Needle placement manipulator with attachment for RF-coil

• US 10,274,553 B2
• Filed: 03/15/2013
• Issued: 04/30/2019
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Brigham and Women's Hospital Incorporated, Canon USA, Inc. (Canon Inc.)
• Original Assignee: Brigham and Women's Hospital Incorporated, Canon USA, Inc. (Canon Inc.)
• Inventors: Fujimoto, Kosuke, Arimitsu, Yasumichi, Hata, Nobuhiko, Song, Sang-Eun, Tokuda, Junichi
• Primary Examiner(s): Carey, Michael
• Assistant Examiner(s): Mohammed, Shahdeep
• Application Number:
  US13/836,708
• Publication Number:
  US 20140275978A1
• Time in Patent Office: 2,237 Days
• Field of Search: None
• CPC Class Codes: A61B 2017/3407 including a base for support on the body
• CPC Class Codes: A61B 2090/374 NMR or MRI
• 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
• CPC Class Codes: G01R 33/286 involving passive visualization of interventional instruments, i.e. making the instrument visible as part of the normal MR process
• CPC Class Codes: G01R 33/287 involving active visualization of interventional instruments, e.g. using active tracking RF coils or coils for intentionally creating magnetic field inhomogeneities

Abstract

A needle placement manipulator includes, a needle holder configured to hold a needle, a guide system configured to position the needle holder to a predetermined direction with respect to a subject of needle placement, an attachment including an attaching portion to which the guide system is attached and a setting portion on which an RF-coil is set. A base surface of the setting portion is configured to be disposed on the subject.

Claims

1. A needle placement manipulator comprising:

a needle holder which holds a needle along an axis of the needle holder;

a ring-shaped rotatable guide configured to support the needle holder and to position the axis of the needle holder to a direction of insertion such that the axis of the needle holder passes through an insertion point on a subject of needle placement;

a base body on which the ring-shaped rotatable guide is supported;

a first attachment including a base surface and a setting portion on which an RF-coil is set; and

a second attachment connected to the base body and including an attaching portion which attaches the second attachment to the first attachment,

wherein the base surface of the first attachment is configured to be the closest plane of the needle placement manipulator to the subject of needle placement,

wherein the ring-shaped rotatable guide is slanted and not parallel with respect to the base body such that the axis of the needle holder intersects a rotation axis of the ring-shaped rotatable guide at a remote center of motion, and

wherein, during needle placement, the ring-shaped rotatable guide rotates to move the needle holder along a circular path around a cone of acceptance such that the axis of the needle holder, the apex of the cone of acceptance, and the rotation axis of the ring-shaped rotatable guide constantly intersect each other at the remote center of motion even when the direction of insertion changes during rotation of the ring-shaped rotatable guide.

2. The needle placement manipulator according to claim 1, wherein the first attachment and the second attachment have an opening region around the axis of the needle holder.

3. The needle placement manipulator according to claim 1, wherein the ring-shaped rotatable guide is a rotary guide which has a circular opening concentric with its rotation axis, and the circular opening extends to the setting portion on which the RF-coil is set.

4. The needle placement manipulator according to claim 1, further comprising at least one position sensor arranged in the ring-shaped rotatable guide, wherein the at least one position sensor detects a rotational position of the ring-shaped rotatable guide.

5. A needle placement manipulator according to claim 1, wherein the setting portion of the first attachment includes a projection portion which is formed according to a shape of an opening of the RF-coil, and the second attachment is attached rigidly to the projection portion.

6. The needle placement manipulator according to claim 1,

wherein the ring-shaped rotatable guide has a circular opening concentric with the rotation axis of the ring-shaped rotatable guide,

wherein the ring-shaped rotatable guide includes an outer part and an inner part, the inner part being movable relative to the outer part,

wherein the outer part is attached to the base body and the needle holder is attached to the inner part, and

wherein, during needle placement, the inner part rotates to move the needle holder along the circular path inside the circular opening.

7. The needle placement manipulator according to claim 1,

wherein the ring-shaped rotatable guide is slanted at a fixed angle with respect to the base body, and

wherein, during needle placement, the ring-shaped rotatable guide rotates to move the needle holder along the circular path around the cone of acceptance without changing the fixed angle.

8. The needle placement manipulator according to claim 1,

wherein the ring-shaped rotatable guide includes a first rotary guide and a second rotary guide which are slanted with respect to each other such that their respective rotation axes cross at a first angle with respect to each other, and

wherein the first rotary guide is attached to the base body, and the needle holder is attached to the second rotary guide.

9. The needle placement manipulator according to claim 8, further comprising one or more pillars connecting the first rotary guide to the second rotary guide such that the second rotary guide is slanted with respect to the first rotary guide.

10. The needle placement manipulator according to claim 1,

wherein the ring-shaped rotatable guide includes a first rotary guide supported by the base body and a second rotary guide arranged inside or outside of the first rotary guide, and

wherein the second rotary guide is arranged at an angle with respect to the first rotary guide such that, during needle placement on the subject, the first rotary guide and a part of the second rotary guide are maintained on a single plane parallel to the base surface of the first attachment.

11. The needle placement manipulator according to claim 10,

wherein, during needle placement, the second rotary guide rotates the needle holder along the base of the cone of acceptance in a circular path, and the first rotary guide rotates the second rotary guide such that the rotation axis of the second rotary guide precesses around the cone of acceptance, and

the rotation axis of the first rotary guide, the rotation axis of the second rotary guide, and the axis of the needle holder cross each other at the insertion point.

12. The needle placement manipulator according to claim 1, wherein the ring-shaped rotatable guide includes a first rotary guide and a second rotary guide slanted with respect to each other such that their respective rotation axes are fixed at a first angle with respect to each other.

13. The needle placement manipulator according to claim 12, wherein the rotation axis of the second rotary guide and the axis of the needle holder are fixed at a second angle with respect to each other,

wherein the second angle is greater than or equal to the first angle, and

wherein the following condition is satisfied

θ

1+θ

2 ≤

θ

3 =π

/2−

tan<sup>−

1</sup>(T/R),

where

θ

1 is the first angle, θ

2 is the second angle, θ

3 is a maximum angle of inclination of the axis of the needle holder with respect to the rotation axis of the first rotary guide, and

T is a height from a contact surface of the base body to an upper surface of the first rotary guide and R is the radius of the first rotary guide.

14. The needle placement manipulator according to claim 12, wherein the rotation axis of the first rotary guide, the rotation axis of the second rotary guide, and the axis of the needle holder cross each other at a crossing point located at or above the insertion point.

15. The needle placement manipulator according to claim 14, wherein the crossing point is on the plane of the base surface of the first attachment.

16. The needle placement manipulator according to claim 1, further comprising at least one actuator arranged in the ring-shaped rotatable guide, wherein the at least one actuator moves the ring-shaped rotatable guide so as to displace the needle holder around the base of the cone of acceptance for needle placement.

17. The needle placement manipulator according to claim 16, wherein the actuator includes a slider part which is pressurized to a friction element fixed to piezoelectric material by pressurized means, and the slider part is actuated by the vibration of a vibrator.

18. The needle placement manipulator according to claim 16, wherein the actuator includes piezoelectric material.

19. The needle placement manipulator according to claim 18, wherein the actuator includes a vibrator body to which the piezoelectric material is fixed and a slider part which is pressurized to the vibrator body by pressurized means and actuated by the vibration of the vibrator body.

20. The needle placement manipulator according to claim 19, wherein the vibrator body is made of ceramic material.

21. The needle placement manipulator according to claim 17, wherein the friction element includes resin material.

22. The needle placement manipulator according to claim 17, wherein the slider part includes resin material.

23. A needle placement manipulator comprising:

a needle holder configured to hold a needle;

a ring-shaped rotary guide system configured to hold the needle holder and to position the needle holder to a direction of insertion with respect to a subject of needle placement; and

an attachment including an attaching portion to which the ring-shaped rotary guide system is attached and a setting portion on which an RF-coil is set,

wherein a base surface of the setting portion is configured to be disposed on the subject,

wherein the ring-shaped rotary guide system is slanted and not parallel with respect to the attaching portion such that the axis of the needle holder intersects a rotation axis of the ring-shaped rotary guide system at a remote center of motion, and

wherein, during needle placement, ring-shaped rotary guide system is configured to move the needle holder along a circular path around the base of a cone of acceptance such that the axis of the needle holder, the apex of the cone of acceptance, and the rotation axis of the ring-shaped rotary guide system constantly intersect each other at the remote center of motion even when the direction of insertion changes during rotation of the ring-shaped rotary guide system.

24. The needle placement manipulator according to claim 23,

wherein the ring-shaped rotatable guide is slanted at a fixed angle with respect to the attaching portion, and

wherein, during needle placement, the ring-shaped rotatable guide rotates to move the needle holder along the circular path around the cone of acceptance without changing the fixed angle.

25. The needle placement manipulator according to claim 23,

wherein the ring-shaped rotary guide system includes a first rotary guide supported by the attaching portion and a second rotary guide arranged inside or outside of the first rotary guide, and

wherein the second rotary guide is arranged at an angle with respect to the first rotary guide such that, during needle placement on the subject, the first rotary guide and a part of the second rotary guide are maintained on a single plane parallel to the base surface of the setting portion.

26. The needle placement manipulator according to claim 25,

wherein, during needle placement, the second rotary guide rotates the needle holder along the base of the cone of acceptance in a circular path, and the first rotary guide rotates the second rotary guide such that the rotation axis of the second rotary guide precesses around the cone of acceptance, and

the rotation axis of the first rotary guide, the rotation axis of the second rotary guide, and the axis of the needle holder cross each other at the insertion point.

27. The needle placement manipulator according to claim 23, wherein the remote center of motion is located at the base surface of the setting portion or on a plane parallel to the base surface.

28. The needle placement manipulator according to claim 27, further comprising a distance adjustment mechanism configured to adjust the plane on which the remote center of motion is located.

29. The needle placement manipulator according to claim 28, wherein the distance adjustment mechanism varies a distance from the base surface of the setting portion to the remote center of motion such that the remote center of motion is located at a plane parallel to the base surface above the base surface or below the base surface.

30. The needle placement manipulator according to claim 23, wherein the ring-shaped rotary guide system includes a first rotary guide and a second rotary guide which are slanted with respect to each other such that their respective rotation axes cross at a first angle with respect to each other.

31. The needle placement manipulator according to claim 30, wherein the second rotary guide rotates at a slated angle with respect to the first rotary guide.

32. The needle placement manipulator according to claim 30,

wherein the rotation axis of the first rotary guide, the rotation axis of the second rotary guide, and the axis of the needle holder cross each other at the remote center of motion.