X-ray or gamma ray systems or devices – Specific application – Computerized tomography
Reexamination Certificate
2000-07-20
2002-09-24
Kim, Robert H. (Department: 2882)
X-ray or gamma ray systems or devices
Specific application
Computerized tomography
C378S004000, C378S015000, C378S206000, C378S209000, C005S600000, C005S601000, C005S611000
Reexamination Certificate
active
06456684
ABSTRACT:
FIELD OF THE INVENTION
The present invention relates to a surgical scanning system and more particularly to a scanning system selectively positionable about a surgical table.
BACKGROUND OF THE INVENTION
Computerized tomography (CT) has developed as a powerful diagnostic tool affording a surgeon detailed imagery as to the location of abnormal tissue intended to be incised. CT scanning is typically performed as a diagnostic in response to clinical manifestations of disease such as neurological disorders. CT scanning is also used in the context of pre- and post-surgical evaluations to assess the location and size of an abnormal tissue mass, and the success of the abnormal tissue mass incision, respectively. When post-surgical CT scanning is performed during surgical recovery, the discovery of a residual abnormal tissue mass requires the scheduling of an additional surgical procedure. With current conventional procedures and equipment, CT scanning performed while a patient is still under surgical anesthesia requires the transport of the patient to a CT scanning facility thereby compromising surgical field sterility and risking injury to the anesthetized patient.
As CT scanning allows for earlier diagnosis and more complete assessment as to an abnormal tissue mass, a physician is better able to assess a favorable outcome for a surgical intervention as compared to radiation or chemotherapeutic treatments. While irregularly shaped, deeply situated or multiple abnormal tissue masses were previously likely to be deemed inoperable, technological advances involving position sensing surgical aids such as catheters and robotically controlled surgical instruments will increasingly allow for successful complex surgical interventions. The usage of position sensing surgical instruments requires a reference frame within the patient's body relative to the fixed components of the surgical aid. Once a frame of reference exists, a catheter or other position sensing surgical aid is free to navigate a preselected pathway to a desired location within the body of a patient, thereby allowing access to body tissues which would otherwise not be accessible through line of sight manual surgical techniques.
Owing to the limitations in current applications of CT scanning, there exists a need for CT scanning to be performed while an anesthetized surgical patient lies on an operating table. Such a CT scanning system affords a surgeon instant feedback as to the success of abnormal tissue excision and with less likelihood of surgical field contamination. Further, such a system would provide a standard frame of reference between a body tissue and position sensing surgical aids.
SUMMARY OF THE INVENTION
A surgical scanning system includes an operating room table having a long axis, a scanner supported on a carrier and a guide adapted to engage the carrier. The carrier being movable relative to the operating room table along the guide. The long axis of the operating room table being collinear with the guide.
An improvement to a wheeled medical scanner including a scanner mounted on a wheeled platform adapted to encompass an operating room table portion along a long axis of the operating room table is disclosed. The improvement to the wheeled medical scanner includes a guide roller attached to the wheeled platform of the scanner such that the guide roller is adapted to engage a mechanical guide affixed to the operating room floor collinear with the long axis of the operating room table.
With the ability to move a medical scanner relative to an operating room table, a method becomes available for performing a medical scan during a surgical procedure. The process including identifying a scan region proximal to a long axis of an operating room table. Thereafter, moving a scanner along a linear guide collinear with the long axis of the operating table so as to encompass the scan region. A scan of the scan region is then collected. The scanner is then retracted along the guide to a location remote from the operating room table, thereby allowing surgical personnel access to the operating field.
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User Manual —System Components by Mun and Kantrowitz —pp. 2-21.
Kantrowitz Allen B.
Mun Inki
Gifford, Krass, Groh Sprinkle, Anderson & Citkowski, P.C.
Ho Allen C.
Kim Robert H.
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