WO2008154909A3 - Method for determining a direction of intervention of a tool and performing the tool intervention - Google Patents

Method for determining a direction of intervention of a tool and performing the tool intervention Download PDF

Info

Publication number
WO2008154909A3
WO2008154909A3 PCT/DE2008/001019 DE2008001019W WO2008154909A3 WO 2008154909 A3 WO2008154909 A3 WO 2008154909A3 DE 2008001019 W DE2008001019 W DE 2008001019W WO 2008154909 A3 WO2008154909 A3 WO 2008154909A3
Authority
WO
WIPO (PCT)
Prior art keywords
tool
reference body
intervention
workpiece
machined
Prior art date
Application number
PCT/DE2008/001019
Other languages
German (de)
French (fr)
Other versions
WO2008154909A2 (en
Inventor
Rainer Burgkart
Original Assignee
Rainer Burgkart
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 Rainer Burgkart filed Critical Rainer Burgkart
Priority to EP08784224A priority Critical patent/EP2207495A2/en
Publication of WO2008154909A2 publication Critical patent/WO2008154909A2/en
Publication of WO2008154909A3 publication Critical patent/WO2008154909A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1703—Guides or aligning means for drills, mills, pins or wires using imaging means, e.g. by X-rays
    • 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
    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • 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
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery

Abstract

The invention relates to a method for determining a direction of intervention of a tool and performing the tool intervention. Said method comprises the following steps: a. a geometrically predetermined reference body is mounted on the workpiece that is to be machined; b. at least two images, e.g. 2 X-ray images or ultrasound images, on which the geometry of the workpiece to be machined and the reference features of the reference body are reproduced, are created from different solid angles by means of imaging processes; c. direction coordinates are calculated starting from the three-dimensional position of the reference body and the space coordinates of the workpiece volume that is to be machined, i.e. the material that is to be removed from, modified, or added to the workpiece; d. a tool guide is provided which is monolithically connected to the reference body or can be mounted on the reference body in only one defined and known positional relation; e. the tool guide is adjusted by means of an adjusting device, starting from the direction coordinates determined in step c; f. the adjusted tool guide is connected to the coupling piece for the reference body; and g. the tool is placed against the tool guide, and the machining process is carried out.
PCT/DE2008/001019 2007-06-15 2008-06-14 Method for determining a direction of intervention of a tool and performing the tool intervention WO2008154909A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP08784224A EP2207495A2 (en) 2007-06-15 2008-06-14 Method for determining a direction of intervention of a tool and performing the tool intervention

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102007028272.0 2007-06-15
DE102007028272 2007-06-15

Publications (2)

Publication Number Publication Date
WO2008154909A2 WO2008154909A2 (en) 2008-12-24
WO2008154909A3 true WO2008154909A3 (en) 2009-02-19

Family

ID=39941518

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2008/001019 WO2008154909A2 (en) 2007-06-15 2008-06-14 Method for determining a direction of intervention of a tool and performing the tool intervention

Country Status (2)

Country Link
EP (1) EP2207495A2 (en)
WO (1) WO2008154909A2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105705117B (en) 2013-09-25 2018-07-24 捷迈有限公司 Patient's particular instrument for orthomorphia（PSI）And the system and method for using X-ray making it
RU2569720C1 (en) * 2014-05-19 2015-11-27 Михаил Анатольевич Черных Passive navigation device for medical instrument

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5799055A (en) * 1996-05-15 1998-08-25 Northwestern University Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy
US6314310B1 (en) * 1997-02-14 2001-11-06 Biosense, Inc. X-ray guided surgical location system with extended mapping volume
US20030208122A1 (en) * 2000-03-01 2003-11-06 Melkent Anthony J. Multiple cannula image guided tool for image guided procedures
US6711432B1 (en) * 2000-10-23 2004-03-23 Carnegie Mellon University Computer-aided orthopedic surgery
US20060217733A1 (en) * 2005-02-15 2006-09-28 Norman Plassky User guidance in adjusting bone incision blocks

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5799055A (en) * 1996-05-15 1998-08-25 Northwestern University Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy
US6314310B1 (en) * 1997-02-14 2001-11-06 Biosense, Inc. X-ray guided surgical location system with extended mapping volume
US20030208122A1 (en) * 2000-03-01 2003-11-06 Melkent Anthony J. Multiple cannula image guided tool for image guided procedures
US6711432B1 (en) * 2000-10-23 2004-03-23 Carnegie Mellon University Computer-aided orthopedic surgery
US20060217733A1 (en) * 2005-02-15 2006-09-28 Norman Plassky User guidance in adjusting bone incision blocks

Also Published As

Publication number Publication date
EP2207495A2 (en) 2010-07-21
WO2008154909A2 (en) 2008-12-24

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