Trackable guide block

• US 5,904,691 A
• Filed: 09/26/1997
• Issued: 05/18/1999
• Est. Priority Date: 09/30/1996
• Status: Expired due to Term

• Current Assignee: Cleveland Clinic Foundation, Picker International, Inc. (Marconi Holdings Company Limited)
• Original Assignee: Cleveland Clinic Foundation, Picker International, Inc. (Marconi Holdings Company Limited)
• Inventors: Wood, Christopher H., Dayton, Patrick A., Barnett, Gene H.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): BUI, VY Q
• Application Number:
  US08/938,299
• Time in Patent Office: 599 Days
• Field of Search: 606/130, 606/131, 606/132, 606/133, 606/134, 128/303 B, 128/653.1
• US Class Current: 606/130
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• 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 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/207 Divots for calibration
• CPC Class Codes: A61B 2090/3945 Active visible markers, e.g. light emitting diodes
• 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 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• 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 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A surgical guide for use with an image guided surgery includes first and second surfaces. At least three signaling devices such as infrared emitters are disposed on the first surface, and a cylindrical mounting boss is disposed on the second surface. A guide aperture is perpendicular to the first and second surfaces and extends between them. The guide aperture is configured to support a surgical tool such as a biopsy needle. A sleeve may be placed in the aperture to support additional tools.

Claims

1. An apparatus for guiding the application of a surgical tool in relation to an object, the apparatus comprising:

a first major surface; and

a second major surface in spaced relation to the first major surface;

a guide aperture which intersects the first and second major surfaces, the guide aperture defining a guide axis and being configured to support the surgical tool along the guide axis; and

a plurality of position signaling devices having a known relationship to the guide axis, the signaling devices being adapted for operative communication with an image guided surgery system.

2. An apparatus according to claim 1 comprising at least three position signaling devices disposed on the first major surface.

3. An apparatus according to claim 2 comprising means disposed at a location offset from the guide axis for attaching the apparatus to a holding device.

4. An apparatus according to claim 3 wherein the means for attaching comprises a boss having a cylindrical exterior surface.

5. An apparatus according to claim 3 wherein the means for attaching is disposed on the second major surface.

6. An apparatus according to claim 5 wherein the means for attaching defines a longitudinal axis and the longitudinal axis is parallel to the guide axis.

7. An apparatus according to claim 1 comprising a sleeve which is insertable within the guide aperture and which is adapted to receive a desired surgical tool.

8. An apparatus according to claim 1 wherein the first major surface has at least a first transverse dimension and a distance between the first and second major surfaces at the location of the guide aperture is less than the first transverse dimension.

9. An apparatus according to claim 1 wherein the position signaling devices comprise one of reflective elements and infrared emitters.

10. An apparatus according to claim 1 wherein the first major surface is one of rectangular, circular and x-shaped.

11. An apparatus according to claim 1 comprising at least three position signaling devices disposed in a plane orthogonal to the guide axis.

12. An apparatus for guiding the application of a surgical tool in relation to an object, the apparatus comprising:

an image guided surgery system; and

a surgical guide comprising

three position signaling devices adapted for operative communication with the image guided surgery system, the three position signaling devices disposed in a plane; and

means for supporting the surgical tool along a guide axis, which guide axis intersects the plane at a known non-zero angle.

13. An apparatus according to claim 12 wherein the plane is orthogonal to the guide axis.

14. An apparatus according to claim 12 wherein the surgical guide comprises a first major surface and the means for supporting comprises a guide aperture which intersects the first major surface.

15. An apparatus according to claim 14 wherein the three signaling devices are disposed on the first major surface.

16. An apparatus according to claim 14 wherein the surgical guide comprises a second major surface and further comprising a mounting boss disposed on the second major surface.

17. An apparatus according to claim 12 wherein the surgical guide comprises

a first major surface, the three position signaling devices being disposed thereon;

a second major surface parallel to the first major surface and perpendicular to the guide axis.

18. An apparatus according to claim 17 wherein the means for supporting comprises an aperture which intersects the first and second surfaces.

19. An apparatus according to claim 13 wherein the means for supporting comprises a sleeve insertable within the aperture, the sleeve being configured to support a desired tool.

20. An apparatus according to claim 12 wherein the surgical guide comprises four signaling devices.

21. An apparatus according to claim 12 comprising means for defining a reference surface.

22. A method for guiding the application of a surgical tool, the method comprising the steps of:

positioning a surgical guide in relation to a patient, the surgical guide comprising

a structure configured to support the surgical tool along a guide axis;

at least three position signaling devices adapted for operative communication with an image guided surgery system and disposed in a plane orthogonal to the guide axis;

using the image guided surgery system to determine a position of the guide axis; and

using the surgical guide to support the surgical tool.

23. A method according to claim 22 wherein the structure configured to support the surgical tool comprises an aperture and further comprising the step of inserting within the aperture a member configured to support the surgical tool.

24. A method according to claim 22 wherein the surgical guide comprises a first major surface, a second major surface in spaced relation to the first major surface and parallel thereto, and a mounting structure disposed on the second major surface, the position signaling devices being disposed on the first major surface.