DE29623941U1 - Neuronavigation system - Google Patents

Neuronavigation system

Info

Publication number
DE29623941U1
DE29623941U1 DE29623941U DE29623941U DE29623941U1 DE 29623941 U1 DE29623941 U1 DE 29623941U1 DE 29623941 U DE29623941 U DE 29623941U DE 29623941 U DE29623941 U DE 29623941U DE 29623941 U1 DE29623941 U1 DE 29623941U1
Authority
DE
Germany
Prior art keywords
reflectors
attached
reflector
attachments
landmark
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
DE29623941U
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.)
Brainlab AG
Original Assignee
Brainlab Medizinische Computersysteme GmbH
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 Brainlab Medizinische Computersysteme GmbH filed Critical Brainlab Medizinische Computersysteme GmbH
Priority to DE29623941U priority Critical patent/DE29623941U1/en
Priority claimed from DE19639615A external-priority patent/DE19639615C5/en
Publication of DE29623941U1 publication Critical patent/DE29623941U1/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B21/00Microscopes
    • G02B21/32Micromanipulators structurally combined with microscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/12Devices for detecting or locating foreign bodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072Reference field transducer attached to an instrument or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363Use of fiducial points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/397Markers, e.g. radio-opaque or breast lesions markers electromagnetic other than visible, e.g. microwave
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983Reference marker arrangements for use with image guided surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3995Multi-modality markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/20Surgical microscopes characterised by non-optical aspects

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 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 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 (14)

1. Reflektorenreferenzierungssystem für chirurgische oder medizinische Instrumente (20, 30) und Behandlungsapparaturen mit mindestens zwei Kameras (14) und einer mit den Kame­ ras (14) verbundenen Rechnereinheit (11) mit einer Grafik-Bildschirmausgabe (12), ge­ kennzeichnet durch eine Strahlungsquelle für Infrarotstrahlung (14) und eine Reflektoren­ gruppe mit mindestens zwei Reflektoren (21, 22) für diese Infrarotstrahlung, wobei die Re­ flektoren in einer nur für diese Reflektorengruppe charakteristischen Anordnung an den In­ strumenten (20, 30) bzw. Behandlungsapparaturen angebracht sind.1. Reflektorenreferenzierungssystem for surgical or medical instruments (20, 30) and treatment apparatus with at least two cameras (14) and a connected to the Kame ras (14) processing unit (11) with a graphics display output (12), characterized by at a radiation source for infrared radiation ( 14 ) and a group of reflectors with at least two reflectors ( 21 , 22 ) for this infrared radiation, the reflectors being mounted in an arrangement which is characteristic only for this group of reflectors on the instruments ( 20 , 30 ) or treatment apparatus. 2. Reflektorenreferenzierungssystem nach Anspruch 1, dadurch gekennzeichnet, dass die Reflektoren (21, 22) über Adapter (24, 31) wiederabnehmbar angebracht sind.2. reflector referencing system according to claim 1, characterized in that the reflectors ( 21 , 22 ) via adapters ( 24 , 31 ) are removably attached. 3. Reflektorenreferenzierungssystem nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass die Reflektoren (21, 22, 32, 33, 34) kugelförmig und mit einem reflektierenden Überzug ausgebildet sind.3. reflector referencing system according to claim 1 or 2, characterized in that the reflectors ( 21 , 22 , 32 , 33 , 34 ) are spherical and formed with a reflective coating. 4. Reflektorenreferenzierungssystem nach einem der Ansprüche 1 bis 3, dadurch gekenn­ zeichnet, dass zwei Reflektoren (21, 22) über an einem Instrument, insbesondere einem Punktzeiger (20) oder einem Kalibrierungsstab (60), angebrachte Steckverbindungen (24) an diesem befestigt werden.4. reflector referencing system according to one of claims 1 to 3, characterized in that two reflectors ( 21 , 22 ) on an instrument, in particular a point pointer ( 20 ) or a calibration rod ( 60 ), attached connectors ( 24 ) are attached to this . 5. Reflektorenreferenzierungssystem nach einem der Ansprüche 1 bis 3, dadurch gekenn­ zeichnet, dass drei Reflektoren (32, 33, 34) an mindestens jeweils einem Armende eines mit Reflektorenarmen und einem Befestigungsfuß ausgebildeten Adapters (31) befestigt sind, wobei der Befestigungsfuß an einem chirurgischen Instrument (30) oder einer Be­ handlungsapparatur befestigbar ist.5. reflector referencing system according to any one of claims 1 to 3, characterized in that three reflectors ( 32 , 33 , 34 ) are attached to at least one arm end of an adapter formed with reflector arms and a mounting foot ( 31 ), the mounting foot on a surgical Instrument ( 30 ) or Be treatment apparatus can be attached. 6. Reflektorenreferenzierungssystem nach einem der Ansprüche 1 bis 3, dadurch gekenn­ zeichnet, dass mindestens drei Reflektoren an einem Adapter zur Anbringung an ein chirur­ gischen Mikroskop befestigt sind.6. reflector referencing system according to one of claims 1 to 3, characterized  records that at least three reflectors on an adapter for attachment to a surgeon microscope are attached. 7. Reflektorenreferenzierungssystem nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass es ferner einen dreiarmigen Referenzadapter (50) mit einem Befesti­ gungsfuß umfasst, der ebenfalls drei in besonderer charakteristischer Anordnung befestig­ bare Reflektoren (54, 55, 56) an jedem Armende aufweist, wobei der Fuß an seinem Ende mit einer sich an die jeweilige Befestigungsstelle flexibel anpassenden Klammer versehen ist.7. reflector referencing system according to any one of the preceding claims, characterized in that it further comprises a three-armed reference adapter ( 50 ) with a fastening supply foot, which also has three in a special characteristic arrangement bare reflectors ( 54 , 55 , 56 ) at each arm end, wherein the foot is provided at its end with a clip that adapts flexibly to the respective attachment point. 8. Reflektorenreferenzierungssystem nach Anspruch 7, dadurch gekennzeichnet, dass der Referenzadapter vorzugsweise am Ausgangspunkt der drei Arme (51, 52, 53) eine konisch zusammenlaufende Trichtermulde mit einem zentrischen Kalibrierungspunkt (57) für die Spitzen der chirurgischen Instrumente (20, 30) aufweist.8. reflector referencing system according to claim 7, characterized in that the reference adapter preferably at the starting point of the three arms ( 51 , 52 , 53 ) has a conically converging funnel trough with a central calibration point ( 57 ) for the tips of the surgical instruments ( 20 , 30 ). 9. Reflektorenreferenzierungssystem nach einem der Ansprüche 1 bis 8, dadurch gekenn­ zeichnet, dass eine Reflektorengruppe an einem chirurgischen Mikroskop angebracht ist.9. reflector referencing system according to one of claims 1 to 8, characterized records that a group of reflectors is attached to a surgical microscope. 10. Reflektorenreferenzierungssystem nach einem der Ansprüche 1 bis 9, dadurch gekenn­ zeichnet, dass eine Reflektorengruppe an einem Ultraschallabstrahler/-empfänger eines Ult­ raschall-Diagnosesystems angebracht ist.10. reflector referencing system according to one of claims 1 to 9, characterized records that a group of reflectors on an ultrasound emitter / receiver of an Ult Schnellall diagnostic system is attached. 11. Markersystem zur Referenzierung und Positionsbestimmung von neurochirurgisch zu behandelnden Körperpartien, mit
mindestens drei künstlichen Landmarken-Aufsätzen (70), und ebenso vielen Befestigungsvorrichtungen (90) zur Befestigung der Landmarken- Aufsätze (70) am Patienten,
dadurch gekennzeichnet, dass
die Landmarken-Aufsätze (70) sowohl bei einer diagnostischen Patientendatenerfas­ sung als auch bei einer nachfolgenden Behandlungsüberwachung ein charakteristi­ sches Bild abgeben, wobei sie für die Behandlungsüberwachung als Reflektoren für die Infrarotstrahlung einer Strahlungsquelle ausgebildet sind.
11. Marker system for referencing and determining the position of parts of the body to be treated with neurosurgery
at least three artificial landmark attachments ( 70 ), and just as many fastening devices ( 90 ) for attaching the landmark attachments ( 70 ) to the patient,
characterized in that
the landmark attachments ( 70 ) give a characteristic image both in a diagnostic patient data acquisition and in a subsequent treatment monitoring, wherein they are designed for treatment monitoring as reflectors for the infrared radiation of a radiation source.
12. Markersystem nach Anspruch 11, dadurch gekennzeichnet, dass die Landmarken-Aufsätze (70) aus Metallkörpern bestehen, die aufgrund spezifischer Materialdichte, Größe, Form und Anordnung bei der Datenerfassung in einem Computertomographen individuell unter­ scheidbar sind.12. Marker system according to claim 11, characterized in that the landmarks attachments ( 70 ) consist of metal bodies which are individually distinguishable due to specific material density, size, shape and arrangement in data acquisition in a computer tomograph. 13. Markersystem nach Anspruch 12, dadurch gekennzeichnet, dass die Landmarken-Aufsätze (70) aus von den Befestigungsvorrichtungen (90) abnehmbaren Aluminiumkörpern von er­ fassbar spezifischer Form und/oder Größe bestehen.13. A marker system according to claim 12, characterized in that the landmarks attachments ( 70 ) consist of aluminum bodies which can be removed from the fastening devices ( 90 ) and which can be grasped in a specific shape and / or size. 14. Markersystem nach den Ansprüchen 11 bis 13, dadurch gekennzeichnet, dass es einen zusätzlichen Satz trichterförmiger Landmarken-Aufsätze (80) umfasst, deren Trichtermit­ telpunkt dem Mittelpunkt der Landmarken-Aufsätze (70) entspricht, für die sie vor einer Referenzierung am Operationstisch ausgetauscht werden können.14. Marker system according to claims 11 to 13, characterized in that it comprises an additional set of funnel-shaped landmark attachments ( 80 ) whose funnel center corresponds to the center of the landmark attachments ( 70 ) for which they are exchanged before referencing at the operating table can be.
DE29623941U 1996-09-26 1996-09-26 Neuronavigation system Expired - Lifetime DE29623941U1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE29623941U DE29623941U1 (en) 1996-09-26 1996-09-26 Neuronavigation system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE29623941U DE29623941U1 (en) 1996-09-26 1996-09-26 Neuronavigation system
DE19639615A DE19639615C5 (en) 1996-09-26 1996-09-26 Reflector referencing system for surgical and medical instruments

Publications (1)

Publication Number Publication Date
DE29623941U1 true DE29623941U1 (en) 2000-11-09

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Family Applications (1)

Application Number Title Priority Date Filing Date
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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1354564A1 (en) 2002-04-16 2003-10-22 BrainLAB AG Instrument marker and method for localizing a marker
DE10343826A1 (en) * 2003-09-22 2005-05-04 Plus Endoprothetik Ag Rotkreuz Bone-resistant locator and optical navigation system
WO2005044126A1 (en) * 2003-10-03 2005-05-19 Smith & Nephew, Inc. Surgical positioners
DE102005030184A1 (en) * 2005-06-29 2007-01-04 Aesculap Ag & Co. Kg Method for determining the relative position of a marking element on a surgical instrument and surgical instrument and navigation system for carrying out this method
US7611520B2 (en) 2000-08-31 2009-11-03 Smith & Nephew Orthopaedics Ag Method and apparatus for finding the position of a mechanical axis of a limb
US7764985B2 (en) 2003-10-20 2010-07-27 Smith & Nephew, Inc. Surgical navigation system component fault interfaces and related processes
US7794467B2 (en) 2003-11-14 2010-09-14 Smith & Nephew, Inc. Adjustable surgical cutting systems
US8043295B2 (en) 2004-10-27 2011-10-25 Brainlab Ag Vertebral spreading instrument comprising markers
US8109942B2 (en) 2004-04-21 2012-02-07 Smith & Nephew, Inc. Computer-aided methods, systems, and apparatuses for shoulder arthroplasty
US8177788B2 (en) 2005-02-22 2012-05-15 Smith & Nephew, Inc. In-line milling system
EP2233099A3 (en) * 2009-03-24 2014-11-12 Masmec S.r.L. Computer-assisted system for guiding a surgical instrument during percutaneous diagnostic or therapeutic operations

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7611520B2 (en) 2000-08-31 2009-11-03 Smith & Nephew Orthopaedics Ag Method and apparatus for finding the position of a mechanical axis of a limb
EP1354564A1 (en) 2002-04-16 2003-10-22 BrainLAB AG Instrument marker and method for localizing a marker
DE10343826A1 (en) * 2003-09-22 2005-05-04 Plus Endoprothetik Ag Rotkreuz Bone-resistant locator and optical navigation system
DE10343826A8 (en) * 2003-09-22 2005-08-18 Plus-Endoprothetik Ag Bone-resistant locator and optical navigation system
DE10343826B4 (en) * 2003-09-22 2006-02-09 Plus-Endoprothetik Ag Bone-proof locator and navigation system
WO2005044126A1 (en) * 2003-10-03 2005-05-19 Smith & Nephew, Inc. Surgical positioners
US8491597B2 (en) 2003-10-03 2013-07-23 Smith & Nephew, Inc. (partial interest) Surgical positioners
US7862570B2 (en) 2003-10-03 2011-01-04 Smith & Nephew, Inc. Surgical positioners
US7764985B2 (en) 2003-10-20 2010-07-27 Smith & Nephew, Inc. Surgical navigation system component fault interfaces and related processes
US7794467B2 (en) 2003-11-14 2010-09-14 Smith & Nephew, Inc. Adjustable surgical cutting systems
US8109942B2 (en) 2004-04-21 2012-02-07 Smith & Nephew, Inc. Computer-aided methods, systems, and apparatuses for shoulder arthroplasty
US8043295B2 (en) 2004-10-27 2011-10-25 Brainlab Ag Vertebral spreading instrument comprising markers
US8177788B2 (en) 2005-02-22 2012-05-15 Smith & Nephew, Inc. In-line milling system
DE102005030184B4 (en) * 2005-06-29 2008-09-11 Aesculap Ag & Co. Kg Method for determining the relative position of a marking element on a surgical instrument and surgical instrument and navigation system for carrying out this method
DE102005030184A1 (en) * 2005-06-29 2007-01-04 Aesculap Ag & Co. Kg Method for determining the relative position of a marking element on a surgical instrument and surgical instrument and navigation system for carrying out this method
EP2233099A3 (en) * 2009-03-24 2014-11-12 Masmec S.r.L. Computer-assisted system for guiding a surgical instrument during percutaneous diagnostic or therapeutic operations

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