Intraoperative recalibration apparatus for stereotactic navigators

• US 5,971,997 A
• Filed: 02/20/1997
• Issued: 10/26/1999
• Est. Priority Date: 02/03/1995
• Status: Expired due to Fees

• Current Assignee: Integra Radionics, Inc. (Integra LifeSciences Holdings Corporation)
• Original Assignee: Radionics, Inc. (Integra LifeSciences Holdings Corporation)
• Inventors: Cosman, Eric R., Mauge, Christophe P., Guthrie, Barton L., Daniels, Robert A., Cundari, Michael A.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/803,552
• Time in Patent Office: 978 Days
• Field of Search: 606/130
• US Class Current: 606/130
• CPC Class Codes: A61B 2090/363 Use of fiducial points
• CPC Class Codes: A61B 2090/371 with simultaneous use of two cameras
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61B 90/14 Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins

Abstract

This invention relates to apparatus for calibrating and recalibrating a digitized navigator or so-called frameless stereotactic instrument or device during a surgical operation. The apparatus enables calibration for the stereotactic digitizer to be recovered after sterile draping of the patient, movement of the patient'"'"'s head during operation, relative movement of the patient'"'"'s head and reference apparatus associated with the stereotactic digitizer, power failures, or other events which could compromise calibration of the stereotactic digitizer during the operation which would otherwise preclude continuations using the digitizer. It also provides convenient means for initial calibration or repeat calibration, should that be necessary. The apparatus is, in one embodiment, cooperatively coupled to, or coupled so as to move with, the portion of the patient'"'"'s body which is being operated upon and enables the repositioning of the recalibration means after sterile draping. In exemplary embodiments, the apparatus would include a reference point structure or a reference holding structure that can be attached to, for example, a surgical head clamp in a neurosurgical operation and can be accessed for calibration positioning or calibration locationing by the digitizer during the operation. The apparatus could be removed, sterilized, and repositioned in an identical position relative to the head clamp, and therefore the patient'"'"'s head during the operation, assuring that sterility and loss of calibration would not be compromised.

Claims

1. Apparatus for intraoperative recalibration of a stereotactic navigator with respect to a patient'"'"'s anatomy comprising:

a mechanical recalibration element including a base which is adapted to be releasably secured invasively to a bony portion of said patient'"'"'s anatomy while allowing intubation, said base being independent of the positioning of said surgical navigator with respect to said patient'"'"'s anatomy, before and during a surgical procedure, said mechanical relocation element having definable reference structures in a fixed orientation with respect to said mechanical recalibration element which enables said surgical navigator to be recalibrated with respect to said mechanical recalibration element and thus recalibrated with respect to said patient'"'"'s anatomy by mechanical contact of said surgical navigator with said definable reference structures.

2. The apparatus of claim 1 wherein:

said base comprises a surgical head clamp that can be securely attached to the patient'"'"'s head, and said definable reference structures being mechanical contact structures that can be fixed with respect to said surgical head clamp and said mechanical contact structures being adapted to be contacted at definable points by said stereotactic navigator so as to reference said stereotactic navigator with respect to said surgical head clamp and therefore with respect to said patient'"'"'s head.

3. The apparatus of claim 2 wherein said mechanical contact structures comprise index points on each mechanical contact structure that allow contact by the tip of said stereotactic navigator in a spatial relationship with respect to said mechanical contact structure, and therefore at a substantially well defined spatial relationship with respect to said surgical head clamp.

4. The apparatus of claim 2 wherein said mechanical contact structures can be repeatedly removed and reapplied to said base in the same position with respect to said base, and said mechanical contact structures is adapted to withstand sterilization between removal and re-application onto said base.

5. The apparatus of claim 1 wherein:

said base comprises a surgical head clamp that can be securely attached to the patient'"'"'s head, and said definable reference structures comprise a mechanical docking structure that can be fixed to said surgical head clamp and that is adapted to receive, in a docking manner, at least a portion of said stereotactic navigator, and whereby when said at least a portion of said stereotactic navigator is so docked to said mechanical docking structure, said stereotactic navigator is in a reproducibly calibrated position with respect to said surgical head clamp and therefore with respect to said patient'"'"'s head.

6. The apparatus of claim 1 wherein:

said base comprises a surgical head damp that can be securely attached to the patient'"'"'s head and which is adapted to be cooperatively coupled to said definable reference structures so that said definable reference structures are attached to said surgical head clamp in the same position with respect to said surgical head clamp, said definable reference structures comprising a contact base having contact structures therein which can be touched by a portion of said stereotactic navigator so that said stereotactic navigator can be recalibrated in orientation with respect to said contact base and therefore recalibrated with respect to said surgical head clamp and thus said patient'"'"'s head.

7. The apparatus of claim 6 wherein said contact base includes a plate and said contact structures include divot points on said plate such that when thetip of said stereotactic navigator touches sequentially said divot points, then said stereotactic navigator can thereby be calibrated in its orientation with respect to said divot points and thus said plate and thus recalibrated repeatedly with respect to said contact base, and said contact base being in a well defined, fixed relationship to said definable reference structure, said surgical navigator is thereby recalibrated to said patient'"'"'s head.

8. A method for intraoperative recalibration of a stereotactic navigator with respect to a patient'"'"'s anatomy during a surgical procedure comprising the steps of:

(a) releasably securing invasively a mechanical recalibration element including a base to a bony portion of said patient'"'"'s anatomy while allowing intubation, said base being independent of the positioning of said surgical navigator with respect to said patient'"'"'s anatomy during a surgical procedure, said mechanical relocation element having definable reference structures in a fixed orientation with respect to said mechanical relocation element which enables said surgical navigator to be recalibrated with respect to said mechanical recalibration element; and

,

(b) recalibrating said surgical navigator with respect to said patient'"'"'s anatomy by mechanically contacting said surgical navigator to said definable reference structures.