Device for noninvasive stereotactic immobilization in reproducible position

• US 5,702,406 A
• Filed: 09/11/1995
• Issued: 12/30/1997
• Est. Priority Date: 09/15/1994
• Status: Expired due to Term

• Current Assignee: Brainlab AG
• Original Assignee: Brainlab Med Computersysteme GMBB
• Inventors: Vilsmeier, Stefan, Bertram, Michael, Lippstreu, Stefan
• Primary Examiner(s): Yu, Mickey
• Assistant Examiner(s): YU, JUSTINE ROMANG
• Application Number:
  US08/526,626
• Time in Patent Office: 841 Days
• Field of Search: 606/130, 128/206.16, 128/206.17, 128/206.19, 128/653.1, 128/653.2, 128/653.5, 128/845, 128/857, 5/622
• US Class Current: 606/130
• CPC Class Codes: A61B 2090/101 for stereotaxic radiosurgery
• 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 90/18 Retaining sheets, e.g. immobilising masks made from a thermoplastic material
• CPC Class Codes: A61N 2005/1097 Means for immobilizing the patient
• CPC Class Codes: A61N 5/1049 for verifying the position of the patient with respect to the radiation beam

Abstract

The present invention pertains to a device for noninvasive, stereotactic immobilization in reproducible position with a head ring providing a firm reference system, a mask consisting of several parts attached to the head ring. The mask is individually adapted to the anatomical contours of a patient, and has mask parts connected with one another as well as with the reference system. The connections enable adjusting the relative position of the mask parts to one another.

Claims

1. For noninvasive, stereotactic immobilization of a head in reproducible position in a firm reference system, said reference system comprising a head ring having a pair of support legs, said legs, adapted to be positioned at opposite sides of the head of a specific patient,

a mask comprising a plurality of separate parts capable of assuming a given conformation, a first of said parts being adapted to be conformed to and to cover the anatomical contours of a first area of the specific patient'"'"'s head, a second of said parts being adapted to be conformed to and to cover the anatomical contours of a second area of the specific patient'"'"'s head which is not covered by the first of said parts, and

means for connecting the mask parts with one another, said connection means also connecting the connected mask parts to the reference system, wherein

said connection means comprises a pair of support strips for each mask part, said support strips adapted to be adjustably mounted on the pair of support legs to position the first of said parts to overlie the first area of the patient'"'"'s head and to position the second of said parts to overlie the second area of the patient'"'"'s head, and a pair of connecting strips mounting said support strips for adjusting the position of the mask parts relative to one another, and adjusting the position of the position of the mask parts relative to said reference system to thereby separately adjust the pressures applied to the first and second areas by said first and second mask parts.

2. Device in accordance with claim 1, characterized in that the mask parts consist of a thermoplastic material that does not adhere to skin or hair.

3. Device in accordance with claim 2, characterized in that the mask parts consist at least partially of a thermoplastic material that is designed as permeable to air.

4. Device in accordance with claim 1, wherein said first part is multilayered and conforms to front areas of the head and the second part conforms to a rear area of the head, said connection means adapted to accurately position and reposition the head of the specific patient with adjustable pressure between the second part and the multilayered first part and position of the head relative to said reference system.

5. Device in accordance with claim 4, characterized in that said multilayered first part has one layer with a section which consists of a thermoplastic material and conforms to the root of the nose of the patient.

6. Device in accordance with claim 1, wherein said mask parts are recessed in the areas of the mouth of the patient and of the neck.

7. Device in accordance with claim 1, wherein said pairs of support strips and connecting strips are arranged parallel to each other on the opposite sides of the head of the patient, including a mechanical connector adapted to connect a strip of one of said pairs on each side of the head of the patient with the head ring of the reference system.

8. Device in accordance with claim 7, wherein the mask parts have longitudinal edges extending parallel to each other on opposite sides of the head, said support strips being attached to said longitudinal edges, said connecting strips including spacing strips of various widths adapted to be selectively placed between the support strips, said mechanical connector having guides for adjustably supporting the support strips to allow additional spacing strips of various widths to be placed between the support strips, and by the variation in width of the spacing strips, allowing the position of the mask parts to be adjusted relative to one another.

9. Device in accordance with claim 1, including a detachable support for the back of the head arranged between the support legs of the reference system for supporting the back of the head of the patient.

10. For noninvasive, stereotactic immobilization of a head in reproducible position in a firm reference system, said system comprising a head ring having a pair of support legs adapted to be positioned at opposite sides of the head of a specific patient,

a mask comprising a plurality of separate parts capable of assuming a given conformation, each of said parts being adapted to be conformed to the anatomical contours of the specific patient'"'"'s head, said mask parts having longitudinal edges extending parallel to each other on opposite sides of the head, and connection means for connecting the mask parts with one another,

said connection means also connecting the connected mask parts to the reference system, said connection means comprising a pair of support strips for each mask part, said support strips being attached to said longitudinal edges and adapted to be adjustably mounted on the pair of support legs, said connection means including spacing strips mounted between said support strips for adjusting the position of said separate mask parts relative to one another, said pairs of support strips and said spacing strips being arranged parallel to each other on the opposite sides of the head of the patient,

said connection means including a mechanical connector adapted to connect said support strips and said spacing strips on each side of the head of the patient with the head ring of the reference system, said mechanical connector having guides for adjustably supporting the support strips to allow additional spacing strips of various widths to be placed between the support strips, and by the variation in width of the spacing strips, allowing the position of the mask parts to be adjusted relative to one another,

said mechanical connector including clamps adapted to the width of the combined spacing strips and support strips, said clamps being applied across the widths of the combined strips to releasably attach the strips to each other.