Articulating arm

• US 8,088,058 B2
• Filed: 01/20/2005
• Issued: 01/03/2012
• Est. Priority Date: 01/20/2005
• Status: Active Grant

• Current Assignee: Neuronetics, Inc.
• Original Assignee: Neuronetics, Inc.
• Inventors: Juliana, Vincent A., Riehl, Mark Edward, Pillutla, Ravi
• Primary Examiner(s): Marmor, II, Charles A
• Assistant Examiner(s): DORNA, CARRIE R
• Application Number:
  US11/039,267
• Publication Number:
  US 20060161039A1
• Time in Patent Office: 2,539 Days
• Field of Search: 600 9- 15, 248121-1241, 606/130, 128/897
• US Class Current: 600/15
• CPC Class Codes: A61B 2090/504 with a counterweight
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: A61N 2/006 for magnetic stimulation of nerve tissue

Abstract

Just one embodiment of the invention includes a device, method and system for positioning a treatment instrument with respect to a patient. The novel device includes a holder for securing the treatment instrument (e.g., a magnetic stimulation device used for transcutaneous magnetic stimulation treatment of depression). The holder allows the treatment instrument to move about the patient. The device also includes a first arm that is coupled to the holder, and a vertical support that is coupled to the first arm. The first arm is substantially transverse to the vertical support, and may rotates about the vertical support in a horizontal axis. Such rotation, as well as movement and rotation of other components with respect to each other may be facilitated by a ball bearing construction.

Claims

1. A device for positioning a treatment instrument with respect to a patient, comprising:

a holder for securing the treatment instrument, wherein the holder allows the treatment instrument to move about the patient;

a first arm;

a counterbalance;

a vertical support coupled to the first arm at a pivot point, wherein the first arm is substantially transverse to the vertical support;

wherein a first portion of the first arm extends in a first direction from the pivot point and a second portion of the first arm extends in a second direction from the pivot point, wherein the holder is coupled to the first portion of the first arm and the counterbalance is coupled to the second portion of the first arm;

a second arm coupled to the vertical support and the holder such that the second arm is substantially parallel to the first portion of the first arm; and

a vertical member directly coupled to the first arm and the second arm, wherein the vertical member is maintained in a substantially vertical orientation throughout the range of movement of the first arm.

2. The device of claim 1, wherein the counterbalance is affixed to the first arm at a position opposite the holder.

3. The device of claim 1, wherein the counterbalance holds the treatment instrument in a substantially constant position with respect to the patient.

4. The device of claim 1, wherein the treatment instrument comprises a magnetic stimulation device used for transcutaneous magnetic stimulation treatment of the patient.

5. The device of claim 4, wherein the magnetic stimulation device comprises an arc-shaped core spanning an angle of less than three hundred sixty degrees, and wherein the core comprises a highly saturable magnetic material having a magnetic saturation of at least 0.5 Tesla.

6. The device of claim 1, wherein the first arm rotates about the vertical support in a horizontal axis.

7. The device of claim 6, wherein the rotation is facilitated by a ball bearing construction.

8. The device of claim 1, wherein the first arm has a center of gravity point that is coupled to the vertical support.

9. The device of claim 8, wherein the center of gravity point allows the first arm to rotate in a horizontal axis about the vertical support.

10. The device of claim 9, wherein the rotation is facilitated by a ball bearing construction.

11. The device of claim 8, wherein the center of gravity point allows the first arm to rotate in a vertical axis about the vertical support.

12. The device of claim 1, further comprising a headrest.

13. The device of claim 12, wherein the headrest is coupled to a mobile cart.

14. The device of claim 12, wherein the headrest is coupled to the vertical support.

15. The device of claim 12, wherein the headrest is adjustable in a vertical and horizontal axis.

16. The device of claim 12, wherein the vertical support moves in horizontal plane with respect to the headrest.

17. The device of claim 1, wherein the holder has a center of gravity along one end of the first arm.

18. The device of claim 1, wherein the holder comprises a curved portion.

19. The device of claim 18, wherein the curved portion has a radius adapted to prevent the curved portion from contacting a patient'"'"'s head.

20. The device of claim 1, wherein the holder comprises a rotating assembly.

21. The device of claim 20, wherein the holder comprises a curved portion that moves in an arcuate motion through the rotating assembly.

22. The device of claim 20, wherein the rotating assembly rotates 360 degrees with respect to the first arm.

23. The device of claim 22, wherein the rotation is facilitated by a ball bearing construction.

24. The device of claim 20, wherein a curved portion of the holder is locked as it moves through the rotating assembly.

25. The device of claim 1, wherein the vertical member comprises a downrod that connects a rotating assembly to the first arm.

26. The device of claim 1, wherein the vertical support moves in horizontal plane with respect to the patient.

27. The device of claim 1, wherein the vertical support is contoured to allow viewing of a display viewed between the vertical support and the holder.

28. The device of claim 1, wherein the second arm maintains the treatment instrument in a substantially constant vertical plane.

29. The device of claim 1, further comprising a locking mechanism.

30. The device of claim 29, wherein the locking mechanism prevents movement of at least one of the following:

the treatment instrument, the curved portion, the rotating assembly, the vertical support, the first arm.

31. The device of claim 30, wherein the single activation movement comprises releasing a pushbutton.

32. The device of claim 30, wherein the single activation movement comprises a user releasing the treatment instrument.

33. The device of claim 29, wherein the locking mechanism is activated by a single activation movement.

34. The device of claim 29, wherein the locking mechanism is activated by a device in proximity to a location that a user grips the treatment instrument.

35. The device of claim 29, wherein the locking mechanism comprises electric relays.

36. The device of claim 35, wherein the wiring for the electric relays is concealed by at least one of the following:

the treatment instrument, the curved portion, the rotating assembly, the vertical support, the first arm.

37. The device of claim 29, wherein the locking mechanism is activated by a more than one activation movement.

38. The device of claim 1, wherein the vertical support is coupled to a mobile cart.

39. The device of claim 1, wherein the vertical support rotates about a vertical axis.

40. The device of claim 39, wherein the rotation is facilitated by a ball bearing construction.

41. The device of claim 1, further comprising a first handle attached to the treatment instrument, wherein the first handle extends out from the treatment instrument along an axis defining a center of the treatment instrument.

42. The device of claim 41, wherein the first handle conforms to the shape of a hand.

43. The device of claim 1, further comprising a second handle, wherein the second handle extends above the plane of the treatment instrument.

44. The device of claim 43, wherein the second handle conforms to the shape of a hand.

45. The device of claim 1, wherein the treatment instrument comprises a non-transcranial magnetic stimulation device.

46. The device of claim 1, wherein the device is manufactured, at least in part, from metal.

47. The device of claim 1, wherein the device is manufactured, at least in part, from plastic.

48. The device of claim 1, wherein the device is adapted for use with a seated patient.

49. The device of claim 1, wherein the device permits movement of the treatment instrument with six degrees of freedom.

50. The device of claim 1, wherein the first arm does not extend beyond a plane of a mobile cart.

51. The device of claim 1, further comprising an adjustment structure that is capable of adjusting the device to each patient.

52. The device of claim 51, wherein the adjustment structure comprises a malleable material to mold to the patient'"'"'s head.

53. The device of claim 51, wherein the adjustment structure prevents movement of the treatment instrument during treatment.

54. The device of claim 51, wherein at least a portion of the adjustment structure is adapted to span the patient'"'"'s nose.

55. The device of claim 51, wherein the adjustment structure is reusable.

56. The device of claim 51, wherein the adjustment structure is rendered unusable following treatment of the patient.

57. The device of claim 51, wherein the adjustment structure is a head strap comprising measurement marks to indicate a position relative to a patient'"'"'s head.

58. The device of claim 51, wherein the adjustment structure substantially maintains the position of the treatment instrument relative to the patient.

59. The device of claim 1, wherein the device is moved robotically.

60. The device of claim 1, further comprising a video display monitor for graphically indicating the position of the treatment instrument with respect to the patient.

61. The device of claim 1, further comprising a computing device for processing a position of the treatment instrument with respect to the patient.

62. The device of claim 1, further comprising a computing device for storing a position of the treatment instrument with respect to the patient.

63. The device of claim 62, wherein the computing device provides the stored position data for subsequent patient treatment.

64. The device of claim 62, wherein the computing device provides the stored position data to a video display monitor.

65. A system device for positioning a treatment instrument with respect to a patient, comprising:

an articulating arm device, comprising;

a holder for securing the treatment instrument, wherein the holder allows the treatment instrument to move about the patient, the holder comprising a vertical member;

a first arm coupled to the holder;

a counterbalance coupled to the first arm;

a vertical support attached to the first arm at a pivot point, wherein the first arm is substantially transverse to the vertical support;

wherein a first portion of the first arm extends in a first direction from the pivot point and a second portion of the first arm extends in a second direction from the pivot point, wherein the holder is coupled to the first portion of the first arm and the counterbalance is coupled to the second portion of the first arm;

a second arm coupled to the vertical support and the holder such that the second arm is substantially parallel to the first portion of the first arm, wherein the vertical member is directly coupled to the first arm and the second arm and the vertical member is maintained in a substantially vertical orientation throughout the range of movement of the first arm; and

a treatment instrument locator device, comprising;

fiducial reflectors located on the treatment instrument and the patient; and

a video camera for determining the position of the treatment instrument and the position of the patient, wherein the video camera determines the positions as a function of detecting the location of the fiducial reflectors,

wherein the video camera maintains a line of sight to at least one fiducial reflector while the articulating arm is in operation.