims (20, 21, 22, 23, 24)
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25. The method for localizing bony anatomy of a patient including the steps of:
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i) providing a targeting instrument with a handle, holding the instrument on or above the skin of the patient so that the indicating portion of the instrument overlies the anatomical target location;
ii) providing an imaging instrument; and
iii) positioning the targeting instrument until the bony anatomy is localized.
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26. The method of targeting the spine of a patient including the steps
i) providing a targeting instrument that includes an indicating portion attached to a handle; -
ii) providing an imaging device iii) holding the targeting instrument so that the indicating portion is located between the anatomical target of the patient and the imaging device.
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27. The method for operating on a patient for performing spinal surgery and reducing the likelihood of operating on the wrong vertebral level comprising the steps of:
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i) providing an imaging device;
ii) providing a targeting instrument that is configured to be placed between the patient and the imaging device;
iii) placing the targeting instrument on or near the patient in the vicinity of the location of the anticipated anatomical target and/or the surgical incision site;
iv) viewing the anatomy of the patient and the targeting instrument through the imaging device and portioning the targeting instrument to align with the anatomical target.
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28. The method of obtaining the entry point of the patient to perform a surgical procedure including the steps of:
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i) providing a targeting instrument that is capable of being held by the hand of the user;
ii) providing an imaging device;
iii) placing the targeting instrument between the imaging device and the anatomical target of the surgical procedure;
iv) aligning the targeting device with the anatomical imaging device obtained from the step of placing.
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- 29. A targeting instrument adapted for locating the anatomical target of a patient including a generally planar body portion having a particular configuration, said particular configuration being selected to match the size and/or dimension of the surgical exposure.
Specification
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- Resources
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Current AssigneeDepuy Spine Incorporated (Johnson & Johnson)
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Original AssigneeDepuy Spine Incorporated (Johnson & Johnson)
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InventorsSimonson, Robert E.
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Application NumberUS10/112,784Publication NumberTime in Patent OfficeDaysField of SearchUS Class Current606/53CPC Class CodesA61B 17/1703 using imaging means, e.g. b...A61B 17/1757 for the spineA61B 2090/395 with marking agent for mark...A61B 90/39 Markers, e.g. radio-opaque ...
