Adjustable trajectory guide

1. An adjustable trajectory guide having a guide portion adapted to hold or provide a guiding for a medical instrument along a defined trajectory, and at least one adjustment section comprising:

at least one elongated flexible beam member connected at its first end to the guide portion, and having at its second end a first engagement interface adapted to provide a rigid connection to a support structure holding the trajectory guide;

at least one second engagement interface which is movable relative to the at least one beam member and which is adapted to provide a connection to an actuator;

at least one pair of coupling members acting on the first end of the beam member in an opposed manner and coupling the first end of the beam member to the at least one second engagement interface, wherein the at least one pair of coupling members is capable of transmitting force and/or torque from the at least one second engagement interface to the first end of the beam member, thereby causing the beam member to flex relative to the first engagement interface of the beam member.

2. The trajectory guide of claim 1 , wherein the at least one pair of coupling members are coupled to the same second engagement interface.

3. The trajectory guide of claim 1 , having a symmetrical shape, with the longitudinal axis of a beam member being the symmetrical axis.

4. The trajectory guide of claim 1 , wherein the elongated flexible beam member has at least one dedicated direction of flexibility.

5. The trajectory guide of claim 1 , further comprising at least one spacer between the elongated flexible beam member and the at least one pair of coupling members, which is adapted to maintain a clearance between the beam member and the at least one pair of coupling members.

6. The trajectory guide of claim 1 , wherein at least one coupling member and the elongated flexible beam member are connected to each other at an acute angle at the elongated flexible beam member's first end.

7. The trajectory guide of claim 1 , wherein the at least one second engagement interface and the guide portion are provided at opposite sides of the trajectory guide, with at least one beam member positioned between the at least one second engagement interface and the guide portion.

8. The trajectory guide of claim 1 , wherein the guide portion has a third engagement interface adapted to provide a connection to a support structure holding the guide portion, the third engagement interface being provided at a location which is spaced from a location where the beam member of the at least one adjustment section is connected to the guide portion.

9. The trajectory guide of claim 1 , comprising two adjustment sections, wherein the beam members of the two adjustment sections are connected to the guide portion at locations spaced from each other.

10. The trajectory guide of claim 9 , wherein the two adjustment sections are arranged relative to each other in a symmetrical manner.

11. The trajectory guide of claim 1 , made from a radiolucent material wherein the trajectory guide is formed as one integrally formed part.

12. A trajectory guide adjustment system, comprising:

an adjustable trajectory guide according to claim 1 ; and

a support structure adapted to hold the trajectory guide in a defined spatial position;

at least one first actuator connected to the first engagement interface and configured to move the trajectory guide relative to the support structure in a translational movement; and

at least one second actuator connected to a corresponding second engagement interface, and configured to move the corresponding second engagement interface relative to the beam member in a translational movement.

13. The trajectory guide adjustment system according to claim 12 , wherein the at least one first actuator and/or the at least one second actuator is a linear motor, and/or wherein the at least one second engagement interface is moved relative to the beam member in a direction which is perpendicular to the direction the trajectory guide is moved relative to the support structure.

14. An adjustable trajectory guide, comprising:

a first and a second adjustment section each having

at least one elongated flexible beam member connected at its first end to a guide and having at its second end a first engagement interface;

a first and a second coupling member extending from the guide to a second engagement interface, the beam member positioned between the first and second coupling member;

wherein the first and second coupling member are adapted to transmit force and/or torque from the second engagement interface to the first end of the beam member, thereby causing the beam member to flex relative to the first engagement interface of the beam member;

a first plurality of spacers extending outward from the beam member to the first coupling member and a second plurality of spacers extending outward from the beam member to the second coupling member;

the second engagement interface movable relative to the beam member;

the second adjustment section connected to the guide below the first adjustment section.