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US6144875A Expired / Lapsed US ⏱️ 0.0 years remaining

Apparatus and method for compensating for respiratory and patient motion during treatment

Assignee: Accuray Inc
•
Filing: 1999-03-16
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Granted: 2000-11-07
•
Expires: 2019-03-16
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Abstract

Abstract An apparatus and method for performing treatment on an internal target region while compensating for breathing and other motion of the patient is provided in which the apparatus comprises a first imaging device for periodically generating positional data about the internal target region and a second imaging device for continuously generating positional data about one or more external markers adapted to be attached to the patient's body or any external sensor such as a device for measuring air flow. The apparatus further comprises a processor that receives the positional data about the internal target region and the external markers in order to generate a correspondence between the position of the internal target region and the external markers and a treatment device that directs the treatment towards the position of the target region of the patient based on the positional data of the external markers.

Inventors

  • 👤 Achim Schweikard
  • 👤 John R. Adler

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 14:48
CPC Classifications
A; A61; A61N; A61N5/00; A61N5/10; A61N5/1048; A61N5/1049; A61B; A61B6/00; A61B6/12; A61B90/00; A61B90/10; A61B10/00; A61B10/02; A61B10/0233; A61B18/00; A61B18/18; A61B18/20; A61B17/00; A61B2017/00681; A61B2017/00694; A61B2017/00699; A61B34/00; A61B34/20; A61B2034/2046; A61B2034/2065; A61B2034/2072; A61B90/39; A61N2005/1061; A61N5/1064; A61N5/1065; A61N5/1067; A61N5/1069; A61N5/107; A61N7/00; A61N7/02

Claims Analysis

Total Claims: 46
Claim 1
Independent Claim 133 words
An apparatus for compensating for breathing and other motions of the patient during treatment, the apparatus comprising: a first detection device for periodically generating positional data about a target region internal to the body of the patient; a second detection device for continuously generating positional data about one or more sensors external to the body of the patient; and a processor that receives the periodic positional data about the internal target region and the continuous position data from the external sensors in order to generate a correspondence between the position of the internal target region and the external sensors so that the treatment is directed towards the position of the internal target region of the patient based on the positional data obtained from the external sensors to compensate for motions of the patient.
Claim 2
Independent Claim 133 words
An apparatus for compensating for breathing and other motions of the patient during treatment, the apparatus comprising: a first detection device for periodically generating positional data about a target region internal to the body of the patient; a second detection device for continuously generating positional data about one or more sensors external to the body of the patient; and a processor that receives the periodic positional data about the internal target region and the continuous position data from the external sensors in order to generate a correspondence between the position of the internal target region and the external sensors so that the treatment is directed towards the position of the internal target region of the patient based on the positional data obtained from the external sensors to compensate for motions of the patient.
Claim 3
Dependent Claim 40 words
The apparatus of claim 1, wherein the first detection device comprises one or more markers adapted to be attached to the internal target region within the patient's body and an imaging device for imaging the markers within the patient's body.
Claim 4
Dependent Claim 14 words
The apparatus of claim 2, wherein the imaging device comprises a stereotaxic x-ray device.
Claim 5
Dependent Claim 23 words
The apparatus of claim 3, wherein the one or more markers comprise metal beads adapted to be attached to the internal target region.
Claim 6
Dependent Claim 23 words
The apparatus of claim 1, wherein the first detection device comprises an ultrasound device for imaging the internal target region prior to treatment.
Claim 7
Dependent Claim 24 words
The apparatus of claim 5, wherein the first detection device further comprises an imaging device for detecting movement of the patient during the treatment.
Claim 8
Dependent Claim 14 words
The apparatus of claim 6, wherein the imaging device comprises a stereotaxic x-ray device.
Claim 9
Dependent Claim 36 words
The apparatus of claim 1, wherein the second detection device comprises one or more infrared markers adapted to be attached to the body of the patient and an infrared imaging device for imaging the infrared markers.
Claim 10
Dependent Claim 15 words
The apparatus of claim 1, wherein the second detection device comprises a visible imaging device.
Claim 11
Dependent Claim 20 words
The apparatus of claim 1, wherein the second detection device comprises a flow meter that measures respiration of the patient.
Claim 12
Dependent Claim 24 words
The apparatus of claim 10, wherein the second detection device further comprises means for compressing the abdomen of the patient to limit respiratory motion.
Claim 13
Dependent Claim 30 words
The apparatus of claim 1, wherein the processor further comprises means for correlating the periodic positional data of the internal target region with the positional data of the external markers.
Claim 14
Dependent Claim 11 words
The apparatus of claim 1, wherein the treatment comprises radiation treatment.
Claim 15
Dependent Claim 12 words
The apparatus of claim 1, wherein the treatment comprises a biopsy needle.
Claim 16
Dependent Claim 13 words
The apparatus of claim 1, wherein the treatment comprises a laser beam treatment.
Claim 17
Dependent Claim 19 words
The apparatus of claim 1, wherein the treatment comprises a focused energy treatment including one of ablation and ultrasound.
Claim 18
Dependent Claim 40 words
The apparatus of claim 1, wherein the external markers comprises a device worn around the waist of the user with the one or more external markers attached to the device, the device comprising one of a belt, ring and vest.
Claim 19
Dependent Claim 23 words
The apparatus of claim 1 further comprising means for altering the treatment in response to changes in the position of the target region.
Claim 20
Dependent Claim 19 words
The apparatus of claim 18, wherein the altering means comprises means for moving the treatment relative to the patient.
Claim 21
Dependent Claim 18 words
The apparatus of claim 18, wherein the altering means comprises means for changing the characteristics of the treatment.
Claim 22
Dependent Claim 16 words
The apparatus of claim 20, wherein the changing means comprises means for collimating the treatment beam.
Claim 23
Dependent Claim 19 words
The apparatus of claim 20, wherein the changing means comprises means for blocking the treatment beam at predetermined times.
Claim 24
Independent Claim 98 words
A method for compensating for breathing and other motions of the patient during treatment, the method comprising: periodically generating positional data about a target region internal to the body of the patient; continuously generating positional data about external motion of the patient's body using one or more external sensors; and generating a correspondence between the position of the internal target region and the external sensors so that the treatment is directed towards the position of the internal target region of the patient based on the positional data of the external sensors to compensate for motions of the patient.
Claim 25
Independent Claim 98 words
A method for compensating for breathing and other motions of the patient during treatment, the method comprising: periodically generating positional data about a target region internal to the body of the patient; continuously generating positional data about external motion of the patient's body using one or more external sensors; and generating a correspondence between the position of the internal target region and the external sensors so that the treatment is directed towards the position of the internal target region of the patient based on the positional data of the external sensors to compensate for motions of the patient.
Claim 26
Dependent Claim 37 words
The method of claim 23, wherein periodically generating positional data comprises attaching one or more markers adapted to be attached to the internal target region within the patient's body and imaging the markers within the patient's body.
Claim 27
Dependent Claim 17 words
The method of claim 24, wherein the imaging comprises generating a stereotaxic x-ray image of the patient.
Claim 28
Dependent Claim 24 words
The method of claim 23, wherein generating the periodic positional data comprises imaging the internal target region with an ultrasound device prior to treatment.
Claim 29
Dependent Claim 23 words
The method of claim 26, wherein generating the positional data prior to treatment further comprises detecting movement of the patient during the treatment.
Claim 30
Dependent Claim 37 words
The method of claim 23, wherein generating the positions of the external markers comprises attaching one or more infrared markers adapted to be attached to the patient and imaging the infrared markers with an infrared imaging device.
Claim 31
Dependent Claim 26 words
The method of claim 23 further comprising binding the patient to reduce respiratory motion, and wherein the external sensor comprises a flow meter that measures respiration.
Claim 32
Dependent Claim 29 words
The method of claim 23, wherein generating the correspondence further comprises correlating the periodic positional data of the internal target region with the positional data of the external sensors.
Claim 33
Dependent Claim 11 words
The method of claim 23, wherein the treatment comprises radiation treatment.
Claim 34
Dependent Claim 12 words
The method of claim 23, wherein the treatment comprises a biopsy needle.
Claim 35
Dependent Claim 13 words
The method of claim 23, wherein the treatment comprises a laser beam treatment.
Claim 36
Dependent Claim 19 words
The method of claim 23, wherein the treatment comprises a focused energy treatment including one of ablation and ultrasound.
Claim 37
Dependent Claim 43 words
The method of claim 23, wherein attaching the external markers comprises attaching a device adapted to be attached to the patient having one or more external markers attached to the device, the device comprising one or a belt, a ring and a vest.
Claim 38
Dependent Claim 21 words
The method of claim 23 further comprising altering the treatment in response to changes in the position of the target region.
Claim 39
Dependent Claim 16 words
The method of claim 36, wherein the altering comprises moving the treatment relative to the patient.
Claim 40
Dependent Claim 15 words
The method of claim 36, wherein the altering comprises changing the characteristics of the treatment.
Claim 41
Dependent Claim 13 words
The method of claim 38, wherein the changing comprises collimating the treatment beam.
Claim 42
Dependent Claim 16 words
The method of claim 38, wherein the changing comprises blocking the treatment beam at predetermined times.
Claim 43
Independent Claim 133 words
An apparatus for performing a treatment on an internal target region while compensating for breathing and other motions of the patient, the apparatus comprising: a first imaging device for periodically generating positional data about a target region internal to the body of the patient; a second imaging device for continuously generating positional data about one or more external sensors attached to the patient's body; a processor that receives the positional data about the internal target region and the external sensors in order to generate a correspondence between the position of the internal target region and the external sensory data to compensate for motions of the patient; and a treatment device that directs the treatment towards the position of the internal target region of the patient based on the data of the external sensors.
Claim 44
Independent Claim 133 words
An apparatus for performing a treatment on an internal target region while compensating for breathing and other motions of the patient, the apparatus comprising: a first imaging device for periodically generating positional data about a target region internal to the body of the patient; a second imaging device for continuously generating positional data about one or more external sensors attached to the patient's body; a processor that receives the positional data about the internal target region and the external sensors in order to generate a correspondence between the position of the internal target region and the external sensory data to compensate for motions of the patient; and a treatment device that directs the treatment towards the position of the internal target region of the patient based on the data of the external sensors.
Claim 45
Independent Claim 121 words
An apparatus for compensating for breathing and other motions of the patient during treatment, the apparatus comprising: a first detection device for periodically generating positional data about a target region internal to the body of the patient; a second detection device for continuously generating positional data about one or more external markers showing external motion of the patient's body when the first imaging device is not active; and a processor that determines the position of the internal target region to be treated when the first imaging device is not active to compensate for motions of the patient, the position being determined based on the generated position of the external markers which corresponds to a predetermined position of the internal target region.
Claim 46
Independent Claim 121 words
An apparatus for compensating for breathing and other motions of the patient during treatment, the apparatus comprising: a first detection device for periodically generating positional data about a target region internal to the body of the patient; a second detection device for continuously generating positional data about one or more external markers showing external motion of the patient's body when the first imaging device is not active; and a processor that determines the position of the internal target region to be treated when the first imaging device is not active to compensate for motions of the patient, the position being determined based on the generated position of the external markers which corresponds to a predetermined position of the internal target region.

References Cited (Backward Citations)

US4583538A Cited
US5447154A Cited
US5537452A Cited
US5622187A Cited
US5971997A Cited
US5588430A Cited
US5727554A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2003-11-07 2004-05-08 2004-11-07 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2007-11-07 2008-05-08 2008-11-07 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2011-11-07 2012-05-08 2012-11-07 $7700.00 Window Closed / Lapsed

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