Position sensing system for orthopedic applications

• US 8,046,050 B2
• Filed: 02/18/2005
• Issued: 10/25/2011
• Est. Priority Date: 03/05/2004
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Shalgi, Avi, Reznick, David, Pesach, Susel, Govari, Assaf
• Primary Examiner(s): Le; Long V.
• Assistant Examiner(s): HOFFA, ANGELA MARIE
• Application Number:
  US11/062,258
• Publication Number:
  US 20050245821A1
• Time in Patent Office: 2,440 Days
• Field of Search: 600/407, 600/414, 600/417, 600/424, 600/426, 600/429, 128/899, 606/130
• US Class Current: 600/424
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• 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 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A surgical tracking system includes a wireless position sensor, which is adapted to be implanted in a bone of a subject, and responsively to externally-applied magnetic fields within a working volume of the tracking system, to generate and transmit sensor signals indicative of coordinates of the position sensor within the bone. A plurality of field generator coils are adapted to generate the magnetic fields so as to define the working volume. The field generators are fixed in predetermined locations to a reference structure, which is movable relative to the subject in order to position the working volume so as to intercept the bone. A system controller is coupled to receive and process the sensor signals so as to determine the coordinates of the position sensor within the bone.

Claims

1. A surgical tracking system for use by a surgeon, comprising:

a wireless position sensor, which is adapted to be implanted in a bone of a subject, and generates and transmits sensor signals responsive to externally-applied magnetic fields within a working volume of the tracking system, the sensor signals indicative of coordinates of the position sensor within the bone;

a plurality of field generator coils, which are adapted to generate the magnetic fields so as to define the working volume, the location and orientation of the plurality of field generator coils being known relative to a given reference frame;

a reference structure, to which the field generator coils are fixed in predetermined locations, and which is movable relative to the subject by the surgeon during surgery, the reference structure and the field generator coils being raised, lowered, tilted or shifted by the surgeon during surgery in order to shift the working volume so as to intercept the bone; and

a system controller, which is coupled to receive and process the sensor signals so as to determine the coordinates of the position sensor within the bone and within the given reference frame.

2. The system according to claim 1, wherein the reference structure comprises:

multiple arms, each holding a respective one of the field generator coils; and

a base, which is coupled to support the arms.

3. The system according to claim 2, wherein the base is adapted to adjust at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

4. The system according to claim 1, wherein the reference structure comprises:

multiple arms, each holding a respective one of the field generator coils; and

a boom, which is coupled to support the arms above the subject.

5. The system according to claim 4, wherein the boom is adapted to adjust at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

6. The system according to claim 4, and comprising a lamp, which is held over the subject by the boom so as to illuminate an area of the working volume.

7. The system according to claim 1, wherein the bone has an axis, and wherein the locations at which the field generators are fixed to the reference structure define a plane, and

wherein the reference structure is adapted to position the field generators so that the plane is approximately parallel to the axis.

8. The system according to claim 1, wherein the bone has an axis, and wherein the locations at which the field generators are fixed to the reference structure define a plane, and

wherein the reference structure is adapted to position the field generators so that the plane is approximately perpendicular to the axis.

9. The system according to claim 8, wherein the reference structure comprises a semicircular holder, to which the field generators are fixed, and which partly surrounds the axis.

10. The system according to claim 9, wherein the reference structure comprises a base, to which the semicircular holder is movably attached, so as to permit at least one of a height, a rotation and a tilt of the semicircular holder to be adjusted, while maintaining the field generators in a fixed mutual relation.

11. The system according to claim 1, and comprising an operating table having an underside and comprising a base, which contains the system controller,

wherein the reference structure comprises multiple arms, each holding a respective one of the field generator coils, and an articulated mount to which the arms are fixed and which is fixed to the underside of the table in order to support the arms.

12. The system according to claim 11, wherein the articulated mount is adapted to adjust at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

13. The system according to claim 1, wherein the reference structure is configured to be inserted into an opening in an operating table.

14. The system according to claim 1, wherein the position sensor comprises one or more sensor coils, which are adapted to sense the magnetic fields so as to generate the sensor signals.

15. The system according to claim 14, and comprising a driving antenna, which is adapted to radiate a radio frequency (RF) electromagnetic field toward the sensor, and

wherein the position sensor comprises a power coil, which is coupled to receive the RF electromagnetic field so as to provide electrical power to the sensor.

16. The system according to claim 14, wherein the position sensor comprises a communication coil, which is coupled to transmit the sensor signals to the system controller.

17. The system according to claim 14, and comprising a screw, which contains at least the one or more sensor coils of the position sensor, and which is adapted to be inserted into the bone.

18. The system according to claim 17, wherein the position sensor comprises a power source, which is contained in the screw.

19. The system according to claim 17, wherein the position sensor comprises:

an external unit, which comprises at least a power source and is adapted to be positioned outside a body of the subject; and

wires coupling the one or more sensor coils in the screw to the external unit.

20. The system according to claim 1, and comprising a surgical tool, for operating on the bone, the tool comprising a tool position sensor, which is adapted to generate and transmit sensor signals responsive to the externally-applied magnetic fields, the sensor signals indicative of coordinates of the tool relative to the bone.

21. A method for surgery, comprising:

implanting in a bone of a subject a wireless position sensor, which is adapted to generate and transmit sensor signals responsive to externally-applied magnetic fields, the sensor signals indicative of coordinates of the position sensor within the bone;

mounting a plurality of field generator coils in predetermined locations on a reference structure, the location and orientation of the plurality of field generator coils being known relative to a given reference frame;

driving the field generator coils to generate the magnetic fields, thus defining a working volume for tracking the wireless position sensor;

moving the reference structure and the field generator coils by a surgeon during surgery by raising, lowering, tilting or shifting the reference structure and the field generator coils in order to shift the working volume so as to intercept the bone; and

receiving and processing the sensor signals so as to determine the coordinates of the position sensor within the bone and within the given reference frame.

22. The method according to claim 21, further comprising providing a reference structure comprising:

multiple arms, each holding a respective one of the field generator coils; and

a base, which is coupled to support the arms.

23. The method according to claim 22, wherein moving the reference structure comprises adjusting at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

24. The method according to claim 21, further comprising providing a reference structure comprising:

multiple arms, each holding a respective one of the field generator coils; and

a boom, which is coupled to support the arms above the subject.

25. The method according to claim 24, wherein moving the reference structure comprises adjusting at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

26. The method according to claim 21, further comprising fixing the field generators to the reference structure to define a plane, and positioning the field generators so that the plane is approximately parallel to an axis of the bone.

27. The method according to claim 21, further comprising fixing the field generators to the reference structure to define a plane, and positioning the field generators so that the plane is approximately perpendicular to an axis of the bone.

28. The method according to claim 27, further comprising providing a reference structure comprising a semicircular holder, to which the field generators are fixed, and which partly surrounds the axis.

29. The method according to claim 28, further comprising providing a reference structure comprising a base, to which the semicircular holder is movably attached, and moving the reference structure by adjusting at least one of a height, a rotation and a tilt of the semicircular holder relative to the base, while maintaining the field generators in a fixed mutual relation.

30. The method according to claim 21, further comprising providing a reference structure comprising multiple arms, each holding a respective one of the field generator coils, and an articulated mount to which the arms are fixed and which is fixed to the underside of an operating table in order to support the arms.

31. The method according to claim 30, further comprising moving the reference structure by adjusting at least one of a height, a rotation and a tilt of the arms, while maintaining the arms in a fixed mutual relation.

32. The method according to claim 21, further comprising providing a reference structure that is configured to be inserted into an opening in an operating table.

33. The method according to claim 21, further comprising providing a position sensor that comprises one or more sensor coils, which are adapted to sense the magnetic fields so as to generate the signals indicative of the coordinates.

34. The method according to claim 33, wherein the position sensor comprises a power coil, which is coupled to receive a radio frequency (RF) electromagnetic field so as to provide electrical power to the sensor, and wherein the method comprises radiating the RF electromagnetic field toward the sensor using a driving antenna.

35. The method according to claim 33, further comprising providing a position sensor that comprises a communication coil, which is coupled to transmit the sensor signals.

36. The method according to claim 33, wherein implanting the wireless position sensor comprises inserting at least the one or more sensor coils of the position sensor into a screw, and inserting the screw into the bone.

37. The method according to claim 36, further comprising providing a position sensor that comprises a power source, which is contained in the screw.

38. The method according to claim 36, wherein implanting the wireless position sensor comprises coupling the one or more sensor coils in the screw to an external unit outside a body of the subject, the external unit comprising at least a power source.

39. The method according to claim 21, and comprising performing a surgical procedure on the bone using a surgical tool comprising a tool position sensor, which is adapted to generate and transmit sensor signals, responsive to the externally-applied magnetic fields, the sensor signals indicative of coordinates of the tool relative to the bone.