Position sensing system and method for using the same

• US 6,006,750 A
• Filed: 04/30/1996
• Issued: 12/28/1999
• Est. Priority Date: 04/30/1996
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Field, Steven E.
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): FIELDS, DERRICK LAMAR
• Application Number:
  US08/637,972
• Time in Patent Office: 1,337 Days
• Field of Search: 128/754, 128/771, 128/662.05, 128/657, 128/749, 128/653.1, 128/653.2, 606/1
• US Class Current: 600/407
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/3929 Active markers
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A positioning system for marking a specified location within tissue includes a hollow needle and a localization wire adapted for insertion through the hollow needle and into the specified location. A transmitter is connected to the localization wire for transmitting a signal through the tissue so that the specified location can be accurately determined when the transmitter is placed thereat. A method of marking a specified location within tissue includes inserting a hollow introducer needle into the tissue until a tip of the needle reaches the specified location. A localization wire having a transmitter is then inserted into the hollow needle until the transmitter is positioned at the specified location. The hollow needle is then removed from the tissue such that only the localization wire and transmitter remain embedded therein. The transmitter is subsequently located by probing an outside surface of the tissue with a receiver until the maximum signal strength is achieved. The maximum signal strength is directly indicative of the transmitter'"'"'s position at the specified location.

Claims

1. A surgical guidance system for directing a surgeon to a desired position in tissue within a body comprising:

a localization wire having proximal and distal ends, the distal end being adapted to be inserted into body tissue and positioned at a desired position;

a surgical tool adapted to be inserted into said body and maneuvered around the localization wire; and

one of a transmitter element and a receiver element being provided on the localization wire, the other of the transmitter element and receiver element being provided on the surgical tool at a position so that said other of the transmitter element and receiver element is adapted to be inserted into said body, the transmitter element being adapted to emit a signal and the receiver element being adapted to receive the signal; and

a receiving unit electrically connected to the receiver element and adapted to interpret said signal;

whereby the guidance system can be used in accurately leading a surgeon to a desired location when the distal end of the wire is positioned adjacent the desired tissue and the transmitter and receiver are utilized to determine the position of wire with respect to the probe.

2. A surgical guidance system according to claim 1 wherein the transmitter is provided on the localization wire.

3. A surgical guidance system according to claim 2 wherein the transmitter is provided on the distal end of the wire.

4. A surgical guidance system according to claim 2 wherein the distal end of the wire has a barb formed thereon and the transmitter is positioned immediately adjacent the barb.

5. A surgical guidance system according to claim 1 wherein the surgical tool comprises a biopsy needle.

6. A surgical guidance system for directing a surgeon to a certain position in a body comprising:

a hollow introducer needle adapted to be inserted into the body;

a probe adapted to be surgically received inside the body and maneuvered with respect to the introducer needle;

one of a transmitter element and a receiver element being selectively mounted to the introducer needle, the other of the transmitter element and receiver element being provided on the probe, the transmitter element being adapted to be positioned adjacent the desired tissue and to emit a signal, the receiver element being adapted to receive the signal; and

a receiving unit electrically connected to the receiver element and adapted to interpret said signal;

whereby the guidance system can be used in accurately leading a surgeon to a desired location inside the body when said one of the transmitter and receiver element is positioned adjacent the desired location and the transmitter and receiver are utilized to determine the position of the probe with respect to the desired tissue.

7. A surgical guidance system according to claim 6 wherein the probe comprises a biopsy needle.

8. A surgical guidance system according to claim 7 wherein the receiver is provided on the biopsy needle.

9. A surgical guidance system according to claim 6 wherein the wherein the transmitter is selectively mounted to the introducer needle.

10. A surgical guidance system according to claim 6 wherein the transmitter is selectively mounted to the distal end of the introducer needle.

11. A method of guiding a surgeon to a desired location in a body comprising the steps of:

providing a localization wire having proximal and distal ends;

providing one of a transmitter and receiver on the localization wire;

positioning the distal end of the localization wire inside the body immediately adjacent the desired location;

providing a probe having a portion adapted to be inserted into said body and maneuvered with respect to the localization wire, the other of the transmitter and receiver being provided on said portion of the probe;

emitting a signal from the transmitter;

receiving the signal with the receiver and interpreting the signal in order to determine the position of the transmitter with respect to the receiver and;

inserting said portion of the probe into the body and maneuvering the probe with respect to the localization wire;

whereby the position of the desired location can be determined through manipulation of the probe with respect to the localization wire and interpretation of the signals transmitted and received by the transmitter and receiver.

12. A method of guiding a surgeon to a desired location according to claim 11 wherein the localization wire is positioned by inserting one end of a hollow introducer needle into the body and inserting the wire through the needle so that the distal end of the wire is adjacent the desired location and then slidably removing the introducer needle while retaining the localization wire at the desired location.