Noninvasive head fixation method and apparatus

• US 5,207,688 A
• Filed: 10/31/1991
• Issued: 05/04/1993
• Est. Priority Date: 10/31/1991
• Status: Expired due to Term

• Current Assignee: Best Medical International Incorporated (TeamBest Group)
• Original Assignee: Medco (Meykos)
• Inventors: Carol, Mark P.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US07/785,827
• Time in Patent Office: 551 Days
• Field of Search: 606/1, 606/130, 604/116
• US Class Current: 606/130
• CPC Class Codes: A61B 2017/00902 transparent or translucent
• CPC Class Codes: A61B 2090/101 for stereotaxic radiosurgery
• CPC Class Codes: A61B 6/0421 with immobilising means
• CPC Class Codes: A61B 6/4423 related to hygiene or sterilisation
• CPC Class Codes: A61B 90/14 Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
• CPC Class Codes: A61B 90/17 for soft tissue, e.g. breast-holding devices

Abstract

A noninvasive head fixation method and apparatus uses a flexible and compressible bladder which contacts and is deformed to conform to the shape of the patient'"'"'s nasion in order to immobilize the patient'"'"'s head during a medical procedure.

Claims

1. A noninvasive head fixation device for use in medical procedures to immobilize a head of a patient having a nasion, comprising:

a frame, adapted to be disposed adjacent the patient'"'"'s head;

a first deformable housing attached to the frame and means for positioning the first deformable housing to overlie and contact the patient'"'"'s nasion, whereby its deformable housing may deform and conform to the shape of the patient'"'"'s nasion, the first deformable housing including means for retaining the shape imparted to the first deformable housing by the patient'"'"'s nasion; and

means for restraining rotational movement of the patient'"'"'s head, the restraining means being associated with the frame.

2. The noninvasive head fixation device of claim 1, wherein the first deformable housing includes a flexible and compressible bladder which can conform to the shape of the patient'"'"'s nasion.

3. The noninvasive head fixation device of claim 2, wherein the bladder is fluid tight and contains a plurality of small diameter beads which are moveable within the bladder to permit the bladder to conform to the shape of the patient'"'"'s nasion.

4. The noninvasive head fixation device of claim 3, wherein the shape retaining means includes a valve in fluid communication with the bladder, whereby a vacuum may be created in the bladder to retain the imparted shape by prohibiting movement of the plurality of beads contained within the bladder.

5. The noninvasive head fixation device of claim 2, further including means for adjustably positioning the first deformable housing with respect to the frame and the patient'"'"'s nasion.

6. The noninvasive head fixation device of claim 5, wherein the adjustable positioning means includes an elongate, bar member slidable within the frame and, includes means for securing the bar member with respect to the frame.

7. The noninvasive head fixation device of claim 6, wherein the elongate bar member has a dovetail cross-sectional configuration and the frame has a mating slot having a dovetail cross-sectional configuration to slidingly receive the elongate bar member.

8. The noninvasive head fixation device of claim 1, where the frame includes two vertically disposed elongate members and one horizontally disposed elongate cross-member, the first deformable housing being mounted upon the horizontally disposed elongate cross-member.

9. The noninvasive head fixation device of claim 8, wherein the frame has a semi-hexagonal configuration wherein the two vertical members are each connected to the horizontal cross-member by an angularly disposed connecting member, one angularly disposed connecting member being disposed between each vertical member and the horizontal cross-member.

10. The noninvasive head fixation device of claim 9, wherein the vertical members are adjustably mounted upon a planar base member.

11. The noninvasive head fixation device of claim 1, wherein the restraining means comprises at least one second deformable housing associated with the frame and adapted to contact a portion of the patient'"'"'s head, and includes a flexible compressible bladder which can conform to the shape of the portion of the patient'"'"'s head which contacts the second deformable housing.

12. The noninvasive head fixation device of claim 11, wherein the at least one second deformable housing is a compressible bladder mounted upon the frame and is disposed in a diametrically disposed relationship from the first deformable housing and is adapted to contact the underside of the patient'"'"'s head.

13. The noninvasive head fixation device of claim 12, wherein the bladder is fluid tight and contains a plurality of small-diameter beads which are moveable within the bladder to permit the underside of the bladder to conform to the shape of the patient'"'"'s head.

14. The noninvasive head fixation device of claim 13, wherein the bladder includes a valve in fluid communication with the bladder, whereby a vacuum may be created in the bladder to retain the imparted shape by prohibiting movement of the plurality of beads contained within the bladder.

15. The noninvasive head fixation device of claim 11, wherein the at least one second deformable housing is two compressible bladders mounted upon the frame, each of the two compressible bladders being disposed in a plane which is disposed substantially perpendicular to a plane in which lies the first deformable housing, whereby the two compressible bladders of the second deformable housing contact are adapted to contact the sides of the patient'"'"'s head.

16. A noninvasive method of immobilizing a head of a patient having a nasion, for use in medical procedures, comprising the steps of:

disposing the patient'"'"'s head adjacent a frame;

disposing a first deformable housing associated with the frame to overlie and contact the patient'"'"'s nasion;

deforming the first deformable housing to conform to the patient'"'"'s nasion;

retaining the shape imparted to the first deformable housing by the patient'"'"'s nasion; and

restraining rotational movement of the patient'"'"'s head.

17. The method of claim 16, including the step of utilizing a flexible and compressible bladder as the first deformable housing.

18. The method of claim 17, including the step of making the bladder fluid tight and filling the bladder with a plurality of small diameter beads which are moveable within the bladder.

19. The method of claim 18, including the steps of disposing a valve in fluid communication with the bladder;

and creating a vacuum in the bladder to retain the imparted shape by prohibiting movement of the plurality of beads contained within the bladder.

20. The method of claim 17, including the step of adjustably positioning the first deformable housing with respect to the frame and the patient'"'"'s nasion.

21. The method of claim 20, including the steps of adjustably positioning the first deformable housing by disposing it on an elongate bar member slidable within the frame;

and securing the bar member with respect to the frame.

22. The method of claim 21, including the steps of providing the elongate bar member with a dovetail cross-sectional configuration;

and providing the frame with a mating slot having a dovetail cross-sectional configuration to slidingly receive the elongate bar member.

23. The method of claim 16, including the steps of providing the frame with two vertically disposed elongate members and one horizontally disposed elongate cross-member;

and mounting the first deformable housing upon the horizontally disposed elongate cross-member.

24. The method of claim 23, including the steps of forming the fame with a semi-hexagonal configuration;

and connecting the each vertical member to the horizontal cross-member by an angularly disposed connecting member.

25. The method of claim 24, including the steps of adjustably mounting the vertical members upon a planar base member.

26. The method of claim 16, including the steps of utilizing at least one second deformable housing to restrain rotational movement of the patient'"'"'head and contacting a portion of the patient'"'"'s head with the at least one second deformable housing which includes a flexible compressible bladder which can conform to the shape of the portion of the patient'"'"'s head which contacts the second deformable housing.

27. The method of claim 26, including the steps of disposing the at least one second deformable housing in a diametrically disposed relationship from the first deformable housing;

and contacting the underside of the patient'"'"'s head with the at least one second deformable housing.

28. The method of claim 27, including the steps of making the bladder fluid tight and filling it with a plurality of small-diameter beads which are movable within the bladder to permit the bladder to conform to the shape of underside of the patient'"'"'s head.

29. The method of claim 28, including the steps of providing the bladder with a valve in fluid communication with the bladder;

and creating a vacuum in the bladder to retain the imparted shape by prohibiting movement of the plurality of beads contained within the bladder.

30. The method of claim 26, including the steps of utilizing as the at least one second deformable housing two compressible bladders mounted upon the frame;

disposing each of the two compressible bladders in a plane which is disposed substantially perpendicular to a plane in which lies the first deformable housing; and

contacting the sides of the patient'"'"'s head with the two compressible bladders of the second deformable housing.

31. The method of claim 16, including the steps of:

removing the patient'"'"'s head from adjacent the frame, after completing the medical procedure;

later disposing the patient'"'"'s head adjacent the frame for a second medical procedure;

disposing the first deformable housing associated with the frame to overlie and contact the patient'"'"'s nasion, the first deformable housing having the shape previously imparted to it by the patient'"'"'s nasion; and

restraining rotational movement of the patient'"'"'s head.

32. The method of claim 31, including the step of forming an impression of the first deformable housing having retained the shape imparted to it by the patient'"'"'s nasion during a first medical procedure, whereby the impression can be later used as a mold to permit another deformable housing to be formed, for use in a second medical procedure, in the shape of the patient'"'"'s nasion during the first medical procedure.