Interchangeable guidance devices for C.T. assisted surgery and method of using same

• US 5,957,933 A
• Filed: 11/28/1997
• Issued: 09/28/1999
• Est. Priority Date: 11/28/1997
• Status: Expired due to Term

• Current Assignee: Picker International, Inc. (Marconi Holdings Company Limited)
• Original Assignee: Picker International, Inc. (Marconi Holdings Company Limited)
• Inventors: Foster, James C., Goldstein, Laura L., Yanof, Jeffrey H., Bauer, Christopher, Jensen, Fred C.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Bui, Vy Q.
• Application Number:
  US08/980,253
• Time in Patent Office: 669 Days
• Field of Search: 606/129, 606/130, 606/1, 606/205, 378/901
• US Class Current: 606/130
• CPC Class Codes: A61B 6/584 determining position of components of the apparatus or device using images of the phantom
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/13 guided by light, e.g. laser pointers

Abstract

A stereotactic guide apparatus 100 is provided for use with a CT scanner device 18 for guiding the entry of a probe into a patient'"'"'s body. The CT scanner device is provided with a stereotactic arm member 30 having a first base end 42 connected to the CT scanner device 18 and a second free end 40 movable relative to the CT scanner device. The stereotactic surgical instrument guide apparatus includes a first end effector member 106 including a guide channel 152 defining a probe insertion path 150. The surgical instrument guidance device further includes a second end effector member 104 on the free end of the stereotactic arm member and including a laser light source 108 generating a light guide beam along the probe insertion path 150. Each of the first and second end effector members are selectively releasably attached to the free end of the stereotactic arm member and, further, are adapted to provide respective first and second device identification signals to the CT scanner device through the stereotactic arm member. The top end effector member 104 is preferably stationary in use during interventional procedures and the bottom end effector member 106 is selectively retractable into a hollow support tube 142. Alternatively, the first and second end effector members are selectively pivotally attached to the free end of the stereotactic arm member.

Claims

1. A stereotactic guide apparatus for use with a CT scanner device in guiding the entry of a surgical instrument associated with the guide apparatus into a patient'"'"'s body during a laser guided interventional procedure, the guide apparatus comprising:

a stereotactic arm member having a first base end rigidly connected to the CT scanner device and a second free end movable relative to the CT scanner device;

a first end effector member on the free end of the stereotactic arm member, the first end effector member including a guide channel defining an insertion path, the guide channel permitting relative motion between the stereotactic guide apparatus and the associated surgical instrument along said insertion path; and

,

a second end effector member on the free end of the stereotactic arm member, the second end effector member including a laser light source generating a laser light guide beam co-axially aligned with said insertion path.

2. The stereotactic guide apparatus according to claim 1 wherein each of the first and second end effector members are selectively releasably attached to said second free end of the stereotactic arm member.

3. The stereotactic guide apparatus according to claim 2 wherein:

the first end effector member is adapted to provide a first device identification signal to the CT scanner device through the stereotactic arm member; and

,

the second end effector member is adapted to provide a second device identification signal to the CT scanner device through the stereotactic arm member.

4. The stereotactic guide apparatus according to claim 3 further comprising:

a first electromechanical coupler for connecting the first end effector member to the stereotactic arm member; and

,

a second electro-mechanical coupler for connecting the second end effector to the stereotactic arm member.

5. The stereotactic guide apparatus according to claim 4 wherein:

the first electromechanical coupler is adapted to connect a third end effector having a second guide channel to the free end of the stereotactic arm member; and

,

the second electromechanical coupler is adapted to connect a fourth end effector having a second laser light source to the free end of the stereotactic arm member.

6. The stereotactic guide apparatus according to claim 5 wherein:

the third end effector is connected to the free end of the stereotactic arm member and is adapted to provide a third devise identification signal to the CT scanner device through the stereotactic arm member; and

,

the fourth end effector is connected to the free end of the stereotactic arm member and is adapted to provide a fourth device identification signal to the CT scanner device through the stereotactic arm member.

7. The stereotactic guide apparatus according to claim 1 wherein each of the first and second end effector members are selectively pivotally attached to the free end of the stereotactic arm member.

8. The stereotactic guide apparatus according to claim 7 wherein each of the first and second end effector members are independently pivotally attached to the free end of the stereotactic arm member so that the second end effector can be pivoted upwardly and away from the insertion path to facilitate the entry of the associated surgical instrument into the patient'"'"'s body.

9. The stereotactic guide apparatus according to claim 1 wherein said guide channel is retractable relative to the insertion path and into the first end effector to facilitate the entry of the associated surgical instrument into the patient'"'"'s body.

10. The stereotactic guide apparatus according to claim 9 wherein said guide channel is retractable relative to the insertion path following a substantially arcuate path.

11. The stereotactic guide apparatus according to claim 9 wherein said guide channel is retractable relative to the insertion path following a substantially linear path.

12. The stereotactic guide apparatus according to claim 9 wherein the guide channel is formed between a pair of opposing tweezer fingers biased in a normally closed orientation.

13. The stereotactic guide apparatus according to claim 3 wherein:

the first end effector member carries a first identification resistor to generate said first device identification signal, the first device identification signal being indicative of physical characteristics of the first end effector member; and

,

the second end effector member carries a second identification resistor to generate said second device identification signal, the second device identification signal being indicative of physical characteristics of the second end effector member.

14. The stereotactic guide apparatus according to claim 1 wherein the guide channel is formed between a pair of opposing tweezer fingers biased in a normally closed orientation.

15. The stereotactic guide apparatus according to claim 1 wherein the guide channel comprises a needle guide defined between opposing faces of a cannula pair.

16. The stereotactic guide apparatus according to claim 1 wherein the guide channel includes a V-groove formed on the first end effector member.

17. A guidance device for use with a stereotactic imaging system having an arm member with a first base end rigidly connected to a CT scanner device and a second free end movable relative to the CT scanner device, the guidance device for guiding the entry of a surgical instrument associated with the guidance device along an insertion path into a patient'"'"'s body during a stereotactic interventional procedure, the guidance device comprising:

a guide channel member on the free end of the stereotactic arm member defining a surgical instrument insertion path, the guide channel member permitting relative motion between the guidance device and the associated surgical instrument along said insertion path; and

,

a laser light source on the free end of the stereotactic arm member, the laser light source being adapted to generate a laser light guide beam co-axially aligned with said surgical instrument insertion path.

18. The guidance device according to claim 17 wherein:

each of the guide channel member and the laser light source are selectively releasably attached to said free end of the stereotactic arm member;

the guide channel member is adapted to provide a first device identification signal to the CT scanner device through the stereotactic arm member, the first device identification signal being indicative of physical characteristic of the guide channel member; and

,

the laser light source is adapted to provide a second device identification signal to the CT scanner device through the stereotactic arm member, the second device identification signal being indicative of physical characteristic of the laser light source.

19. The guidance device according to claim 17 wherein each of the guide channel member and the laser light source are independently pivotally attached to the free end of the stereotactic arm member so that the laser light source can be pivoted upwardly and away from the insertion path to facilitate the entry of the associated surgical instrument into the patient'"'"'s body.

20. The guidance device according to claim 17 wherein the guide channel member is formed as a one of:

a pair of opposing tweezer fingers biased in a normally closed orientation;

a needle guide defined between opposing faces of a cannula pair; and

,

a V-groove formed on the free end of the stereotactic arm member.