Automatic identification of instruments used with a surgical navigation system

• US 9,801,566 B2
• Filed: 11/22/2013
• Issued: 10/31/2017
• Est. Priority Date: 02/19/2007
• Status: Active Grant

• Current Assignee: Medtronic Navigation Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Navigation Incorporated (Medtronic Plc)
• Inventors: Verard, Laurent, Teichman, Robert
• Primary Examiner(s): KISH, JAMES M
• Application Number:
  US14/087,735
• Publication Number:
  US 20140081128A1
• Time in Patent Office: 1,439 Days
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/256 having a database of accessory information, e.g. including context sensitive help or scientific articles
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/365 augmented reality, i.e. correlating a live optical image with another image
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• 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 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders

Abstract

A system and apparatus taught to determine the identification and selected information relating to surgical instruments near a reader. The information can be stored on a member operable to transmit the information to a reader at a selected time. The information can be used in a navigation system to assist in navigation of the instrument relative to a patient.

Claims

1. A system to determine information related to a selected device used with a surgical navigation system for navigating a procedure relative to an anatomy, the system comprising:

an information tag having a memory operable to store, receive, or transmit a selected information;

an information tag reader configured to read the selected information from the memory of the information tag, write the selected information to the memory of the information tag, or combinations thereof at least during an operative procedure;

a surgical instrument associated with the information tag wherein the information tag includes the selected information specific to the surgical instrument;

a navigation system;

a communication system interconnecting the information tag reader and the navigation system wherein the selected information read from the information tag is transmitted to the navigation system;

wherein the information tag reader is further configured to write the selected information to the memory of the information tag during or after a use of the surgical instrument including a change from a previous calibration information including size of the surgical instrument, tip location of the surgical instrument, or orientation of the surgical instrument; and

a display operable to display a representation of the surgical instrument based upon the information read by the information tag reader from the memory of the information tag including the change in calibration information when previously written, wherein the selected information read by the information tag reader from the memory is read during the operative procedure to ensure that the representation of the surgical instrument is correct.

2. The system of claim 1, wherein the memory of the information tag includes a flash memory storage system interconnected with at least one of a transmission system, a receiving system, or combinations thereof.

3. The system of claim 2, wherein the information tag reader is operable to receive data transmitted from the information tag.

4. The system of claim 2, wherein the information tag reader includes a radio frequency transceiver operable to receive data from the information tag.

5. The system of claim 1, wherein the surgical instrument includes a first portion and a plurality of a second portion;

wherein each of the plurality of second portions are operable to be interconnected with the first portion at a selected time.

6. The system of claim 5,

wherein the information tag reader system is operable to automatically obtain information from the information tag via the information tag reader and transmit the information via the communication system to the navigation system.

7. The system of claim 6, wherein at least one of the information tag reader or the navigation system is configured to compare the read selected information to a pre-operative surgical plan and determine that at least the surgical instrument is appropriate for a selected portion of the pre-operative surgical plan.

8. The system of claim 1, wherein the navigation system includes:

a tracking device associated with the surgical instrument;

a localizer configured to track a location of the tracking device;

wherein a position of the surgical instrument is tracked with the tracking device and the position of the surgical instrument is displayed as the representation based on the tracked location of the tracking device and a calibration information or the change in calibration information.

9. The system of claim 8, wherein the localizer includes electromagnetic coils configured to send and receive electromagnetic field and configured to operate as both the information tag reader and to track the location of the tracking device by transmitting and/or receiving electromagnetic fields from both the information tag and the tracking device.

10. The system of claim 1, further comprising:

an imaging device operable to obtain image data of the anatomy;

wherein the image data of the anatomy can be displayed on the display with the information read from the information tag.

11. The system of claim 1, wherein the selected information is information specific to the surgical instrument including information relating to manufacturing of the surgical instrument, information relating to a calibration of the surgical instrument at the time of manufacturing, information regarding calibration of the instrument at a time after manufacturing, information regarding size of the surgical instrument, or combinations thereof.

12. The system of claim 1, wherein the surgical instrument includes at least one of an awl, a drill bit, a screw, a prosthesis, a tap, a probe, or combinations thereof.

13. A system to determine information related to a selected device used with a surgical navigation system for navigating a procedure relative to an anatomy, the system comprising:

an information tag having a member, wherein the information tag is operable to receive and transmit a selected information;

an information tag reader operable to read the selected information transmitted from the information tag, write the selected information to the information tag, or combinations thereof;

a surgical instrument connected to the information tag, wherein the selected information identifies the surgical instrument;

a navigation system having a display device configured to display an icon representing the surgical instrument based on the selected information;

a communication system interconnecting the information tag reader and the navigation system wherein the selected information read from the information tag is transmitted to the navigation system; and

a navigation system processor included with the navigation system configured to compare the selected information that identifies the instrument read from the information tag that is transmitted to the navigation system and a pre-operative surgical plan accessed by the navigation system processor to determine whether the surgical instrument is appropriate as within the pre-operative surgical plan and that the icon represents the surgical instrument connected to the information tag for display with the display device based at least on the selected information read from the information tag;

wherein the pre-operative surgical plan includes surgical plan portions determined and saved prior to an operative procedure including the surgical instrument determined appropriate for at least one surgical plan portion;

wherein the navigation system is configured to provide a signal to a user based on the comparison by the navigation system processor;

wherein the information tag reader is further configured to write the selected information to the memory of the information tag during or after a use of the surgical instrument including a change from a previous calibration information including size of the surgical instrument, tip location of the surgical instrument, or orientation of the surgical instrument.

14. The system of claim 13, wherein the information tag reader is configured to automatically at least one of read the selected information from the information tag, write the selected information to the information tag, or combinations thereof;

wherein the navigation system is configured to automatically provide the signal by the navigation system processor;

wherein the signal is displayed with the display device.

15. The system of claim 14, wherein the information tag reader includes a radio frequency transceiver operable to receive data from the information tag;

wherein the information tag is a radio frequency identification tag that includes a memory storage portion.

16. The system of claim 14,

wherein the surgical instrument includes a plurality of surgical instruments;

wherein the information tag includes a plurality of information tags;

wherein each surgical instrument of the plurality of surgical instruments includes at least one information tag of the plurality of information tags including the selected information relating to the surgical instrument that includes the at least one information tag;

wherein the information tag reader is operable to at least one of read the selected information from the information tag, write the selected information to the information tag, or combinations thereof prior to navigating the procedure to confirm that at least a selected plurality of the plurality of surgical instruments are in the pre-operative surgical plan;

wherein the plurality of surgical instruments includes at least one surgical instrument to perform a portion of the operative procedure or at least one implant to be implanted during the operative procedure.

17. A system to determine information related to a selected device used with a surgical navigation system for navigating a procedure relative to an anatomy, the system comprising:

a navigation system having a localizer, a processor, and a memory system;

an information tag member having a memory operable to receive and transmit a selected information;

an information tag reader incorporated into the localizer, wherein the information tag reader is configured to at least one of read the selected information from the memory of the information tag member, write the selected information to the memory of the information tag member, or combinations thereof;

a surgical item including the information tag member, wherein the selected information includes information specific to the surgical item;

a communication system interconnecting the information tag reader and the navigation system wherein the selected information read from the memory of the information tag member is transmitted to the navigation system; and

a display operable to display information regarding the surgical item based upon the selected information read by the information tag reader from the memory of the information tag member;

wherein the navigation system is configured to determine a representation of the surgical item to be displayed with the display based at least on the read selected information;

wherein the memory system stores a surgical plan configured to be recalled by the processor, wherein the surgical plan includes at least a particular surgical item to be used during a surgical procedure;

wherein the processor is configured to compare the read selected information to the surgical plan recalled from the memory system and determine that at least the surgical item is appropriate for the planned procedure when compared to the particular surgical item;

wherein the information tag reader is further configured to write the selected information to the memory of the information tag during or after a use of the surgical instrument including a change from a previous calibration information including size of the surgical instrument, tip location of the surgical instrument, or orientation of the surgical instrument.

18. The system of claim 17, wherein the localizer includes electromagnetic coils configured to read the selected information or write the selected information from the member of the information tag member.

19. The system of claim 17, wherein the information tag reader is configured to automatically read the memory;

wherein the surgical plan includes surgical plan portions determined before the surgical procedure;

wherein the selected information automatically read from the memory is compared to the surgical plan to confirm that the surgical item including the information tag member is planned for a selected surgical plan portion of the surgical plan portions.

20. The system of claim 19, further comprising:

a tracking device connected relative to the surgical item; and

a tracking system configured to track a location of the tracking device;

wherein the surgical item includes at least one of a surgical instrument or a surgical implant;

wherein the representation of the surgical item to be displayed with the display is based on both the tracked location and the read selected information.