Device for immobilizing a primary instrument and method therefor

• US 7,833,231 B2
• Filed: 06/25/2007
• Issued: 11/16/2010
• 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): EVERAGE, KEVIN D
• Application Number:
  US11/768,077
• Publication Number:
  US 20070250076A1
• Time in Patent Office: 1,240 Days
• Field of Search: 600/200, 600/221, 600372-384, 600/386, 600/393, 600/188, 811/761, 811/762, 811/761.5, 814/36, 814/61, 606/108, 606/129, 606/130
• 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;

attachable to the base, a detachable stabilizer configured to engage the instrument, the stabilizer being configured to rest on the base and defining a variable opening sized and shaped to grip the instrument when in an original shape yet release the instrument when expanded circumferentially away from the instrument in a deformed shape, the variable opening including first and second longitudinal walls facing each other in spaced relation and extending along a longitudinal axis from an open end at a periphery of the stabilizer radially inward towards a closed end such that the variable opening includes a substantially uniform width from the periphery to the closed end when in the original shape, the stabilizer including a pair of spaced apart apertures formed in a top surface thereof such that the longitudinal axis of the variable opening extends through a center of each aperture, the apertures having a width greater than a width of the variable opening and being positioned about the longitudinal axis of the variable opening such that a portion of each aperture forms an arcuate depression in the first longitudinal wall and another portion of each aperture forms an arcuate depression in the second longitudinal wall, wherein one of the apertures forms the closed end of the opening; and

selectively attachable to the apertures formed in the opening of the stabilizer, a separate spreader that includes a pair of surfaces angularly spaced from each other by an amount greater than the amount of the opening of the stabilizer when in the original shape, the pair of surfaces each including a projection extending transversely therefrom that is configured to engage a respective aperture of the pair of apertures, the spreader configured to circumferentially expand the opening to the deformed shape.

2. The device of claim 1, wherein the stabilizer is generally C-shaped.

3. The device of claim 1, wherein the variable opening is a wedge-shaped angular opening.

4. The device of claim 1, wherein the projections of the spreader are configured to be inserted within the apertures of the stabilizer to expand the variable opening by rotating the spreader relative to the stabilizer.

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

6. The device of claim 1, wherein the device is configured to be used in combination with an adjustable trajectory access device configured to guide the instrument along a trajectory through an entry portal.

7. The device of claim 6, wherein the device is configured to be attached to the access device.

8. The device of claim 1, wherein the base further comprises a circular recess formed therein;

and

wherein the stabilizer is configured to be received in the recess and rest on the base.

9. The device of claim 1, wherein the variable opening of the stabilizer is configured to directly engage the instrument.

10. The device of claim 1, wherein the base includes a groove formed in a top surface thereof and configured to receive a proximal end of the instrument therein.

11. The device of claim 1, wherein the apertures include substantially circular apertures.

12. A method, comprising:

providing an immobilizing device having a base and a stabilizer configured to be detachably coupled to the base, the stabilizer including a variable opening extending radially inward from an outer periphery thereof about a longitudinal axis, and a pair of spaced apart apertures formed in a top surface of the stabilizer and intersecting the variable opening such that the longitudinal axis extends through each of the apertures;

securing the base around an entry portal in a surface;

providing a spreader having a pair of spaced apart projections extending transversely therefrom, and removably coupling the pair of projections to the pair of apertures in the variable opening of the stabilizer;

expanding the variable opening in the stabilizer to a deformed shape by rotating the spreader relative to the stabilizer;

passing an instrument at least partially through the expanded variable opening in the stabilizer; and

allowing the variable opening to relax to an original shape around the instrument to grip the instrument.

13. The method of claim 12, wherein expanding the variable opening includes expanding the variable opening by an amount greater than the amount when in the original shape.

14. The method of claim 12, wherein allowing the variable opening to relax includes removing the spreader from the apertures in the variable opening of the stabilizer.

15. The method of claim 12, comprising attaching the immobilizing device to an adjustable trajectory access device.

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

17. The method of claim 12, wherein allowing the variable opening to relax to an original shape around the instrument to grip the instrument includes allowing the variable opening to relax to an original shape around the instrument to directly engage and grip the instrument.

18. The method of claim 12, wherein providing a spreader having a pair of projections extending therefrom includes providing a spreader having a pair of surfaces angularly spaced from each other by an amount greater than the amount of the opening of the stabilizer when in the original shape, the pair of surfaces each including one of the spaced apart projections extending transversely therefrom;

wherein removably coupling the pair of projections to the pair of apertures in the variable opening of the stabilizer further includes positioning the spreader in a first position such that a longitudinal axis of the spreader is substantially perpendicular to the longitudinal axis of the opening; and

wherein expanding the variable opening in the stabilizer to a deformed shape by rotating the spreader relative to the stabilizer further includes rotating the spreader to a second position such that the longitudinal axis of the spreader is substantially parallel to the longitudinal axis of the opening.

19. The method of claim 12, wherein the base includes a substantially ring-shaped based having a recess formed therein and the stabilizer includes a substantially circular shaped periphery;

and wherein the stabilizer is configured to be received in the recess and detachably coupled to the base.

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

a generally ring-shaped base;

a stabilizer attachable to the base and configured to engage the instrument, the stabilizer being configured to rest on the base and defining a variable opening sized and shaped to grip the instrument when in an original shape yet release the instrument when expanded circumferentially away from the instrument in a deformed shape, the variable opening including first and second walls facing each other in spaced relation and extending along a longitudinal axis from an open end at a periphery of the stabilizer radially inward towards a closed end, the stabilizer including a pair of apertures spaced apart from each other along the variable opening and formed in a top surface of the stabilizer such that the longitudinal axis of the variable opening extends through a center of each aperture, the apertures having a width greater than a width of the variable opening and being positioned about the longitudinal axis such that a portion of each aperture forms an arcuate depression in the first wall and another portion of each aperture forms an arcuate depression in the second wall, the variable opening having a substantially uniform width at least between the pair of spaced apart apertures, wherein one of the apertures forms the closed end of the opening; and

a spreader selectively attachable to the apertures formed in the opening of the stabilizer, the spreader including a pair of surfaces angularly spaced from each other by an amount greater than the width of the variable opening when in the original shape, the pair of surfaces each including a projection extending transversely therefrom and configured to engage a respective aperture of the pair of apertures, the spreader configured to circumferentially expand the opening to the deformed shape.

21. The device of claim 20, wherein the base further comprises a circular recess formed therein and a channel formed in a top surface of the base, the channel configured to receive a proximal end of the instrument therein;

and

wherein the stabilizer is configured to be received in the recess and rest on the base.

22. The device of claim 20, wherein the variable opening of the stabilizer is configured to directly engage the instrument.

23. The device of claim 20, wherein the projections of the spreader are configured to be inserted within the apertures of the stabilizer to circumferentially expand the variable opening by rotating the spreader relative to the stabilizer.