System for indicating a position to be operated in a patient's body

• US 5,050,608 A
• Filed: 09/04/1990
• Issued: 09/24/1991
• Est. Priority Date: 07/12/1988
• Status: Expired due to Term

• Current Assignee: Mizuho Ikakogyo Co. Ltd.
• Original Assignee: Medirand, Inc.
• Inventors: Manaka, Shinya, Kosugi, Yukio, Watanabe, Eiju
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): AKERS, SCOTT
• Application Number:
  US07/577,068
• Time in Patent Office: 385 Days
• Field of Search: 128/653, 128/782, 606/130, 378/4, 378/8, 378/20, 378/99, 378/205
• US Class Current: 600/429
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis

Abstract

An articulated arm has a plurality of arms connected to each other by joints. A pointer is connected to one of the plurality of arms. The arm nearest the pointer is the foremost arm of the articulated arm. Angular displacement sensors are provided at joints of the articulated arm, for producing angular signals. Tomographical images of a patient'"'"'s body are displayed on a cathode-ray tube. The angular signals are converted to tomographical position signals corresponding to the tomographical images on the cathode-ray tube. In response to the tomographical position signals, the position of the tip of the pointer is displayed on the cathode-ray tube with a mark. The system can be used, for example, in locating a position on a patient'"'"'s body where an operation is to be performed.

Claims

1. A system for indicating a position in a patient'"'"'s body where an operation is to be performed, comprising:

an articulated arm including a base and a plurality of arms, one of said plurality of arms being a foremost arm;

said plurality of arms and base being connected to each other by a joint whereby said plurality of arms are adapted to move and are connected by joints;

a pointer having a tip connected to the end of the foremost arm for pointing at surgical positions;

angular displacement sensing means provided at each of the joints, for producing angular signals representing an angular displacement of an adjacent arm;

a cathode-ray tube display for displaying a plurality of tomographic images of a patient'"'"'s body combined with coordinates associated with the tomographic images;

calculator means for responding to the angular signals and for producing arm position signals representing the position of the pointer, with respect to arm-base coordinates;

coordinate conversion means for converting the arm position signals, based on the arm-base coordinates, to tomographic position signals corresponding to the tomographic images on the cathode-ray tube display with respect to CT coordinates;

means, responsive to the tomographic position signals, and the position of said tip for producing a mark video signal;

display means responsive to said mark video signal for displaying the position of the tip of the pointer on the cathode-ray tube display as a mark superimposing on the tomographic images developed on the cathode-ray tube display.

2. The system according to claim 1 wherein the pointer is telescopically retractable.

3. The system according to claim 2 further comprising shifting means provided to respond to the distance of advance (retraction) of the foremost arm for shifting the mark on the cathode-ray tube display into the tomographic images in accordance with the distance.

4. The system according to claim 1 wherein the arm position signals comprise an X-axis position signal, Y-axis position signal and Z-axis position signal.

5. The system according to claim 1 further including means for securing the pointer to the foremost arm.

6. The system of claim 1 wherein there are means for securing the pointer to a holder so that the pointer can be universally moved.

7. The system of claim 1 wherein the pointer has a plurality of notches for serving as calibration and holding means.

8. A method for indicating a position in a patient'"'"'s body where an operation is to be performed using an articulated arm having a plurality of arms including a base, and a foremost arm, the method comprising:

(a) developing tomographic images of the patient'"'"'s body including an affected part;

(b) touching a pointer at the end of the foremost arm to the patient'"'"'s body;

(c) obtaining the position of a tip of the pointer, with respect to known arm-base coordinates;

(d) displaying the tomographic images on a display; and

(e) displaying the position of the tip of the pointer on the display with a mark and superimposing the mark on the tomographic images on the display.

9. The method of claim 8 wherein the displaying the tomographic images on a display includes using a cathode-ray tube for the display.