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Interactive image-guided surgical system    
United States Patent5142930   
Link to this pagehttp://www.wikipatents.com/5142930.html
Inventor(s)Allen; George S. (628 Westview Ave., Nashville, TN 37205); Galloway, Jr.; Robert L. (7736 Indian Springs Dr., Nashville, TN 37221); Maciunas; Robert J. (6320 Chickering Woods La., Nashville, TN 37215); Edwards, II; Charles A. (2316 Erin La., Nashville, TN 37221); Zink; Martin R. (1044 Berwick Trail, Madison, TN 37195)
AbstractAn interactive system for guiding the use of a surgical tool uses at least one imaging technique, such as CT scanning. A mechanical arm has a fixed base at a first end and a tool holder that holds the surgical tool at a second end. A display displays one or more images from the image space of a patient's anatomy. A computer is coupled to the display and the mechanical arm. The computer tracks the location of the surgical tool through physical space, performs a transforming rotation of the physical space to the image space, and causes the display to display the location of the surgical tool within the image space.



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Drawing from US Patent 5142930
Interactive image-guided surgical system - US Patent 5142930 Drawing
Interactive image-guided surgical system
Inventor     Allen; George S. (628 Westview Ave., Nashville, TN 37205); Galloway, Jr.; Robert L. (7736 Indian Springs Dr., Nashville, TN 37221); Maciunas; Robert J. (6320 Chickering Woods La., Nashville, TN 37215); Edwards, II; Charles A. (2316 Erin La., Nashville, TN 37221); Zink; Martin R. (1044 Berwick Trail, Madison, TN 37195)
Owner/Assignee    
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Publication Date     September 1, 1992
Application Number     07/677,083
PAIR File History     Application Data   Transaction History
Image File Wrapper   Patent Term   Fees
Litigation
Filing Date     March 29, 1991
US Classification     74/469 414/4 901/28 901/47
Int'l Classification     G05G 001/00 B25J 017/00 B25J 019/04
Examiner     Herrmann; Allan D.
Assistant Examiner     Krolikowski; Julie
Attorney/Law Firm     Kenyon & Kenyon
Address
Parent Case     This is a division of application Ser. No. 07/433,347 filed Nov. 8, 1989, which is a continuation-in-part of Ser. No. 07/119,353 filed Nov. 10, 1987, now U.S. Pat. No. 4,991,579.
Priority Data    
USPTO Field of Search     74/469 901/2 901/15 901/28 901/41 901/47 414/4 318/568.11 364/DIG. A 364/DIG. U
Patent Tags     interactive image-guided surgical
   
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 Technical Review Submit all comments and votes
 Claims Submit all comments and votes
 


What is claimed is:

1. A mechanical arm that is manipulable by a human operator, with the movement of the arm being trackable by a computer coupled to the arm, comprising:

a base that is fixable to a surface;

a first pair of joints coupled to said base;

a first arm link coupled at a first end to the first pair of joints and having two degrees of freedom provided by said first pair of joints;

a second pair of joints coupled to a second end of said first arm link;

a second arm link coupled to a first end to the second pair of joints and having four degrees of freedom provided by said first and second pairs of joints;

a third pair of joints coupled to a second end of said second arm link;

a tool holder coupled to said third pair of joints and having six degrees of freedom provided by said first, second and third pairs of joints;

a separate encoder coupled to each joint that electrically encodes movement of a joint relative to another joint and produces signals indicating the amount and direction of movement of the joint; and

wherein each of said arm links has a longitudinal axis, said pairs of joints define axes of rotation for adjoining arm links, and each of said axes of rotation is free to assume an orientation that is not parallel to the longitudinal axis of either of said adjoining arm links.

2. A mechanical arm that is manipulable by a human operator, with the movement of the arm being trackable by a computer coupled to the arm, comprising:

a base that is fixable to a surface;

a first pair of joints coupled to said base;

a first arm link coupled at a first end to the first pair of joints and having two degrees of freedom provided by said first pair of joints;

a second pair of joints coupled to a second end of said first arm link;

a second arm link coupled to a first end to the second pair of joints and having four degrees of freedom provided by said first and second pairs of joints;

a third pair of joints coupled to a second end of said second arm link, wherein said pairs of joints are of the gimbal type;

a tool holder coupled to said third pair of joints and having six degrees of freedom provided by said first, second and third pairs of joints; and

a separate encoder coupled to each joint that electrically encodes movement of a joint relative to another joint and produces signals indicating the amount and direction of movement of the joint.

3. A mechanical arm that is manipulable by a human operator, with the movement of the arm being trackable by a computer coupled to the arm, comprising:

a base that is fixable to a surface;

a first pair of joints coupled to said base;

a first arm link coupled at a first end to the first pair of joints and having two degrees of freedom provided by said first pair of joints;

a second pair of joints coupled to a second end of said first arm link;

a second arm link coupled to a first end to the second pair of joints and having four degrees of freedom provided by said first and second pair of joints;

a third pair of joints coupled to a second end of said second arm link;

a tool holder coupled to said third pair of joints and having six degrees of freedom provided by said first, second and third pairs of joints; and

a separate optical encoder coupled to each joint that electrically encodes movement of a joint relative to another joint and produces signal indicating the amount and direction of movement of the joint.

4. The arm of claim 3, wherein the optical encoders are mounted within the joints.

5. The arm of claim 4, wherein each optical encoder includes a gear that drives the optical encoder, and each joint has a gear that is coupled to the joint and which drives the optical encoder gear, the joint gear and the optical encoder gear meshing at an angle so as to prevent backlash.

6. The arm of claim 5, wherein said angle is 6.degree..

7. The arm of claim 5, wherein said gears are quarter pitch spur gears.

8. The arm of claim 2, wherein said gimbal joints and said first and second arm links are made of stainless steel.

9. A mechanical arm that is manipulable by a human operator, with the movement of the arm being trackable by a computer coupled to the arm, comprising:

a base that is fixable to a surface;

a first pair of joints coupled to said base;

a first arm link coupled at a first end to the first pair of joints and having two degrees of freedom provided by said first pair of joints;

a second pair of joints coupled to a second end of said first arm link;

a second arm link coupled to a first end to the second pair of joints and having four degrees of freedom provided by said first and second pairs of joints;

a third pair of joints coupled to a second end of said second arm link;

a tool holder coupled to said third pair of joints and having six degrees of freedom provided by said first, second and third pairs of joints;

a separate encoder coupled to each joint that electrically encodes movement of a joint relative to another joint and produces signals indicating the amount and direction of movement of the joint; and

wherein said arm is sterilizable.

10. A mechanical arm that is manipulable by a human operator, with the movement of the arm being trackable by a computer coupled to the arm, comprising:

a base that is fixable to a surface;

a first pair of joints coupled to said base;

a first arm link coupled at a first end to the first pair of joints and having two degrees of freedom provided by said first pair of joints;

a second pair of joints coupled to a second end of said first arm link;

a second arm link coupled to a first end to the second pair of joints and having four degrees of freedom provided by said first and second pairs of joints;

a third pair of joints coupled to a second end of said second arm link;

a tool holder coupled to said third pair of joints and having six degrees of freedom provided by said first, second and third pairs of joints, wherein said tool holder is adapted to hold different types of surgical tools; and

a separate encoder coupled to each joint that electrically encodes movement of a joint relative to another joint and produces signals indicating the amount and direction of movement of the joint.
 Description Submit all comments and votes
 


FIELD OF THE INVENTION

The present invention relates to a system for guiding a surgeon interactively through a surgical procedure, and more particularly to an integrated system of hardware and software which allows for the intuitive use of imaging-derived data regarding a patient's anatomy in order to guide a surgeon through a surgical procedure.

BACKGROUND OF THE INVENTION

There are a number of well-known diagnostic imaging techniques that allow a physician to obtain high fidelity views of the human body. Imaging systems which provide cross-sectional (tomographic) views of anatomical structure without invasive procedures include computed tomography (CT) x-ray imagers and magnetic resonance (MR) imagers.

A problem associated with the scanning techniques is that each imaging process is sensitive to the patient's position within the imaging device. Therefore, each set of images has a discrete, unique orientation. Thus, images formed from the same modality at different times and images formed at essentially the same time, but from different imaging modalities (for example, CT and MRI) cannot be compared on a point-by-point basis. This prevents accurate comparison of regions within the images.

A surgeon also deals with orientation differences to the imaging space. For example, although a neurosurgeon will know where his surgical tool is with regards to certain anatomic landmarks he may not know with the desired precision where the tool is with regards to the lesion visible on the images. There have been attempts to solve this problem by temporary attachment of a relatively large brace-like structure surgically attached to portions of the body, such as the head. By orienting a surgical tool with respect to this structure, and by knowing the location of internal anatomical areas of interest with relation to this attached structure, the position of the surgical tool with respect to the anatomical areas of interest will be known.

A problem with these structures is their size and their interference with normal daily activities, such as sleeping The structures are therefore not used over a long period of time (e.g. for more than 12 hours) so that a comparison of images, or the location of a specific point within the anatomy, taken over a substantial time period is not practical.

There is therefore a need for an interactive system which will guide a surgeon in the manipulation of a surgical tool to an exact location that is specified by an imaging system.

SUMMARY OF THE INVENTION

This and other needs are satisfied by the present invention which provides an arrangement for an interactive image-guided surgical system. The system according to the present invention defines an internal coordinate system within the anatomy of a patient. The internal coordinate system is located with respect to an external coordinate system, for example, by locating the end tip of a surgical tool with a known reference point in the internal coordinate system. Once the position of the internal coordinate system is known with respect to the external coordinate system, the surgical tool can be moved anywhere within either the external or internal coordinate systems and its location will be known with a high amount of precision.

The present invention al