Methods and apparatuses for providing a navigational array

• US 20050109855A1
• Filed: 11/19/2004
• Published: 05/26/2005
• Est. Priority Date: 11/25/2003
• Status: Abandoned Application

• Current Assignee: Daniel Mccombs
• Original Assignee: Daniel Mccombs
• Inventors: McCombs, Daniel
• Application Number:
  US10/993,081
• Publication Number:
  US 20050109855A1
• Time in Patent Office: Days
• US Class Current: 236/100
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

Methods and apparatuses for providing a navigational array for use with a computer-aided surgical navigation system. A navigational array according to an embodiment of the present invention is configured to provide a plurality of fiducial members comprising portions capable of being sensed by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system. The array can include a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system. The array can also include a mount adapted to support the navigational array adjacent to an object, a surgical instrument, or a joint replacement prosthesis; whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors.

Claims

1. A navigational array for use by a computer-aided surgical navigation system, wherein the navigational array can be positioned for sensing by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system, the navigational array comprising:

a plurality of fiducial members adapted to be sensed by a computer-aided surgical navigation system;

a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system; and

a mount adapted to support the navigational array adjacent to an object;

whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors.

2. The navigational array of claim 1, wherein at least three of the fiducial members are oriented in a flat, coplanar, Y-shaped configuration, and a fourth fiducial member is orthogonally oriented to each of the other three fiducial members.

3. The navigational array of claim 1, wherein at least a portion of each fiducial member can be sensed by the computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

4. The navigational array of claim 1, wherein each fiducial member comprises a respective fiducial marker.

5. The navigational array of claim 4, wherein the fiducial markers can be sensed by a computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

6. The navigational array of claim 4, wherein the fiducial markers can be at least one of the following:

a geometric shape, a sphere, a block, and a plate.

7. The navigational array of claim 1, wherein the mount can be mounted to at least one of the following:

a portion of a patient'"'"'s body, a surgical instrument, a surgical item, an item associated with a surgery.

8. The navigational array of claim 1, wherein the mount comprises at least one of the following:

a pronged connector, a magnet, a threaded connector, an adhesive, and a bone screw.

9. A method for performing a surgical procedure using a navigational array and a computer-aided surgical navigation system, wherein the navigational array can be positioned for sensing by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system, the method comprising:

(a) mounting a navigational array adjacent to an object, wherein the navigational array comprises;

(i) a plurality of fiducial members adapted to be sensed by the computer-aided surgical navigation system;

(ii) a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system;

(iii) a mount adapted to support the navigational array adjacent to an object; and

(iv) whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors;

(b) sensing a portion of at least three of the fiducial members by a computer-aided surgical navigation system; and

(c) determining a position associated with the object based in part on sensing the portions of the at least three of the fiducial members.

10. The method of claim 9, wherein at least three of the fiducial members are oriented in a flat, coplanar, Y-shaped configuration, and a fourth fiducial member is orthogonally oriented to each of the other three fiducial members.

11. The method of claim 9, wherein at least a portion of each fiducial member can be sensed by the computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

12. The method of claim 9, wherein each fiducial member comprises a respective fiducial marker.

13. The method of claim 12, wherein the fiducial markers can be sensed by a computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

14. The method of claim 12, wherein the fiducial markers can be at least one of the following:

a geometric shape, a sphere, a block, and a plate.

15. The method of claim 9, wherein the mount can be mounted to at least one of the following:

a portion of a patient'"'"'s body, a surgical instrument, a surgical item, an item associated with a surgery.

16. The method of claim 9, wherein the mount comprises at least one of the following:

a pronged connector, a magnet, a threaded connector, an adhesive, and a bone screw.

17. An apparatus for use by a computer-aided surgical navigation system, wherein the apparatus can be positioned for sensing by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the apparatus by the system, the system comprising:

(a) a surgical instrument; and

(b) a navigational array comprising;

(i) a plurality of fiducial members adapted to be sensed by the computer-aided surgical navigation system;

(ii) a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system;

(iii) a mount adapted to support the navigational array adjacent to the surgical instrument; and

(iv) whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors.

18. The apparatus of claim 17, wherein at least three of the fiducial members are oriented in a flat, coplanar, Y-shaped configuration, and a fourth fiducial member is orthogonally oriented to each of the other three fiducial members.

19. The apparatus of claim 17, wherein at least a portion of each fiducial member can be sensed by the computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

20. The apparatus of claim 17, wherein each fiducial member comprises a respective fiducial marker.

21. The apparatus of claim 20, wherein the fiducial markers can be sensed by a computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

22. The apparatus of claim 20, wherein the fiducial markers can be at least one of the following:

a geometric shape, a sphere, a block, and a plate.

23. The apparatus of claim 17, wherein the mount can be mounted to at least one of the following:

a portion of a patient'"'"'s body, a surgical instrument, a surgical item, an item associated with a surgery.

24. The apparatus of claim 17, wherein the mount comprises at least one of the following:

a pronged connector, a magnet, a threaded connector, an adhesive, and a bone screw.

25. The apparatus of claim 17, wherein the surgical instrument comprises at least one of the following:

a surgical implement, a surgical reference, a surgical trial, an implant, a cutting block, a reamer, a drill, a saw, an extramedullary rod, and an intramedullar rod.

26. A method for performing a surgical procedure using an apparatus and a computer-aided surgical navigation system, wherein the apparatus can be positioned for sensing by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the apparatus by the system, the method comprising:

(a) mounting a navigational array adjacent to a surgical instrument, wherein the navigational array comprises;

(i) a plurality of fiducial members adapted to be sensed by the computer-aided surgical navigation system;

(ii) a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system;

(iii) a mount adapted to support the navigational array adjacent to the surgical instrument; and

(iv) whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors;

(b) sensing a portion of at least three of the fiducial members by a computer-aided surgical navigation system; and

(c) determining a position associated with the surgical instrument based in part on sensing the portions of the at least three of the fiducial members.

27. The method of claim 26, wherein at least three of the fiducial members are oriented in a flat, coplanar, Y-shaped configuration, and a fourth fiducial member is orthogonally oriented to each of the other three fiducial members.

28. The method of claim 26, wherein at least a portion of each fiducial member can be sensed by the computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

29. The method of claim 26, wherein each fiducial member comprises a respective fiducial marker.

30. The method of claim 29, wherein the fiducial markers can be sensed by a computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

31. The method of claim 29, wherein the fiducial markers can be at least one of the following:

a geometric shape, a sphere, a block, and a plate.

32. The method of claim 26, wherein the mount can be mounted to at least one of the following:

a portion of a patient'"'"'s body, a surgical instrument, a surgical item, an item associated with a surgery.

33. The method of claim 26, wherein the mount comprises at least one of the following:

a pronged connector, a magnet, a threaded connector, an adhesive, and a bone screw.

34. The method of claim 26, wherein the surgical instrument comprises at least one of the following:

a surgical implement, a surgical reference, a surgical trial, an implant, a cutting block, a reamer, a drill, a saw, an extramedullary rod, and an intramedullar rod.

35. A surgical method for locating a position of a joint replacement prosthesis associated with a navigational array using a computer-aided surgical navigation system, wherein the navigational array can be positioned for sensing by at least two sensors associated with the computer-aided surgical navigation system in order to determine position and orientation of the array by the system, the method comprising:

(a) providing a navigational array, wherein the navigational array comprises;

(i) a plurality of fiducial members adapted to be sensed by the computer-aided surgical navigation system;

(ii) a non-segmenting common point connecting at least some of the fiducial members, wherein at least one of the fiducial members is out of plane with the other three fiducial members, and wherein a position and orientation associated with the navigational array can be determined from sensing at least three of the fiducial members by a computer-aided surgical navigation system;

(iii) a mount adapted to support the navigational array adjacent to a joint replacement prosthesis; and

(iv) whereby the physical possibility for all of the fiducial members to be positioned coplanar to at least two sensors in the computer-aided surgical navigation system is precluded, and whereby when two of the fiducial members are positioned collinear to one of the sensors in the computer-aided surgical navigation system, no other of said members are positioned collinear to any other of said sensors;

(b) mounting the navigational array adjacent to a joint replacement prosthesis;

(c) sensing a portion of at least three of the fiducial members by a computer-aided surgical navigation system;

(d) determining a position associated with the joint replacement prosthesis based in part on sensing the portions of the at least three of the fiducial members; and

(e) mounting the joint replacement prosthesis to another corresponding joint replacement prosthesis for a joint replacement.

36. The method of claim 35, wherein at least three of the fiducial members are oriented in a flat, coplanar, Y-shaped configuration, and a fourth fiducial member is orthogonally oriented to each of the other three fiducial members.

37. The method of claim 35, wherein at least a portion of each fiducial member can be sensed by the computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

38. The method of claim 35, wherein each fiducial member comprises a respective fiducial marker.

39. The method of claim 38, wherein the fiducial markers can be sensed by a computer-aided surgical navigation system using at least one of the following:

infrared, sound, visual, magnetic, electromagnetic, and x-ray.

40. The method of claim 38, wherein the fiducial markers can be at least one of the following:

a geometric shape, a sphere, a block, and a plate.

41. The method of claim 35, wherein the mount comprises at least one of the following:

a pronged connector, a magnet, a threaded connector, an adhesive, and a bone screw.

42. The method of claim 35, wherein the joint replacement prosthesis comprises at least one of the following:

a tibial component, a femoral component.