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FR3057757B1 - Dispositif et procede de recalage automatique pour des images intra operatoires 3d - Google Patents

Dispositif et procede de recalage automatique pour des images intra operatoires 3d Download PDF

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Publication number
FR3057757B1
FR3057757B1 FR1660264A FR1660264A FR3057757B1 FR 3057757 B1 FR3057757 B1 FR 3057757B1 FR 1660264 A FR1660264 A FR 1660264A FR 1660264 A FR1660264 A FR 1660264A FR 3057757 B1 FR3057757 B1 FR 3057757B1
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FR
France
Prior art keywords
registration device
intra
automatic registration
acquisition
operative images
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FR1660264A
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English (en)
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FR3057757A1 (fr
Inventor
Sebastien Olive
Lucien Blondel
Bertin Nahum
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MEDTECH
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MEDTECH
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Publication date
Priority to FR1660264A priority Critical patent/FR3057757B1/fr
Application filed by MEDTECH filed Critical MEDTECH
Priority to CN201780079058.1A priority patent/CN110352042A/zh
Priority to CA3050516A priority patent/CA3050516C/fr
Priority to US16/343,743 priority patent/US10675116B2/en
Priority to EP17798110.7A priority patent/EP3528738B1/fr
Priority to PCT/EP2017/077003 priority patent/WO2018073452A1/fr
Publication of FR3057757A1 publication Critical patent/FR3057757A1/fr
Priority to US16/868,139 priority patent/US11234789B2/en
Application granted granted Critical
Publication of FR3057757B1 publication Critical patent/FR3057757B1/fr
Priority to US17/565,229 priority patent/US11771519B2/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots
    • A61B34/32—Surgical robots operating autonomously
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00725—Calibration or performance testing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00915—Material properties transparent or translucent for radioactive radiation
    • A61B2017/0092—Material properties transparent or translucent for radioactive radiation for X-rays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00946—Material properties malleable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00982—General structural features
    • A61B2017/00991—Telescopic means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2055—Optical tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2072—Reference field transducer attached to an instrument or patient
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363—Use of fiducial points
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/376—Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/3945—Active visible markers, e.g. light emitting diodes
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3954—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
    • A61B2090/3958—Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI emitting a signal
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3966—Radiopaque markers visible in an X-ray image
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3983—Reference marker arrangements for use with image guided surgery
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3991—Markers, e.g. radio-opaque or breast lesions markers having specific anchoring means to fixate the marker to the tissue, e.g. hooks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/30—Surgical robots

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Robotics (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Image Processing (AREA)
  • Magnetic Resonance Imaging Apparatus (AREA)
  • Manipulator (AREA)

Abstract

L'invention concerne un dispositif de recalage (1) utilisé pendant l'acquisition d'images d'une zone anatomique d'un patient lors d'une chirurgie avec assistance robotisée, comportant un corps (3) en matériau radio transparent qui comprend des marqueurs fiduciaires (9) réalisés dans un matériau radio opaque, ledit corps (3) présentant une surface d'appui (7) destinée à être posée manuellement sur une surface de ladite zone anatomique du patient. Selon l'invention, lesdits marqueurs fiduciaires (9) sont disposés selon un motif géométrique spécifique permettant un repérage certain de la position et de l'orientation du dispositif de recalage (1) dans un modèle numérique tridimensionnel construit à partir des images issues de l'acquisition de la zone anatomique.
FR1660264A 2016-10-21 2016-10-21 Dispositif et procede de recalage automatique pour des images intra operatoires 3d Active FR3057757B1 (fr)

Priority Applications (8)

Application Number Priority Date Filing Date Title
FR1660264A FR3057757B1 (fr) 2016-10-21 2016-10-21 Dispositif et procede de recalage automatique pour des images intra operatoires 3d
CA3050516A CA3050516C (fr) 2016-10-21 2017-10-23 Dispositif et procede de reetalonnage automatique pour des images intra-operatoires 3d
US16/343,743 US10675116B2 (en) 2016-10-21 2017-10-23 Device and method for automatic recalibration for 3D intraoperative images
EP17798110.7A EP3528738B1 (fr) 2016-10-21 2017-10-23 Dispositif de réétalonnage automatique pour des images intra-opératoires 3d
CN201780079058.1A CN110352042A (zh) 2016-10-21 2017-10-23 用于对3d术中图像进行自动重新校准的装置和方法
PCT/EP2017/077003 WO2018073452A1 (fr) 2016-10-21 2017-10-23 Dispositif et procédé de réétalonnage automatique pour des images intra-opératoires 3d
US16/868,139 US11234789B2 (en) 2016-10-21 2020-05-06 Device and method for automatic recalibration for 3D intraoperative images
US17/565,229 US11771519B2 (en) 2016-10-21 2021-12-29 Device and method for automatic recalibration for 3D intraoperative images

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1660264A FR3057757B1 (fr) 2016-10-21 2016-10-21 Dispositif et procede de recalage automatique pour des images intra operatoires 3d
FR1660264 2016-10-21

Publications (2)

Publication Number Publication Date
FR3057757A1 FR3057757A1 (fr) 2018-04-27
FR3057757B1 true FR3057757B1 (fr) 2021-04-16

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
FR1660264A Active FR3057757B1 (fr) 2016-10-21 2016-10-21 Dispositif et procede de recalage automatique pour des images intra operatoires 3d

Country Status (6)

Country Link
US (3) US10675116B2 (fr)
EP (1) EP3528738B1 (fr)
CN (1) CN110352042A (fr)
CA (1) CA3050516C (fr)
FR (1) FR3057757B1 (fr)
WO (1) WO2018073452A1 (fr)

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EP3528738B1 (fr) 2024-02-21
CA3050516A1 (fr) 2018-04-26
US20220117694A1 (en) 2022-04-21
US11234789B2 (en) 2022-02-01
US11771519B2 (en) 2023-10-03
WO2018073452A1 (fr) 2018-04-26
CN110352042A (zh) 2019-10-18
FR3057757A1 (fr) 2018-04-27
US20190274775A1 (en) 2019-09-12
US10675116B2 (en) 2020-06-09
CA3050516C (fr) 2021-04-13
EP3528738A1 (fr) 2019-08-28
US20200330180A1 (en) 2020-10-22

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