Frameless stereotactic arm apparatus and method of using same

• US 6,035,228 A
• Filed: 11/28/1997
• Issued: 03/07/2000
• 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: Sharpless, Ronald B., Furst, Daniel S., Jeri, David, Yanof, Jeffrey H., Bauer, Christopher
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US08/980,443
• Time in Patent Office: 830 Days
• Field of Search: 395/80, 395/93, 395/94, 606/130, 600/429, 600/407, 600/427, 600/411, 600/417, 600/414, 600/426
• US Class Current: 600/429
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints

Abstract

An imaging apparatus (18) includes a frameless stereotactic arm apparatus (30) including a first base portion (42) mounted in a fixed relationship to the imaging device. A second free end (40) of the arm assembly is adapted to move into varied positions near a specimen disposed on the imaging apparatus. At least one pivot joint (44, 48, 52, 56, 60) is provided between the first base portion and the free end of the arm for permitting selective relevant movement between the arm members. Electro-mechanical and electro-magnetic brake devices are provided at respective joints to selectively lock the free end of the arm assembly to the base portion. The brakes are responsive to a brake command signal (210) generated by the imaging device. A low pass filter (240) conditions the brake command signal to substantially eliminate high frequency electromagnetic switching noise in the stereotactic arm. So that the arm is movable in emergency situations, the brakes are adapted to rebase in response to application of a force in excess of a predetermined breakaway threshold force.

Claims

1. A frameless stereotactic surgical apparatus comprising:

an imaging device for generating first image information regarding a specimen disposed adjacent the imaging device;

a mechanical arm assembly having a first base portion mounted directly onto the imaging device in a predetermined fixed location on the imaging device, a second free end adapted to move into varied positions near the specimen, and at least one pivot joint between the first base portion and the second free end for permitting selective relative movement between the first base portion and the second free end;

an electromagnetic brake device adapted to selectively lock the first base portion to the second free end responsive to an electric brake command signal generated by a control circuit operatively associated with the imaging device; and

,

a transform processor for mapping a position of the free end of the mechanical arm in arm space coordinates to a position in scanner space coordinates, the arm space coordinates relating the mechanical arm assembly to the imaging device and the scanner space coordinates relating the specimen to the imaging device.

2. The frameless stereotactic surgical apparatus according to claim 1 further comprising a position feedback device generating a first joint position signal indicating an orientation of the second free end of the mechanical arm assembly relative to the first base portion.

3. The frameless stereotactic surgical apparatus according to claim 2 wherein:

the first joint position signal is first joint position signal information in said arm space coordinates relating the mechanical arm assembly to the imaging device; and

,

the first image information is first image information in said scanner space coordinates relating the specimen to the imaging device.

4. The frameless stereotactic surgical apparatus according to claim 1 wherein said imaging device is adapted to generate said electric brake command signal at a first level for a first predetermined time period and generate said electric brake command signal at a second level for a second predetermined time period.

5. The frameless stereotactic surgical apparatus according to claim 1 wherein said electromagnetic brake device is adapted to support said mechanical arm assembly in a predetermined locked position against a force of gravity.

6. The frameless stereotactic surgical apparatus according to claim 5 wherein said electromagnetic brake device is adapted to permit movement of said mechanical arm assembly from said predetermined fixed position against a first offsetting force slightly greater than said force of gravity and against a holding force of said brake device.

7. The frameless stereotactic surgical apparatus according to claim 1 wherein said imaging device includes a low pass filter for filtering high frequency noise components from said electric brake command signal.

8. The frameless stereotactic surgical apparatus according to claim 1 wherein said mechanical arm assembly includes:

a primary support member connected to said first base portion by a base joint;

an upper arm member connected to said primary support member by a shoulder joint;

a lower arm member connected to said upper arm member by an elbow joint;

a knuckle member connected to said lower arm member by a forearm joint; and

,

a wrist member at said free end of the mechanical arm assembly and connected to said knuckle member by a wrist joint.

9. The frameless stereotactic surgical apparatus according to claim 8 further comprising:

a base joint electromagnetic brake device at said base joint adapted to selectively lock the first base portion to the primary support member responsive to said brake command signal;

a shoulder joint electro-magnetic brake device at said shoulder joint adapted to selectively lock the primary support member to the upper arm member responsive to said brake command signal;

an elbow joint electromagnetic brake device at said elbow joint adapted to selectively lock the upper arm member to the lower arm member responsive to said brake command signal;

a forearm electro-mechanical brake device at said forearm joint adapted to selectively lock the lower arm member to the knuckle member responsive to said brake command signal; and

,

a wrist electromechanical brake device at said wrist joint adapted to selectively lock the knuckle member to the wrist member responsive to said brake command signal.

10. The frameless stereotactic surgical apparatus according to claim 9 wherein:

the base joint electro-magnetic brake device has a holding force of 44.2 in-lb;

the shoulder joint electromagnetic brake device has a holding force of 44.2 in-lb;

the elbow joint electro-magnetic brake device has a holding force of 19.5 in-lb;

the forearm joint electro-mechanical brake device has a holding force of 9 in-lb; and

, the wrist joint electro-mechanical brake device has a holding force of 3 in-lb.

11. The frameless stereotactic surgical apparatus according to claim 1 wherein the first base portion of said mechanical arm assembly is mounted directly onto the imaging device in a one of a plurality of predetermined fixed locations on the imaging device.

12. A method of using a surgical instrument guide apparatus with a stereotactic imaging device adapted to receive a patient or a patient support table, the method comprising the steps of:

registering the surgical instrument guide apparatus with the stereotactic imaging device by mechanically connecting a base end of the guide apparatus directly to the imaging device;

using the imaging device, generating a first image information in scanner space coordinates regarding a patient disposed on the patient support table;

generating guide tip position information in guide space coordinates indicating a position of a free end of the guide apparatus relative to said base end of the guide apparatus;

using a transform processor in the imaging device, mapping the guide tip position information in said guide space coordinates to guide tip position information in said scanner space coordinates to relate the guide apparatus to the imaging device;

using the transform processor in the imaging device, mapping the first image information and the guide tip position information in said scanner space coordinates to image space coordinates adapted for display on a human readable display monitor; and

,

displaying on a human readable display monitor said first image information in said image space coordinates together with said guide tip position information in said image space coordinates to present a human interventionist with a visual representation of the surgical instrument guide apparatus together with an image of the patient on the patient support table.

13. The method of using a surgical instrument guide apparatus with a stereotactic imaging device according to claim 12 wherein the step of registering the surgical instrument guide apparatus with the stereotactic imaging device includes mechanically connecting said base end of the guide apparatus directly to the imaging device at a one of a plurality of predetermined fixed locations on the imaging device.

14. The method of using a surgical instrument guide apparatus with a stereotactic imaging device according to claim 12 further including the step of providing an electromagnetic brake in said surgical instrument guide apparatus, the electromagnetic brake device being adapted to selectively lock the free end relative to the base end in response to an electric brake command signal generated by a control circuit operatively associated with the imaging device, the electromagnetic brake device being adapted to selectively support said surgical instrument guide apparatus in a predetermined locked position against a force of gravity and being adapted to permit movement of said surgical instrument guide apparatus from said predetermined fixed position against a first offsetting force slightly greater than said force of gravity and against a holding force of said electromagnetic brake.

15. A frameless stereotactic surgical apparatus comprising:

an imaging device for generating first image information regarding a specimen disposed adjacent the imaging device;

a mechanical arm assembly having a first base portion mounted directly onto the imaging device in a predetermined fixed position on the imaging device, a second free end adapted to move into varied positions near the specimen, and at least one pivot joint between the first base portion and the second free end for permitting selective relative movement between the first base portion and the second free end;

an electromagnetic brake device for selectively locking the first base portion to the second free end responsive to an electric brake command signal generated by a control circuit operatively associated with the imaging device, the electromagnetic brake device being adapted to support said mechanical arm assembly in a predetermined locked position against a force of gravity and to permit movement of said mechanical arm assembly from said predetermined fixed position against a first offsetting force slightly greater than said force of gravity and against a holding force of said brake devices and,

a transform processor for mapping a location of the free end of the mechanical arm in arm space coordinates relating the mechanical arm assembly relative to the imaging device to a location in scanner space coordinates relating a position of said specimen relative to the imaging device.

16. The frameless stereotactic surgical apparatus according to claim 15 wherein said imaging device is adapted to generate said electric brake command signal at a first level for a first predetermined time period to separate a brake armature from engagement with a brake coil and generate said electric brake command signal at a second level for a second predetermined time period to sustain the brake armature separated from engagement with the brake coil.

17. The frameless stereotactic surgical apparatus according to claim 15 further comprising a position feedback device generating a first joint position signal indicating an orientation of the second free end of the mechanical arm assembly relative to the first base portion.

18. The frameless stereotactic surgical apparatus according to claim 17 wherein:

the first joint position signal is first joint position signal information in said arm space coordinates relating the mechanical arm assembly to the imaging device; and

,

the first image information is first image information in said scanner space coordinates relating the specimen to the imaging device.

19. A frameless stereotactic surgical apparatus comprising:

an imaging device for generating first image information regarding a specimen disposed adjacent the imaging device;

a mechanical arm assembly having a first base portion mounted directly onto the imaging device in a predetermined fixed location on the imaging device, a second free end adapted to move into varied positions near the specimen, and at least one pivot joint between the first base portion and the second free end for permitting selective relative movement between the first base portion and the second free end;

an electromagnetic brake device adapted to selectively lock the first base portion to the second free end responsive to an electric brake command signal generated by a control circuit operatively associated with the imaging device;

a low pass filter for filtering high frequency noise components from said electric brake command signal; and

,

a transform processor for mapping a position of the free end of the mechanical arm assembly in arm space coordinates relating the mechanical arm assembly to the imaging device to a position in scanner space coordinates relating the specimen to the imaging device.

20. The frameless stereotactic surgical apparatus according to claim 19 wherein the electromagnetic brake device is adapted to support said mechanical arm assembly in a predetermined locked position against a force of gravity and to permit movement of said mechanical arm assembly from said predetermined fixed position against a first offsetting force slightly greater than said force of gravity and against a holding force of said electromagnetic brake device.

21. The frameless stereotactic surgical apparatus according to claim 19 wherein said imaging device is adapted to generate said electric brake command signal at a first level for a first predetermined time period to separate a brake armature from engagement with a brake coil and generate said electric brake command signal at a second level for a second predetermined time period to sustain the brake armature separated from engagement with the brake coil.

22. The frameless stereotactic surgical apparatus according to claim 19 further comprising a position feedback device generating a first joint position signal indicating an orientation of the second free end of the mechanical arm assembly relative to the first base portion.

23. The frameless stereotactic surgical apparatus according to claim 22 wherein:

the first joint position signal is first joint position signal information in said arm space coordinates relating the mechanical arm assembly to the imaging device; and

,

the first image information is first image information in said scanner space coordinates relating the specimen to the imaging device.