Method and apparatus for guiding an instrument to a target

• US 5,638,819 A
• Filed: 08/29/1995
• Issued: 06/17/1997
• Est. Priority Date: 08/29/1995
• Status: Expired due to Fees

• Current Assignee: Manwaring, Kim H., Mark L. Manwaring
• Original Assignee: Manwaring, Kim H., Mark L. Manwaring
• Inventors: Manwaring, Kim H., Manwaring, Mark L.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Layno, Carl H.
• Application Number:
  US08/520,386
• Time in Patent Office: 658 Days
• Field of Search: 128/653.1, 600/103, 600/109, 600/117, 600/160, 600/166, 364/413.13, 364/413.14, 606/130
• US Class Current: 600/424
• CPC Class Codes: A61B 1/0005 combining images e.g. side-by-side, superimposed or tiled
• CPC Class Codes: A61B 1/00147 Holding or positioning arrangements
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis

Abstract

A system (10) presents a graphic guidance object (46) in a display screen (40) to aid a surgeon in guiding a probe (12) from an initial point (82) relative to a body (14) along a desired trajectory (54) to a target (52). The graphic object (46) may be presented simultaneously with a live video image (44) from an endoscope and with tomogram images (42). The graphic object (46) includes a probe tip indicator (88) and a trajectory indicator (94). These indicators (88, 94) are positioned relative to one another to graphically indicate how far and in which direction to move a probe tip (36) to cause the probe tip (36) to intersect the desired trajectory (54). A roll orientation feature (118) and a distance-to-target feature (126) are included in the graphic object (46). The graphic object (46) changes in real time to track movement of the probe (12).

Claims

1. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said method comprising the steps of:

identifying a location for said target;

identifying a location for an initial point;

determining a current location for a tip of said probe;

displaying a trajectory indicator, said trajectory indicator depicting a plane substantially perpendicular to a desired trajectory so that said desired trajectory appears as a single point in said plane, wherein said desired trajectory includes said target and said initial point locations; and

displaying a probe tip indicator overlying said trajectory indicator, wherein said probe tip indicator corresponds to said tip of said probe and said trajectory indicator and said probe tip indicator feature together indicate a direction in which to move said probe tip to cause said probe tip to intersect said desired trajectory.

2. A method as claimed in claim 1 additionally comprising the step of:

positioning said trajectory indicator and said probe tip indicator relative to each other so that when said probe tip indicator is aligned with said trajectory indicator said probe tip besides on said desired trajectory.

3. A method as claimed in claim 1 additionally comprising the step of displaying a feature which indicates distance from said probe tip to said target.

4. A method as claimed in claim 1 additionally comprising the step of presenting at least one tomographic image while said displaying step displays said graphic object.

5. A method as claimed in claim 1 additionally comprising the step of repeating said determining step, said trajectory indicator displaying step, and said probe tip indicator displaying step to track movement of said probe tip in real time.

6. A method as claimed in claim 1 additionally comprising the step of defining said predetermined trajectory to be a substantially straight line.

7. A method as claimed in claim 1 wherein said trajectory indicator displaying step comprises the step of configuring said plane into four quadrants so that said single point appearance of said desired trajectory is common to said four quadrants.

8. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said method comprising the steps of:

identifying coordinates of said target;

identifying coordinates of an entry point into said body;

determining current coordinates for a tip of said probe;

controlling a display to form a graphic object therein that indicates a direction in which to move said probe tip to cause said probe tip to intersect a predetermined trajectory which includes said target and said entry point coordinates and to form a feature in said graphic object which indicates distance from said probe tip to said target; and

repeating said determining and controlling steps to track movement of said probe tip.

9. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said probe being configured to generate live video images, and said method comprising the steps of:

identifying coordinates of said target;

identifying coordinates of an entry point into said body;

determining current coordinates for a tip of said probe;

controlling a display to indicate a direction in which to move said probe tip to cause said probe tip to intersect a predetermined trajectory which includes said target and said entry point coordinates;

repeating said determining and controlling steps to track movement of said probe tip; and

presenting said live video images in said display while said controlling step causes said display to indicate said direction in which to move said probe tip to cause said probe tip to intersect said predetermined trajectory.

10. An apparatus for presenting guidance information to a user engaged in guiding a probe to a target within a body, said apparatus comprising:

means for identifying a location for said target;

a localizer configured at least in part to identify a location for an initial point relative to said body;

a controller, coupled to said localizer and to said identifying means, said controller being configured to determining a current location for a tip of said probe and to determine a direction in which to move said probe tip to cause said probe tip to intersect a desired trajectory which includes said target and said initial point locations; and

a display, coupled to said controller, for displaying a trajectory indicator, said trajectory indicator depicting a plane substantially perpendicular to said desired trajectory so that said desired trajectory appears as a single point in said plane, and for displaying a probe tip indicator overlying said trajectory indicator, wherein said probe tip indicator corresponds to said probe tip and said trajectory indicator and said probe tip indicator feature together indicate a graphic object which illustrates said direction in which to move said probe tip to cause said probe tip to intersect said desired trajectory.

11. An apparatus as claimed in claim 10 wherein said controller is further configured to form said graphic object to include a feature which indicates distance from said probe tip to said target.

12. An apparatus for presenting guidance information to a user engaged in guiding a probe configured to generate live video images to a target within a body, said apparatus comprising:

means for identifying a location for said target;

a localizer configured at least in part to identify a location for an initial point relative to said body;

a controller means, coupled to said localizer, said probe, and said identifying means, for determining a current location for a tip of said probe and for determining a direction in which to move said probe tip to cause said probe tip to intersect a predetermined trajectory which includes said target and said initial point locations, and said controller means further causing said display to present said live video images while simultaneously displaying a graphic object which illustrates said direction in which to move said probe tip to cause said probe tip to intersect said predetermined trajectory; and

a display, coupled to said controller, for displaying said graphic object.

13. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said method comprising the steps of:

identifying a location for said target;

identifying a location for an initial point;

determining a current location for a tip of said probe;

displaying a graphic object which indicates a direction in which to move said probe tip to cause said probe tip to intersect a predetermined trajectory which includes said target and said initial point locations; and

forming a feature in said graphic object which indicates distance from said probe tip to said predetermined trajectory.

14. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said method comprising the steps of:

identifying a location for said target;

identifying a location for an initial point;

identifying an initial roll orientation for said probe;

determining a current location for a tip of said probe and a current roll orientation for said probe;

displaying a graphic object which indicates a direction in which to move said probe tip to cause said probe tip to intersect a desired trajectory which includes said target and said initial point locations; and

forming a display feature which is responsive to said current roll orientation of said probe relative to said initial roll orientation.

15. A method for presenting guidance information to a user engaged in guiding a probe to a target within a body, said probe being configured to generate live video images, and said method comprising the steps of:

identifying a location for said target;

identifying a location for an initial point;

determining a current location for a tip of said probe;

displaying a graphic object which indicates a direction in which to move said probe tip to cause said probe tip to intersect a predetermined trajectory which includes said target and said initial point locations; and

presenting said live video images while said displaying step displays said graphic object.