US5590655A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Frameless laser guided stereotactic localization system
Assignee: Individual
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Filing: 1994-12-15
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Granted: 1997-01-07
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Expires: 2014-12-15
Abstract
Abstract A lesion localization system is disclosed which employs imaging visible members (926, 928), and manifested sets of imaging space coordinates to define a retrograde point (1004) that is colinear with a lesion (940) and a selected entry point (946) thereto. Retrograde and antegrade lasers (1014, 1015) are employed to use the retrograde point in guidance of a medical instrument to the lesion. The localization system avoids mechanical calibration of stereotactic frames and is simpler to operate.
Inventors
- 👤 Karl L. Hussman
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 20:16
CPC Classifications
G; G01; G01R; G01R33/00; G01R33/20; G01R33/44; G01R33/48; G01R33/58; A; A61; A61B; A61B17/00; A61B17/34; A61B17/3403; A61B90/00; A61B90/10; A61B90/11; A61B90/13; A61B90/14; A61B90/17; G01R33/28; G01R33/285; A61B2017/00831; A61B2017/00902; A61B2017/00911; A61B2017/3405; A61B2017/3411; A61B90/39; A61B2090/3954
Claims Analysis
Total Claims: 23
Claim 1
Independent Claim
152 words
A method for guiding an instrument tip to a target point identified in a patient via an imaging modality, comprising the steps of: establishing an imaging space coordinate system; selecting an entry point; placing an imaging visible marker at said entry point; imaging said target point and said entry point to determine the imaging space coordinates thereof; determining the coordinates of a retrograde point that lies on a line defined by said entry point coordinates and said target point coordinates wherein said entry point is between said retrograde point and said target point; and, providing a retrograde laser having a retrograde laser beam and a medical instrument having said tip; causing said retrograde laser beam to be directed along said line to illuminate said retrograde point; and, guiding said instrument along said line by keeping said retrograde beam on said retrograde point to position said instrument tip proximate to said target point.
Claim 2
Independent Claim
152 words
A method for guiding an instrument tip to a target point identified in a patient via an imaging modality, comprising the steps of: establishing an imaging space coordinate system; selecting an entry point; placing an imaging visible marker at said entry point; imaging said target point and said entry point to determine the imaging space coordinates thereof; determining the coordinates of a retrograde point that lies on a line defined by said entry point coordinates and said target point coordinates wherein said entry point is between said retrograde point and said target point; and, providing a retrograde laser having a retrograde laser beam and a medical instrument having said tip; causing said retrograde laser beam to be directed along said line to illuminate said retrograde point; and, guiding said instrument along said line by keeping said retrograde beam on said retrograde point to position said instrument tip proximate to said target point.
Claim 3
Dependent Claim
42 words
The method of claim 1 wherein said imaging step further includes the steps of: disposing at least one imaging visible fiduciary member in a spaced relationship with said target point; and, employing the image of said fiduciary member to determine said coordinates.
Claim 4
Dependent Claim
32 words
The method of claim 1 wherein said determining step further includes the steps of: manifesting a set of imaging space coordinates; and, finding the intersection of said line with said coordinate set.
Claim 5
Dependent Claim
37 words
The method of claim 1 further including the steps of: providing an antegrade laser having an antegrade laser beam; directing said antegrade laser beam along said line; and, illuminating said entry point with said antegrade laser beam.
Claim 6
Dependent Claim
22 words
The method of claim 4 wherein said directing said antegrade laser beam step includes originating said antegrade laser beam from said instrument.
Claim 7
Dependent Claim
58 words
The method of claim 4 wherein said medical instrument further includes an end spaced from said instrument tip and said guiding step includes the step of illuminating said end antegrade laser beam as said tip is positioned at said entry point and moved along said line to position said tip proximate to said target point by freehand technique.
Claim 8
Dependent Claim
23 words
The method of claim 1 further including the step of providing a thermoplastic mesh for immobilizing a body part containing said target point.
Claim 9
Independent Claim
147 words
A method of guiding an instrument tip to a target point identified in a patient via an imaging modality, comprising the steps of: establishing an imaging space coordinate system; selecting an entry point; placing an imaging visible marker at said entry point; imaging said target point and said entry point to determine the imaging space coordinates thereof; determining the coordinates of a retrograde point that lies on a line defined by said entry point coordinates and said target point coordinates wherein said entry point is between said retrograde point and said target point; providing an antegrade laser having an antegrade laser beam and a medical instrument having a tip; causing said antegrade laser beam to be directed from said retrograde point along said line to illuminate said entry point; and, guiding said instrument along said antegrade beam to position said instrument tip proximate to said target point.
Claim 10
Independent Claim
147 words
A method of guiding an instrument tip to a target point identified in a patient via an imaging modality, comprising the steps of: establishing an imaging space coordinate system; selecting an entry point; placing an imaging visible marker at said entry point; imaging said target point and said entry point to determine the imaging space coordinates thereof; determining the coordinates of a retrograde point that lies on a line defined by said entry point coordinates and said target point coordinates wherein said entry point is between said retrograde point and said target point; providing an antegrade laser having an antegrade laser beam and a medical instrument having a tip; causing said antegrade laser beam to be directed from said retrograde point along said line to illuminate said entry point; and, guiding said instrument along said antegrade beam to position said instrument tip proximate to said target point.
Claim 11
Dependent Claim
42 words
The method of claim 8 wherein said imaging step further includes the steps of: disposing at least one imaging visible fiduciary member in a spaced relationship with said target point; and, employing the image of said fiduciary member to determine said line.
Claim 12
Dependent Claim
60 words
The method of claim 8 wherein said medical instrument further includes an end spaced from said instrument tip and said guiding step includes the step of illuminating said end with said antegrade laser beam as said tip is positioned at said entry point and moved along said line to position said tip proximate to said target point by freehand technique.
Claim 13
Dependent Claim
23 words
The method of claim 8 further including the step of providing a thermoplastic mesh for immobilizing a body part containing said target point.
Claim 14
Dependent Claim
145 words
Apparatus for use with a medical imaging system for guiding an instrument tip to a target point in a patient via a selected entry point on a patient, the apparatus comprising: indicia manifesting a selected coordinate set spaced from the patient; means for determining the imaging space coordinates of the entry point and target point, defining a line therebetween, and locating a retrograde point on said line at the intersection of said line with said indicia wherein said entry point is between said retrograde point and said target point; means for manifesting said retrograde point on said indicia; a medical instrument having a tip; and, means for utilizing said retrograde point for guiding said instrument along said line for positioning said tip proximate to said target point including a retrograde laser for providing a retrograde laser beam along said line for illuminating said retrograde point.
Claim 15
Dependent Claim
145 words
Apparatus for use with a medical imaging system for guiding an instrument tip to a target point in a patient via a selected entry point on a patient, the apparatus comprising: indicia manifesting a selected coordinate set spaced from the patient; means for determining the imaging space coordinates of the entry point and target point, defining a line therebetween, and locating a retrograde point on said line at the intersection of said line with said indicia wherein said entry point is between said retrograde point and said target point; means for manifesting said retrograde point on said indicia; a medical instrument having a tip; and, means for utilizing said retrograde point for guiding said instrument along said line for positioning said tip proximate to said target point including a retrograde laser for providing a retrograde laser beam along said line for illuminating said retrograde point.
Claim 16
Dependent Claim
26 words
Apparatus of claim 12 wherein said determining means includes at least one imaging visible fiduciary member for placement in a spaced relationship with the target point.
Claim 17
Dependent Claim
25 words
Apparatus of claim 12 and further including an antegrade laser for providing an antegrade laser beam directed along said line for illuminating said entry point.
Claim 18
Dependent Claim
30 words
Apparatus of claim 12 wherein said indicia for manifesting a selected coordinate set includes a room having a least one surface and a grid on said at least one surface.
Claim 19
Dependent Claim
11 words
Apparatus of claim 12 wherein said determining means includes a computer.
Claim 20
Dependent Claim
145 words
Apparatus for use with a medical imaging system for guiding an instrument tip to a target point in a patient via a selected entry point on a patient, the apparatus comprising: indicia manifesting a selected coordinate set spaced from the patient; means for determining the imaging space coordinates of the entry point and target point, defining a line therebetween, and locating a retrograde point on said line at the intersection of said line with said indicia wherein said entry point is between said retrograde point and said target point; means for manifesting said retrograde point on said indicia; a medical instrument having a tip; and, means for utilizing said retrograde point for guiding said instrument along said line for positioning said tip proximate to said target point including an antegrade laser for providing an antegrade laser beam along said line for illuminating said entry point.
Claim 21
Dependent Claim
145 words
Apparatus for use with a medical imaging system for guiding an instrument tip to a target point in a patient via a selected entry point on a patient, the apparatus comprising: indicia manifesting a selected coordinate set spaced from the patient; means for determining the imaging space coordinates of the entry point and target point, defining a line therebetween, and locating a retrograde point on said line at the intersection of said line with said indicia wherein said entry point is between said retrograde point and said target point; means for manifesting said retrograde point on said indicia; a medical instrument having a tip; and, means for utilizing said retrograde point for guiding said instrument along said line for positioning said tip proximate to said target point including an antegrade laser for providing an antegrade laser beam along said line for illuminating said entry point.
Claim 22
Dependent Claim
22 words
Apparatus of claim 17 wherein said means for utilizing said retrograde point includes said antegrade laser coupled to said manifest retrograde point.
Claim 23
Dependent Claim
44 words
Apparatus of claim 17 wherein said means for utilizing said retrograde point includes: said antegrade laser spaced from said manifest retrograde point; and, a mirror coupled to said manifest retrograde point for directing said antegrade laser beam along said line to said entry point.
References Cited (Backward Citations)
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2000-01-07 | 2000-07-08 | 2001-01-07 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2004-01-07 | 2004-07-08 | 2005-01-07 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2008-01-07 | 2008-07-08 | 2009-01-07 | $7700.00 | Window Closed / Lapsed |