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公开(公告)号：US08073530B2
公开(公告)日：2011-12-06
申请号：US12749312
申请日：2010-03-29
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined imagable fiducial locator and divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example is reflective such that it is locatable by a remote detector of an optical positioning system. A generally cylindrical (e.g., faceted cylindrical) columnar locator permits easy application of reflective tape. Other examples discusses a unitary fiducial marker with multiple divots and a swiveling and/or tilted fiducial marker divot, each of which allows manipulation of a positioning wand into a remote camera's field of view. Another example includes at least one reflector that can be aimed. A further example discusses an imagable fiducial marker carrier that is attachable to a single location on a patient's skull to reduce trauma. A keying arrangement fixedly defines the orientation of the carrier, allowing detachment and reattachment in the same orientation.
摘要翻译： 本文件除其他外，讨论了基准标记设备，工具和方法。 一个示例示出了用于接收图像引导手术（IGS）工作站的定位棒的组合的可成像的基准定位器和纹章。 另一示例是反射性的，使得其可由光学定位系统的远程检测器定位。 通常为圆柱形（例如，小圆柱形）柱状定位器允许容易地使用反射带。 其他例子讨论了具有多个纹理的单一基准标记和一个旋转和/或倾斜的基准标记物，每个都可以将定位棒操纵到远程摄像机的视场。 另一示例包括可以瞄准的至少一个反射器。 另一个例子讨论了一个可以成像的基准标记载体，其可以附着到患者头骨上的单个位置以减少创伤。 键合装置固定地限定载体的取向，允许在相同取向上的分离和再附着。
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公开(公告)号：US08032204B2
公开(公告)日：2011-10-04
申请号：US12619512
申请日：2009-11-16
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imageable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imageable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.
摘要翻译： 本文件除其他外，讨论了基准标记设备，工具和方法。 一个例子示出了组合的计算机断层摄影（CT）可成像的基准定位器头，整体骨螺钉和用于接收图像引导外科（IGS）工作站的定位棒的整体牙齿。 另外的实例包括其中引入磁共振（MR）可成像流体的流体/凝胶吸收涂层或盖，从而允许CT和MR成像。 可以使用防护帽和套圈来保护基准标记免受机械冲击和/或在固定期间引导基准标记。 公牛眼或其他模板用于选择图像上的基本上为球形的基准标记头的中心，例如用于患者登记期间的使用。
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公开(公告)号：US07643867B2
公开(公告)日：2010-01-05
申请号：US10688801
申请日：2003-10-17
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imagable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imagable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.
摘要翻译： 本文件除其他外，讨论了基准标记设备，工具和方法。 一个示例示出了组合的计算机断层摄影（CT）可成像的基准定位头，整体骨螺钉和用于接收图像引导手术（IGS）工作站的定位棒的整体牙齿。 另一个实例包括其中引入磁共振（MR）可成像流体的流体/凝胶吸收涂层或盖，从而允许CT和MR成像。 可以使用防护帽和套圈来保护基准标记免受机械冲击和/或在固定期间引导基准标记。 公牛眼或其他模板用于选择图像上的基本上为球形的基准标记头的中心，例如用于患者登记期间的使用。
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公开(公告)号：US08185184B2
公开(公告)日：2012-05-22
申请号：US11689356
申请日：2007-03-21
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imagable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imagable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.
摘要翻译： 本文件除其他外，讨论了基准标记设备，工具和方法。 一个示例示出了组合的计算机断层摄影（CT）可成像的基准定位头，整体骨螺钉和用于接收图像引导手术（IGS）工作站的定位棒的整体牙齿。 另一个实例包括其中引入磁共振（MR）可成像流体的流体/凝胶吸收涂层或盖，从而允许CT和MR成像。 可以使用防护帽和套圈来保护基准标记免受机械冲击和/或在固定期间引导基准标记。 公牛眼或其他模板用于选择图像上的基本上为球形的基准标记头的中心，例如用于患者登记期间的使用。
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公开(公告)号：US08170645B2
公开(公告)日：2012-05-01
申请号：US11597270
申请日：2005-06-07
IPC分类号： A61B5/05
CPC分类号： A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3983 , A61B2090/3995
摘要： This document discusses, among other things, a fiducial marker kit. In one example, the kit includes a fiducial marker assembly that includes a bone screw base for receiving an imageable marker or locatable divot. A valved protective sleeve prevents debris from accumulating in a receptacle portion of the base, which may otherwise degrade the accuracy of patient registration in an image-guided surgical procedure. In one example, the valve automatically opens or closes upon insertion or removal of a screwdriver or other tool, or a shaft portion of the imageable marker or locatable divot. Various bone screw base and receptacle combinations are also discussed.
摘要翻译： 本文件除其他外，讨论了基准标记工具包。 在一个示例中，套件包括基准标记组件，其包括用于接收可成像的标记或可定位的纸皮的骨螺钉基座。 带阀的保护套防止碎屑积聚在基座的容置部分中，否则会降低图像引导外科手术中患者登记的准确性。 在一个示例中，当插入或移除螺丝刀或其他工具或可成像标记或可定位的凹槽的轴部分时，阀自动打开或关闭。 还讨论了各种骨螺钉基座和容器组合。
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公开(公告)号：US20100063388A1
公开(公告)日：2010-03-11
申请号：US12619512
申请日：2009-11-16
IPC分类号： A61B5/05
CPC分类号： A61B34/20 , A61B34/10 , A61B90/39 , A61B2034/2055 , A61B2034/2068 , A61B2034/207 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/397 , A61B2090/3983 , A61B2090/3987 , A61B2090/3995
摘要： This document discusses, among other things, fiducial marker devices, tools, and methods. One example illustrates a combined computed tomography (CT) imageable fiducial locator head, an integral bone screw, and an integral divot for receiving a positioning wand of an image-guided surgical (IGS) workstation. A further example includes a fluid/gel-absorbing coating or cover into which a magnetic resonance (MR) imageable fluid is introduced, thereby permitting both CT and MR imaging. Protective caps and collars may be used to protect the fiducial marker from mechanical impact and/or to guide the fiducial marker during affixation. A bull's-eye or other template is used to select a center of a substantially spherical fiducial marker head on an image, such as for use during patient registration.
摘要翻译： 本文件除其他外，讨论了基准标记设备，工具和方法。 一个例子示出了组合的计算机断层摄影（CT）可成像的基准定位头，整体骨螺钉和用于接收图像引导外科（IGS）工作站的定位棒的整体式牙齿。 另外的实例包括其中引入磁共振（MR）可成像流体的流体/凝胶吸收涂层或盖，从而允许CT和MR成像。 可以使用防护帽和套圈来保护基准标记免受机械冲击和/或在固定期间引导基准标记。 公牛眼或其他模板用于选择图像上的基本上为球形的基准标记头的中心，例如用于患者登记期间的使用。
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公开(公告)号：USD527820S1
公开(公告)日：2006-09-05
申请号：US29199266
申请日：2004-02-12
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公开(公告)号：USD528211S1
公开(公告)日：2006-09-12
申请号：US29199249
申请日：2004-02-12
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公开(公告)号：US07787934B2
公开(公告)日：2010-08-31
申请号：US10454145
申请日：2003-06-04
IPC分类号： A61B5/00
CPC分类号： A61B34/20 , A61B90/39 , A61B2034/107 , A61B2034/2055 , A61B2034/2068 , A61B2034/2072 , A61B2090/0801 , A61B2090/363 , A61B2090/3916 , A61B2090/3937 , A61B2090/3954 , A61B2090/3983 , A61B2090/3987
摘要： This document discusses, among other things, a fiducial marker assembly that includes an internally engagable base. The base is sized and shaped to be mounted flush to or recessed from an outer surface of a patient's skull, thereby reducing or avoiding patient discomfort. The fiducial marker assembly includes an imagable locator and a registration receptacle. A base insertion instrument is engaged to the base to attach the base to the patient's skull. In one example the base includes a faceted head, permitting a socket-like device to screw or unscrew the base into or out of the skull. In another example, the base includes at least one step or slot for engaging an insertion or extraction tool.
摘要翻译： 本文件尤其讨论了包括内部可接合基座的基准标记组件。 基座的尺寸和形状被安装成与患者头骨的外表面齐平或凹入安装，从而减少或避免患者的不适。 基准标记组件包括可成像定位器和注册容器。 基部插入器械接合到基座以将基部附接到患者的颅骨。 在一个示例中，底座包括刻面的头部，允许套筒状的装置将基座拧入或旋出到头骨中或从头骨中旋出。 在另一示例中，底座包括用于接合插入或取出工具的至少一个台阶或槽。
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公开(公告)号：US09573252B1
公开(公告)日：2017-02-21
申请号：US14275411
申请日：2014-05-12
申请人： David M. Lee , Uttaran Hazarika
发明人： David M. Lee , Uttaran Hazarika
CPC分类号： B25B13/102 , B25B13/06
摘要： A nut driver for driving a nut within a range of nut sizes includes a housing. An open driver end thereof assumes a largest size of the nut sizes, and a selector end thereof terminates in a rotational knob that is positionable at any of a number of selectable radial positions. A cam is rotationally fixed with the knob and within the housing and terminates at a forward end with a selector ramp. A plurality of plungers are each slidably fixed within the housing and at a rear end thereof engage the selector ramp. Each plunger terminates at a forward end at a notched socket selector. A plurality of nested sockets each assume one of the different nut sizes and are slidably movable by at least one of the elongated plungers between a forward position within the open driver end of the housing and a rearward position.
摘要翻译： 用于在螺母尺寸范围内驱动螺母的螺母驱动器包括壳体。 其敞开的驱动器端部具有螺母尺寸的最大尺寸，并且其选择器端部终止于能够在多个可选径向位置中的任一个处定位的旋钮。 凸轮通过旋钮旋转固定并且在壳体内，并且在前端具有选择器斜坡终止。 多个柱塞各自可滑动地固定在壳体内，并且其后端接合选择器斜坡。 每个柱塞在前端处于缺口插座选择器处。 多个嵌套插座各自承担不同的螺母尺寸中的一个，并且通过至少一个细长的柱塞可滑动地移动，位于壳体的开放驱动器端部之间的向前位置和后部位置之间。
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