Integration of surgical instrument and display device for assisting in image-guided surgery

• US 8,734,432 B2
• Filed: 10/19/2009
• Issued: 05/27/2014
• Est. Priority Date: 10/21/2008
• Status: Active Grant

• Current Assignee: Brainlab AG
• Original Assignee: Brainlab AG
• Inventors: Tuma, Gregor, Neubauer, Timo
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): LUAN, SCOTT
• Application Number:
  US12/581,233
• Publication Number:
  US 20100100081A1
• Time in Patent Office: 1,681 Days
• US Class Current: 606/1
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2065 Tracking using image or pattern recognition
• CPC Class Codes: A61B 2034/2068 using pointers, e.g. pointers having reference marks for determining coordinates of body points
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/0818 Redundant systems, e.g. using two independent measuring systems and comparing the signals
• CPC Class Codes: A61B 2090/372 Details of monitor hardware
• 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 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

The invention relates to a surgical instrument comprising a handle portion or mounting portion and a functional portion and/or tip, wherein a display device is provided on the instrument and includes or enables displays which serve to assist in image-guided and/or navigation-assisted surgery. It also relates to a method for navigating a surgical instrument, wherein its position is determined and tracked by means of a medical tracking system and the position data is processed within the framework of medical navigation by means of a medical navigation system, wherein displays for navigation assistance and/or for assisting in image-guided surgery are provided on the instrument or on an element which is positionally assigned to the instrument or fastened to the instrument.

Claims

1. A surgical instrument, comprising:

a handle portion or a mounting portion;

a functional portion;

a display device configured to display information to assist in at least one of image-guided or navigation-assisted surgery, the display device comprising an image display; and

a data processor assigned to the display device, wherein the data processor is configured to track and identify activity of the surgical instrument, and

wherein the display device and the data processor are arranged in a common housing that is detachably connected to the surgical instrument via an adapter, wherein detachment of the housing from the surgical instrument detaches the display device and the data processor from the surgical instrument,

wherein the display comprises or displays tracking markings that are trackable by a tracking system.

2. The instrument according to claim 1, wherein the display device includes at least one highlightable indicator.

3. The instrument according to claim 2, wherein the at least one highlightable indicator is configured to illuminate or back-light symbols or characters.

4. The instrument according to claim 1, wherein the image display is a screen display.

5. The instrument according to claim 1, further comprising an integrated sensor system configured to provide tracking information, said tracking information processed by a medical navigation system.

6. The instrument according to claim 5, wherein the integrated sensor system is an inertial sensor system.

7. The instrument according to claim 1, wherein the integrated data processor in the instrument is configured to evaluate an inertial sensor system in connection with external and additional or redundant tracking information in order to improve 3D localization.

8. The instrument according to claim 7, wherein the external, additional or redundant tracking information includes information obtained via Kalman filtering.

9. The instrument according to claim 1, wherein the display device includes a navigation image display.

10. The instrument according to claim 1, wherein the data processor and the display device form an integrated navigation system.

11. The instrument according to claim 10, wherein the integrated navigation system is a portable navigation system.

12. The instrument according to claim 10, wherein the integrated navigation system is removably attached to the handle portion or mounting portion via an adaptor.

13. The instrument according to claim 1, wherein the functional portion comprises at least one of

a functional instrument tip including a fastening device configured to fixedly attach the instrument to an object, or

a calibration receptacle configured to receive an object to be aligned to the instrument.

14. The instrument according to claim 1, wherein at least one of the display device or the data processor comprises a sterile covering.

15. The instrument according to claim 14, wherein the sterile covering is a sterile drape or a shell which is sterile.

16. The instrument according to claim 1, wherein at least one of the handle portion, the mounting portion or the functional portion is formed as sterile disposable items.

17. The instrument according to claim 16, wherein the sterile disposable items are sterilely packaged disposable items.

18. The instrument according to claim 17, wherein the sterilely packaged disposable items are made of a plastic material.

19. The instrument according to claim 16, wherein components of the instrument which are attached to the handle portion or mounting portion or the functional portion are formed as sterile disposable items.

20. The instrument according to claim 19, wherein the sterile disposable items are sterilely packaged disposable items.

21. The instrument according to claim 20, wherein the sterilely packaged disposable items are made of a plastic material.

23. The method according to claim 22, wherein the surgical instrument is an instrument according to claim 1.

22. A method for navigating a surgical instrument, comprising:

providing a display device and a data processor assigned to the display device, the display device and the data processor arranged in a common housing that is detachably connected to the surgical instrument, wherein detachment of the housing from the surgical instrument detaches the display device and the data processor from the surgical instrument;

displaying information on the display device of the surgical instrument to assist in at least one of image-guided or navigation-assisted surgery;

using the data processor to track and identify activity of the surgical instrument,

wherein assisting in at least one of image-guided or navigation-assisted surgery includes simultaneously displaying tracking markings via the display device.

24. The method according to claim 22, further comprising using the surgical instrument to acquire and register landmarks or surfaces of an object, said surgical instrument serving as a position indicator, wherein the display device predetermines or assists in the selection of the landmarks or surfaces.

25. The method according to claim 22, further comprising controlling the display device using the data processor, said data processor configured to determine movements or point acquisitions with the aid of a navigation system or using sensors on the instrument.

26. The method according to claim 22, further comprising controlling the display device using the data processor, said data processor configured to determine movements or point acquisitions with the aid of a defined movement of trackers with respect to each other.

27. The method according to claim 22, wherein assisting in at least one of image-guided or navigation-assisted surgery includes outputting information via the display device.

28. The method according to claim 22, further comprising displaying on the display device changing tracking markings.