Endoscope adapter which can be detected using computer assisted surgery

• US 6,468,202 B1
• Filed: 09/26/2000
• Issued: 10/22/2002
• Est. Priority Date: 03/26/1998
• Status: Expired due to Term

• Current Assignee: Karl Storz Se & Co. Kg
• Original Assignee: Karl Storz Se & Co. Kg
• Inventors: Rebholz, Clemens, Irion, Klaus M.
• Primary Examiner(s): MULCAHY, JOHN M
• Application Number:
  US09/669,640
• Time in Patent Office: 756 Days
• Field of Search: 600/112, 600/117, 600/138, 600/417, 600/429, 606/130
• US Class Current: 600/117
• CPC Class Codes: A61B 1/00016 using wireless means
• CPC Class Codes: A61B 1/00128 mechanical, e.g. for tubes or pipes
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/3945 Active visible markers, e.g. light emitting diodes
• CPC Class Codes: A61B 2090/3979 infrared
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 90/10 for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras

Abstract

An apparatus is provided comprising a transmitter unit for detecting the position of a medical instrument with the aid of a CAS system, wherein the apparatus comprises the transmitter unit at a fixed position and wherein the medical instrument is attachable to the apparatus. To allow simple assembly and disassembly, the apparatus is formed as an adapter. A reception coupling is provided on one first side of the adapter at which the adapter can be releasably, however mechanically fixed and simply coupled to a predetermined coupling location on the medical instrument.

Claims

1. An adapter for coupling with an endoscope and at least one other medical instrument comprising

an adapter body

a first coupling provided on one side of said adapter body for coupling said adapter releasable, but mechanically fixed and in a simple manner to a predetermined coupling location on an endoscope,

a second coupling provided on another side of said adapter body for coupling with a medical instrument,

said adapter body is provided with a transmitter unit, via which transmitter unit a position of an endoscope coupled to said adapter can be detected by a CAS (Computer Assisted Surgery)-system, said transmitter unit comprising several transmitters distributed on said transmitter unit, a respective position of each transmitter is detectable by said CAS-system.

2. Adapter of claim 1, wherein said adapter is configured such that it can be coupled on said one side of said adapter body to a proximal end of said endoscope whose position is to be detected by said transmitter unit.

3. Adapter of claim 2, wherein said proximal end of said endoscope is an ocular cup.

4. Adapter of claim 1, wherein said adapter is configured on said other side of said adapter body as a proximal end of said endoscope coupled on said one side of said adapter body.

5. Adapter of claim 3, wherein said proximal end of said endoscope is an ocular cup.

6. Adapter of claim 1, wherein said adapter body is configured such that an image can be transmitted between said first coupling and said second coupling when coupled with an endoscope and a medical instrument being part of an endoscopic system.

7. Adapter of claim 6, wherein an optical window is arranged between said first coupling and said second coupling thereby hermetically separating said first coupling from said second coupling.

8. Adapter of claim 1, wherein optical elements are arranged within said adapter body between said first coupling and said second coupling.

9. Adapter of claim 8, wherein said optical elements are selected from the group consisting of imaging elements and filters.

10. Adapter of claim 1, wherein said first coupling is designed in that when coupling said endoscope, this endoscope is self-centered within said first coupling.

11. Adapter of claim 1, wherein position errors caused by dimensional tolerances of said first coupling and said second coupling, respectively, when having coupled an endoscope or other medical instrument thereon are small.

12. Adapter of claim 11, wherein said position errors of said couplings are reproducible.

13. Adapter of claim 1, wherein said endoscope can be coupled with said first coupling in a predetermined relative position one to another only.

14. Adapter of claim 1, wherein said transmitter unit is attached to said adapter body such that its transmitters are arranged in a direction traverse to a longitudinal axis of said endoscope.

15. Adapter of claim 14, wherein said transmitter unit is bar-shaped and extends transversely to an optical axis of said adapter.

16. Adapter of claim 1, wherein said transmitter unit is arranged such that its transmitters lie along a longitudinal axis of said endoscope.

17. Adapter of claim 1, wherein said transmitters of said transmitter unit are arranged to be distributed over a surface of said transmitter unit.

18. Adapter of claim 1, wherein said transmitters transmits ultrasound.

19. Adapter of claim 1, wherein said transmitters transmit electromagnetic radiation.

20. Adapter of claim 19, wherein said electromagnetic radiation is IR-radiation.

21. Adapter of claim 1, wherein said transmitter unit comprises transmitters which are passively reflecting elements.

22. Adapter of claim 1, wherein said transmitter unit comprises transmitters which are activated for transmitting by radiation of said CAS-system.

23. An adapter for coupling with at least two medical instruments comprising

an adapter body

a first coupling provided on one side of said adapter body for coupling said adapter releasable, but mechanically fixed and in a simple manner to a predetermined coupling location on a first medical instrument,

a second coupling provided on another side of said adapter body for coupling with a second medical instrument,

said adapter body is provided with a transmitter unit, via which transmitter unit a position of a medical instrument coupled to said adapter can be detected by a CAS (Computer Assisted Surgery)-system, said transmitter unit comprising several transmitters distributed on said transmitter unit, a respective position of each transmitter is detectable by said CAS-system,

wherein said adapter body is configured such that an image can be transmitted between said first coupling and said second coupling when coupled with two medical instruments being part of an endoscopic system.

24. Adapter of claim 23, wherein an optical window is arranged between said first coupling and said second coupling thereby hermetically separating said first coupling from said second coupling.

25. An adapter for coupling with at least two medical instruments comprising

an adapter body

a first coupling provided on one side of said adapter body for coupling said adapter releasable, but mechanically fixed and in a simple manner to a predetermined coupling location on a first medical instrument,

a second coupling provided on another side of said adapter body for coupling with a second medical instrument,

said adapter body is provided with a transmitter unit, via which transmitter unit a position of a medical instrument coupled to said adapter can be detected by a CAS (Computer Assisted Surgery)-system, said transmitter unit comprising several transmitters distributed on said transmitter unit, a respective position of each transmitter is detectable by said CAS-system,

wherein optical elements are arranged within said adapter body between said first coupling and said second coupling.

26. Adapter of claim 25, wherein said optical elements are selected from the group consisting of imaging elements and filters.