Apparatus for registering and tracking an instrument

Abstract

There is provided a device for generating a frame of reference and tracking the position and orientation of a tool in computer-assisted image guided surgery or therapy system. A first curvature sensor including fiducial markers is provided for positioning on a patient prior to volumetric imaging, and sensing the patient's body position during surgery. A second curvature sensor is coupled to the first curvature sensor at one end and to a tool at the other end to inform the computer-assisted image guided surgery or therapy system of the position and orientation of the tool with respect to the patient's body. A system is provided that incorporates curvature sensors, a garment for sensing the body position of a person, and a method for registering a patient's body to a volumetric image data set in preparation for computer-assisted surgery or other therapeutic interventions. This system can be adapted for remote applications as well.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation of application Ser. No. 09 / 752,557, filed Jan. 3, 2001, which claims the benefit of U.S. provisional patent applications No. 60 / 174,343 filed Jan. 4, 2000 and 60 / 179,073 filed Jan. 31, 2000, which are all hereby incorporated by reference in their entirety.FIELD OF THE INVENTION[0002]This invention pertains to computer assisted surgery and / or therapy using medical imaging systems, such as computed tomography (CT), fluoroscopy and / or magnetic resonance imaging (MRI) for guidance, and more particularly to a fiducial reference system and position sensing.BACKGROUND OF THE INVENTION[0003]The concept of computer-assisted stereotactic methods effectively began in 1979. By 1996 it was generally accepted that volumetric stereotactic procedures were feasible including the use of stereotactically directed instruments with respect to pre- or intraoperative displayed images.[0004]Computer assisted image guided stereo...

AI Technical Summary

Benefits of technology

"The present invention provides a surgical or device for performing surgery or therapy on a patient. The device includes a first curvature sensor with a known position relative to the patient, an attachment fixture for the sensor, a computer electronically coupled to the sensor, and a plurality of fiducials attached to the patient. The device can also include a second curvature sensor for use in image-guided therapy or surgery. The invention also provides a system for monitoring or enabling surgery or therapy on a patient at a distance, including a garment with a curved sensor and a communication device. The invention also provides a method for locating fiducials in a patient's image and registering the patient to the image for surgery or therapy."

Problems solved by technology

The first registration methods require the surgeon to place fiducials on or in a patient before an imaging study and then use a digitizing probe to touch point fiducials or a surface, which is a tedious process.

Using anatomic fiducials to register vertebrae for the insertion of pedicle screws has proven tedious and time consuming, so much so that this method has not gained general acceptance by orthopedic surgeons.

The second method requires the exposure of a large area of bony surface in some cases, which is contradictory to one of the aims of using small incisions.

However, electromechanical passive articulated arms present several disadvantages that have limited their use, including: limited working volume due to constraints on arm weight; difficulties in moving free objects due to joint friction; positional accuracy limitations; the need for multiple manipulator arms in many situations; the inability to detect erroneous readings made by optical encoders at one or more joints; and difficulties associated with sterilizing or draping the large articulated arms.

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