Alignment button for stereotaxic plug and method of using the same

• US 4,826,487 A
• Filed: 05/04/1987
• Issued: 05/02/1989
• Est. Priority Date: 05/04/1987
• Status: Expired due to Fees

• Current Assignee: Victory/YSI Incorporated
• Original Assignee: Victory Engineering Company
• Inventors: Winter, Arthur
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/046,244
• Time in Patent Office: 729 Days
• Field of Search: 128/303 B, 604/175
• US Class Current: 604/175
• CPC Class Codes: A61B 2017/3411 with a plurality of holes, e.g. holes in matrix arrangement
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

An alignment button includes cannula and radiopaque markers exactly mimicing corresponding elements in a stereotaxic array plug. The stereotaxic array plug is installed in an opening in the skull and the scalp is closed over it. The alignment button is sutured in place with its cannula exactly aligned with corresponding cannula in the stereotaxic array plug. Alignment is performed using medical imaging capable of showing simultaneously the radiopaque marker in both elements. In one embodiment of the invention, jaws protrude inward into the cannula to stabilize a medical device inserted therethrough. In a further embodiment of the invention, the alignment button is affixed over soft tissue without being accompanied by a stereotaxic array plug.

Claims

1. A stereotaxic array locating system for locating a displacement and angle of insertion of a medical instrument, comprising:

a stereotaxic array plug;

said stereotaxic array plug including a first plurality of first cannula disposed in a first pattern;

said stereotaxic array plug further including a second plurality of first markers in a second pattern;

said second pattern having a predetermined relationship to said first pattern;

said first markers being of a type visible on a medical imaging device;

said stereotaxic array plug including means for permitting insertion thereof into an opening in a skull;

a marker button;

said marker button including a third plurality of second cannula disposed in a third pattern;

said marker button further including a fourth plurality of second markers in a fourth pattern;

said second markers being of a type visible on said medical imaging device;

said marker button further including means for permitting stable attachment thereof to a scalp;

said third pattern being identical to said first pattern;

said second pattern being identical to said fourth pattern; and

said first markers and said second markers being capable of simultaneous imaging by said medical imaging device, whereby congruence between said first and second markers resulting in congruence between said first and second cannula is attainable.

2. A stereotaxic array locating system according to claim 1 wherein said means for permitting stable attachment includes a plurality of suture holes spaced apart about a circumference of said marker button.

3. A stereotaxic array locating system according to claim 1 wherein each cannula of said first plurality includes a plurality of inward-directed jaws.

4. A stereotaxic array locating system according to claim 3 wherein said jaws are disposed near an inner end of said stereotaxic array plug.

5. A stereotaxic array locating system according to claim 3 wherein each cannula of said third plurality includes a further plurality of inward-directed jaws.

6. A stereotaxic array locating system according to claim 5 wherein said plurality of jaws in said first cannula are disposed near an inner end of said stereotaxic array plug and said further plurality of jaws are disposed near an outer surface of said marker button.

7. A method for installing a stereotaxic locating system comprising:

installing a stereotaxic array plug in an opening in a skull;

said stereotaxic array plug being of a type including a first plurality of first cannula disposed in a first pattern and a second plurality of first markers in a second pattern, said second pattern having a predetermined relationship to said first pattern;

closing a scalp over said stereotaxic array plug;

suturing a marker button over said scalp;

said marker button being of a type including a third plurality of second cannula disposed in a third pattern and a fourth plurality of second markers in a fourth pattern, said first and third patterns being identical and said second and fourth patterns being identical;

said second markers being of a type visible on said medical imaging device; and

the step of suturing including aligning said second and fourth patterns using said medical imaging device simultaneously imaging said second and fourth patterns, whereby said first and third patterns are congruent.