Device for immobilizing a primary instrument and method therefor

• US 7,828,809 B2
• Filed: 06/26/2007
• Issued: 11/09/2010
• 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: Wharen, Robert, Skakoon, James G., Parmer, Kari, Solar, Matthew S., Parmer, Timothy Alan, 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:
  US11/768,554
• Publication Number:
  US 20070250077A1
• Time in Patent Office: 1,232 Days
• Field of Search: 600/188, 600372-384, 600/386, 600/393, 606 28-299, 220/254.9, 220/254.3, 220/254.2, 220/254.1, 220/812.811, 220/826, 220/836, 220/810, 220/327, 220/328, 220/326, 220/324, 220/315, 220/345.5, 220/735, 248/346.01, 248/346.03, 248/346.07, 248/117.7, D94/36, D94/43, D94/35
• 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 configured to be secured about an entry portal in a surface, the base including a substantially ring shaped portion having a plurality of leg portions extending radially outward therefrom, the leg portions each including apertures configured to facilitate securing the base to the surface, the base defining an access lumen and having at least one channel in a top surface thereof;

a first slide slidable within the channel of the base;

a second slide slidable within the channel of the base, wherein the first and second slides are configured to be slid toward each other along a longitudinal axis of the channel to substantially cover the access lumen and grip the instrument in a closed position and release the instrument in an open position, and wherein each slide includes a radially inward instrument gripping end and a laterally opposite radially outward end; and

a laterally extending slot formed in a top surface of at least one of the first and second slides, the slot extending along an entire length of at least one of the slides from the instrument gripping end to the radially outward end so as to accommodate a portion of the instrument therein.

2. The device of claim 1, wherein each of the first and second slides includes the laterally extending slot configured to accommodate a portion of the instrument therein.

3. The device of claim 1, wherein the first and second slides are configured to mate and engage each other in the closed position to clamp the instrument therebetween.

4. The device of claim 1, wherein the base includes diametrically opposed receiving sides configured to attach equipment thereto, each receiving side defining a flattened planar section with an undercut on an outer periphery of the substantially ring shaped base.

5. The device of claim 1, wherein the top surface of the base and the top surface of the first and second slides are coplanar.

6. The device of claim 1, wherein the laterally extending slot is formed in each of the first and second slides and extends along the longitudinal axis of the channel.

7. The device of claim 6, wherein each laterally extending slot includes spaced apart substantially planar sidewalls extending along the longitudinal axis, each sidewall diverging from the longitudinal axis at an end of the slot coincident with the instrument gripping end of each corresponding slide to form a widened entrance to the slot for the portion of the instrument.

8. The device of claim 1, further comprising bone screws received in the apertures of the leg portions for securing the base to the surface of an anatomy.

9. A method, comprising:

securing a substantially ring shaped immobilizing device about an entry portal in a surface;

passing an instrument at least partially through an access lumen in the immobilizing device;

sliding a first slide and a second slide toward each other within a channel in a top surface of the immobilizing device to substantially cover the access lumen and grip the instrument, wherein the first and second slides are slid toward each other along a longitudinal axis of the channel; and

anchoring the instrument in a slot formed in a top surface of at least one of the first and second slides along the longitudinal axis of the channel, the slot extending along an entire length of at least one of the slides from a radially inward instrument gripping end to a longitudinally opposite radially outward end.

10. The method of claim 9, wherein passing the instrument includes separating the first and second slides to allow at least the instrument to pass therebetween.

11. The method of claim 9, comprising sliding the first slide and the second slide away from each other to release the instrument.

12. The method of claim 9, wherein sliding the first slide and the second slide toward each other includes clamping the instrument between the first and second slides.

13. The method of claim 9, comprising attaching the immobilizing device to an adjustable trajectory access device.

14. 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.

15. The method of claim 13, wherein attaching the immobilizing device to an adjustable trajectory access device further comprises attaching the adjustable trajectory device to diametrically opposed receiving sides of the immobilizing device, each receiving side defining a flattened planar section on an outer periphery of the substantially ring shaped base.

16. The method of claim 9, wherein securing a substantially ring shaped immobilizing device about an entry portal in a surface further comprises securing the immobilizing device to a surface of an anatomy with a plurality of bone screws configured to be received in apertures of a plurality of legs extending radially outward from an outer periphery of the substantially ring shaped immobilizing device.

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

a base configured to be secured about an entry portal in a surface of an anatomy, the base including a substantially ring shaped portion having a plurality of legs extending radially outward from an outer periphery of the base, the legs each including at least one aperture configured to receive a bone screw for securing the base to the surface of the anatomy, the base defining an access lumen and having at least one channel in a top surface thereof and diametrically opposed receiving sides configured to attach equipment thereto, each receiving side defining a flattened planar section with an undercut on the outer periphery of the substantially ring shaped base;

a first slide slidable within the channel of the base;

a second slide slidable within the channel of the base, wherein the first and second slides are configured to be slid toward each other along a longitudinal axis of the channel to substantially cover the access lumen and grip the instrument in a closed position and release the instrument in an open position, and wherein each slide includes a radially inward instrument gripping end and a laterally opposite radially outward end and a top surface coplanar with the top surface of the base; and

a laterally extending slot formed in the top surface of each of the first and second slides along the longitudinal axis of the channel, the slot extending along an entire length of each slide from the instrument gripping end to the radially outward end so as to accommodate a portion of the instrument therein.