Surgical marking tools and methods for marking a patient

• US 8,157,828 B2
• Filed: 09/24/2008
• Issued: 04/17/2012
• Est. Priority Date: 09/24/2007
• Status: Active Grant

• Current Assignee: Clearpoint Neuro, Inc.
• Original Assignee: MRI Interventions, Inc. (Clearpoint Neuro, Inc.)
• Inventors: Piferi, Peter
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US12/236,615
• Publication Number:
  US 20090099584A1
• Time in Patent Office: 1,301 Days
• Field of Search: 606/104, 606/130, 606/180, 606/54, 606/60, 600/411, 600/426, 814/38, 814/53
• US Class Current: 606/180
• CPC Class Codes: A61B 17/16 Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans arthroscopic bone cutters A61B17/320016; dental implant drills potentially for other surgical use A61C8/0089; bone grinders A61F2/4644, A22C17/06; A61B17/1662 takes precedence over all other subgroups except A61B17/17
• CPC Class Codes: A61B 17/1655 for tapping
• CPC Class Codes: A61B 17/1695 Trepans or craniotomes, i.e. specially adapted for drilling thin bones such as the skull
• CPC Class Codes: A61B 17/17 Guides or aligning means for drills , mills, pins or wires
• CPC Class Codes: A61B 2017/00911 for fields applied by a magnetic resonance imaging system
• CPC Class Codes: A61B 2090/3916 Bone tissue
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

A surgical marking tool for marking a location on a patient includes a cutting head and a handle. The cutting head includes a screw thread. The handle is coupled to the cutting head to rotate the cutting head. The screw thread is configured to progressively embed in the patient to mark the location when the cutting head is placed in contact with the patient and rotated with respect to the patient using the handle.

Claims

1. A method for marking a location on a patient, the method comprising:

providing a marking tool including a cutting head having a screw thread and a handle coupled to the cutting head to manually rotate the cutting head, wherein the handle includes first and second handle members that are rotatable with respect to one another and the cutting head is affixed to the first handle member; and

placing the cutting head in contact with the patient and manually rotating the cutting head with respect to the patient to progressively embed the screw thread into a skull of the patient to mark a location in the skull for a surgical procedure, including embedding the cutting head into the patient'"'"'s skull only to a maximum depth less than the thickness of the skull; and

thereafter removing the cutting head from the skull;

wherein manually rotating the cutting head with respect to the patient includes manually rotating the first handle member with respect to the second handle member; and

wherein the cutting head has a lead end and a limiter feature spaced apart a distance from the lead end, and an axial boring length extending from the lead end to a proximal end of the limiter feature is less than a thickness of the patient'"'"'s skull.

2. The method of claim 1 including piercing through the scalp of the patient with a sharp leading end section of the cutting head.

3. The method of claim 1 wherein the screw thread includes a self tapping screw thread, and the method includes cutting into the patient'"'"'s skull using the self tapping screw thread.

4. The method of claim 3 wherein cutting into the patient'"'"'s skull using the self tapping screw thread includes forming a thread in the patient'"'"'s skull corresponding to the self tapping screw thread by rotating the self tapping screw thread into the patient'"'"'s skull.

5. The method of claim 1 further including forming a burr hole in the patient'"'"'s skull proximate the marked location.

6. The method of claim 5 wherein forming the burr hole in the skull of the patient proximate the marked location includes forming the burr hole at the marked location.

7. The method of claim 1 wherein:

the first handle member is a lower handle member and the second handle member is an upper handle member; and

the method includes holding the upper handle member in a user'"'"'s hand and simultaneously rotating the cutting head using the first handle member.

8. The method of claim 7 wherein the upper handle member has an upper end portion with a bulbous shape.

9. The method of claim 8 wherein the lower handle member includes flutes.

10. The method of claim 1 wherein:

the marking tool is constructed entirely of MRI-compatible material or materials; and

the steps of placing the cutting head in contact with the patient and rotating the cutting head with respect to the patient are executed in or adjacent a magnet of an MRI scanner.

11. The method of claim 1 including counter-rotating the cutting head with respect to the patient to progressively remove the cutting head from the patient'"'"'s skull.

12. The method of claim 1 wherein;

the first handle member is a lower handle member and the second handle member is an upper handle member; and

the method includes holding the upper handle member in a user'"'"'s hand and simultaneously manually rotating the cutting head using the first handle member.

13. The method of claim 1 including counter-rotating the cutting head with respect to the patient to progressively remove the cutting head from the patient'"'"'s skull following the step of manually rotating the cutting head with respect to the patient to progressively embed the screw thread into the skull of the patient to mark the location.