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EP0728446A1 Expired / Lapsed EP ⏱️ 0.0 years remaining

Stereotaxy systems

Assignee: Cleveland Clinic Foundation
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Filing: 1995-12-13
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Granted: —
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Expires: 2015-12-13
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Abstract

Abstract In a stereotaxy system and method an exoskeleton material (12), such as a thermoplastic mesh, is heat softened and the heat softened material stretched over and conformed to a soft region of a subject, e.g. a patient's breast. The material is allowed or caused to set or harden and is affixed (14) to a support (10) such that the soft tissue is firmly constrained. Magnetic resonance visible markers (18) are affixed to the exoskeleton material adjacent the soft tissue. The patient is examined with a magnetic resonance or other imaging device (20) to generate a three-dimensional image representation (28) for display on a monitor (32). Using the markers, a wand (40) with emitters (42) and receivers (44), and a coordinate system relationship processor (48) determines a relation or transform between a coordinate system of the patient and a coordinate system of the image displayed on the monitor. A trajectory for a biopsy, resection, or the like, is planned using a guide (50). Emitters (52) on the guide are activated to generate a corresponding human-readable trajectory display through the image displayed on the monitor. After repositioning the guide as necessary, an appropriate trajectory and depth through the patient is selected from the human-readable display. An appropriate medical instrument (64) is inserted along the guide to perform the biopsy, resection, or other medical procedure.

Inventors

  • 👤 Donald W. Kormos
  • 👤 David W. Piraino

Bibliographic Details

Application Number —
Jurisdiction EP
Data Source google_patents
Last Synchronized 2026-10-23 10:12
CPC Classifications
A; A61; A61B; A61B6/00; A61B6/04; A61B6/0407; A61B6/0421; A61B34/00; A61B34/20; A61B90/00; A61B90/10; A61B90/14; A61B90/18; A61B34/10; A61B2034/107; A61B2034/2068; A61B2034/2072; A61B90/36; A61B90/37; A61B2090/374; A61B90/39; A61B2090/3954

Claims Analysis

Total Claims: 10
Claim 1
Independent Claim 209 words
A stereotaxy system comprising: an imaging system (20) in which at least a soft portion of a subject that is supported on a support (10) is positioned for generation of a volumetric electronic image representation using the imaging system (20); markers (18) which are imageable by the imaging system disposed in a fixed position relative to the soft portion of the subject such that the imaging system (20) images the markers (18) along with the soft portion of the subject in the volumetric electronic image representation; an image processor (30) which converts selected portions of the volumetric image representation to a human-readable display (32) of the soft portion of the subject and the markers (18); a coordinate system transform (48) for establishing a transform relationship between a coordinate system of the human-readable display of the volumetric image representation and a coordinate system of the soft portion; and a guide (50) for defining a trajectory along which an instrument (64) may be inserted into the soft portion; characterized by: a non-ferrous exoskeleton material (12) which has a stretchable state in which it is stretched to conform to the soft portion, the exoskeleton material (12) being fixed relative to said support (10) such that the soft portion is constrained against movement.
Claim 2
Dependent Claim 142 words
A system according to claim 1 including an adjustable mechanical mounting (56) for selectively mounting the guide (50) in a selected orientation relative to the subject; emitters (52) disposed on the guide (50) for sending emitting signals; receivers (44) for receiving the signals from the emitters (52); and a location processor (46) connected with the receivers (44) for determining the location of at least one characteristic point on the guide (50) and a trajectory defined by the guide (50), the location processor (46) being connected with the coordinate system transform means (48) for transforming the characteristic point on the guide (50) and the trajectory into the image coordinate system of the human-readable display and being connected with the image processor (30) for generating a human-readable display of the trajectory and the characteristic point; and an instrument (64) received in the guide (50).
Claim 3
Dependent Claim 47 words
A system as set forth in claim 1 or claim 2 wherein the exoskeleton material (12) includes a thermoplastic mesh that is thermally softenable to enable it to be conformed to the soft portion and sets to a relatively rigid state after conforming to the soft portion.
Claim 4
Dependent Claim 143 words
A stereotaxy method comprising positioning at least a soft portion of a subject on a support (10) in a non-invasive imaging system (20); affixing markers (18) in association with the soft portion; generating a volumetric electronic image representation of the soft portion and the markers (18); converting selected portions of the volumetric electronic image representation to a human-readable display of the soft portion and the markers (18); positioning a guide (50) for defining a trajectory along which an instrument is to be inserted into the soft portion of the subject; and inserting an instrument (64) along the trajectory; the method being characterized by: applying and conforming a non-ferrous material (12) which has a stretchable conforming state to the soft portion of the subject; and fixing the non-ferrous material (12) relative to the support (10) such that the soft portion is constrained against movement.
Claim 5
Dependent Claim 34 words
A method as set forth in claim 4 wherein after applying and conforming the non-ferrous material (12) to the soft portion of the subject, the non-ferrous material (12) is set into a rigid exoskeleton.
Claim 6
Dependent Claim 59 words
A method as set forth in claim 5 in which the exoskeleton material (12) is a thermoplastic mesh and prior to the applying and conforming step the thermoplastic mesh is heat softened and then cooled below human body temperature; and after the applying and conforming step the thermoplastic material is caused to set to a stiff, relatively rigid state.
Claim 7
Dependent Claim 47 words
A method as set forth in claim 5 or claim 6 wherein the non-invasive imaging system (20) is a magnetic resonance imaging system, the guide (50) and the instrument (64) are non-ferrous, and insertion of the instrument (64) is performed in the magnetic resonance imaging system (20).
Claim 8
Dependent Claim 67 words
A stereotaxy method as set forth in claim 7 wherein at least portions of the guide (50) are imageable in the magnetic resonance imaging system (20) and the guide (50) is imaged along with the soft portion of the subject to establish a relationship between a coordinate system of the human-readable display and a coordinate system of the soft portion of the subject and the guide (50).
Claim 9
Independent Claim 26 words
A method as set forth in any one of claims 5 to 8 wherein the subject is moved to a remote site before inserting the instrument.
Claim 10
Dependent Claim 22 words
A stereotaxy method as set forth in any one of claims 5 to 9 wherein the soft portion is a human breast.

References Cited (Backward Citations)

EP0032751A2 Cited
WO1991004711A1 Cited
US5260985A Cited
US5370117A Cited

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