JP2005137904A - 手術中にディジタル化される標認点に対して二次元画像データを位置合わせするシステムおよび方法 - Google Patents
手術中にディジタル化される標認点に対して二次元画像データを位置合わせするシステムおよび方法 Download PDFInfo
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- Transplantation (AREA)
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Abstract
【解決手段】 手術ナビゲーション・システムを使用して、機械軸データ、及び、場合によっては他のデータと二次元画像が位置合わせされる。これによって、処置が施される際に、ユーザーに対して、付加的なグラフィカル情報がディスプレイ画面上に提供される。機械軸データは解剖学的な評価を使用して生成される。
【選択図】 図1
Description
102 カメラ
104 一連の受光アレイ
106 コンピュータ
108 内部中央処理ユニット(CPU)
110 内部メモリ・ユニット
112 内部記憶装置ユニット
114 ディスプレイ装置
116 入力装置
118 患者
120 手術室手術台
122 追跡装置
124,134 一連の発光ダイオード(LED)
126 ポスト
128 クイック・リリース結合
130 大腿部表面
132 ポインター
136 先端
Claims (18)
- 関節形成処置を必要とする関節を有する患者への関節形成処置の間に取得される標認点であって、手術中にディジタル化される標認点に対して、二次元画像データを位置合わせするためのシステムであって、
中央処理ユニット、ディスプレイ、メモリ・ユニットおよび記憶装置ユニットを含み、且つ作業容積内の対象物の位置および方向を判定することが可能な、手術ナビゲーション・システムと、
前記関節についての二次元画像データを前記メモリ・ユニット内にインポートする第一の回路と、
選択された標認点をディジタル化すべく前記関節および結合している肢の手術中の解剖学的調査を行い、且つ、前記肢についての機械軸を決定する第二の回路と、
前記機械軸に対して前記二次元画像データを位置合わせし、且つ、前記位置合わせされた二次元画像データを前記ディスプレイ上に表示する第三の回路と、
前記位置合わせされた二次元画像データを前記標認点に関連して示している間に、前記標認点に基づいて前記関節内の適正位置に切断ジグをガイドするのを助け、前記切断ジグの位置および方向が前記手術ナビゲーション・システムによって追跡され得る、第四の回路と、
を備えるシステム。 - 前記第四の回路は、前記位置合わせされた二次元画像データに関連して前記ディスプレイ上に前記切断ジグの位置を表示する、請求項1に記載のシステム。
- 前記第四の回路は、さらに、関節内の骨の切除平面を示す位置合わせされた二次元画像データに基づいて修正された画像を表示する、請求項1に記載のシステム。
- 前記二次元画像データは、手術前に取得される、請求項1に記載のシステム。
- 前記二次元画像データは、手術中に取得される、請求項1に記載のシステム。
- 前記システムは、前記関節の初期運動学的評価を行う第五の回路を含む、請求項1に記載のシステム。
- 前記第三の回路は、さらに、前記二次元画像データの位置合わせを、ディジタル化された標認点に対して行ない、且つ、運動学的評価に対して行なう、請求項6に記載のシステム。
- 前記第四の回路は、さらに、前記位置合わせされた二次元画像データとともにディジタル化された標認点を表示する、請求項1に記載のシステム。
- 前記第四の回路は、さらに、切除提案平面を、前記位置合わせされた二次元画像データ上に表示する、請求項1に記載のシステム。
- 前記第四の回路は、さらに、内反/外反データ、および伸展/屈曲データを表示する、請求項1に記載のシステム。
- 関節形成処置を必要とする関節を有する患者への関節形成処置の間に取得される標認点であって、手術中にディジタル化される標認点に対して、二次元画像データを位置合わせするための方法であって、
作業容積内の対象物の位置および方向を判定することが可能な手術ナビゲーション・システムであって、ディスプレイと、中央処理ユニットと、記憶装置と、を含む手術ナビゲーション・システムのメモリ内に、前記関節についての二次元画像データをインポートすることと、
前記関節および結合している肢の解剖学的調査を行うことと、
前記解剖学的調査に基づいて、選択された標認点をディジタル化することと、
前記ディジタル化された標認点に基づいて、前記肢についての機械軸を決定することと、
前記機械軸に対して前記二次元画像データを位置合わせし、且つ、前記位置合わせされた二次元画像データを前記ディスプレイ上に表示することと、
前記標認点に基づき、前記手術ナビゲーション・システムを使用して前記膝関節内の適正位置に切断ジグをガイドすることと、
を含む方法。 - 前記位置合わせされた二次元画像データに関連して前記ディスプレイ上に前記切断ジグの位置を表示することを更に含む、請求項11に記載の方法。
- 前記関節内の骨の切除を示す二次元画像データに基づいて修正された画像を表示することを更に含む、請求項11に記載の方法。
- 前記二次元画像データは、手術前に取得される、請求項11に記載の方法。
- 前記二次元画像データは、手術中に取得される、請求項11に記載の方法。
- 前記関節の初期運動学的評価を行うことを更に含む、請求項11に記載の方法。
- 前記二次元画像データは、さらに、ディジタル化された標認点に対して位置合わせが行なわれ、且つ、運動学的評価に対して位置合わせが行なわれる、請求項16に記載の方法。
- 前記ディジタル化された標認点は、前記位置合わせされた二次元画像データとともに表示される、請求項11に記載の方法。
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US10/701,335 US7392076B2 (en) | 2003-11-04 | 2003-11-04 | System and method of registering image data to intra-operatively digitized landmarks |
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Cited By (11)
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JP2007518540A (ja) * | 2004-01-22 | 2007-07-12 | スミス アンド ネフュー インコーポレーテッド | 患者に対して取り付けられた外科手術ナビゲーションセンサを提供するための方法およびシステムおよび装置 |
WO2008044679A1 (fr) * | 2006-10-10 | 2008-04-17 | Saga University | Système de soutien chirurgical |
JP2008539885A (ja) * | 2005-05-02 | 2008-11-20 | スミス アンド ネフュー インコーポレーテッド | 脛骨の回転を判断するためのシステムおよび方法 |
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Also Published As
Publication number | Publication date |
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US20050096535A1 (en) | 2005-05-05 |
US7392076B2 (en) | 2008-06-24 |
DE102004052228A1 (de) | 2005-06-09 |
DE102004052228B4 (de) | 2011-06-01 |
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