Rotation locking driver for image guided instruments

• US 6,556,857 B1
• Filed: 10/24/2000
• Issued: 04/29/2003
• Est. Priority Date: 10/24/2000
• Status: Expired due to Term

• Current Assignee: Warsaw Orthopedic Incorporated (Medtronic Plc)
• Original Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Inventors: Baker, Douglas N., Estes, Bradley T.
• Primary Examiner(s): Leung, Philip H.
• Application Number:
  US09/695,125
• Time in Patent Office: 917 Days
• Field of Search: 600/424, 600/425, 600/427, 600/428, 600/433, 600/434, 600/435
• US Class Current: 600/424
• CPC Class Codes: A61B 17/162 Chucks or tool parts which are to be held in a chuck
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/035 preventing further rotation
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• 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 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints

Abstract

A trackable medical instrument includes a guide member and an emitter array coupled to the guide member. A drive shaft is rotatably coupled to the guide member, and a locking mechanism is provided along the drive shaft. The emitter array emits a signal that is used to track the position of the guide member. The locking mechanism has an unlocked position in which the drive shaft rotates relative to the guide member. The locking mechanism also has a locked position in which the drive shaft is rotationally stationary relative to the guide member. A processor tracks medical instruments using a sensor array and a reference array. A display that is operatively coupled to the processor displays the position of the instrument in relation to a patient.

Claims

1. A trackable medical instrument, comprising:

a guide member adapted to be positionally tracked by a surgical navigation system;

an emitter array coupled to said guide member for position tracking said guide member;

a drive shaft rotatably coupled to said guide member;

a locking mechanism provided along said drive shaft, said locking mechanism having an unlocked position in which said drive shaft rotates relative to said guide member and a locked position in which said drive shaft is rotationally stationary relative to said guide member;

wherein said locking mechanism includes a retaining shaft connected to said drive shaft, said retaining shaft having a retaining flange with a locking slot defined therein;

wherein said locking mechanism includes a locking pin adapted to engage said locking slot for locking said drive shaft in a rotationally stationary condition; and

wherein said locking mechanism includes a locking member,provided along said drive shaft between said flange and said guide member, said locking member having an inward radially extending flange with said locking pin extending from said inward extending flange and a guide pin extending from said inward extending flange, said guide member having a guide slot defined therein for guiding said guide pin.

2. The instrument of claim 1, wherein said locking mechanism includes a spring provided between said locking member and said guide member for biasing said locking member.

3. The instrument of claim 2, wherein said locking mechanism includes a cover fitted around said locking member.

4. An apparatus, comprising:

a surgical navigation system including a sensor array for position tracking a trackabale medical instrument in a patient; and

said trackable medical instrument including

a guide member,

an emitter array coupled to said guide member, said emitter array being operatively coupled to said surgical navigation system for position tracking said trackable medical instrument,

a drive shaft rotatably coupled to said guide member,

a tool coupled to said drive shaft, and

a locking mechanism provided along said drive shaft, said locking mechanism having an unlocked position in which said tool rotates relative to said guide member and a locked position in which said tool is locked at a specified rotational orientation relative to said emitter array to ensure that the rotational orientation of said tool within the patient is known.

5. The apparatus of claim 4, wherein said locking mechanism. includes a cover, said cover having apposition indicator defined thereon to indicate said locked position and said unlocked position.

6. The apparatus of claim 4, wherein said drive shaft has a first end with a first coupling portion adapted to interchangeably receive a drive source for applying torque to said drive shaft, said drive shaft having a second end with a second coupling portion adapted to interchangeably receive said tool.

7. The apparatus of claim 6, wherein said first coupling portion includes a first quick connect mechanism for connecting to said drive source.

8. The apparatus of claim 7, wherein said second coupling portion includes a second quick connect mechanism for connecting to said tool.

9. The apparatus of claim 6, further comprising said drive source coupled to said first end.

10. The apparatus of claim 9, wherein said drive source includes a handle coupled to said first end.

11. The apparatus of claim 4, wherein said surgical navigation system includes:

a processor operatively coupled to said emitter array to track said trackable. medical instrument;

a display operatively coupled to said processor for displaying the position of said trackable medical instrument; and

a reference array operatively coupled to said processor for generating signals representing various reference body locations of the patient.

12. A trackable medical instrument, comprising:

a guide member adapted to be positionally tracked by a surgical navigation system;

an emitter array coupled to said guide member for position tracking said guide member;

a drive shaft rotatably coupled to said guide member, said drive shaft being configured to rotate a tool; and

a locking mechanism provided along said drive shaft, said locking mechanism having an unlocked position in which said drive shaft rotates relative to said guide member and a locked position in which said drive shaft is locked at a specified rotational orientation relative to said emitter array to ensure that the rotational orientation of the tool is known.

13. The instrument of claim 12, wherein said locking mechanism includes a retaining shaft connected to said drive shaft, said retaining shaft having a retaining flange with a locking slot defined therein.

14. The instrument of claim 13, wherein said locking mechanism includes a locking pin adapted to engage said locking slot for locking said drive shaft in a rotationally stationary condition.

15. The instrument of claim 14, wherein said locking mechanism includes a locking member provided along said drive shaft between said flange and said guide member, said locking member having an inward radially extending flange with said locking pin extending from said inward extending flange and a guide pin extending from said inward extending flange, said guide member having a guide slot defined therein for guiding said guide pin.

16. The instrument of claim 15, wherein said locking mechanism includes a spring provided between said locking member and said guide member for biasing said locking member.

17. The instrument of claim 16, wherein said locking mechanism includes a cover fitted around said locking member.

18. The instrument of claim 12, wherein said locking mechanism includes a cover, said cover having a position indicator defined thereon to indicate said locked position and said unlocked position.

19. The instrument of claim 12, wherein said drive shaft has a first end with a first coupling portion adapted to interchangeably receive a drive source for applying torque to said drive shaft, said drive shaft having a second end with a second coupling portion adapted to interchangeably receive the tool.