Method and system for facilitating surgery

• US 20060058615A1
• Filed: 07/15/2005
• Published: 03/16/2006
• Est. Priority Date: 11/14/2003
• Status: Abandoned Application

• Current Assignee: Southern Illinois University (Board of Trustees of Southern Illinois University)
• Original Assignee: Southern Illinois University (Board of Trustees of Southern Illinois University)
• Inventors: Mahajan, Ajay, Lal, Sumeer
• Application Number:
  US11/198,561
• Publication Number:
  US 20060058615A1
• Time in Patent Office: Days
• US Class Current: 600/407
• CPC Class Codes: A61B 2017/00694 with means correcting for movement of or for synchronisation with the body
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence
• CPC Class Codes: A61B 5/407 Evaluating the spinal cord A61B5/4896 takes precedence
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for

Abstract

In a method for facilitating surgery, a signal or signals are transmitted from one or more transmitters coupled to a surgical probe, and the signal or signals are received at a plurality of receivers. An estimate of a position of a portion of the surgical probe is determined based on the signal or signals received by the plurality of receivers. An indication of the estimate of the position is displayed on a display unit, wherein the display unit displays a representation of an anatomy of a patient, and wherein the indication of the estimate of the position is integrated with the representation of the anatomy of the patient.

Claims

1. A method for facilitating surgery, the method comprising the acts of:

transmitting a first signal from a first transmitter coupled to a surgical probe;

receiving the first signal at a plurality of receivers;

determining an estimate of a position of a portion of the surgical probe based on the first signal received by the plurality of receivers;

displaying an indication of the estimate of the position on a display unit, wherein the display unit displays a representation of an anatomy of a patient, and wherein the indication of the estimate of the position is integrated with the representation of the anatomy of the patient.

2. A method as defined in claim 1, further comprising:

transmitting a second signal from a second transmitter coupled to the surgical probe, the second transmitter spaced apart from the first transmitter,

receiving the second signal at the plurality of receivers;

wherein determining the estimate of the position is further based on the second signal received by the plurality of receivers.

3. A method as defined in claim 1, wherein the plurality of receivers comprises a first receiver and a second receiver, wherein determining the estimate of the position comprises:

determining a first time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the second receiver; and

determining the estimate of the position based on the first time difference.

4. A method as defined in claim 3, wherein the plurality of receivers comprises a third receiver and a fourth receiver, wherein determining the estimate of the position comprises:

determining a second time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the third receiver;

determining a third time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the fourth receiver,

determining a fourth time difference between a time at which the first signal is received by the second receiver and a time at which the first signal is received by the third receiver;

determining a fifth time difference between a time at which the first signal is received by the second receiver and a time at which the first signal is received by the fourth receiver,

determining a sixth time difference between a time at which the first signal is received by the third receiver and a time at which the first signal is received by the fourth receiver, and

determining the estimate of the position further based on the second time difference, the third time difference, the fourth time difference, the fifth time difference, and the sixth time difference.

5. A method as defined in claim 4, wherein the plurality of receivers comprises a fifth receiver, wherein determining the estimate of the position comprises:

determining a seventh time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the fifth receiver;

determining an eighth time difference between a time at which the first signal is received by the second receiver and a time at which the first signal is received by the fifth receiver,

determining a ninth time difference between a time at which the first signal is received by the third receiver and a time at which the first signal is received by the fifth receiver,

determining a tenth time difference between a time at which the first signal is received by the fourth receiver and a time at which the first signal is received by the fifth receiver, and

determining the estimate of the position further based on the seventh time difference, the eighth time difference, the ninth time difference, and the tenth time difference.

6. A method as defined in claim 5, wherein the plurality of receivers comprises a sixth receiver, wherein determining the estimate of the position comprises:

determining an eleventh time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the sixth receiver;

determining a twelfth time difference between a time at which the first signal is received by the second receiver and a time at which the first signal is received by the sixth receiver;

determining a thirteenth time difference between a time at which the first signal is received by the third receiver and a time at which the first signal is received by the sixth receiver;

determining a fourteenth time difference between a time at which the first signal is received by the fourth receiver and a time at which the first signal is received by the sixth receiver,

determining a fifteenth time difference between a time at which the first signal is received by the fifth receiver and a time at which the first signal is received by the sixth receiver; and

determining the estimate of the position further based on the eleventh time difference, the twelfth time difference, the thirteenth time difference, the fourteenth time difference, and the fifteenth time difference.

7. A method as defined in claim 1, wherein determining the estimate of the position comprises determining the estimate of the position based on a current set of measurements and not based on previous measurements.

8. A method as defined in claim 1, wherein determining the estimate of the position comprises determining the estimate of the position based on a current set of measurements and based on previous measurements.

9. A method as defined in claim 6B, wherein determining the estimate of the position comprises determining the estimate of the position based on a model.

10. A system for facilitating surgery, the system comprising:

a surgical probe having a first transmitter coupled thereto, the first transmitter configured to transmit a first signal;

a plurality of receivers;

a position calculator operatively coupled to the plurality of receivers, wherein the position calculator is configured to determine an estimate of a position of a portion of the surgical probe based on the first signal received by the plurality of receivers;

a display unit;

a display system operatively coupled to the position calculator and the display unit, wherein the display system is configured to cause the display unit to display a representation of an anatomy of the patient and an indication of the estimate of the position, wherein the indication of the estimate of the position is integrated with the representation of the anatomy.

11. A system as defined in claim 10, wherein a second transmitter is coupled to the surgical probe, the second transmitter configured to transmit a second signal;

wherein the position calculator is configured to determine the estimate of the position further based on the second signal received by the plurality of receivers.

12. A system as defined in claim 10, wherein the plurality of receivers comprises a first receiver and a second receiver, wherein the position calculator is configured to:

determine a time difference between a time at which the first signal is received by the first receiver and a time at which the first signal is received by the second receiver; and

determine the estimate of the position based on the time difference.

13. A system as defined in claim 10, comprising a controller having a processor operatively coupled to a second memory, the plurality of the receivers, and the display unit, wherein the controller comprises the position calculator and the display system, wherein the controller is programmed to:

determine the estimate of the position of the portion of the surgical probe based on the first signal received by the plurality of receivers;

cause the display unit to display the representation of the anatomy of the patient and the indication of the estimate of the position.

14. A system as defined in claim 10, wherein the plurality of receivers are at a plurality of locations at least approximately fixed relative to a reference point;

wherein the reference point is at least approximately fixed relative to a position of the anatomy of the patient.

15. A system as defined in claim 14, wherein the plurality of receivers are coupled to a constraint system.

16. A system as defined in claim 14, wherein the plurality of receivers are coupled to an operating table.

17. A system as defined in claim 14, further comprising a head constraint system;

wherein the plurality of receivers are at a plurality of locations fixed relative to the head constraint system;

wherein the representation of the anatomy comprises a representation of at least a portion of a brain of the patient;

wherein the indication of the estimate of the position is integrated with the representation of the at least the portion of the brain.

18. A system as defined in claim 17, wherein the plurality of receivers is coupled to the head constraint system.

19. A system as defined in claim 10, further comprising signal conditioning circuitry operatively coupled to the plurality of receivers;

and

at least one analog-to-digital converter operatively coupled to the signal conditioning circuitry and to the position calculator.

20. A method for configuring a system for facilitating surgery, the system to determine a position of at least a portion of a surgical probe during surgery, the method comprising the acts of:

positioning a plurality of receivers in a desired configuration;

using a transmitter and a position calculator coupled to the plurality of receivers to determine positions of the plurality of receivers;

adjusting the position calculator using the determined positions of the plurality of receivers; and

verifying an accuracy of the position calculator using a surgical probe having at least one transmitter coupled to the surgical probe.