최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
DataON 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Edison 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Kafe 바로가기국가/구분 | United States(US) Patent 등록 |
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국제특허분류(IPC7판) |
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출원번호 | US-0857077 (2010-08-16) |
등록번호 | US-8845655 (2014-09-30) |
발명자 / 주소 |
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출원인 / 주소 |
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대리인 / 주소 |
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인용정보 | 피인용 횟수 : 3 인용 특허 : 538 |
A system is provided to align a surgical guide instrument over a burr hole in a patient's body. Adjustments of a surgical instrument can be made in x, y, z, and angular directions using the system. An instrument guide unit can include an instrument guide for guiding a surgical instrument into the bo
A system is provided to align a surgical guide instrument over a burr hole in a patient's body. Adjustments of a surgical instrument can be made in x, y, z, and angular directions using the system. An instrument guide unit can include an instrument guide for guiding a surgical instrument into the body of a patient and a base unit operative to be secured to the body near an area in which surgery is to occur. The base unit is coupled to the instrument guide. An adjustment mechanism, coupled to the base unit and the instrument guide, is operative to adjust the instrument guide in lateral directions with respect the surface of the area.
1. An instrument guide system operable to be fixed to a head, including a skull, of a patient, comprising: a guide member having an internal wall defining a guide passage, wherein the guide passage is configured to move with a first portion in a first direction and with a second portion in a second
1. An instrument guide system operable to be fixed to a head, including a skull, of a patient, comprising: a guide member having an internal wall defining a guide passage, wherein the guide passage is configured to move with a first portion in a first direction and with a second portion in a second direction that is substantially orthogonal to the first direction;a base configured to be fixed directly to and contacting the head of the patient defining a central opening positionable to surround a burr hole in the skull of the patient where the guide passage extends through the central opening; anda reference position frame operable to be fixed directly to the base and having a tracking device;wherein the reference position frame is operable to establish reference coordinates for the skull of the patient;wherein the first direction and the second direction are relative to a plane defined by the base;wherein the guide member includes a guide ball and the guide passage extends through the guide ball;wherein the guide ball is received within at least a portion of at least one of the first portion or the second portion. 2. The instrument guide system of claim 1, wherein the tracking device includes a light emitting diode operable to be detected by a camera. 3. The instrument guide system of claim 1, wherein the reference position frame is the only reference frame to establish and maintain reference coordinates for the skull of the patient. 4. The instrument guide system of claim 1, wherein the base is carried solely on the head of the patient. 5. The instrument guide system of claim 4, wherein the first portion is a first translation base operable to move the guide passage in the first direction; andwherein the second portion is a second translation base operable to move the guide passage in the second direction;wherein the reference position frame maintains the reference coordinates for the skull of the patient as the first translation base and the second translation base move relative to the base. 6. The instrument guide system of claim 5, wherein the reference position frame is removably fixable directly to the base. 7. The instrument guide system of claim 5, wherein the first translation base engages the base to move the guide passage in the first direction; wherein the second translation base engages the first translation base to move the guide passage in the second direction. 8. The instrument guide system of claim 5, wherein the first translation base engages channels in the base to guide the first translation base in the first direction; wherein the second translation base engages channels in the first translation base to guide the second translation base in the second direction. 9. The instrument guide system of claim 5, further comprising: a locking portion having a locking plate and a screw portion;wherein the guide member has an elongated portion and a guide ball;wherein the guide ball is positioned between the locking plate and the screw portion, wherein the locking plate is configured to engage the guide ball to lock the guide member in selected orientation relative to the base. 10. The instrument guide system of claim 1, wherein the tracking device includes at least one of a sonic device, an optic device, an electromagnetic device, and an optical reflector. 11. An instrument guide system operable to be fixed to a head, including a skull, of a patient, comprising: a guide member having an internal wall defining a guide axis;a guide ball connected to the guide member;a first tracking device fixed to and moveable with the guide member;a base configured to be fixed directly to and contacting the head of the patient, wherein the guide axis extends through the base;an instrument configured to move through the guide member and along the guide axis;a second tracking device connected to a reference position frame removably fixed in a fixed position relative to and directly to the base;a first translation base having a first mounting extension and a second translation base having a second mounting extension;wherein the guide ball is coupled to at least one of the first translation base or the second translation basewherein the first mounting extension slides in a first mounting channel of the base and the second mounting extension slides in a second mounting channel of the base; andwherein the second tracking device and the reference position frame are operable to establish reference coordinates for the skull of the patient and maintain a registration of a tracked location of the instrument and coordinates of an image. 12. The system of claim 11, wherein the base has a central opening configured to be positioned on the head of the patient to surround a burr hole in the skull of the patient where the guide axis extends through the central opening. 13. The system of claim 12, wherein the guide axis extends through the guide ball and then through the base;wherein the guide ball is operable to rotate relative to the base and the guide member rotates with the guide ball. 14. The system of claim 13, wherein the first translation base is configured to move in a first direction relative to the base;wherein the second translation base is configured to move in a second direction relative to the base different from the first direction;a locking member to lock the guide ball relative to the first translation base. 15. The system of claim 14, wherein the locking member includes an internal thread that mates with an external thread formed on the first translation base. 16. The system of claim 14, wherein the first direction is substantially orthogonal to the second direction. 17. The system of claim 11, further comprising: a tracking system to track the second tracking device. 18. The system of claim 17, further comprising: a display operable to display an image of the patient;wherein the tracking system is operable to track the location of both the first tracking device and the second tracking device;wherein the tracked location of the first tracking device is operable to be tracked to illustrate a portion of the instrument relative to the displayed image based at least on the maintained registration of the patient and the image with the second tracking device. 19. A method to guide an instrument with an instrument guide system, comprising: fixing a base in an immovable position relative to a head of a patient;immovably connecting a first tracking device in a fixed position relative to and directly to the base;positioning a guide member and a guide ball with the base to define a guide axis through the guide member;immovably connecting a second tracking device in a fixed position relative to and directly to the guide member;moving an instrument through the guide member and along the guide axis;connecting translation bases relative to the base, wherein the translation bases are moveable relative to the base via mounting extensions;moving the translation bases to move the guide ball with the translation bases at least via the mounting extensions; andinstructing a system to: establish reference coordinates for a skull of the patient relative to an image of the patient;track the first tracking device; andmaintain a registration based on the established reference coordinates of the skull of the patient and coordinates of the image at least by tracking the first tracking device. 20. The method of claim 19, further comprising: displaying an image of the head of the patient;tracking the instrument as the instrument is moved through the guide member;displaying a representation of the instrument relative to the head of the patient as the instrument is moved through the guide member;wherein the position of the instrument is determinable relative to the head of the patient and illustrated relative to the image of the head of the patient at least by the tracking of the first tracking device and tracking the instrument. 21. The method of claim 20, further comprising: connecting the first tracking device to a reference position frame in a fixed and substantially immovable manner;wherein immovably connecting the first tracking device in the fixed position relative to and directly to the base includes connecting the reference position frame directly to the base. 22. The method of claim 21, further comprising: moving the guide member relative to the translation bases; andmaintaining the fixed position of the base relative to the head of the patient while moving the guide member with the translation bases;wherein maintaining a registration is based on the maintained fixed position of the base. 23. The method of claim 22, wherein fixing in an immovable position relative to a head of a patient a base includes fixing the base directly to the head of the patient such that the base is carried solely on the head of the patient.
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