Goniometer for needle placement

• US 5,196,019 A
• Filed: 10/04/1991
• Issued: 03/23/1993
• Est. Priority Date: 10/04/1991
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: DLM Incorporated (Medtronic Plc)
• Inventors: Drace, John E., Davis, Richard E.
• Primary Examiner(s): ASCHENBRENNER, PETER
• Application Number:
  US07/771,627
• Time in Patent Office: 536 Days
• Field of Search: 606/130, 606/167, 604/264, 378/81, 248/542, 248/543
• US Class Current: 606/130
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 2090/068 with a bubble level
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis

Abstract

A goniometer for needle placement in connection with a computer tomograph to direct a needle at a proper angle to reach an area for biopsy or other surgical procedures in the human body. One embodiment of the device includes a double ring, the outer ring having arcuate graduations and a level mounted thereon, and the inner ring being rotatable in the outer ring to various angle positions and including a needle carrier for receiving a needle holder.

The outer ring has serrations on a continuous arcuate surface and the inner ring has resilient detents to contact and rid on the serrations. A lever operated needle holder has a cam to lock a detent into a serration when the needle holder is moved to a position to retain a needle.

Claims

1. A goniometer comprising:

(a) a first support member in the form of an outer ring having an outer diameter and an inner diameter,

(b) a bubble level on said first support member to orient the first support member relative to a horizontal position,

(c) a second support member in the form of an inner ring to rotate within said outer ring,

(d) a needle carrier on said second support member to receive needles selectively of varying sizes,

(e) means associating said support members for relative rotation, said means comprising a first surface on one of said members, and means on the other of said members operatively associated with said first surface to control said relative rotation,

(f) a graduated surface on one of said support members to provide visual observation of the relative adjusted rotation of said one support member relative to the other support member, and

(g) said means associating said support members comprising serrations formed on said first surface of said outer ring, and means on the other of said members comprise a resilient detent formed on said inner ring to contact and ride over said serrations to a selected position of rotation of said inner ring.

5. A goniometer as defined in claim 1 in which said serrations are formed on the inside diameter of said outer ring, and said inner ring has a back surface with projections extending normal to the plane of said ring, a first of said projections comprising said resilient detent having a tooth to engage said serrations as said inner ring is rotated in said outer ring.

6. A goniometer as defined in claim 5 in which one or more second axial projections on said inner ring contact said serrations to provide resistance to rotation.

7. A goniometer as defined in claim 6 in which a plurality of third axial projections project axially past the inner diameter of said outer ring, and tabs on said third projections latch over the inner diameter of said outer ring to lock the inner and outer rings axially together.

2. A goniometer comprising:

(a) a first support member in the form of an outer ring having an outer diameter and an inner diameter,

(b) a bubble level on said first support member to orient the first support member relative to a horizontal position,

(c) a second support member in the form of an inner ring to rotate within said outer ring,

(d) a needle carrier on said second support member to receive needles selectively of varying sizes,

(e) means associating said support members for relative rotation, said means comprising a first surface on one of said members, and means on the other of said members operatively associated with said first surface to control said relative rotation,

(f) a graduated surface on one of said support members to provide visual observation of the relative adjusted rotation of said one support member relative to the other support member, and

(g) releasable mounting means positioned diametrically on said inner ring, and a needle holder designed to fit into said mounting means to hold a needle.

8. A goniometer as defined in claim 2 in which said needle holder comprises an elongate shaft having a side slot to receive a needle, means on each end of said shaft to be releasably received on said inner ring to position said holder diametrically of said inner ring spaced from the plane of said rings, a lever extending from one end of said shaft to enable rotation of said shaft from a position in which said slot is exposed to receive a needle to a position in which said slot is occluded in a locking position to retain a needle, cam means on said needle shaft movable upon rotation of said shaft to a position to move a projection into a locking position against serrations on said outer ring.

3. A goniometer comprising:

(a) a first support member in the form of an outer ring having an outer diameter and an inner diameter,

(b) a bubble level on said first support member to orient the first support member relative to a horizontal position,

(c) a second support member in the form of an inner ring to rotate within said outer ring,

(d) a needle carrier on said second support member to receive needles selectively of varying sizes,

(e) means associating said support members for relative rotation, said means comprising a first surface on one of said members, and means on the other of said members operatively associated with said first surface to control said relative rotation,

(f) a graduated surface on one of said support members to provide visual observation of the relative adjusted rotation of said one support member relative to the other support member, and

(g) said orienting level comprising a closed bubble tube mounted parallel to a diameter of said outer ring and in which spaced level supports extend outwardly from the outer ring, facing recesses on said supports to receive the ends of said bubble tube, entrance openings on said supports leading to said recesses, and closure plates hinged on said supports movable to a closed position to close said entrance openings and lock the ends of said tube in said recesses.

4. A goniometer as defined in claim 3 in which said closure plates are connected to said supports by a living hinge molded with said supports and a locking projection extending normal to said closure plates at the free end, each having a locking detent to snap into a recess in said respective supports.

9. A goniometer comprising:

(a) a first support member in the form of an outer ring having an outer diameter and an inner diameter,

(b) a bubble level on said first support member to orient the first support member relative to a horizontal position,

(c) a second support member in the form of an inner ring to rotate within said outer ring,

(d) a needle carrier on said second support member to receive needles selectively of varying sizes,

(e) means associating said support members for relative rotation, said means comprising a first surface on one of said members, and means on the other of said members operatively associated with said first surface to control said relative rotation,

(f) a graduated surface on one of said support members to provide visual observation of the relative adjusted rotation of said one support member relative to the other support member,

(g) serations formed on an arcuate surface on said outer ring,

(h) a flexible resilient detent formed on said inner ring to contact and ride over said serrations to a selected position of rotation of said inner ring,

(i) said needle holder comprising an elongate shaft having a side slot to receive a needle,

(j) means on each end of said shaft to be releasably received on said inner ring spaced from the plane of said rings,

(k) a lever extending from one end of said shaft to enable rotation of said shaft from a position in which said slot is exposed to receive a needle to a position in which said slot is occluded in a locking position to retain a needle,

(l) cam means on said needle shaft movable upon rotation of said shaft to a locking position,

(m) a cam projection on said cam means to move said resilient detent into firm contact with said serrations to lock said inner ring against movement in said outer ring.

11. A goniometer as defined in claim 9 in which said outer ring is graduated by degrees from a 0°

point to 140°

in each circumferential direction, said bubble level being mounted at the zero point parallel to a diameter intercepting the diametrically spaced 90°

graduations.

10. A goniometer to be hand held in relation to a patient to direct a needle into a patient for a biopsy or other surgical procedures, comprising an assembly of two rings to be positioned in a vertical plane above the area of a patient to be treated, the assembly comprising:

(a) a first support member in the form of an outer ring having an outer diameter and an inner diameter,

(b) a bubble level in the form of a container mounted on said first support member lying in the plane of said outer ring to orient the hand held assembly relative to horizontal position,

(c) a second support member in the form of an inner ring lying in the same plane as the outer ring and mounted to rotate to fixed positions within the outer ring, and

(d) a needle holder mounted on and extending diametrically across said second support member to receive needles of varying sizes.