Device for immobilizing a primary instrument and method therefor

• US 7,815,651 B2
• Filed: 06/25/2007
• Issued: 10/19/2010
• Est. Priority Date: 04/07/2000
• Status: Expired due to Term

• Current Assignee: Mayo Foundation For Medical Education And Research (Mayo Clinic), Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Mayo Foundation For Medical Education And Research (Mayo Clinic), Medtronic Incorporated (Medtronic Plc)
• Inventors: Parmer, Timothy Alan, Wharen, Robert, Skakoon, James G., Parmer, Kari, Solar, Matthew S., Truwit, Charles L., Hatcher, David, Murdock, Frank, David, John, Miller, Thomas I., Mazzocchi, Rudy A.
• Primary Examiner(s): Manahan; Todd E
• Assistant Examiner(s): Schubert; Christopher
• Application Number:
  US11/768,065
• Publication Number:
  US 20070250075A1
• Time in Patent Office: 1,212 Days
• Field of Search: 600372-384, 600/386, 600/393, 600/188, 606/108, 606/129, 606/130, 607/115
• US Class Current: 606/130
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00911 for fields applied by a magnetic resonance imaging system
• CPC Class Codes: A61B 2017/3407 including a base for support on the body
• CPC Class Codes: A61B 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2017/3411 with a plurality of holes, e.g. holes in matrix arrangement
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/103 Cranial plugs for access to brain
• CPC Class Codes: A61B 2090/363 Use of fiducial points
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• 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 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/0539 Anchoring of brain electrode systems, e.g. within burr hole

Abstract

Devices and methods provide accurate targeting, placement, and/or stabilization of an electrode or other instrument(s) into the brain or other body organ, such as to treat severe tremor or other neurological disorders. Targeting is performed using any form of image-guidance, including real-time MRI, CT, or frameless surgical navigation systems.

Claims

1. A device for immobilizing a primary instrument, comprising:

a base plate;

a stabilizer plate configured to engage the instrument, the stabilizer plate being configured to rest on the base plate and including at least one variable opening surrounded by an integrally formed male protuberance, the male protuberance extending along an axis orthogonal to the stabilizer plate and the stabilizer plate extending transverse to the axis beyond the male protuberance, the male protuberance being sized and shaped to at least partially surround the instrument and allow passage of the instrument when normally relaxed and to immobilize the instrument when compressed inwardly toward the instrument; and

an upper plate that is relatively more rigid than the stabilizer plate, the upper plate being configured to rest on the stabilizer plate and comprising a female receptacle formed therein complementary to the normally relaxed size and shape of each male protuberance of the stabilizer plate, yet shaped and sized to compress the at least one variable opening inwardly via the male protuberance upon compression of the upper plate and the stabilizer plate together.

2. The device of claim 1, wherein the base is generally ring-shaped.

3. The device of claim 1, wherein the stabilizer plate and the upper plate each have the same diameter.

4. The device of claim 3, wherein the base plate further comprises a recess formed therein and having a diameter complimentary to the diameter of the upper plate and the stabilizer plate;

and

wherein the upper plate and the stabilizer plate are each configured to be received within the base plate recess.

5. A device for immobilizing a primary instrument, comprising:

a base;

a stabilizer configured to engage the instrument, the stabilizer being configured to rest on the base and including at least one variable opening sized and shaped to at least partially surround the instrument and allow passage of the instrument when normally relaxed and to immobilize the instrument when compressed inwardly toward the instrument; and

a plate that is relatively more rigid than the stabilizer, the plate being configured to rest on the stabilizer and comprising a feature complementary to the normally relaxed size and shape of each variable opening of the stabilizer, yet shaped and sized to compress the at least one variable opening inwardly upon compression of the plate and the stabilizer together;

wherein the stabilizer includes at least two variable openings, and the plate includes at least two openings corresponding to the variable openings of the stabilizer.

6. The device of claim 5, comprising:

an axially extending male protuberance around each of the at least two variable openings of the stabilizer; and

a receptacle around each of the at least two openings of the plate corresponding to the male protuberance around each of the at least two variable openings of the stabilizer, wherein, upon compression of the plate and the stabilizer together, each male protuberance is configured to compress within the corresponding receptacle to compress each such variable opening inwardly.

7. The device of claim 5, wherein each of the at least two variable openings of the stabilizer is configured to accept at least a portion of the primary instrument therein and grip the primary instrument upon inward compression of each of the at least two variable openings.

8. The device of claim 5, wherein the base is generally ring shaped.

9. The device of claim 5, wherein the stabilizer includes a first diameter and the plate includes a second diameter, the first and second diameters being equal.

10. The device according to claim 9, wherein the base further comprises a recess formed therein and having a diameter complimentary to the diameters of the stabilizer and the plate;

and

wherein the stabilizer and the plate are each configured to be received within the recess of the base.

11. A method, comprising:

providing an immobilizing device with a base, a stabilizer plate configured to rest on the base and an upper plate configured to rest on the stabilizer plate;

securing the immobilizing device around an entry portal in a surface;

passing an instrument at least partially through one of at least two variable openings in the stabilizer plate; and

inwardly compressing each of the variable openings with the upper plate such that the one of the at least two variable openings is compressed inwardly toward the instrument to immobilize the instrument.

12. The method of claim 11, wherein inwardly compressing the variable opening includes compressing the upper plate and the stabilizer of the immobilizing device together, the upper plate including a receptacle complementary to a normally relaxed size and shape of an axially extending protuberance surrounding each variable opening of the stabilizer, yet shaped and sized to compress each variable opening inwardly through engaging the protuberance upon compression of the upper plate and the stabilizer together.

13. The method of claim 11, comprising attaching the immobilizing device to an adjustable trajectory access device.

14. The method of claim 11, further comprising providing the stabilizer plate and the upper plate in a recess of the base plate, the stabilizer plate and the upper plate each having the same diameter, the recess having a diameter complimentary to the diameter of the stabilizer plate and upper plate.

15. The method of claim 13, comprising guiding the instrument along a trajectory through the entry portal in the surface with the adjustable trajectory access device.

16. A device having at least two openings for immobilizing a primary instrument, comprising:

means for securing the device around an entry portal in a surface; and

means for varying the at least two openings in the device to at least partially surround the instrument when the instrument is positioned in one of the two openings and allow passage of the instrument when the openings are normally relaxed and to immobilize the instrument when the openings are compressed inwardly toward the instrument.

17. The device of claim 16, comprising means for attaching the device to an adjustable trajectory access device.

18. The device of claim 16, comprising means for guiding the instrument along a trajectory through the entry portal in the surface.