# US 2016/0256233 A1 · Trajectory guide systems, frames and methods for image-guided surgeries

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- Number: US 2016/0256233 A1
- Document ID: US20160256233A1
- Status: Published application
- Kind: A1
- Application number: 15/046,713
- Filed: 2016-02-18
- Published: 2016-09-08
- Earliest claimed: 2015-03-05
- Assignees: MRI Interventions, Inc.
- Applicants: MRI Interventions, Inc.
- Inventors: Rajesh Pandey; Maxwell Jerad Daly
- Web page: https://patentgrep.com/patent/US20160256233A1

## CPC

- A61B 90/11: with guides for needles or instruments, e.g. arcuate slides or ball joints
- A61B 5/055: involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
- A61B 5/064: {using markers (A61B5/062 takes precedence)}
- A61B 5/743: {Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots}
- A61B 2017/00862: {elastic or resilient}
- A61B 2090/103: {Cranial plugs for access to brain}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A trajectory guide frame for use with an image-guided interventional system includes a base, an elongate device guide support, a device guide, and a locking device. The base has a patient access aperture formed therein. The elongate device guide support is secured to the base and has opposite proximal and distal ends. The distal end is positioned proximate the patient access aperture. The device guide support includes a device guide support bore therethrough that extends from the proximal end to the distal end. The device guide is configured to be removably inserted in the device guide support bore. The device guide includes a device guide lumen configured to removably receive an interventional device therethrough. The locking device is configured to secure the interventional device to the device guide and/or the device guide support. The locking device includes a gripping mechanism including: a compression gripping member defining a gripping member bore to receive the interventional device therethrough; and a loading mechanism operable to deform the compression gripping member to grip the interventional device extending through the gripping member bore.

## Claims

### Claim 1

A trajectory guide frame for use with an image-guided interventional system, the trajectory guide frame comprising:
a base having a patient access aperture formed therein;
an elongate device guide support secured to the base and having opposite proximal and distal ends, wherein:
the distal end is positioned proximate the patient access aperture; and
the device guide support includes a device guide support bore therethrough that extends from the proximal end to the distal end;
a device guide configured to be removably inserted in the device guide support bore, wherein the device guide includes a device guide lumen configured to removably receive an interventional device therethrough; and
a locking device configured to secure the interventional device to the device guide and/or the device guide support, wherein the locking device includes a gripping mechanism including:
a compression gripping member defining a gripping member bore to receive the interventional device therethrough; and
a loading mechanism operable to deform the compression gripping member to grip the interventional device extending through the gripping member bore.

### Claim 2 (depends on 1)

The trajectory guide frame of claim 1 wherein the compression gripping member is formed of an elastomeric material.

### Claim 3 (depends on 1)

The trajectory guide frame of claim 1 wherein the loading mechanism is operable to apply an adjustable load to the compression gripping member.

### Claim 4 (depends on 3)

The trajectory guide frame of claim 3 wherein the loading mechanism includes a threaded member that is rotatable to selectively apply and adjust a compressive load on the compression gripping member.

### Claim 5 (depends on 1)

The trajectory guide frame of claim 1 wherein the locking device further includes a second gripping mechanism operable to receive and grip the interventional device.

### Claim 6 (depends on 5)

The trajectory guide frame of claim 5 wherein the second gripping mechanism is operable to apply an adjustable gripping force on the interventional device.

### Claim 7 (depends on 6)

The trajectory guide frame of claim 6 wherein the second gripping mechanism includes a threaded member that is rotatable to selectively apply and adjust a compressive gripping load on the interventional device.

### Claim 8 (depends on 1)

The trajectory guide frame of claim 1 wherein the device guide support and the locking device each include interlock features to cooperatively releasably secure the locking device to the device guide support.

### Claim 9 (depends on 1)

The trajectory guide frame of claim 1 wherein the locking device includes a clamping mechanism to releasably secure the locking device to the device guide and/or the device guide support.

### Claim 10 (depends on 1)

The trajectory guide frame of claim 1 wherein the locking device includes visual reference indicia thereon to assist an operator in axially aligning the interventional device with the locking device.

### Claim 11 (depends on 1)

The trajectory guide frame of claim 1 including:
a yoke movably mounted to the base and rotatable about a roll axis; and
a platform movably mounted to the yoke and rotatable about a pitch axis;
wherein the device guide support is secured to the platform.

### Claim 12 (depends on 11)

The trajectory guide frame of claim 11 wherein:
the platform includes an X-Y support table movably mounted on the platform to move in an X-direction and a Y-direction substantially perpendicular to the X-direction relative to the platform; and
the device guide support is secured to and projects from the X-Y support table.

### Claim 13

A locking device for securing an interventional device to a device guide and/or a device guide support, the locking device comprising a gripping mechanism including:
a compression gripping member defining a gripping member bore to receive the interventional device therethrough; and
a loading mechanism operable to deform the compression gripping member to grip the interventional device extending through the gripping member bore.

### Claim 14 (depends on 13)

The locking device of claim 13 wherein the compression gripping member is formed of an elastomeric material.

### Claim 15

A method for securing an interventional device to a device guide and/or a device guide support, the method comprising:
providing a locking device including a gripping mechanism including:
a compression gripping member defining a gripping member bore to receive the interventional device therethrough; and
a loading mechanism operable to deform the compression gripping member to grip the interventional device extending through the gripping member bore;
inserting the interventional device into the gripping member bore; and
operating the loading mechanism to deform the compression gripping member to grip the interventional device.

### Claim 16 (depends on 15)

The method of claim 15 further including removably securing the locking device to the device guide and/or the device guide support.

### Claim 17 (depends on 15)

The method of claim 15 wherein the compression gripping member is formed of an elastomeric material.

### Claim 18

A trajectory guide frame for use with an image-guided interventional system, the trajectory guide frame comprising:
a base having a patient access aperture formed therein;
a yoke movably mounted to the base and rotatable about a roll axis;
a platform movably mounted to the yoke and rotatable about a pitch axis; and
an elongate device guide support secured to the platform and having opposite proximal and distal ends, wherein:
the distal end is positioned proximate the patient access aperture;
the device guide support includes a device guide support bore therethrough that extends from the proximal end to the distal end; and
the device guide support includes a proximal end portion projecting from the platform, wherein the proximal end portion extends above the platform by a device guide support height distance in the range of from about 2 cm to 3 cm; and
a device guide configured to be removably inserted in the device guide support bore, wherein the device guide includes a device guide lumen configured to removably receive an interventional device therethrough.

### Claim 19 (depends on 18)

The trajectory guide frame of claim 18 wherein the device guide is a targeting cannula.

### Claim 20 (depends on 18)

The trajectory guide frame of claim 18 wherein:
the platform includes an X-Y support table movably mounted on the platform to move in an X-direction and a Y-direction substantially perpendicular to the X-direction relative to the platform; and
the device guide support is secured to the X-Y support table, and the device guide support height distance extends from the X-Y support table.
