Method and apparatus for display of an image guided drill bit

• US 6,478,802 B2
• Filed: 06/11/2001
• Issued: 11/12/2002
• Est. Priority Date: 06/09/2000
• Status: Expired due to Fees

• Current Assignee: GE Medical Systems Global Technology Company LLC (GE Healthcare Technologies, Inc.)
• Original Assignee: GE Medical Systems Global Technology Company LLC (GE Healthcare Technologies, Inc.)
• Inventors: Kienzle, Thomas C. III, Lea, Jon T.
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US09/878,588
• Publication Number:
  US 20020016599A1
• Time in Patent Office: 519 Days
• Field of Search: 606/130, 606/96, 600/417, 600/407, 600/424, 600/473, 600/414, 600/426, 600/427, 378/20, 378/205
• US Class Current: 606/130
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1721 for applying pins along or parallel to the axis of the femoral neck
• CPC Class Codes: A61B 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• 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 90/36 Image-producing devices or illumination devices not otherwise provided for

Abstract

A computer assisted surgery system for accurate positioning of a drill bit into a body part. The system includes a drill guide and a drill with attached localizing emitters whose poses are determined by a localizing device. The drill bit is attached to the drill and the location of the tip of the drill bit is determined during a calibration step. During drilling, the drill bit is inserted through the bore of the drill guide and the pose of the drill bit is calculated from measured position data of both the drill guide and drill. A graphic representation of the drill bit is then displayed on a monitor screen in an appropriate position relative to stored images or other surgical instruments.

Claims

1. A computer assisted surgery system for positioning a surgical instrument relative to a body part, comprising:

a first surgical instrument having an attached elongate portion for inserting into the body part;

a second surgical instrument having a channel portion capable of receiving and directing the elongate portion of the first surgical tool;

a localizing device for measuring the poses of the first surgical instrument and the channel portion of the second surgical instrument;

means for calculating the pose of the elongate portion of the first surgical instrument from the pose of the channel portion of the second surgical instrument and the pose of the first surgical instrument; and

means for displaying a representation of the elongate portion of the first surgical instrument relative to an image of the body part or to a representation of the second or a third surgical instrument.

2. The computer assisted surgery system of claim 1 further comprising:

means for calculating the pose of a reference frame of the first surgical instrument;

means for calculating differences between the pose of the reference frame of the first surgical instrument and the pose of the channel portion of the second surgical instrument; and

means for reporting said differences in poses;

wherein the reference frame of the first surgical instrument may be chosen as the point of attachment of the elongate portion to the first surgical instrument.

3. The computer assisted surgery system of claim 2 wherein the means for reporting the differences in poses comprises an error condition when the differences in poses are greater than specified values.

4. A computer assisted surgery system for positioning a surgical instrument relative to a body part, comprising:

a first surgical instrument with an elongate portion for inserting into the body part;

a second surgical instrument with a channel portion capable of receiving and directing the elongate portion of the first surgical tool;

a localizing device for measuring the location of the first surgical instrument and the pose of the channel portion of the second surgical instrument;

means for calculating the pose of the elongate portion of the first surgical instrument from the pose of the channel portion of the second surgical instrument and the location of the first surgical instrument; and

means for displaying a representation of the elongate portion of the first surgical instrument relative to an image of the body part or to a representation of the second or a third surgical instrument.

5. The computer assisted surgery system of claim 4 wherein the localizing device is an optical localizer, the first surgical instrument is outfitted with one or more emitters, and the second instrument is outfitted with three or more emitters.

6. A computer assisted surgery system for positioning a surgical instrument relative to a body part, comprising:

a first surgical instrument with an elongate portion, said elongate portion having a tip;

a second surgical instrument comprising a channel portion capable of receiving the elongate portion of the first surgical instrument and further comprising a calibration portion capable of receiving the tip of the elongate portion of the first surgical instrument;

a localizing device for measuring the pose or location of the first surgical instrument and the pose of the second surgical instrument; and

means for calculating the relationship between the tip of the elongate portion and the first instrument when the tip is placed into the calibration portion of the second instrument.

7. The computer assisted surgery system of claim 6 wherein the calibration portion is a dimple on the second surgical instrument.

8. The computer assisted surgery system of claim 6 wherein the calibration portion of the second surgical instrument is one end of the channel portion and the location of the tip of the elongate portion relative to the first instrument is calculated with the tip of the elongate portion inserted into the channel portion and the calibration portion of the second surgical instrument and the tip of the elongate portion simultaneously placed against a rigid surface.

9. A computer assisted surgery system for positioning a drill bit relative to a body part, comprising:

a drill comprising a drill bit having a tip;

a drill guide having a bore capable of receiving and directing the drill bit;

a localizing device for measuring the poses of the drill and the drill guide;

means for calculating the pose of the drill bit from the pose of the bore of the drill guide and the pose of the drill; and

means for displaying a representation of the drill bit relative to an image of the body part or to a representation of the drill guide or a third surgical instrument.

10. The computer assisted surgery system of claim 9 further comprising:

means for calculating the pose of a reference frame of the drill;

means for calculating differences between the pose of the bore of the drill guide and the pose of the reference frame of the drill; and

means for reporting said differences in poses;

wherein the reference frame of the drill may be chosen as the point of attachment of the drill bit to the drill.

11. The computer assisted surgery system of claim 10 wherein the means for reporting said difference in poses comprises an error condition when said differences in poses is greater than specified values.

12. The computer assisted surgery system of claim 9 wherein the localizing device is an optical localizer and the drill further comprises a housing and is outfitted with three or more emitters integral to the drill housing.

13. The computer assisted surgery system of claim 9 wherein the localizing device is an optical localizer and a housing having three or more emitters is attached to the drill.

14. A computer assisted surgery system for positioning a surgical instrument relative to a body part, comprising:

a drill with a drill bit having a tip;

a drill guide with a bore capable of receiving and directing the drill bit;

a localizing device for measuring the location of the drill and the pose of the drill guide;

means for calculating the pose of the drill bit from the orientation of the bore of the drill guide and the location of the drill; and

means for displaying a representation of the drill bit relative to an image of the body part or to a representation of the second or a third surgical instrument.

15. The computer assisted surgery system of claim 14 wherein the localizing device is an optical localizer and the drill is outfitted with one or more emitters and the drill guide is outfitted with three or more emitters.

16. The computer assisted surgery system of claim 15 wherein the one or more emitters are integral to the drill.

17. The computer assisted surgery system of claim 15 wherein the one or more emitters are integral to a housing that is attachable to the drill.

18. A method for generating a graphic representation of a surgical instrument comprising the steps of:

providing a first surgical instrument comprising a body, a reference point, and an elongate portion extending from the body and having a tip;

providing a second surgical instrument comprising a channel portion;

providing a localizing device;

measuring and storing the distance between the reference point and the tip of the elongate portion of the first surgical instrument;

inserting the elongate portion of the first surgical instrument through the channel portion of the second surgical instrument;

measuring the location of the reference point of the first surgical instrument and the orientation of the second surgical instrument with the localizing device;

calculating the location of the tip of the elongate portion based on the measured location of the reference point of the first surgical instrument, the stored distance between the reference point and the tip of the elongate portion of the first surgical instrument, and the measured orientation of the second surgical instrument; and

displaying a representation of the elongate portion of the first surgical instrument using the measured orientation of the second surgical instrument and the calculated location of the tip of the elongate portion of the first surgical instrument.

19. The method for generating a graphic representation of a surgical instrument of claim 18 wherein the localizing device is an optical localizer and the reference point on the first surgical instrument is a localizing emitter or reflector.

20. The method for generating a graphic representation of a surgical instrument of claim 18 wherein the step of measuring the distance between the reference point and the tip of the elongate portion of the first surgical instrument comprises the steps of:

providing a third surgical instrument comprising a calibration portion;

measuring the location of the reference point of the first surgical instrument and the pose of the third surgical instrument with the localizing device while the tip of the elongate portion is inserted into the calibration portion of the third surgical instrument; and

calculating from the measured location of the reference point of the first surgical instrument and the measured pose of the third surgical instrument the distance from the tip of the elongate portion to the reference point of the first surgical instrument.

21. The method for generating a graphic representation of a surgical instrument of claim 20 wherein the second surgical instrument and the third surgical instrument are the same instrument.

22. A method for generating a graphic representation of a drill bit comprising the steps of:

providing a drill with a reference point and a drill bit having a tip;

providing a drill guide comprising a bore;

providing a localizing device;

measuring and storing the distance between the tip of the drill bit and the reference point of the drill;

inserting the drill bit through the bore of the drill guide;

measuring the location of the reference point of the drill and the orientation of the drill guide;

calculating the location of the tip of the drill bit from the measured location of the reference point of the drill, the stored distance from the tip of the drill bit to the reference point, and the measured orientation of the drill guide; and

displaying a representation of the drill bit using the measured orientation of the drill guide and the calculated location of the tip of the drill bit.

23. The method for generating a graphic representation of the drill bit of claim 22 wherein the localizing device is an optical localizer and the reference point on the drill is a localizing emitter or reflector.

24. The method for generating a graphic representation of, the drill bit of claim 22 wherein the step of measuring the distance between the tip of the drill bit and the reference point of the drill comprises the steps of:

providing a calibration instrument comprising a calibration portion;

measuring the location of the reference point of the drill and the pose of the calibration instrument with the localizing device, while the tip of the drill bit is inserted into the calibration portion of the calibration instrument; and

calculating from the measured location of the reference point of the drill and the measured pose of the calibration instrument the distance from the tip of the drill bit to the reference point of the drill.

25. The method for generating a graphic representation of the drill bit of claim 24 wherein the drill guide and the calibration instrument are the same instrument.