Trajectory guide with instrument immobilizer

• US 8,192,445 B2
• Filed: 11/17/2009
• Issued: 06/05/2012
• Est. Priority Date: 08/17/2000
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Parmer, Kari, Miller, Thomas I., David, John
• Primary Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US12/620,399
• Publication Number:
  US 20100063516A1
• Time in Patent Office: 931 Days
• Field of Search: 606/130, 606/129, 606/53, 606/56, 606/59, 606/72, 606/79, 606/80, 606/8, 606/102, 600/424, 600/426, 600/429
• US Class Current: 606/130
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3933 Liquid markers
• CPC Class Codes: A61B 2090/3954 magnetic, e.g. NMR or MRI
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints

Abstract

A trajectory guide assembly that guides an instrument relative to a patient includes a mounting seat configured to be supported by the patient. The assembly also includes a trajectory member moveably supported by the mounting seat. The trajectory member defines a trajectory passage. Also, the assembly includes a cap member moveably supported by the trajectory member. The cap member defines a cap opening, and the cap member is selectively moveable to a first position relative to the trajectory member to retain the instrument in both the cap opening and the trajectory passage. Additionally, the cap member is selectively moveable to a second position relative to the trajectory member to release the instrument.

Claims

1. A trajectory guide assembly that guides an instrument relative to a patient, the trajectory guide assembly comprising:

a mounting seat configured to be supported by the patient;

a trajectory member moveably supported by the mounting seat, the trajectory member defining a trajectory passage; and

a cap member moveably supported by the trajectory member, the cap member defining a cap opening, the cap member selectively moveable to a first position relative to the trajectory member to retain the instrument in a fixed position relative to both the cap opening and the trajectory passage, and the cap member selectively moveable to a second position relative to the trajectory member to release the instrument, wherein the cap opening is misaligned with the trajectory passage when in the first position, and wherein the cap opening is aligned with the trajectory passage when in the second position.

2. The trajectory guide assembly of claim 1, wherein the cap member is selectively securable in a fixed position relative to the trajectory member.

3. The trajectory guide assembly of claim 2, further comprising a set screw, wherein the cap member defines a slot and the set screw extends through the slot and is selectively securable to the trajectory member, the set screw moveable relative to the slot to limit movement of the cap member relative to the trajectory member.

4. The trajectory guide assembly of claim 1, wherein the trajectory member is selectively securable in a fixed position relative to the mounting seat.

5. The trajectory guide assembly of claim 4, further comprising a set screw that extends through the mounting seat and is selectively securable to the trajectory member.

6. The trajectory guide assembly of claim 1, wherein the trajectory member is spherical, and the mounting seat includes a hemispherical seat portion that receives the trajectory member, the trajectory member rotatably moveable within the hemispherical seat portion.

7. The trajectory guide assembly of claim 1, wherein the trajectory member is spherical, and the cap member is a hemispherically conformed cap member that receives the trajectory member.

8. The trajectory guide assembly of claim 1, wherein the mounting seat defines a seat opening, wherein the seat opening of the mounting seat, the trajectory passage, and the cap opening of the cap member are able to simultaneously receive the instrument.

9. The trajectory guide assembly of claim 8, wherein the seat opening in the mounting seat has a width that is greater than a width of the trajectory passage.

11. The trajectory guide assembly of claim 1, wherein the mounting seat includes a flange that is selectively fixable to the patient.

12. The trajectory guide assembly of claim 1, wherein the cap member is slidably supported by the trajectory member.

10. A trajectory guide assembly that guides an instrument relative to a patient, the trajectory guide assembly comprising:

a mounting seat configured to be supported by the patient;

a trajectory member moveably supported by the mounting seat, the trajectory member defining a trajectory passage; and

a cap member moveably supported by the trajectory member, the cap member defining a cap opening, the cap member selectively moveable to a first position relative to the trajectory member to retain the instrument in both the cap opening and the trajectory passage, and the cap member selectively moveable to a second position relative to the trajectory member to release the instrument,

wherein the trajectory passage has a width that is greater than a width of the cap opening in the cap member.

13. A trajectory guide assembly that guides an instrument relative to a patient, the trajectory guide assembly comprising:

a mounting seat configured to be supported by the patient, the mounting seat including a hemispherical seat portion defining a seat opening passing therethrough;

a ball member rotatably supported within the hemispherical seat portion, the ball member defining a trajectory passage, the trajectory passage and the seat opening configured to simultaneously receive the instrument; and

a cap member that is moveably supported by the ball member, the cap member defining a cap opening, wherein the cap member is selectively moveable to a first position relative to the ball member to retain the instrument in a fixed position relative to each of the cap opening, the trajectory passage, and the seat opening, and the cap member is selectively moveable to a second position relative to the ball member to release the instrument, wherein the cap member is slidable from the first position to the second position, when in the first position the cap opening is offset from the trajectory passage, and when in the second position the cap opening is concentric with the trajectory passage.

14. The trajectory guide assembly of claim 13, further comprising a set screw, wherein the cap member defines a slot, and the set screw extends through the slot and is selectively securable to the ball member, the set screw moveable relative to the slot to limit movement of the cap member relative to the ball member.

15. The trajectory guide assembly of claim 13, wherein the ball member is selectively securable in a fixed position relative to the hemispherical seat portion.

16. The trajectory guide assembly of claim 13, wherein the ball member is a one-piece ball member.

17. The trajectory guide assembly of claim 13, wherein the cap member includes a hemispherical cap that is disposed on a top of the ball member.

18. A method for guiding an instrument relative to a patient comprising:

positioning a mounting seat on the patient;

positioning a trajectory member on the mounting seat;

rotating the trajectory member relative to the mounting seat to point an axis of a trajectory passage toward a target in the patient;

moving a cap member relative to the trajectory member to expose the trajectory passage through an opening in the cap member and to align the opening in the cap member with the trajectory passage;

introducing the instrument through the opening in the cap member, the trajectory passage, and into the patient toward the target; and

moving the cap member relative to the trajectory member to misalign the opening in the cap member from the trajectory passage to retain the instrument in a fixed position relative to both the opening and the trajectory passage and between the cap member and the trajectory member.

19. A trajectory guide assembly that guides an instrument relative to a patient, the trajectory guide assembly comprising:

a mounting seat configured to be supported by the patient, the mounting seat including a flange, the flange defining a hole that receives a fastener for selectively securing the mounting seat to the patient, the mounting seat further including a hemispherical seat portion that defines a seat opening;

a spherical ball member rotatably supported within the hemispherical seat portion, the ball member defining a trajectory passage, the trajectory passage having a width that is less than a width of the seat opening;

a first set screw that extends through the mounting seat and selectively secures the spherical ball member in a fixed position relative to the mounting seat;

a cap member that is slidably supported by the ball member, the cap member defining a cap opening and a slot, the cap opening having a width that is less than a width of the trajectory passage; and

a second set screw that is moveably received in the slot and that selectively secures the cap member in a fixed position relative to the ball member, the slot limiting movement of the cap member relative to the ball member, the cap member selectively moveable to a first position relative to the ball member to retain the instrument in each of the seat opening, the trajectory passage, and the cap opening and between the cap member and the trajectory member, the cap member selectively moveable to a second position relative to the ball member to release the instrument.