DE20311919U1 - Surgical referencing device for determining the spatial position of part of the body during surgery using a bone plate as a connector - Google Patents

Surgical referencing device for determining the spatial position of part of the body during surgery using a bone plate as a connector

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Publication number
DE20311919U1
DE20311919U1 DE20311919U DE20311919U DE20311919U1 DE 20311919 U1 DE20311919 U1 DE 20311919U1 DE 20311919 U DE20311919 U DE 20311919U DE 20311919 U DE20311919 U DE 20311919U DE 20311919 U1 DE20311919 U1 DE 20311919U1
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DE
Germany
Prior art keywords
bone plate
reference element
carries
human
animal body
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
DE20311919U
Other languages
German (de)
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aesculap AG filed Critical Aesculap AG
Priority to DE20311919U priority Critical patent/DE20311919U1/en
Publication of DE20311919U1 publication Critical patent/DE20311919U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
    • G01S5/00—Position-fixing by co-ordinating two or more direction or position line determinations; Position-fixing by co-ordinating two or more distance determinations
    • G01S5/16—Position-fixing by co-ordinating two or more direction or position line determinations; Position-fixing by co-ordinating two or more distance determinations using electromagnetic waves other than radio waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1126—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique
    • A61B5/1127—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb using a particular sensing technique using markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4504—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01S—RADIO DIRECTION-FINDING; RADIO NAVIGATION; DETERMINING DISTANCE OR VELOCITY BY USE OF RADIO WAVES; LOCATING OR PRESENCE-DETECTING BY USE OF THE REFLECTION OR RERADIATION OF RADIO WAVES; ANALOGOUS ARRANGEMENTS USING OTHER WAVES
    • G01S5/00—Position-fixing by co-ordinating two or more direction or position line determinations; Position-fixing by co-ordinating two or more distance determinations
    • G01S5/18—Position-fixing by co-ordinating two or more direction or position line determinations; Position-fixing by co-ordinating two or more distance determinations using ultrasonic, sonic, or infrasonic waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/15—Guides therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/809—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with bone-penetrating elements, e.g. blades or prongs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072—Reference field transducer attached to an instrument or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6878—Bone

Abstract

The referencing device (14) detects the position of a body part during surgery using a navigation assisted probe (12). The device includes a reference element (22) which can be detected by the probe. It also includes a connector (20) for releasably connecting the reference element to part of the body. The connector comprises a bone plate (38) and may also have a fastening element such as a bone screw for attaching the bone plate to the body part.

Description

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßt The description text was not recorded electronically  

Der Beschreibungstext wurde nicht elektronisch erfaßtThe description text was not recorded electronically

Claims (19)

1. Chirurgische Referenzierungsvorrichtung (14) zum Bestimmen der räum­ lichen Lage eines Teils des menschlichen oder tierischen Körpers bei ei­ nem navigationsgestützten chirurgischen Eingriff mit einer Nachweisvor­ richtung (12), umfassend ein von der Nachweisvorrichtung (12) detek­ tierbares Referenzelement (22) und eine Verbindungsvorrichtung (20) zum lösbaren Verbinden des Referenzelements (22) mit einem Teil des menschlichen oder tierischen Körpers, dadurch gekennzeichnet, daß die Verbindungsvorrichtung (20) eine Knochenplatte (38) umfaßt.1. Surgical referencing device ( 14 ) for determining the spatial position of a part of the human or animal body in a navigation-assisted surgical intervention with a detection device ( 12 ), comprising a detection element ( 22 ) that can be detected by the detection device ( 12 ) and one Connecting device ( 20 ) for releasably connecting the reference element ( 22 ) to a part of the human or animal body, characterized in that the connecting device ( 20 ) comprises a bone plate ( 38 ). 2. Vorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß die Verbin­ dungsvorrichtung (20) mindestens ein Befestigungselement (62) zum Festlegen der Knochenplatte (38) an einem Teil des menschlichen oder tierischen Körpers umfaßt.2. Device according to claim 1, characterized in that the connec tion device ( 20 ) comprises at least one fastening element ( 62 ) for fixing the bone plate ( 38 ) to a part of the human or animal body. 3. Vorrichtung nach Anspruch 2, dadurch gekennzeichnet, daß das minde­ stens eine Befestigungselement eine Knochenschraube (62) ist.3. Apparatus according to claim 2, characterized in that the at least one fastening element is a bone screw ( 62 ). 4. Vorrichtung nach einem der Ansprüche 2 oder 3, dadurch gekennzeich­ net, daß die Knochenplatte (38) mindestens eine Befestigungselement­ aufnahme (48) zum Aufnehmen des mindestens einen Befestigungsele­ ments (62) aufweist. 4. Device according to one of claims 2 or 3, characterized in that the bone plate ( 38 ) has at least one fastening element receptacle ( 48 ) for receiving the at least one fastening element ( 62 ). 5. Vorrichtung nach Anspruch 4, dadurch gekennzeichnet, daß die minde­ stens eine Befestigungselementaufnahme (48) eine Durchbrechung, ins­ besondere eine Bohrung ist.5. The device according to claim 4, characterized in that the minde least one fastener receptacle ( 48 ) is an opening, in particular a bore. 6. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß die Knochenplatte (38) in sich gekrümmt oder abge­ winkelt ist.6. Device according to one of the preceding claims, characterized in that the bone plate ( 38 ) is curved or angled in abge. 7. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß die Knochenplatte (38) mindestens einen abstehenden Haltelappen (42, 44) trägt.7. Device according to one of the preceding claims, characterized in that the bone plate ( 38 ) carries at least one protruding retaining tab ( 42 , 44 ). 8. Vorrichtung nach Anspruch 7, dadurch gekennzeichnet, daß der minde­ stens eine Haltelappen (42, 44) in sich gekrümmt oder abgewinkelt ist.8. The device according to claim 7, characterized in that the minde least one retaining tab ( 42 , 44 ) is curved or angled in itself. 9. Vorrichtung nach einem der Ansprüche 7 oder 8, dadurch gekennzeich­ net, daß der mindestens eine Haltelappen (42, 44) mindestens eine Be­ festigungselementaufnahme (48) trägt.9. Device according to one of claims 7 or 8, characterized in that the at least one retaining tab ( 42 , 44 ) carries at least one fastening element receptacle ( 48 ). 10. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß das Referenzelement (22) und die Verbindungsvor­ richtung (20) lösbar miteinander verbindbar sind.10. Device according to one of the preceding claims, characterized in that the reference element ( 22 ) and the Verbindungsvor direction ( 20 ) are releasably connectable to each other. 11. Vorrichtung nach Anspruch 10, dadurch gekennzeichnet, daß das Refe­ renzelement (22) und die Verbindungsvorrichtung (20) form- und/oder kraftschlüssig miteinander verbindbar sind. 11. The device according to claim 10, characterized in that the reference element ( 22 ) and the connecting device ( 20 ) are positively and / or non-positively connected to each other. 12. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß die Verbindungsvorrichtung (20) ein erstes Kupplungselement (26) trägt und daß das Referenzelement (22) ein zweites, mit dem ersten Kupplungselement (26) zusammenwirkendes Kupplungselement (32) trägt.12. Device according to one of the preceding claims, characterized in that the connecting device ( 20 ) carries a first coupling element ( 26 ) and that the reference element ( 22 ) carries a second, with the first coupling element ( 26 ) cooperating coupling element ( 32 ). 13. Vorrichtung nach Anspruch 12, dadurch gekennzeichnet, daß das erste Kupplungselement (26'; 26"; 26''') zu einer von der Knochenplatte (38) definierten Ebene geneigt ist.13. The apparatus according to claim 12, characterized in that the first coupling element ( 26 '; 26 "; 26 ''') is inclined to a plane defined by the bone plate ( 38 ). 14. Vorrichtung nach Anspruch 13, dadurch gekennzeichnet, daß eine Längs­ achse (54'; 54"; 54''') des ersten Kupplungselements (26'; 26"; 26''') und die von der Knochenplatte (38) definierte Ebene einen Neigungswin­ kel (α; β; χ) definieren und daß der Neigungswinkel (α; β; χ) einen Wert von maximal 50° aufweist.14. The apparatus according to claim 13, characterized in that a longitudinal axis ( 54 '; 54 "; 54 ''') of the first coupling element ( 26 '; 26 "; 26 ''') and that of the bone plate ( 38 ) defined Define a plane inclination angle (α; β; χ) and that the angle of inclination (α; β; χ) has a maximum value of 50 °. 15. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß die Knochenplatte (38) mindestens ein Positionie­ rungssicherungselement (50) aufweist zum Vermeiden einer Positionsän­ derung der Knochenplatte (38) relativ zum menschlichen oder tierischen Körper.15. Device according to one of the preceding claims, characterized in that the bone plate ( 38 ) has at least one Positionie securing element ( 50 ) to avoid a position change of the bone plate ( 38 ) relative to the human or animal body. 16. Vorrichtung nach Anspruch 15, dadurch gekennzeichnet, daß das mindestens eine Positionierungselement ein quer von der Knochenplatte (38) abstehendes Verankerungselement (50) umfaßt. 16. The apparatus according to claim 15, characterized in that the at least one positioning element comprises an anchoring element ( 50 ) projecting transversely from the bone plate ( 38 ). 17. Vorrichtung nach Anspruch 16, dadurch gekennzeichnet, daß das Veran­ kerungselement (50) ein Dorn ist.17. The apparatus according to claim 16, characterized in that the Veran kerungselement ( 50 ) is a mandrel. 18. Vorrichtung nach einem der voranstehenden Ansprüche, dadurch ge­ kennzeichnet, daß das Referenzelement (22) einen Referenzelement­ grundkörper umfaßt und daß der Referenzelementgrundkörper mindes­ tens drei von der Nachweisrichtung (12) detektierbare Sendeelemente (24) trägt.18. Device according to one of the preceding claims, characterized in that the reference element ( 22 ) comprises a reference element base body and that the reference element base body carries at least three of the detection direction ( 12 ) detectable transmission elements ( 24 ). 19. Vorrichtung nach Anspruch 18, dadurch gekennzeichnet, daß die mindes­ tens drei Sendeelemente (24) passive, elektromagnetische Strahlung re­ flektierende und vom Referenzelementgrundkörper lösbare Sendeele­ mente sind.19. The apparatus according to claim 18, characterized in that the at least three transmitting elements ( 24 ) are passive, electromagnetic radiation re reflecting and detachable from the reference element base body transmitting elements.
DE20311919U 2003-07-25 2003-07-25 Surgical referencing device for determining the spatial position of part of the body during surgery using a bone plate as a connector Expired - Lifetime DE20311919U1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE20311919U DE20311919U1 (en) 2003-07-25 2003-07-25 Surgical referencing device for determining the spatial position of part of the body during surgery using a bone plate as a connector

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE20311919U DE20311919U1 (en) 2003-07-25 2003-07-25 Surgical referencing device for determining the spatial position of part of the body during surgery using a bone plate as a connector

Publications (1)

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DE20311919U1 true DE20311919U1 (en) 2003-10-02

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2301433A1 (en) * 2003-10-17 2011-03-30 Surgical Navigation Technologies, Inc. Method and apparatus for surgical navigation
US8239001B2 (en) 2003-10-17 2012-08-07 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US8644907B2 (en) 1999-10-28 2014-02-04 Medtronic Navigaton, Inc. Method and apparatus for surgical navigation
US11331150B2 (en) 1999-10-28 2022-05-17 Medtronic Navigation, Inc. Method and apparatus for surgical navigation

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8644907B2 (en) 1999-10-28 2014-02-04 Medtronic Navigaton, Inc. Method and apparatus for surgical navigation
US9504530B2 (en) 1999-10-28 2016-11-29 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US11331150B2 (en) 1999-10-28 2022-05-17 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
EP2301433A1 (en) * 2003-10-17 2011-03-30 Surgical Navigation Technologies, Inc. Method and apparatus for surgical navigation
US7971341B2 (en) 2003-10-17 2011-07-05 Medtronic Navigation, Inc. Method of forming an electromagnetic sensing coil in a medical instrument for a surgical navigation system
US8239001B2 (en) 2003-10-17 2012-08-07 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US8271069B2 (en) 2003-10-17 2012-09-18 Medtronic Navigation, Inc. Method and apparatus for surgical navigation
US8359730B2 (en) 2003-10-17 2013-01-29 Medtronic Navigation, Inc. Method of forming an electromagnetic sensing coil in a medical instrument
US8549732B2 (en) 2003-10-17 2013-10-08 Medtronic Navigation, Inc. Method of forming an electromagnetic sensing coil in a medical instrument

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R207 Utility model specification

Effective date: 20031106

R150 Term of protection extended to 6 years

Effective date: 20060727

R081 Change of applicant/patentee

Owner name: AESCULAP AG, DE

Free format text: FORMER OWNER: AESCULAP AG & CO. KG, 78532 TUTTLINGEN, DE

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