Surgical implement detector utilizing a resonant marker

• US 5,057,095 A
• Filed: 11/16/1989
• Issued: 10/15/1991
• Est. Priority Date: 11/16/1989
• Status: Expired due to Term

• Current Assignee: Carl E. Fabian
• Original Assignee: Carl E. Fabian
• Inventors: Fabian, Carl E.
• Primary Examiner(s): Jaworski, Francis
• Assistant Examiner(s): MANUEL, GEORGE C
• Application Number:
  US07/437,182
• Time in Patent Office: 698 Days
• Field of Search: 340/572, 340/573, 600/12, 600/13, 600/20, 604/362, 128/899
• US Class Current: 604/362
• CPC Class Codes: A61B 2090/0804 Counting number of instruments used; Instrument detectors
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61B 2090/3958 emitting a signal
• 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 90/39 Markers, e.g. radio-opaque or breast lesions markers
• 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
• CPC Class Codes: A61F 13/44 with radio-opaque material or signalling means for residual material
• CPC Class Codes: G08B 13/2417 having a radio frequency identification chip
• CPC Class Codes: G08B 13/2434 Tag housing and attachment details
• CPC Class Codes: G08B 13/2462 Asset location systems combined with EAS inventory, tracking, logistic G06Q10/00; entrance control systems G07C9/00
• CPC Class Codes: G08B 13/2474 Antenna or antenna activator geometry, arrangement or layout loop antennae H01Q1/22

Abstract

Apparatus for detecting a surgical implement in human or animal tissue comprises a detector responsive to the presence, within an interrogation zone, of a surgical implement to which a marker is secured. The marker is adapted to produce identifying signal characteristics within a frequency band generated in the interrogation zone. Variations in the phase and or direction of the interrogating field and changes in the electromagnetic coupling between markers and receiver optimize coupling therebetween.

Claims

1. An apparatus for detecting a surgical implement in human or animal tissue, comprising

(a) means for defining an interrogation zone encompassing a surgical wound in said tissue;

(b) a marker secured to a surgical implement appointed to be positioned within said wound, said marker comprising a marker element adapted to undergo resonance at only a preselected frequency, causing a substantial change in its effective impedance, when interrogated within a frequency band that is (i) below 1 gigahertz, and (ii) contains a frequency component equal to the preselected frequency, said marker element generating an electromagnetic dipole field that provides said marker element with signal identity;

(c) interrogating means comprising a frequency generating means, field generating means, and field changing means, said frequency generating means generating said frequency band, said field generating means generating within said interrogation zone an interrogating field having said frequency band, and said field changing means varying the amplitude and direction of said interrogating field to alter the electromagnetic dipole coupling between said marker element and said interrogating field; and

(d) receiving means comprising a detecting antenna, an antenna changing means, and a detecting means, said detecting antenna receiving said marker dipole field, said antenna changing means varying the orientation and position of said detecting antenna relative to said marker element to alter said electromagnetic dipole coupling therebetween, and said detecting means detecting and verifying said marker dipole field.

2. An apparatus as recited by claim 1, wherein said receiving means further comprises an indicating means for providing an audible or visible alarm when the dipole field of said marker element is detected and verified by said detecting means.

3. An apparatus as recited by claim 1, wherein said marker element comprises a strip of magnetostrictive material adapted to be magnetically biased and thereby armed to mechanically resonate, and to generate said dipole field, at a preselected frequency within the frequency band of said interrogating field, said strip having a magnetomechanical coupling factor, k, greater than zero, where k² =1-(f_r /f_a)², f_r and f_a being its resonant and antiresonant frequencies, respectively.

4. An apparatus as recited by claim 1, wherein said marker element comprises a piezoelectric crystal and a coil connected in parallel, said crystal being adapted to mechanically resonate to cause an alternating current to flow within said coil and generate said dipole field at said preselected frequency within the frequency band of said interrogating field.

5. An apparatus as recited by claim 1, wherein said marker element comprises an inductor, resistor, and capacitor circuit adapted to undergo electrical resonance to generate said dipole field at said preselected frequency within the frequency band of said interrogating field.

6. An apparatus as recited by claim 1, wherein said marker element comprises a printed circuit coil adapted to undergo electrical resonance generating said dipole field at said preselected frequency within the frequency band of said interrogating field.

7. An apparatus as recited by claim 1, wherein said field generating means comprises a plurality of loop antennas.

8. An apparatus as recited by claim 7, wherein said field changing means comprises means for varying phase between at least two of said loop antennas.

9. An apparatus as recited by claim 7, wherein said field changing means comprises means for sequentially connecting said loop antennas.

10. An apparatus as recited by claim 1, wherein said field generating means comprises a plurality of electric monopole antennas.

11. An apparatus as recited by claim 1, wherein said field generating means comprises a plurality of electric dipole antennas.

12. An apparatus as recited by claims 1, wherein said field changing means comprises means for displacing said loop antennas.

13. An apparatus as recited by claim 1, wherein said detecting antenna comprises a plurality of loop antennas.

14. An apparatus as recited by claim 13, wherein said antenna changing means comprises means for varying phase between at least two of said plurality of loop antennas.

15. An apparatus as recited by claim 13, wherein said antenna changing means comprises means for sequentially connecting said loop antennas.

16. An apparatus as recited by claim 13, wherein said antenna changing means comprises means for displacing said loop antennas.

17. An apparatus as recited by claim 1, wherein said detecting antenna comprises a plurality of electric monopole antennas.

18. An apparatus as recited by claim 1, wherein said detecting antenna comprises a plurality of electric dipole antennas.

19. An apparatus as recited by claim 1, further comprising a hand-held paddle, said detecting antenna being disposed within said paddle.

20. An apparatus as recited by claim 1, wherein each of said detecting antenna, said field generating means, and said indicating means are disposed within said paddle.

21. An apparatus as recited by claim 1, wherein said field generating means is housed in a panel adapted for mounting within an operating table x-ray film tunnel.

22. An apparatus as recited by claim 1, wherein each of said field generating means and said detecting antenna is housed in a panel adapted for mounting within an operating table x-ray film tunnel.

23. An apparatus as recited by claim 1, wherein said field generating means is housed in a panel adapted to be mounted under padding on an operating table.

24. An apparatus as recited by claim 1, wherein each of said field generating means and said detecting antenna is housed in a panel adapted to be mounted under padding on an operating table.

25. An apparatus as recited by claim 1, wherein said frequency generating means is adapted to provide said field generating means with a burst of single sine wave frequency.

26. An apparatus as recited by claim 1, wherein said frequency generating means is adapted to provide said field generating means with a burst of varying sine wave frequencies.

27. An apparatus as recited by claim 1, wherein said frequency generating means is adapted to provide said field generating means with a pulse, the width of which is less than or equal to 1/(2f), where f is the marker element resonant frequency.

28. An apparatus as recited by claim 1, wherein said detecting means is adapted to detect and verify said dipole field of said marker element by phase difference with said interrogating field.

29. An apparatus as recited by claim 1, wherein said detecting means is adapted to detect and verify phase difference between said dipole field of said marker element and said interrogating field.

30. An apparatus as recited by claim 1, wherein said detecting means is adapted to detect and verify ring down of said dipole field of said marker element upon termination of said interrogating field.

31. A method for detecting a surgical implement in human or animal tissue, comprising the steps of:

(a) defining an interrogation zone encompassing a surgical wound in said tissue;

(b) attaching a marker to said surgical implement, said surgical implement being appointed for disposition within said wound, the marker comprising a marker element adapted to undergo resonance at only a preselected frequency, causing a substantial change in its effective impedance, when interrogated within a frequency band that is (i) below 1 gigahertz and (ii) contains a frequency component equal to the preselected frequency, and to generate an electromagnetic dipole field providing the marker with signal identity;

(c) interrogating said zone by (i) generating therewithin said frequency band and an interrogating field having said frequency band and (ii) varying amplitude and direction of said interrogating field to alter electromagnetic dipole coupling between said marker and said interrogating field; and

(d) receiving said dipole field by varying orientation and position of a detecting antenna relative to said marker to alter said electromagnetic dipole coupling therebetween and assure detection of said implement.