[특허]Systems and methods for treating a lung of a patient using guided radiation therapy or surgery

Systems and methods for treating a lung of a patient using guided radiation therapy or surgery 원문보기

IPC분류정보
국가/구분	United States(US) Patent 등록
국제특허분류(IPC7판)	A61B-005/05 A61N-005/10 A61B-034/30 A61B-034/00 A61B-090/00
출원번호	US-0165843 (2005-06-24)
등록번호	US-10195464 (2019-02-05)
발명자 / 주소	Vertatschitsch, Edward J. Dimmer, Steven C. Mate, Timothy P. Meier, Eric Seiler, Keith Wright, J. Nelson
출원인 / 주소	VARIAN MEDICAL SYSTEMS, INC.
대리인 / 주소	Perkins Coie LLP
인용정보	피인용 횟수 : 0 인용 특허 : 123

초록 ▼

Systems and methods for treating a lung of a patient. One embodiment of a method comprises positioning a leadless marker in the lung of the patient relative to the target, and collecting position data of the marker. This method further comprises determining the location of the marker in an external reference frame outside of the patient based on the collected position data, and providing an objective output in the external reference frame that is responsive to movement of the marker. The objective output is provided at a frequency (i.e., periodicity) that results in a clinically acceptable tracking error. In addition, the objective output can also be provided at least substantially contemporaneously with collecting the position data used to determine the location of the marker.

대표청구항 ▼

1. A method of treating a target in a lung of a patient, comprising: positioning a leadless marker in the lung of the patient relative to the target;collecting position data of the implanted marker with a localization system using a non-ionizing energy to track the implanted marker while the patient is in a treatment session;determining the location of the implanted marker in an external reference frame based on the collected position data;providing an objective output in the external reference frame that is (a) directly responsive to movement of the implanted marker and (b) provided at a periodicity that tracks the location of the target;wherein the position data is collected at a time tn, and wherein providing the objective output responsive to the location of the target comprises providing the objective output to at least one of a user interface, a memory device, a computer and a medical device within a latency period, wherein the position data is collected by the localization system; andwherein the latency period between the movement of the implanted marker and the objective output of the collected position data during application of therapeutic ionizing radiation is not greater than approximately 2 seconds of time tn and the objective output is provided at a periodicity not greater than approximately 2 seconds during the application of the therapeutic ionizing radiation. 2. The method of claim 1, further comprising: positioning the target at a desired situs in an external reference frame of a radiation delivery device using the objective output; andirradiating the patient with a radiation beam of the radiation delivery device. 3. The method of claim 2, further comprising controlling the radiation delivery device to activate the radiation beam when the determined location of the marker indicates that the target is at the desired situs and deactivating the radiation beam when the determined location of the marker indicates that the target is outside of the desired situs. 4. The method of claim 2, further comprising controlling the radiation delivery device by moving a robot based on the determined location of the marker. 5. The method of claim 2, further comprising controlling the radiation device by articulating the position of the beam based on the determined location of the marker. 6. The method of claim 2, further comprising controlling the shape of the beam based on the determined location of the marker. 7. The method of claim 1, further comprising moving a surgical instrument relative to the target while tracking the target using the objective output. 8. The method of claim 7 wherein the surgical instrument comprises a knife and the method further comprises cutting and removing a portion of the lung of the patient. 9. The method of claim 7 wherein the surgical instrument comprises an ablation device and the method further comprises ablating a portion of the lung. 10. The method of claim 7 wherein the surgical instrument comprises a cryogenic device and the method further comprises cryogenically necrosing cells. 11. The method of claim 1 wherein positioning the leadless marker comprises deploying the marker in the lung by inserting a catheter into the lung and releasing the marker from the catheter. 12. The method of claim 11 wherein inserting the catheter comprises guiding the catheter through a lumen of the lung, and wherein releasing the marker comprises anchoring the marker in the lung. 13. The method of claim 11 wherein inserting the catheter comprises piercing a lumen in a respiratory system. 14. The method of claim 1 wherein positioning the marker comprises passing a needle through the thorax of the patient and releasing the marker from the needle into the lung of the patient. 15. The method of claim 1 wherein positioning the marker comprises surgically attaching the marker to the lung. 16. The method of claim 1, further comprising repeating the collecting, determining and providing procedures to monitor the position of the marker within the lung. 17. The method of claim 1 wherein the latency period is not greater than approximately 200 ms of time tn and at a periodicity not greater than approximately 200 ms. 18. The method of claim 1 wherein the latency period is not greater than approximately 100 ms of time tn and at a periodicity not greater than approximately 100 ms. 19. The method of claim 1, further comprising deploying the leadless marker by optically guiding a delivery device through the patient and releasing the marker at a desired site. 20. The method of claim 1, further comprising deploying the leadless marker in the patient by fluoroscopically guiding a delivery device through the patient and releasing the marker at a desired site. 21. The method of claim 1, further comprising deploying the leadless marker in the patient by magnetically guiding a delivery device through the patient and releasing the marker at a desired site.

이 특허에 인용된 특허 (123)

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IPC	Description
A	생활필수품
A62	인명구조; 소방(사다리 E06C)
A62B	인명구조용의 기구, 장치 또는 방법(특히 의료용에 사용되는 밸브 A61M 39/00; 특히 물에서 쓰이는 인명구조 장치 또는 방법 B63C 9/00; 잠수장비 B63C 11/00; 특히 항공기에 쓰는 것, 예. 낙하산, 투출좌석 B64D; 특히 광산에서 쓰이는 구조장치 E21F 11/00)
A62B-1/08	.. 윈치 또는 풀리에 제동기구가 있는 것

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표IPC 관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 공고번호, 공고일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표출원인, 출원인국적, 출원인주소, 발명자, 발명자E, 발명자코드, 발명자주소, 발명자 우편번호, 발명자국적, 대표IPC, IPC코드, 요약, 미국특허분류, 대리인주소, 대리인코드, 대리인(한글), 대리인(영문), 국제공개일자, 국제공개번호, 국제출원일자, 국제출원번호, 우선권, 우선권주장일, 우선권국가, 우선권출원번호, 원출원일자, 원출원번호, 지정국, Citing Patents, Cited Patents
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Systems and methods for treating a lung of a patient using guided radiation therapy or surgery 원문보기

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Systems and methods for treating a lung of a patient using guided radiation therapy or surgery 원문보기

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