Surgery – Instruments – Stereotaxic device
Reexamination Certificate
2000-02-25
2001-07-10
Philogene, Pedro (Department: 3732)
Surgery
Instruments
Stereotaxic device
C119S752000
Reexamination Certificate
active
06258103
ABSTRACT:
FIELD OF THE INVENTION
This invention pertains to instrument systems and methods having especial utility for positioning the body, or a portion of the body, of a surgical subject at a predetermined three-dimensional position in space. The systems and methods can be used for surgery, diagnostic intervention, and research involving the subject's brain or other anatomical structure located in the interior of the subject's body, wherein the brain or other anatomical structure has a buried locus of interest that normally is obscured by overlying structure.
BACKGROUND OF THE INVENTION
In research and surgery of animals including small animals such as rats and mice, it can be extremely difficult to locate a terminus of a probe, electrode, micropipette, or other implement (herein generally termed a “probe”) at a particular location within the subject's body without having to remove overlying structure and the like to permit direct observation of placement of the probe. This problem is especially critical in brain research involving the placement of a probe at a desired locus deep within a living subject's brain inside the surrounding skull.
To aid researchers in locating various anatomical structures in the brains of research animals such as mice, rats, cats, dogs, and primates, respective so-called brain atlases are often consulted. A brain atlas provides three-dimensional coordinates for the structures, normally using a Cartesian (rectangular) coordinate system, relative to one or more accessible anatomical features. (For example, for mice and rats, the usual reference feature on the skull is bregma, which is a point of meeting of the coronal and sagittal sutures. A second reference feature that is sometimes used in connection with bregma is lambda, which is located posteriorly of bregma and is a point of meeting of the lambdoidal and sagittal sutures. The sagittal suture connecting bregma and lambda is regarded generally as representing a sagittal mid-line of the skull.) However, despite the existence of such information, current apparatus and methods used to place an introduced probe are notoriously inaccurate with individual subjects and from one subject to another in a population of subjects. Such inaccuracy is a substantial problem because it results in unintentionally mis-positioned probes and other tools, which causes misleading research data and wasted animal resources.
Stereotaxic apparatus are known in the art for positioning a subject's head for brain research. For a small animal such as a mouse or rat, the head is held immobile by externally applied structures such as ear bars and a nose clamp providing a “three-point” holding system. As an example, reference is made to U.S. Pat. No. 5,601,570 to Altmann et al.
All known prior-art apparatus have various substantial shortcomings. For example, the Altmann et al. apparatus is inherently incapable of positioning a subject's head, in three-dimensional space, in a manner providing a high level of confidence that a probe inserted from outside the skull will “hit” a desired locus within the brain. More specifically, the Altmann et al. apparatus does not allow the researcher, intending to probe a living brain of a research animal, to position a particular animal's head in a manner providing reliably accurate insertion and placement of the probe to desired three-dimensional coordinates in the brain. The Altmann apparatus also exhibits poor precision of placements of a probe at a desired locus in each animal in a population of animals. Consequently, the researcher must conduct a series of “pilot” studies, followed by histological confirmations, to compare actual probe results with desired results (e.g., to compare actual hit loci with desired hit loci based on information in a brain atlas). Such studies using conventional apparatus usually produce data exhibiting wide variations that often are attributed wrongly to biological variations among individual animals in a population, strains, ages of animals, and so on. As the pilot studies progress, the coordinates provided by a conventional apparatus are adjusted gradually to compensate for the variation and to improve the hit rate. Unfortunately, such studies are time-consuming and costly to perform, and require substantially increased numbers of animals to conduct a particular experiment. Conventional instruments simply do not allow the researcher to differentiate between the many sources of error. Furthermore, even with adjustments to the apparatus based on the pilot studies, hit rates remain disappointingly low, resulting in inconclusive research.
As noted above, individual animals (even of the same strain) exhibit substantial variation, one animal to the next, in morphology of body structures such as the skull. If positioning of the body or body structure is guided, according to the prior art, solely on the basis of external features (e.g., positions of ear holes relative to each other and to the snout), this variation usually results in excessive variation in probe placement at target loci within the brain.
In view of the foregoing, there is a need for stereotaxic alignment systems, and for implements usable with such systems, configured so as to substantially improve (relative to conventional systems and implements) the accuracy with which loci on or in a body are “hit” using a tool or the like presented to the body.
SUMMARY OF THE INVENTION
In view of the shortcomings of the prior art summarized above, the present invention provides, inter alia, apparatus for positioning the body, or portion of the body (such as the skull and its contents), of a research subject accurately in three-dimensional space. (As used herein, the term “body” can be an entire body such as an entire mouse or rat, or a portion of an entire body.) To achieve such positioning, the body is held in a holder configured to hold the body immobile in a desired position. The holder, in turn, is mounted in a manner allowing any of various motions in three-dimensional space required to achieve the desired positioning.
Various aspects of stereotaxic holders and stereotaxic systems comprising such holders are described herein. The aspects of such systems specifically claimed herein, however, are directed to particular implements usable with any of various systems for holding a body in three-dimensional space and for presenting one or more tools (e.g., probes, electrodes, cannulae, or other suitable tools) to the body using a manipulator. The implement is mountable to the manipulator and presents the tool(s) to the body at respective loci on or in the body.
According to a first aspect of the invention, implements are provided that are mountable to the manipulator and that are configured for holding and presenting one or more tools to the body at respective loci on the body. A first representative embodiment such an implement has a Z-axis and X-and Y-axes orthogonal to each other and to the Z-axis. The implement comprises a first tool holder and a second tool holder. The first tool holder is oriented so as to present a respective first tool, mounted to the first tool holder, to the body such that a terminus of the first tool is situated on the Z-axis or at a preselected point displaced from the Z-axis. The second tool holder is oriented so as to present a respective second tool, mounted to the second tool holder, to the body such that a terminus of the second tool is displaced in one or both the X-and Y-axes relative to the terminus of the first tool. The implement further comprises an X-shift mechanism and a Y-shift mechanism. The second tool holder is mounted to the first tool holder via the X-shift mechanism and Y-shift mechanism. The X-shift mechanism is configured to move the second tool holder so as to displace the terminus of the second tool in the X-direction relative to the terminus of the first tool. The Y-shift mechanism is configured to move the second tool holder so as to displace the terminus of the second tool in the Y-direction relative to the terminus of the first tool
Cartesian Research, Inc.
Klarquist Sparkman Campbell & Leigh & Whinston, LLP
Philogene Pedro
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