Neurosurgical guide device

• US 6,609,020 B2
• Filed: 12/01/2000
• Issued: 08/19/2003
• Est. Priority Date: 12/01/1999
• Status: Expired due to Term

• Current Assignee: Renishaw PLC
• Original Assignee: Steven Gill
• Inventors: Gill, Steven
• Primary Examiner(s): PAIK, SANG YEOP
• Application Number:
  US09/728,696
• Publication Number:
  US 20010003156A1
• Time in Patent Office: 991 Days
• Field of Search: 600/378, 600/421, 600/423, 600/429, 600/433, 600/434, 600/417, 600/382, 600/383, 607/112, 607/113, 607/116, 606/32, 606/129, 606/130, 604/164.11, 604/175, 128/898, 128/899, 128/DIG.26
• US Class Current: 600/423
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61M 2025/0233 specifically adapted for attaching to a body wall by means which are on both sides of the wall, e.g. for attaching to an abdominal wall
• CPC Class Codes: A61M 2210/0693 Brain, cerebrum
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

The present invention relates to a neurosurgical guide device for use in neurosurgery. The device is particularly useful in stereotactically targeted surgical treatment of abnormalities of brain function. The neurosurgical guide device comprising a tube for insertion into a brain of a patient to a vicinity of a desired target, wherein the tube has a head attached to one end thereof, and whereby an instrument can be introduced through the opening and passed along the bore from a proximal end to a distal end thereof.

Claims

1. A neurosurgical guide device comprising a tube for insertion into a brain of a patient to a vicinity of a desired target, wherein the tube has a head attached to one end thereof, the head having a passageway therethrough in communication with a bore of the tube and which terminates in an opening on the outer surface of the head, and having one or more formations on the head'"'"'s external surface for securing the device in a hole formed in a skull of a patient, whereby an instrument can be introduced through the opening and passed along the bore from a proximal end to a distal end thereof.

2. The guide device of claim 1, wherein the one or more formations is a screw thread.

3. The guide device of claim 1, wherein the head has a slot which extends laterally of the longitudinal axis of the bore from the passageway to an outer surface of the bead, for receiving, in use, a protruding end of an instrument located in the device.

4. The guide device of claim 3, wherein the passageway from the bore to the slot is radiussed.

5. The guide device of claim 3, wherein the length of the path from the distal end of the bore to the opening on the head is substantially the same as the length of a path from the distal end of the bore to the outer surface end of the slot on the head.

6. The guide device of claim 5, wherein the opening of the head and the outer surface end of the slot are on a domed surface.

19. A device according to claim 1, the distal end of the core being open.

7. A method of positioning an instrument at a desired target in the brain of a patient, comprising:

(a) drilling a hole in the skull of the patient along a desired trajectory;

(b) inserting a neurosurgical guide device comprising a tube for insertion into a brain of a patient to a vicinity of a desired target, wherein the tube has a head attached to one end thereof, the head having a passageway therethrough in communication with the bore of the tube and which terminates in an opening on the outer surface of the head, and having one or more formations on its external surface for securing the device in a hole formed in a skull of a patient, into the hole along the desired trajectory and securing the head in the hole; and

(c) inserting the instrument through the opening and passing the instrument along the bore so that the instrument is positioned at the desired target.

8. The method of claim 7, wherein the device is inserted by inserting a guide rod into the hole, inserting the device over the guide rod so that the guide rod is present within the bore of the device and moving the device along the guide rod until the device is at the desired position.

9. The method of claim 7, wherein a radio opaque stylette is removably inserted into the device in order to determine the position of the desired target.

10. The method of claim 9, wherein the stylette has a cap which seals the opening in the head of the device when the stylette is removably inserted into the device.

11. The method of claim 7, wherein the head is directly attached to the skull.

12. The method of claim 7, wherein the head is indirectly attached to the skull via a filler.

13. The method of claim 7, wherein the instrument has a stop which contacts an outer surface of the head and prevents further insertion of the instrument into the device.

14. The method of claim 7, wherein the the head of the device has a slot which extends laterally of the longitudinal axis of the bore from the passageway to an outer surface of the head, and wherein an end of the inserted instrument protrudes from the opening of the enlarged head and is located in the slot.

15. The method of claim 14, wherein the instrument has a stop which contacts an outer surface of the head and prevents further insertion of the instrument into the device, and the stop is kept in contact with the outer surface of the head while the protruding end of the instrument is located in the slot.

16. A kit for performing neurosurgery comprising:

(a) a neurosurgical guide device comprising a tube for insertion into a brain of a patient to a vicinity of a desired target, wherein the tube has a head attached to one end thereof, the head having a passageway therethrough in communication with the bore of the tube and which terminates in an opening on the outer surface of the head, and having one or more formations on its external surface for securing the device in a hole formed in a skull of a patient, whereby an instrument can be introduced through the opening and passed along the bore from a proximal end to a distal end thereof;

(b) an instrument for insertion into the device;

(c) a drill bit for forming a hole in the skull to receive the device; and

(d) a guide rod for guiding the device into the hole.

17. The kit of claim 16, which further comprises a radio opaque stylette for insertion into the device.

18. A neurosurgical guide device comprising a tube for insertion into a brain of a patient to a vicinity of a desired target, wherein the tube has a head attached to one end thereof, the head having a passageway therethrough in communication with the bore of the tube and which terminates in an opening on the outer surface of the head, and having one or more formations on its external surface for securing the device in a hole formed in a skull of a patient, whereby an instrument can be introduced through the opening and passed along the bore from a proximal end to a distal end thereof, and wherein the head has a slot which extends laterally of the longitudinal axis of the bore from the passageway to an outer surface of the head, for receiving, in use, a protruding end of an instrument located in the device.