Method and device for percutaneous determination of points associated with the surface of an organ

• US 6,585,651 B2
• Filed: 10/22/2001
• Issued: 07/01/2003
• Est. Priority Date: 04/20/1999
• Status: Expired due to Term

• Current Assignee: AO Technology AG (Johnson & Johnson)
• Original Assignee: Synthes USA LLC (Johnson & Johnson), Synthes AG Chur
• Inventors: Moulder, J. Christopher, Nolte, Lutz Peter, Scherrer, José L., Sati, Marwan, Wentkowski, Michael
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): JUNG, WILLIAM C
• Application Number:
  US09/982,949
• Publication Number:
  US 20020120192A1
• Time in Patent Office: 617 Days
• Field of Search: 600/437-472, 600/407-409, 128/916
• US Class Current: 600/449
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1725 for applying transverse screws or pins through intramedullary nails or pins
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/378 using ultrasound
• 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 8/0858 involving measuring tissue layers, e.g. skin, interfaces
• CPC Class Codes: A61B 8/4245 involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data
• CPC Class Codes: G01S 15/8993 Three dimensional imaging systems
• CPC Class Codes: G01S 5/163 Determination of attitude using inertial means G01C9/00; control of attitude G05D1/49

Abstract

The present invention relates to a percutaneous-point determination device for determining a location of a point associated with a surface of an animal organ. The device comprises an ultrasound device configured to emit a focused ultrasound beam along an ultrasound beam axis having a known orientation with respect to the ultrasound device. The ultrasound device is configured to output ultrasound data indicative of a distance from the ultrasound device to the point. A position measurement device is configured to output position data indicative of a location of the ultrasound device. The device includes a computer configured to process the ultrasound data and position data to thereby determine a location of the point.

Claims

1. A percutaneous-point determination device for determining a location of a point associated with a surface of an animal organ, comprising:

an ultrasound device configured to emit a focused ultrasound beam along an ultrasound beam axis having a known orientation with respect to the ultrasound device, the ultrasound device configured to output ultrasound data indicative of a distance from the ultrasound device to the point associated with the surface of the animal organ, the ultrasound device comprising a plurality of spatial markers having a known spatial relationship to the ultrasound device, the spatial markers configured to radiate energy;

a position measurement device configured to detect energy radiated by the spatial markers to thereby determine spatial positions of the spatial markers and to output position data indicative of a location of the ultrasound device; and

a computer configured to process the ultrasound data and position data to thereby determine the location of the point associated with the surface of the animal organ with respect to an on site reference coordinate system.

2. The percutaneous-point determination device of claim 1, wherein the animal organ is a bone of a human.

3. The percutaneous-point determination device of claim 2, wherein the emitted ultrasound beam passes through from about 1 mm to about 80 mm of tissue before impinging upon the bone.

4. The percutaneous-point determination device of claim 2, wherein the emitted ultrasound beam passes through from about 5 mm to about 80 mm of tissue before impinging upon the bone.

5. The percutaneous-point determination device of claim 1, wherein the emitted ultrasound beam has a variable frequency to provide a predetermined axial resolution along the ultrasound beam axis.

6. The percutaneous-point determination device of claim 5, wherein the frequency of the emitted ultrasound beam is variable between about 1 MHZ and about 15 MHZ.

7. The percutaneous-point determination device of claim 1, wherein the emitted ultrasound beam passes through at least one of a fluid filled lens and a flat lens to thereby focus the ultrasound beam.

8. The percutaneous-point determination device of claim 7, wherein the lenses are detachable.

9. The percutaneous-point determination device of claim 1, wherein the ultrasound beam is focusable to a lateral resolution of about 1 mm or less.

10. The percutaneous-point determination device of claim 1, wherein the computer is configured to cross-correlate the ultrasound data with reference ultrasound data to thereby determine the distance from the ultrasound device to the point.

11. A percutaneous-point determination device for determining a location of a point associated with a surface of an animal organ, comprising:

an ultrasound device configured to emit an ultrasound beam along an ultrasound beam axis having a known orientation with respect to the ultrasound device, the ultrasound device configured to output ultrasound data, the ultrasound device comprising a plurality of spatial markers having a known spatial relationship to the ultrasound device, the spatial markers configured to radiate energy;

a position measurement device configured to detect energy radiated by the spatial markers to thereby determine spatial positions of the spatial markers and to output position data indicative of a location of the ultrasound device; and

a computer configured to cross-correlate the ultrasound data with reference ultrasound data indicative of an instrument response of the ultrasound device to thereby provide distance data indicative of a distance from the ultrasound device to the point, wherein the computer is further configured to process the distance data and the position data to thereby determine the location of the point.

12. The percutaneous-point determination device of claim 11, wherein the animal organ is a bone of a human.

13. The percutaneous-point determination device of claim 11, wherein the emitted ultrasound beam passes through from about 1 mm to about 80 mm of tissue before impinging upon the bone.

14. The percutaneous-point determination device of claim 12, wherein the emitted ultrasound beam passes through from about 5 mm to about 80 mm of tissue before impinging upon the bone.

15. The percutaneous-point determination device of claim 14, wherein the emitted ultrasound beam has a variable frequency to provide a predetermined axial resolution along the ultrasound beam axis.

16. The percutaneous-point determination device of claim 15, wherein the frequency of the emitted ultrasound beam is variable between about 1 MHZ and about 15 MHZ.

17. The percutaneous-point determination device of claim 11, wherein the emitted ultrasound beam passes through at least one of a fluid filled lens and a flat lens to thereby focus the ultrasound beam.

18. The percutaneous-point determination device of claim 17, wherein the lenses are detachable.

19. The percutaneous-point determination device of claim 11, wherein the ultrasound beam is focusable to a lateral resolution of about 1 mm or less.

20. A percutaneous method for determining a location of a point associated with a surface of an animal organ, comprising:

providing an ultrasound device emitting a focused ultrasound beam along an ultrasound beam axis having a known orientation;

obtaining ultrasound data indicative of a distance from the ultrasound device to the point associated with a surface of an animal organ;

detecting energy radiated by spatial markers having a known spatial relationship with the ultrasound device to thereby obtain position data indicative of a location of the ultrasound device; and

processing the ultrasound data and position data to thereby determine a location of the point associated with a surface of an animal organ with respect to an on-site reference coordinate system.

21. The percutaneous method of claim 20, wherein processing the ultrasound data comprises cross-correlating the ultrasound data with reference ultrasound data.

22. The percutaneous method of claim 20, further comprises focusing the ultrasound beam to provide a focused ultrasound beam having a lateral resolution of about 1 mm or less.