CA2160665A1 - Method and Apparatus for Stereotactic Radiosurgery and Fractionated Radiation Therapy - Google Patents
Method and Apparatus for Stereotactic Radiosurgery and Fractionated Radiation TherapyInfo
- Publication number
- CA2160665A1 CA2160665A1 CA2160665A CA2160665A CA2160665A1 CA 2160665 A1 CA2160665 A1 CA 2160665A1 CA 2160665 A CA2160665 A CA 2160665A CA 2160665 A CA2160665 A CA 2160665A CA 2160665 A1 CA2160665 A1 CA 2160665A1
- Authority
- CA
- Canada
- Prior art keywords
- skull
- frame
- arm
- attachment assembly
- receptors
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N5/1048—Monitoring, verifying, controlling systems and methods
- A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B2090/101—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis for stereotaxic radiosurgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
- A61N2005/1092—Details
- A61N2005/1097—Means for immobilizing the patient
Abstract
The invention includes a rigid frame (18) that is positioned around the skull (12) to define a multidimensional coordinate system. Multiple arms (20, 22) are coupled to the frame, each arm having an attachment assembly (30) movable along a longitudinal axis directed toward the center of the rigid frame assembly. Multiple receptors (32) are either attached to the skull or drilled into the skull for receiving an associated attachment assembly. The receptors provide a mounting base upon which the frame is repeatedly attached and detached from the skull at the same reproducible reference location. Each arm has a multi-station receptacle (36) that receives various attachments used for mounting and attaching the receptors. Special bushings (54) are used to lock the attachment assembly in a preset longitudinal position in relation to the arm. The locked attachment assembly can then be removed from the arm allowing the frame to be removed from the skull while maintaining frame position information.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/048,384 US5380336A (en) | 1993-04-16 | 1993-04-16 | Method and apparatus for stereotactic radiosurgery and fractionated radiation therapy |
US08/048,384 | 1993-04-16 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2160665A1 true CA2160665A1 (en) | 1994-10-27 |
CA2160665C CA2160665C (en) | 1999-03-23 |
Family
ID=21954288
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002160665A Expired - Fee Related CA2160665C (en) | 1993-04-16 | 1994-03-14 | Method and apparatus for stereotactic radiosurgery and fractionated radiation therapy |
Country Status (5)
Country | Link |
---|---|
US (2) | US5380336A (en) |
EP (1) | EP0746259A4 (en) |
AU (1) | AU6550594A (en) |
CA (1) | CA2160665C (en) |
WO (1) | WO1994023663A1 (en) |
Families Citing this family (36)
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US5575794A (en) * | 1993-02-12 | 1996-11-19 | Walus; Richard L. | Tool for implanting a fiducial marker |
US6096048A (en) * | 1994-04-20 | 2000-08-01 | Howard, Iii; Matthew A. | Noninvasive, reattachable skull fiducial marker system |
US5588430A (en) * | 1995-02-14 | 1996-12-31 | University Of Florida Research Foundation, Inc. | Repeat fixation for frameless stereotactic procedure |
DE19511796C2 (en) * | 1995-03-30 | 1998-10-01 | Siemens Ag | Head antenna for magnetic resonance examinations |
DE19515550B4 (en) * | 1995-04-27 | 2004-06-03 | Gesellschaft Zur Errichtung Und Zum Betrieb Radioneurochirurgischer Behandlungszentren Mbh | Method and device for checking the positioning of a radiation spot |
US6024689A (en) * | 1996-03-18 | 2000-02-15 | Castle; Steven K.B. | Wedge for shaping a radiation dose to the head |
US7245958B1 (en) * | 1996-09-30 | 2007-07-17 | Siemens Corporate Research, Inc. | Trigonometric depth gauge for biopsy needle |
US6097994A (en) * | 1996-09-30 | 2000-08-01 | Siemens Corporate Research, Inc. | Apparatus and method for determining the correct insertion depth for a biopsy needle |
US6055449A (en) * | 1997-09-22 | 2000-04-25 | Siemens Corporate Research, Inc. | Method for localization of a biopsy needle or similar surgical tool in a radiographic image |
US6506144B1 (en) * | 2000-11-13 | 2003-01-14 | X-Technologies, Ltd. | Universal pullback mechanism for in-situ treatment device |
ATE357839T1 (en) * | 2001-10-30 | 2007-04-15 | Univ Loma Linda Med | DEVICE FOR ALIGNING A PATIENT FOR RADIATION THERAPY |
SE524261C2 (en) * | 2002-05-08 | 2004-07-20 | Elekta Ab | Device for fixing to a patient's head during MRI diagnostics, a pin support member, an isolation device for fixing pins, and a method of assembling a fixing device |
US20070282347A9 (en) * | 2002-12-20 | 2007-12-06 | Grimm James E | Navigated orthopaedic guide and method |
US20040172044A1 (en) * | 2002-12-20 | 2004-09-02 | Grimm James E. | Surgical instrument and method of positioning same |
CN1960780B (en) | 2003-08-12 | 2010-11-17 | 洛马林达大学医学中心 | Modular patient support system |
US8114086B2 (en) * | 2004-03-08 | 2012-02-14 | Zimmer Technology, Inc. | Navigated cut guide locator |
US7993341B2 (en) * | 2004-03-08 | 2011-08-09 | Zimmer Technology, Inc. | Navigated orthopaedic guide and method |
US7073508B2 (en) * | 2004-06-25 | 2006-07-11 | Loma Linda University Medical Center | Method and device for registration and immobilization |
US20070149977A1 (en) * | 2005-11-28 | 2007-06-28 | Zimmer Technology, Inc. | Surgical component positioner |
US7520880B2 (en) * | 2006-01-09 | 2009-04-21 | Zimmer Technology, Inc. | Adjustable surgical support base with integral hinge |
US7744600B2 (en) * | 2006-01-10 | 2010-06-29 | Zimmer Technology, Inc. | Bone resection guide and method |
JP5448831B2 (en) | 2006-11-21 | 2014-03-19 | ローマ リンダ ユニヴァーシティ メディカル センター | Apparatus and method for securing a patient for breast radiation therapy |
WO2009006935A1 (en) * | 2007-07-06 | 2009-01-15 | Karolinska Institutet Innovations Ab | Stereotactic surgery system |
WO2009076483A1 (en) * | 2007-12-10 | 2009-06-18 | Scott Spann | Adjustable table for orthopedic surgery and techniques for implanting a vertebrae implant |
EP2288409B1 (en) * | 2008-04-30 | 2018-10-31 | Kirk Promotion LTD. | Brain stimulation |
GB0905352D0 (en) * | 2009-03-30 | 2009-05-13 | Barking Havering And Redbridge | Device |
US9687200B2 (en) * | 2010-06-08 | 2017-06-27 | Accuray Incorporated | Radiation treatment delivery system with translatable ring gantry |
EP2664360B1 (en) | 2010-02-24 | 2015-09-09 | Accuray Incorporated | Gantry image guided radiotherapy system and related tracking methods |
US8374313B2 (en) * | 2010-06-11 | 2013-02-12 | Xoft, Inc. | Apparatus and methods for radiation treatment of tissue surfaces |
US8536547B2 (en) | 2011-01-20 | 2013-09-17 | Accuray Incorporated | Ring gantry radiation treatment delivery system with dynamically controllable inward extension of treatment head |
US8683630B2 (en) | 2011-04-15 | 2014-04-01 | Integra Lifesciences Corporation | Durable connector for base unit handle of a patient head support system |
US9408691B2 (en) * | 2013-03-14 | 2016-08-09 | Restoration Robotics, Inc. | Locator device for medical procedures on the body surface and method of its use |
CN106388901B (en) * | 2016-09-22 | 2019-07-30 | 铜川市人民医院 | The positioning device punctured for cerebral hemorrhage |
US11058892B2 (en) | 2017-05-05 | 2021-07-13 | Zap Surgical Systems, Inc. | Revolving radiation collimator |
CN108401421B (en) | 2017-09-06 | 2022-12-20 | 睿谱外科系统股份有限公司 | Self-shielding integrated control radiosurgery system |
US11684446B2 (en) | 2019-02-27 | 2023-06-27 | Zap Surgical Systems, Inc. | Device for radiosurgical treatment of uterine fibroids |
Family Cites Families (51)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2434431A (en) * | 1944-09-16 | 1948-01-13 | Jack R Pava | Surgical pin guide |
GB818711A (en) * | 1955-12-06 | 1959-08-19 | Mini Of Supply | Stereotaxic device |
NL238272A (en) * | 1959-03-07 | 1900-01-01 | ||
FR1311384A (en) * | 1961-10-27 | 1962-12-07 | Alexandre & Cie | Device allowing complete exploration of the brain in stereotaxic neurosurgery |
US3357431A (en) * | 1965-03-03 | 1967-12-12 | Allen & Hanburys Ltd | Neurosurgical apparatus |
US3460537A (en) * | 1966-09-26 | 1969-08-12 | Donald C Zeis | Stereotactic guide for use in the creation of destructive brain lesions |
US3457922A (en) * | 1966-12-13 | 1969-07-29 | Charles D Ray | Stereotaxic surgical instrument and method |
US3923046A (en) * | 1973-02-22 | 1975-12-02 | Milton D Heifetz | Skull tong |
US4341220A (en) * | 1979-04-13 | 1982-07-27 | Pfizer Inc. | Stereotactic surgery apparatus and method |
US4608977A (en) * | 1979-08-29 | 1986-09-02 | Brown Russell A | System using computed tomography as for selective body treatment |
DE2936966C2 (en) * | 1979-09-13 | 1982-07-08 | Waldemar Link (Gmbh & Co), 2000 Hamburg | Extension skull holder |
US4350159A (en) * | 1980-02-29 | 1982-09-21 | Gouda Kasim I | Frame for stereotactic surgery |
US4638798A (en) * | 1980-09-10 | 1987-01-27 | Shelden C Hunter | Stereotactic method and apparatus for locating and treating or removing lesions |
SU955916A1 (en) * | 1980-10-30 | 1982-09-07 | за вители | Stereotaxic apparatus |
US4465069A (en) * | 1981-06-04 | 1984-08-14 | Barbier Jean Y | Cranial insertion of surgical needle utilizing computer-assisted tomography |
US4501009A (en) * | 1981-08-17 | 1985-02-19 | New York University | Apparatus for stereotactic surgery |
US4463758A (en) * | 1981-09-18 | 1984-08-07 | Arun A. Patil | Computed tomography stereotactic frame |
SU1055503A1 (en) * | 1981-11-19 | 1983-11-23 | Омский Государственный Ордена Трудового Красного Знамени Медицинский Институт Им.М.И.Калинина | Stereotaxic apparatus |
US4627420A (en) * | 1983-10-31 | 1986-12-09 | Katz Harry R | Needle inserting instrument for interstitial radiotherapy |
US4617925A (en) * | 1984-10-01 | 1986-10-21 | Laitinen Lauri V | Adapter for definition of the position of brain structures |
US4592352A (en) * | 1984-11-30 | 1986-06-03 | Patil Arun A | Computer-assisted tomography stereotactic system |
US4706665A (en) * | 1984-12-17 | 1987-11-17 | Gouda Kasim I | Frame for stereotactic surgery |
US4805615A (en) * | 1985-07-02 | 1989-02-21 | Carol Mark P | Method and apparatus for performing stereotactic surgery |
US5078140A (en) * | 1986-05-08 | 1992-01-07 | Kwoh Yik S | Imaging device - aided robotic stereotaxis system |
US4791934A (en) * | 1986-08-07 | 1988-12-20 | Picker International, Inc. | Computer tomography assisted stereotactic surgery system and method |
SE459150B (en) * | 1986-09-19 | 1989-06-12 | Anders Wallner | DEVICE FOR MAMMOGRAPHIC STEREOTACTIC PUNCTION OF PATHOLOGICAL CHANGES IN THE FEMALE BREAST |
US4827491A (en) * | 1986-10-30 | 1989-05-02 | New York University | Radiosurgical collimator knife |
US4750487A (en) * | 1986-11-24 | 1988-06-14 | Zanetti Paul H | Stereotactic frame |
US4826487A (en) * | 1987-05-04 | 1989-05-02 | Victory Engineering Company | Alignment button for stereotaxic plug and method of using the same |
JPS6472736A (en) * | 1987-09-14 | 1989-03-17 | Toshiba Corp | Mri apparatus |
US5027818A (en) * | 1987-12-03 | 1991-07-02 | University Of Florida | Dosimetric technique for stereotactic radiosurgery same |
US4869247A (en) * | 1988-03-11 | 1989-09-26 | The University Of Virginia Alumni Patents Foundation | Video tumor fighting system |
US4998938A (en) * | 1988-06-09 | 1991-03-12 | Neurodynamics, Inc. | Removable skull mounted work platform and method of assembling same |
SE469651B (en) * | 1988-07-13 | 1993-08-16 | Bernt Nymark | BIOPSIBAAGE |
US5099846A (en) * | 1988-12-23 | 1992-03-31 | Hardy Tyrone L | Method and apparatus for video presentation from a variety of scanner imaging sources |
US5143076A (en) * | 1988-12-23 | 1992-09-01 | Tyrone L. Hardy | Three-dimensional beam localization microscope apparatus for stereotactic diagnoses or surgery |
US5176689A (en) * | 1988-12-23 | 1993-01-05 | Medical Instrumentation And Diagnostics Corporation | Three-dimensional beam localization apparatus for stereotactic diagnoses or surgery |
US5099208A (en) * | 1989-10-05 | 1992-03-24 | Vanderbilt University | Method for magnetic resonance imaging and related apparatus |
US5047036A (en) * | 1989-11-17 | 1991-09-10 | Koutrouvelis Panos G | Stereotactic device |
US5037374A (en) * | 1989-11-29 | 1991-08-06 | Carol Mark P | Stereotactic-guided radiation therapy system with variable-length compensating collimator |
US5125888A (en) * | 1990-01-10 | 1992-06-30 | University Of Virginia Alumni Patents Foundation | Magnetic stereotactic system for treatment delivery |
US5163430A (en) * | 1990-04-27 | 1992-11-17 | Medco, Inc. | Method and apparatus for performing stereotactic surgery |
US5160337A (en) * | 1990-09-24 | 1992-11-03 | Cosman Eric R | Curved-shaped floor stand for use with a linear accelerator in radiosurgery |
FR2668359B1 (en) * | 1990-10-24 | 1998-02-20 | Gen Electric Cgr | MAMMOGRAPH PROVIDED WITH A PERFECTED NEEDLE HOLDER. |
US5116345A (en) * | 1990-11-28 | 1992-05-26 | Ohio Medical Instrument Co., Inc. | Stereotactically implanting an intracranial device |
DE9107609U1 (en) * | 1991-06-20 | 1991-08-08 | Aesculap Ag, 7200 Tuttlingen, De | |
FR2682281B1 (en) * | 1991-10-11 | 1997-01-03 | Sofamor | PERCUTANEOUS SCREW, INTENDED TO SUPPORT IN PARTICULAR A STEREOTAXY FRAMEWORK |
JP2716047B2 (en) * | 1991-10-18 | 1998-02-18 | 株式会社東海理化電機製作所 | Medical skull fixation frame |
US5207688A (en) * | 1991-10-31 | 1993-05-04 | Medco, Inc. | Noninvasive head fixation method and apparatus |
US5246448A (en) * | 1992-05-15 | 1993-09-21 | General Electric Company | Method and apparatus for stereotactic trajectory specification |
US5364399A (en) * | 1993-02-05 | 1994-11-15 | Danek Medical, Inc. | Anterior cervical plating system |
-
1993
- 1993-04-16 US US08/048,384 patent/US5380336A/en not_active Expired - Fee Related
-
1994
- 1994-03-14 WO PCT/US1994/002718 patent/WO1994023663A1/en not_active Application Discontinuation
- 1994-03-14 AU AU65505/94A patent/AU6550594A/en not_active Abandoned
- 1994-03-14 EP EP94913284A patent/EP0746259A4/en not_active Withdrawn
- 1994-03-14 CA CA002160665A patent/CA2160665C/en not_active Expired - Fee Related
- 1994-10-26 US US08/329,228 patent/US5634929A/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
US5380336A (en) | 1995-01-10 |
EP0746259A1 (en) | 1996-12-11 |
CA2160665C (en) | 1999-03-23 |
AU6550594A (en) | 1994-11-08 |
WO1994023663A1 (en) | 1994-10-27 |
US5634929A (en) | 1997-06-03 |
EP0746259A4 (en) | 1997-05-21 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |