Device for obtaining three dimensional contour data and for operating on a patient and related method

• US 5,343,391 A
• Filed: 02/12/1992
• Issued: 08/30/1994
• Est. Priority Date: 04/10/1990
• Status: Expired due to Fees

• Current Assignee: David R. Mushabac
• Original Assignee: David R. Mushabac
• Inventors: Mushabac, David R.
• Primary Examiner(s): Envall, Jr., Roy N.
• Assistant Examiner(s): BAI, ARI
• Application Number:
  US07/834,462
• Time in Patent Office: 930 Days
• Field of Search: 433/72, 433/73, 433/74, 433/75, 433/76, 433/77, 433/78, 433/79, 433/80, 433/81, 433/108, 433/109, 364/413.28
• US Class Current: 433/76
• CPC Class Codes: A61C 9/0046 Data acquisition means or methods
• CPC Class Codes: A61C 9/008 Mechanical means or methods, e.g. a contact probe moving over the teeth
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

A device for use in a dental or medical application to obtain three-dimensional contour information comprises a multiplicity of arm segments, first mounting elements for connecting the arm segments to one another to form an articulated assembly of the arm segments. A second mounting element serves to fix the articulated assembly relative to a person'"'"'s head, while a third mounting element is provided for attaching a diagnostic or medical treatment instrument to the articulated assembly at a point spaced from the second mounting element. A feedback component or components are operatively coupled with at least some of the arm segments for providing electrical signal feedback data as to positions of the arm segments relative to one another, thereby providing information as to the position of the instrument relative to the person'"'"'s head.

Claims

1. A device for use in a dental or medical application to obtain three-dimensional contour information, comprising:

a multiplicity of arm segments;

first mounting means for connecting said arm segments to one another to form an articulated assembly of said arm segments;

second mounting means for fixing said articulated assembly relative to a person'"'"'s head;

third mounting means for attaching a diagnostic or medical treatment instrument to said articulated assembly at a point spaced from said second mounting means; and

feedback means operatively coupled with at least some of said arm segments for providing electrical signal feedback data as to positions of said arm segments relative to one another, thereby providing information as to the position of said instrument relative to the person'"'"'s head.

2. The device defined in claim 1 wherein said second mounting means takes the form of a bite block for mounting said articulated assembly to a jaw of the person.

3. The device defined in claim 2 wherein said bite block includes reference means for establishing a coordinate system origin relative to said bite block.

4. The device defined in claim 3 wherein said reference means includes at least one landmark structure on said bite block.

5. The device defined in claim 2 wherein said bite block includes a plurality of stock pieces and means for fitting said stock pieces to the person'"'"'s jaw.

6. The device defined in claim 2, further comprising means operatively connected to said bite block and to the patient'"'"'s jaw for monitoring incremental motions of said bite block relative to the jaw.

7. The device defined in claim 1, further drive means mounted to said articulated assembly and operatively connected to said instrument for incrementally moving said instrument about a point determined by the configuration of said articulated assembly.

8. The device defined in claim 7 wherein said point constitutes an operating tip of said instrument.

9. The device defined in claim 7, further comprising fourth mounting means for removably mounting said drive means to said articulated assembly.

10. The device defined in claim 7, further comprising computer control means operatively linked to said drive means for energizing same.

11. The device defined in claim 7, further comprising locking means operatively connected to said articulated assembly for temporarily locking said arm segments relative to one another to thereby fix the location of said point relative to the patient.

12. The device defined in claim 1, further comprising means operatively connected to said second mounting means and to the patient'"'"'s head for monitoring incremental motions of said second mounting means relative to the person'"'"'s head.

13. The device defined in claim 12, further comprising means for connecting said means for monitoring and said feedback means to a computer, whereby said computer can precisely determine position and orientation of said instrument relative to the person'"'"'s head.

14. The device defined in claim 1 wherein said feedback means includes a plurality of digital encoders.

15. The device defined in claim 1 wherein said feedback means includes a plurality of linear motion encoders.

16. The device defined in claim 1 wherein said feedback means includes a plurality of rotary encoders.

17. The device defined in claim 1 wherein said feedback means includes a plurality of gyroscopic elements.

18. A device for use in operating on a patient, comprising:

a multiplicity of arm segments;

first mounting means for connecting said arm segments to one another to form an articulated assembly of said arm segments;

second mounting means for fixing said articulated assembly relative to a person'"'"'s head;

third mounting means for attaching an operating instrument to said articulated assembly at a point spaced from said second mounting means; and

drive means operatively coupled with at least some of said arm segments for controlling and modifying positions of said arm segments relative to one another, thereby determining the position and orientation of said instrument relative to the person'"'"'s head.

19. The device defined in claim 18, further comprising computer control means operatively linked to said drive means for energizing same.

20. The device defined in claim 19, further comprising feedback means operatively coupled with at least some of said arm segments and with said computer control means for providing thereto electrical signal feedback data as to positions of said arm segments relative to one another, thereby informing said computer control means as to the position of said operating instrument relative to the person'"'"'s head.

21. A device for use in a dental/medical application to obtain three-dimensional contour information, comprising:

a hand held dental instrument;

a plurality of first gyroscope components each capable of generating an electrical output signal indicative of orientation of the respective first gyroscope component;

first mounting means for mechanically connecting said first gyroscope components to said dental instrument to provide electrical output signals indicative of the orientation of said dental instrument;

a plurality of second gyroscope components each capable of generating an electrical output signal indicative of orientation of the respective second gyroscope component;

second mounting means for mechanically connecting said second gyroscope components to a patient'"'"'s jaw to provide electrical output signals indicative of the orientation of the jaw;

signal generation means for providing electrical output signals indicative of the translatory position of said dental instrument relative to said jaw;

third mounting means for mechanically connecting at least a part of said signal generation means to said jaw; and

computer means operatively connected to said first gyroscope components, said second gyroscope components and said signal generation means for receiving the electrical output signals thereof and for computing the position and orientation of said dental instrument relation to said jaw.

22. A method for use in a dental or medical application to operate on a patient, comprising the steps of:

attaching an articulated arm assembly to the patient'"'"'s head;

automatically moving individual arms of said arm assembly to control position and orientation of an operating instrument attached to said assembly; and

automatically activating said instrument upon juxtaposition of an operating tip thereof with the patient.

23. The method defined in claim 22 wherein said step of attaching includes the steps of fastening a bite block to the patient'"'"'s jaw and mounting said arm assembly to said bite block.

24. The method defined in claim 23 wherein said step of fastening includes the step of forming said bite block from stock elements.

25. A method for use in a dental or medical application to obtain three-dimensional structural information as to a patient, comprising the steps of:

attaching an articulated arm assembly to the patient'"'"'s head;

manually moving a probe instrument attached to said arm assembly so that a tracer tip of said instrument contacts a surface of the patient;

automatically monitoring positions of individual arms of said arm assembly relative to each other during motion of said probe instrument; and

automatically calculating in digital form the traced surface of the patient.

26. The method defined in claim 25 wherein said step of attaching includes the steps of fastening a bite block to the patient'"'"'s jaw and mounting said arm assembly to said bite block.

27. The method defined in claim 26 wherein said step of fastening includes the step of automatically machining at least one part of said bite block in accordance with electronic tooth surface data.

28. The method defined in claim 27 wherein said step of fastening further includes the step of automatically calculating an optimal point of attachment of said arm assembly to said bite block.

29. The method defined in claim 26 wherein said step of fastening includes the step of forming said bite block from stock elements.

30. The method defined in claim 26, further comprising the steps of automatically monitoring incremental motions between said bite block and the patient'"'"'s jaw and automatically taking the incremental motions into account in calculating the traced surface of the patient.

31. The method defined in claim 25, further comprising the step of automatically moving said instrument in incremental motions about a point established during said step of manually moving.

32. The method defined in claim 31 wherein said step of automatically moving includes the step of attaching a drive device to said arm assembly so that said instrument is operatively connected to said drive device and energizing said drive device to move said instrument.

33. A device for use in operating on a patient, comprising:

an operating instrument having an operating tip;

mounting means for removably attaching said instrument to a patient;

linear drive means operatively connected to said instrument for automatically shifting said instrument in a given direction relative to the patient;

rotary drive means operatively connected to said instrument for automatically pivoting said instrument about an axis.

34. The device defined in claim 33 wherein said mounting means includes an articulated arm assembly and feedback means operatively coupled with said arm assembly for providing electrical signal feedback data as to positions of arm segments of said assembly relative to one another, thereby providing information as to the position of said instrument relative to the patient.

35. The device defined in claim 34, further comprising frame means for holding said instrument and locking means operatively connected to said articulated arm assembly for temporarily locking said arm segments relative to one another to thereby fix the location of said frame relative to the patient.

36. The device defined in claim 33 wherein said axis passes through said operating tip.

37. The device defined in claim 33 wherein said mounting means includes means for removably attaching said holder means and accordingly said instrument to a patient'"'"'s jaw.

38. The device defined in claim 33, further comprising computing means operatively connected to said linear drive means and said rotary drive means for controlling said instrument to move according to a preprogrammed motion.

39. A device for use in operating on a patient, comprising:

an operating instrument;

a hand-held carrier, said instrument being movably connected to said carrier;

drive means mounted to said carrier and operatively connected to said instrument for moving same relative to said carrier;

tracking means operatively connected to said carrier for tracking position and orientation thereof relative to a patient; and

control means operatively connected said drive means and said tracking means for actuating said drive means to perform a predetermined operation on the patient partially in response to position and orientation of said carrier, as communicated to said control means by said tracking means.

40. The device defined in claim 39 wherein said tracking means includes an articulated arm assembly and feedback means operatively coupled with said arm assembly and to said computer for providing thereto electrical signal feedback data as to positions of arm segments of said assembly relative to one another, thereby providing information as to the position of said carrier and said instrument relative to the patient.

41. The device defined in claim 40, further comprising locking means operatively connected to said articulated arm assembly for temporarily locking said arm segments relative to one another to thereby fix the location of said carrier relative to the patient.

42. The device defined in claim 39 wherein said tracking means includes means for removably attaching said articulated arm assembly and accordingly said carrier and said instrument to a patient'"'"'s jaw.

43. A method for use in providing a dental implant, comprising the steps of:

generating electrically encoded data specifying preexisting bone structure in a patient'"'"'s jaw;

transmitting said data to a computer;

operating said computer to predetermine an optimal position and an optimal orientation of an implant anchor; and

automatically providing an implant anchor in accordance with automatic determinations of said computer based on said data.

44. The method defined in claim 43 wherein said step of automatically providing includes the step of automatically manufacturing a mold and casting said implant anchor in said mold.

45. The method defined in claim 44 wherein said step of automatically manufacturing includes the step of automatically cutting a preform part in the form of said implant anchor and using said preform part to form said mold from refractory material.

46. The method defined in claim 43 wherein said step of automatically providing includes the step of selecting said implant anchor from a plurality of preformed anchors.

47. A device for use in a dental or medical application to track position and orientation of an instrument relative to a body part of a patient, comprising:

a reference element fixed to the body part of the patient;

a first articulated arm assembly connected to said reference element and to a stationary fixture, said first articulated arm assembly provided with first feedback means for providing electrical signal feedback data as to position of and orientation of said reference element relative to said stationary fixture; and

a second articulated arm assembly connected to said reference element and to the instrument, said second articulated arm assembly provided with second feedback means for providing electrical signal feedback data as to position of and orientation of said instrument relative to said reference element.

48. The device defined in claim 47, further comprising drive means mounted to said second articulated arm assembly and operatively connected to said instrument for automatically moving said instrument relative to said second articulated arm assembly.

49. The device defined in claim 48, further comprising locking means operatively connected to second articulated arm assembly for locking same to establish a fixed position for said drive means relative to said reference element.

50. The device defined in claim 48, further comprising locking means operatively connected to said reference element and to said drive means for fixing said drive means relative to said reference element.

51. The device defined in claim 47 wherein said body part is a person'"'"'s jaw and said reference element is a bite block.

52. The device defined in claim 47, further comprising means for connecting said first feedback means and said second feedback means to a common computer.

53. A device for use in a dental or medical application to track position and orientation of an instrument relative to a body part of a patient, comprising:

a reference element fixed to the body part of the patient;

a first articulated arm assembly connected to said reference element and to a first stationary fixture, said first articulated arm assembly provided with first feedback means for providing electrical signal feedback data as to position of and orientation of said reference element relative to said first stationary fixture; and

a second articulated arm assembly connected to a second stationary fixture and to the instrument, said second articulated arm assembly provided with second feedback means for providing electrical signal feedback data as to position of and orientation of said instrument relative to said second stationary fixture.

54. The device defined in claim 53, further comprising drive means mounted to said second articulated arm assembly and operatively connected to said instrument for automatically moving said instrument relative to said second articulated arm assembly.

55. The device defined in claim 54, further comprising locking means operatively connected to said second articulated arm assembly for locking same to establish a fixed position for said drive means relative to said second stationary fixture.

56. The device defined in claim 54, further comprising locking means operatively connected to said second stationary fixture and to said drive means for fixing said drive means relative to said second stationary fixture.

57. The device defined in claim 53 wherein said body part is a person'"'"'s jaw and said reference element is a bite block.

58. The device defined in claim 53, further comprising means for connecting said first feedback means and said second feedback means to a common computer.

59. The device defined in claim 53 wherein said first stationary fixture and said second stationary fixture are the same fixture.

60. The device defined in claim 53 wherein said first stationary fixture and said second stationary fixture are spaced from one another.

61. A device for obtaining data as to position and orientation of a person'"'"'s jaw, comprising:

a multiplicity of arm segments;

first mounting means for connecting said arm segments to one another to form an articulated assembly of said arm segments;

second mounting means for fixing said articulared assembly to a stationary fixture;

third mounting means for fixing said articulated assembly relative to a person'"'"'s jaw; and

feedback means operatively coupled with at least some of said arm segments for providing electrical signal feedback data as to positions of said arm segments relative to one another, thereby providing information as to the position of jaw relative to said stationary fixture.

62. A device for performing a surgical operation, comprising;

a surgical instrument;

first drive means operatively coupled to said instrument for incrementally moving said instrument about a point;

second drive means operatively coupled to said instrument for shifting said point; and

detector means operatively coupled to said instrument for monitoring position and orientation thereof.

63. The device defined in claim 62 wherein said detector means includes an articulated arm assembly and feedback means operatively coupled with at least some arm segments of said articulated arm assembly for providing electrical signal feedback data as to positions of said arm segments relative to one another, thereby providing information as to position and orientation of said instrument.

64. The device defined in claim 63 wherein said articulated arm assembly is linked to a patient on whom said instrument is actuated to operate.

65. The device defined in claim 63, further comprising locking means operatively connected to said articulated assembly for temporarily locking said arm segments relative to one another to thereby fix the location of said point.

66. The device defined in claim 62 wherein said second means includes an articulated arm assembly and motor means operatively coupled with at least some arm segments of said articulated arm assembly for driving said arm segments relative to one another, thereby shifting said point.

67. The device defined in claim 66 wherein said articulated arm assembly is linked to a stationary fixture.

68. The device defined in claim 66, further comprising an articulated linkage connecting said articulated arm assembly to said instrument, further comprising locking means operatively connected to said articulated linkage for temporarily locking individual links thereof relative to one another to firmly connect said articulated arm assembly to said instrument.