WO1999027839A3 - Surgical positioning system - Google Patents

Surgical positioning system Download PDF

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Publication number
WO1999027839A3
WO1999027839A3 PCT/US1998/025476 US9825476W WO9927839A3 WO 1999027839 A3 WO1999027839 A3 WO 1999027839A3 US 9825476 W US9825476 W US 9825476W WO 9927839 A3 WO9927839 A3 WO 9927839A3
Authority
WO
WIPO (PCT)
Prior art keywords
treatment
patient
imaging
diagnostic
machine
Prior art date
Application number
PCT/US1998/025476
Other languages
French (fr)
Other versions
WO1999027839A2 (en
WO1999027839A9 (en
Inventor
Eric R Cosman
Original Assignee
Eric R Cosman
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 Eric R Cosman filed Critical Eric R Cosman
Priority to CA002320230A priority Critical patent/CA2320230A1/en
Priority to DE69833881T priority patent/DE69833881T2/en
Priority to EP98962860A priority patent/EP1041918B1/en
Priority to AU18009/99A priority patent/AU1800999A/en
Publication of WO1999027839A2 publication Critical patent/WO1999027839A2/en
Publication of WO1999027839A3 publication Critical patent/WO1999027839A3/en
Publication of WO1999027839A9 publication Critical patent/WO1999027839A9/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/52—Devices using data or image processing specially adapted for radiation diagnosis
    • A61B6/5211—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data
    • A61B6/5229—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image
    • A61B6/5247—Devices using data or image processing specially adapted for radiation diagnosis involving processing of medical diagnostic data combining image data of a patient, e.g. combining a functional image with an anatomical image combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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    • A61B6/0492—Positioning of patients; Tiltable beds or the like using markers or indicia for aiding patient positioning
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    • A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
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    • A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
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    • A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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    • A61B2090/371—Surgical systems with images on a monitor during operation with simultaneous use of two cameras
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    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
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    • 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
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Abstract

A system for positioning and repositioning of a portion of a patient's body with respect to a treatment or imaging machine includes multiple cameras to view the body and the machine. Index markers, either light-emitting, passive, geometric shapes, or natural landmarks, are identified and located by the cameras in 3D space. In one embodiment, such reference or index markers are in a determinable relationship to analogous markers used during previous image scanning of the patient. Anatomical targets determined from image scanning can be located relative to reference positions associated with the treatment or diagnostic machine. Several forms of camera, index markers, methods and systems accommodate different clinical uses. X-ray imaging of the patient further refines anatomical target positioning relative to the treatment or diagnostic imaging reference point. Movements of the patient based on comparative analysis of imaging determined anatomical targets relativeto reference points on treatment or diagnostic apparatus are controlled by the system and process of the invention.
PCT/US1998/025476 1997-12-01 1998-12-01 Surgical positioning system WO1999027839A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA002320230A CA2320230A1 (en) 1997-12-01 1998-12-01 Surgical positioning system
DE69833881T DE69833881T2 (en) 1997-12-01 1998-12-01 SURGICAL POSITIONING SYSTEM
EP98962860A EP1041918B1 (en) 1997-12-01 1998-12-01 Surgical positioning system
AU18009/99A AU1800999A (en) 1997-12-01 1998-12-01 Surgical positioning system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/980,572 US6405072B1 (en) 1991-01-28 1997-12-01 Apparatus and method for determining a location of an anatomical target with reference to a medical apparatus
US08/980,572 1997-12-01

Publications (3)

Publication Number Publication Date
WO1999027839A2 WO1999027839A2 (en) 1999-06-10
WO1999027839A3 true WO1999027839A3 (en) 1999-09-10
WO1999027839A9 WO1999027839A9 (en) 1999-10-21

Family

ID=25527673

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/025476 WO1999027839A2 (en) 1997-12-01 1998-12-01 Surgical positioning system

Country Status (7)

Country Link
US (4) US6405072B1 (en)
EP (2) EP1642545A1 (en)
AU (1) AU1800999A (en)
CA (1) CA2320230A1 (en)
DE (1) DE69833881T2 (en)
ES (1) ES2256974T3 (en)
WO (1) WO1999027839A2 (en)

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US6405072B1 (en) 1991-01-28 2002-06-11 Sherwood Services Ag Apparatus and method for determining a location of an anatomical target with reference to a medical apparatus
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US6021343A (en) 1997-11-20 2000-02-01 Surgical Navigation Technologies Image guided awl/tap/screwdriver
US20030135115A1 (en) * 1997-11-24 2003-07-17 Burdette Everette C. Method and apparatus for spatial registration and mapping of a biopsy needle during a tissue biopsy
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US6459927B1 (en) * 1999-07-06 2002-10-01 Neutar, Llc Customizable fixture for patient positioning
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US6980679B2 (en) * 1998-10-23 2005-12-27 Varian Medical System Technologies, Inc. Method and system for monitoring breathing activity of a subject
US8788020B2 (en) * 1998-10-23 2014-07-22 Varian Medical Systems, Inc. Method and system for radiation application
US7158610B2 (en) * 2003-09-05 2007-01-02 Varian Medical Systems Technologies, Inc. Systems and methods for processing x-ray images
US6279579B1 (en) * 1998-10-23 2001-08-28 Varian Medical Systems, Inc. Method and system for positioning patients for medical treatment procedures
US6621889B1 (en) * 1998-10-23 2003-09-16 Varian Medical Systems, Inc. Method and system for predictive physiological gating of radiation therapy
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EP1123138B1 (en) * 1998-10-23 2004-04-28 Varian Medical Systems, Inc. Method and system for physiological gating of radiation therapy
US6937696B1 (en) 1998-10-23 2005-08-30 Varian Medical Systems Technologies, Inc. Method and system for predictive physiological gating
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