Device and method for setting stereotactic and endoscopically placed equipment

• US 6,328,748 B1
• Filed: 07/20/2000
• Issued: 12/11/2001
• Est. Priority Date: 09/16/1997
• Status: Expired due to Term

• Current Assignee: Elekta AB
• Original Assignee: Elekta AB
• Inventors: Hennig, Rune
• Primary Examiner(s): Smith, Jeffrey A.
• Assistant Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/508,629
• Time in Patent Office: 509 Days
• Field of Search: 606/130, 606/1
• US Class Current: 606/130
• 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 2017/22082 after introduction of a substance
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2090/101 for stereotaxic radiosurgery
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints

Abstract

The invention concerns a device for adjusting stereotactically and endoscopically located equipment, including pharmaceutical agents, radiation sources and organic material, comprising a holder and a fixing key, where the holder comprises a lower ring (1) for receiving a ball (2) which will form a ball joint, and an upper ring (3) for locking the ball in a specific position, where the ball (2) has a channel for insertion of medical instruments, and where the lower ring (1) has an external threaded surface (8) for direct screwing to an area of a patient'"'"'s skull. The device is characterized by the fact that the ball'"'"'s (2) central point, and thereby the ball joint'"'"'s fulcrum is arranged for positioning on a level with the patient'"'"'s cranium by way of a groove-like or curved surface (21) on the holder which forms an abutment for the ball (2). The invention also concerns a method for adjusting different stereotactically and endoscopically located equipment, including pharmaceutical agents, by means of the device, and application of the method in different contexts.

Claims

1. Apparatus for adjusting stereotactically and endoscopically located equipment, comprising;

a ball having a channel for insertion of medical instruments;

a holder including a lower ring for receiving the ball for universal positioning adjustment about a central ball fulcrum, and an upper ring for locking the ball in a specific position, the lower ring having an external threaded surface for direct screwing to an area of a patient'"'"'s cranium;

a fixing key for securing the lower ring to the cranium; and

a concave curved surface within the external threaded surface of the lower ring to support the ball so that the fulcrum and lowest point of the ball are located on a level within the cranium.

2. The apparatus of claim 1, wherein the upper ring and the lower ring have conical openings diverging away from the ball.

3. The apparatus of claim 1, wherein the lower ring has an upper threaded surface for co-operation with an internally threaded depending portion of the upper ring.

4. The apparatus of claim 1, wherein the lower ring has grooves for cooperation with protrusions in the fixing key employed for screwing the lower threaded surface of the lower ring into and out of an area of the cranium.

5. The apparatus of claim 1, wherein the upper ring is equipped with notches on the circumference thereof to facilitate gripping to secure the upper ring to the lower ring.

6. The apparatus of claim 1, wherein the upper ring has an upper conical opening.

7. The apparatus of claim 1, wherein the ball has a centrally extending cast-in tube for guiding medical instruments through the ball, the tube projecting from the ball towards the surroundings.

8. The apparatus of claim 7, wherein the diameter of the tube is smaller than the diameter of the ball.

9. The apparatus of claim 7, wherein the tube defines a channel having a lower section of reduced cross section for restricting the range of instrument motion in the tube.

10. The apparatus of claim 7, further including an adaptor for biopsy needles disposed inside the tube and with at least one stopper for biopsy needles disposed on the top of the adaptor.

11. The apparatus of claim 10, wherein the stopper includes at least one hinged ring.

12. The apparatus of claim 10, wherein the tube and the adaptor comprise identification means for connecting them with different equipment.

13. The apparatus of claim 1, wherein the holder and the key employed for screwing the threaded surface of the lower ring to an area of the cranium are designed in such a manner that it is possible to implant equipment which has to project through the skin after the procedure.

14. The apparatus of claim 1, wherein a support for the instruments is composed of the through-going channel in the ball and a tube surrounding the point of the instrument for a major part of the length thereof.

15. The apparatus of claim 1, wherein the key has a drilled channel to permit removal of the lower ring from the cranium while equipment projecting through the ring remains in place.