EP0160238A2
Expired / Lapsed
EP
⏱️ 0.0 years remaining
Apparatus for stereotaxic placement of probes inthe body utilizing CT scanner localization
Assignee: Individual
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Filing: 1985-04-12
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Granted: —
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Expires: 2005-04-12
Abstract
Abstract The method and apparatus are presented which allow for CT guided biopsies of the body. The method is based on the finding of a reference point on the patient's body that exactly correlates to a point on the CT scan. This is accomplished by means of a localization device placed on the patient's skin which can be identified in cross section on the CT scan. Measurements of the localization device on CT scan can then be correlated to the device on the patient.
Inventors
- 👤 Gary Mark Onik
- 👤 Eric Richard Cosman
- 👤 Trent Hewitt Wells
Bibliographic Details
Application Number
—
Jurisdiction
EP
Data Source
google_patents
Last Synchronized
2026-10-23 17:39
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/34; A61B17/3403; A61B6/00; A61B6/08; A61B90/00; A61B90/10; A61B90/14; A61B90/17; A61B90/06; A61B2090/061; A61B2090/067; A61B2090/068; A61B90/39; A61B2090/3937; A61B2090/3966; A61B6/12; A61B6/44; A61B6/4423; A61B90/11
Claims Analysis
Total Claims: 18
Claim 1
Independent Claim
278 words
A method for directing an instrument into the human body to reach a target point within the body by means of tomographic cut images from a tomographic scanner comprising the steps of: a) placing a localizer in a fixed position relative to the body and with at least a portion of said localizer being adjacent to the skin of the body such that a tomographic scan cut through said localizer will give a first image point location on the scan image which determines a first physical point on the patient's skin adjacent to said localizer; b) taking a first tomographic cut through the body and through said localizer from which said first physical point on the skin can be determined and from which a second image point on the skin can be determined on the image of said first tomographic cut, whereby the coordinate differences between said first image point and said second image point enable the unique position of the associated second physical point on the patient's skin to be determined; c) taking a second tomographic cut through the body with a known displacement distance from said first tomographic out from which a target image point can be identified and from which the coordinate position of the associated physical target point in the body can be determined relative to said second physical point seen in said first tomographic cut; and, d) calculating a trajectory in space relative to the planes of the tomographic cuts which passes through said second physical point on the skin and through said physical target point and calculating the distance along said trajectory between said second physical point and said physical target point;
Claim 2
Independent Claim
278 words
A method for directing an instrument into the human body to reach a target point within the body by means of tomographic cut images from a tomographic scanner comprising the steps of: a) placing a localizer in a fixed position relative to the body and with at least a portion of said localizer being adjacent to the skin of the body such that a tomographic scan cut through said localizer will give a first image point location on the scan image which determines a first physical point on the patient's skin adjacent to said localizer; b) taking a first tomographic cut through the body and through said localizer from which said first physical point on the skin can be determined and from which a second image point on the skin can be determined on the image of said first tomographic cut, whereby the coordinate differences between said first image point and said second image point enable the unique position of the associated second physical point on the patient's skin to be determined; c) taking a second tomographic cut through the body with a known displacement distance from said first tomographic out from which a target image point can be identified and from which the coordinate position of the associated physical target point in the body can be determined relative to said second physical point seen in said first tomographic cut; and, d) calculating a trajectory in space relative to the planes of the tomographic cuts which passes through said second physical point on the skin and through said physical target point and calculating the distance along said trajectory between said second physical point and said physical target point;
Claim 3
Dependent Claim
31 words
The method of claim 1 wherein said first image point coincides with said second image point, and correspondingly, said first physical point coincides with said second physical point in the body.
Claim 4
Dependent Claim
32 words
The method of claim 1 wherein said first tomographic cut coincides in position with said second tomographic cut so that said calculated trajectory is in the same plane as said tomographic cuts.
Claim 5
Dependent Claim
98 words
The method of claim 1 and further comprising the step of immobilizing the body by means of a flexible bag-like enlosure which can be partially filled with small, nearly incompressible objects, and which can be evacuated of air inside it and can be laid on a firm table means, whereby said immobilization step includes laying the body to be scanned on said bag-like enclosure which is on said firm table means, and evacuating said bag-like enclosure of air so that said bag-like enclosure takes the form of the body contacting it, thereby tending to fix the body's configuration.
Claim 6
Dependent Claim
106 words
The method of claim 1 wherein said localizer comprises a triangular element that can be placed on the body during tomographic scanning and which has a base side that can be aligned parallel to the scan plane prior to scanning, the section of said triangular means being visible on a tomographic cut through it, and the edges of the triangle means sides can be identified, so that said first image and first physical points can be determined relative to said edges, and said further step of making a tomographic cut with said triangular element positioned on the body so as to determine said first physical point.
Claim 7
Dependent Claim
44 words
The method of claim 5 wherein said triangular element has at least a portion of its interior area free of material so that it can lay on a curved portion of the body's surface with its edges in close proximity to the body's skin.
Claim 8
Dependent Claim
41 words
The method of claim 5, wherein said triangular element has lines on it parallel to said base edge and located such that they correspond to integral unit distances across said triangular element from one of its said side edges to another.
Claim 9
Independent Claim
313 words
A method for directing an instrument into the human body to reach a target point within the body by means of tomographic cut images from a tomographic scanner comprising the steps of: a) placing a localizer in a fixed position relative to the body and with at least a portion of said localizer being adjacent to the skin of the body such that a tomographic scan cut through said localizer will give a first image point location on the scan image which determines a first physical point on the patient's skin adjacent to said localizer; b) taking a first tomographic cut through the body and through said localizer from which said first physical point on the skin can be determined and from which a second image point on the skin can be determined on the image of said first tomographic cut, whereby the coordinate differences between said first image point and said second image point enable the unique position of the associated second physical point on the patient's skin to be determined; c) taking a second tomographic cut through the body with a known displacement distance from said first tomographic cut from which a target image point can be identified and from which the coordinate position of the associated physical target point in the body can be determined relative to said second physical point seen in said first tomographic cut; and, d) calculating a trajectory in space relative to the planes of the tomographic cuts which passes through said second physical point on the skin and through said physical target point and calculating the distance along said trajectory between said second physical point and said physical target point; e) using a stereotaxic guidance apparatus means to guide said instrument along said calculated trajectory, such that said instument will pass through the skin at said second physical point and reach said physical target point.
Claim 10
Independent Claim
313 words
A method for directing an instrument into the human body to reach a target point within the body by means of tomographic cut images from a tomographic scanner comprising the steps of: a) placing a localizer in a fixed position relative to the body and with at least a portion of said localizer being adjacent to the skin of the body such that a tomographic scan cut through said localizer will give a first image point location on the scan image which determines a first physical point on the patient's skin adjacent to said localizer; b) taking a first tomographic cut through the body and through said localizer from which said first physical point on the skin can be determined and from which a second image point on the skin can be determined on the image of said first tomographic cut, whereby the coordinate differences between said first image point and said second image point enable the unique position of the associated second physical point on the patient's skin to be determined; c) taking a second tomographic cut through the body with a known displacement distance from said first tomographic cut from which a target image point can be identified and from which the coordinate position of the associated physical target point in the body can be determined relative to said second physical point seen in said first tomographic cut; and, d) calculating a trajectory in space relative to the planes of the tomographic cuts which passes through said second physical point on the skin and through said physical target point and calculating the distance along said trajectory between said second physical point and said physical target point; e) using a stereotaxic guidance apparatus means to guide said instrument along said calculated trajectory, such that said instument will pass through the skin at said second physical point and reach said physical target point.
Claim 11
Dependent Claim
102 words
The method of claim 8 and further comprising the step of gating said step of guiding said instrument into said body with level of respiration by means of a respiratory gating device, which can detect the degree of expansion of the patient's body relative to respiratory action and which provides a readout means of said degree of expansion so that the patient or surgeon can determine identical degrees of respiration action, said gating step consisting of using said respiratory gating device to make equivalent the degree of cuts and said step of guiding said instrument into the body with said stereotaxic apparatus.
Claim 12
Dependent Claim
349 words
The method of claim 8 further comprising the step or establishing a predefined set of three orthogonal axles relative to said scanning machine with a z-axis which is perpendicular to the axial tomographic cut image planes and essentially parallel to the longitudinal axis of a living body placed in said scanning machine, an x-axis which is substantially in a horizontal plane and which is substantially perpendicular to the direction of gravity, and an y-axis which is substantially in a vertical direction which is substantially parallel to the direction of gravity, said stereotaxic guidance apparatus comprising: i) a fixation means which is adapted to be placed in a fixed position relative to said scanning machine; ii) a probe carrier means which is adapted to carry said instrument as it is being directed into the living body; iii) an articulating arm means which connects between said fixation means and said probe carrier means, said articulating arm means comprising at least one x-bar which enables movement of said probe carrier means along said x-axis, at least one y-bar which enables movement of said carrier along said y-axis, at least one z-bar which enables movement of said probe carrier means along said z-axis, an azimuth rotation means of said articulating arms means which enables rotation of said probe carrier means about said y-axis, and a declination rotation means part of said articulating arm means which enables rotation of said probe carrier means about an axis which is perpendicular to said y-axis; and further comprising the steps of: a) placing said instrument in said probe carrier means so it is being guided by said probe carrier means; b) adjusting said azimuth rotation means and said declination rotation means to positions so that the direction of said instument corresponds to said calculated trajectory; c) moving said x-bar, y-bar, and z-bars so that the tip end of said instrument is at said second physical point on the patient's skin. d) pushing said instrument into the living body an amount equal to said calculated trajectory distance, so that said instrument tip end reaches said physical target point.
Claim 13
Dependent Claim
223 words
A stereotaxic apparatus adapted for directing a probe into the living body along paths that are calculated from tomographic cut images through the living body by a tomographic scanning machine, where there is a predefined set of three orthogonal axes relative to said scanning machine with a z-axis which is perpendicular to the axial tomographic cut image planes and essentially parallel to the longitudinal axis of a living body placed in said scanning machine, an x-axis which is substantially in a horizontal plane and which is substantially perpendicular to the direction of gravity, and an y-axis which is substantially in a vertical direction which is substantially parallel to the direction of gravity, the stereotaxic guidance apparatus comprising: a) a fixation means which is adapted to be placed in a fixed position relative to said scanning machine; b) a probe carrier means which is adapted to carry said probe as it is being directed into the living body; c) an articulating arm means which connects between said fixation means and said carrier means, said articulating arm means comprising at least one x-bar which enables movement of said probe carrier means along said x-axis, at least one y-bar which enables movement of said probe carrier means along said y-axis, and at least one z-bar which enables movement of said probe carrier means along said z-axis.
Claim 14
Dependent Claim
223 words
A stereotaxic apparatus adapted for directing a probe into the living body along paths that are calculated from tomographic cut images through the living body by a tomographic scanning machine, where there is a predefined set of three orthogonal axes relative to said scanning machine with a z-axis which is perpendicular to the axial tomographic cut image planes and essentially parallel to the longitudinal axis of a living body placed in said scanning machine, an x-axis which is substantially in a horizontal plane and which is substantially perpendicular to the direction of gravity, and an y-axis which is substantially in a vertical direction which is substantially parallel to the direction of gravity, the stereotaxic guidance apparatus comprising: a) a fixation means which is adapted to be placed in a fixed position relative to said scanning machine; b) a probe carrier means which is adapted to carry said probe as it is being directed into the living body; c) an articulating arm means which connects between said fixation means and said carrier means, said articulating arm means comprising at least one x-bar which enables movement of said probe carrier means along said x-axis, at least one y-bar which enables movement of said probe carrier means along said y-axis, and at least one z-bar which enables movement of said probe carrier means along said z-axis.
Claim 15
Dependent Claim
57 words
The apparatus of claim 11 and further comprising an azimuth rotation means part of said articulating arm means which enables rotation of said probe carrier means about said y-axis, and a declination rotation means part of said articulating arm means which enables rotation of said probe carrier means about an axis which is perpendicular to said y-axis.
Claim 16
Dependent Claim
44 words
The apparatus of claim 11 wherein said fixation means is adapted to be placed in a stable position on the floor on which said scanning machine is positioned, whereby said stereotaxic instrument becomes physically uncoupled from, and thus mechanically independent of said scanning machine.
Claim 17
Dependent Claim
149 words
The apparatus of claim 11 wherein said probe carrier means includes a quick-disconnecting probe guide means which is adapted to provide guidance of the direction of said probe to be inserted into the living body, said probe guide means comprising a first and a second capture elements which can move relative to each other such that when said two elements are in an opened position said probe can be inserted between said two capture elements, and when said elements are in a closed position said probe becomes captured between said capture elements in a way which provides directional stability of said probe relative to said probe carrier means, and such that when said capture elements are moved to said open position after said probe has been inserted into the living body, said probe can be cleared from between said capture elements by a movement of said probe carrier means.
Claim 18
Dependent Claim
87 words
The apparatus of claim 11 and further comprising adjustment means which enable said x-bar to be verniated into the plane of said x and y axes, said y-bar to be verniated into the plane of said x and y axes, and said z-bar to be verniated into the plane of said x and z axes, whereby when said fixation means is placed approximately relative to said scanning machine, said x, y, and z bars may be independently aligned parallel to said x, y, and z axes, respectively.
References Cited (Backward Citations)
No citation records indexed.
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