IP Library › Granted Patent US 12,357,327
Granted Patent B2
US 12,357,327 · App. 18/101,787 · Granted Jul 15, 2025

Surgical guide instrument devices and methods

Inventors: Kai J. Miller (Rochester, MN); Thomas J. Richner (Rochester, MN)
Assignee: Mayo Foundation for Medical Education and Research
A61B17/1739A61N1/0539
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Quick Facts
Patent No.
US 12,357,327
App. No.
18/101,787
Granted
Jul 15, 2025
Kind
B2
Abstract

Systems, devices and methods are described for surgical guide instruments. For example, this disclosure describes surgical guide instruments for assisting in countersinking shelves for deep brain stimulation lead locking mechanisms.

Claims (21)

1. A surgical guide instrument, the surgical guide instrument comprising:

a first end having a circular ring that extends around a center aperture and one or more protrusions extending from an outer surface of the circular ring;

a second end having an ovular ring that extends around an ovular aperture, the ovular ring having a bar that extends across the ovular aperture, the bar having a disc centered in the ovular aperture; and

an arm that extends between the first end and the second end.

2. The surgical guide instrument of claim 1 , wherein the arm has one or more angled portions that set a height difference between the first end and the second end.

3. The surgical guide instrument of claim 1 , wherein the one or more protrusions comprises three protrusions positioned at 90-degree intervals from each other.

4. The surgical guide instrument of claim 1 , wherein the disc is configured to fit in a burr hole in a skull of a patient.

5. The surgical guide instrument of claim 4 , wherein the burr hole is drilled through the first end.

6. The surgical guide instrument of claim 1 , wherein the ovular ring defines a drill area within the ovular aperture around the disc for drilling a countersunk shelf.

7. A method of countersinking deep brain stimulator lead anchoring devices, the method comprising:

providing a surgical guide instrument, the surgical guide instrument comprising:

a first end having a circular ring that extends around a center aperture and one or more protrusions extending from an outer surface of the circular ring;

a second end having an ovular ring that extends around an ovular aperture, the ovular ring having a bar that extends across the ovular aperture, the bar having a disc centered in the ovular aperture; and

an arm that extends between the first end and the second end;

aligning the one or more protrusions with centering marks in a treatment area;

drilling a burr hole through the circular ring;

seating the disc in the burr hole; and

drilling a countersunk shelf through the ovular aperture.

8. The method of claim 7 , further comprising:

seating a base ring of a deep brain stimulator lead on the countersunk shelf; and

securing the base ring to the countersunk shelf.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 10, 2023
From: MILLER, KAI J.; RICHNER, THOMAS J.
To: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
Reel/Frame 062949/0919 →
Continuity (2)
Provisional Application 63303271 · Jan 26, 2022
Related Publication 20230233217A1 · Jul 27, 2023
References Cited (31)
US 906085A · Tolman · 1908 [cited by examiner]
US 5122144A · Bert · 1992 [cited by examiner]
US 5769856A · Dong · 1998 [cited by examiner]
US 6022356A · Noyes · 2000 [cited by examiner]
US D436689S · Ortiz · 2001 [cited by examiner]
US 6364910B1 · Shultz · 2002 [cited by examiner]
US 6673115B2 · Resch · 2004 [cited by examiner]
US 7473259B2 · Jacobs · 2009 [cited by examiner]
US 7580756B2 · Schulte · 2009 [cited by examiner]
US 7949410B2 · Rodriguez · 2011 [cited by examiner]
US 8417353B2 · Appenrodt · 2013 [cited by examiner]
US 8708699B2 · Suter · 2014 [cited by examiner]
US 11109937B2 · Zadeh · 2021 [cited by examiner]
US 20050015153A1 · Goble · 2005 [cited by examiner]
US 20050192594A1 · Skakoon · 2005 [cited by examiner]
US 20080255582A1 · Harris · 2008 [cited by examiner]
US 20120197261A1 · Rocci · 2012 [cited by examiner]
US 20130103152A1 · Kwon · 2013 [cited by examiner]
US 20140324060A1 · Siebold · 2014 [cited by examiner]
[No Author Listed], “Guardian Cranial Burr Hole Cover System Clinician's Manual,” St. Jude Medical, Aug. 2016, 28 pages. [cited by applicant]
[No Author Listed], “SenSight Burr Hole Device Manual,” Medtronic, Jul. 2021, 16 pages. [cited by applicant]
[No Author Listed], “SureTek Burr Hole Cover Directions for Use,” Boston Scientific, Nov. 2017, 12 pages. [cited by applicant]
Barrett et al., “Technical Note: Preemptive Surgical Revision of Impending Deep Brain Stimulation Hardware Erosion,” World Neurosurg., Mar. 2018, 111:41-46. [cited by applicant]
Giller et al., “Some technical nuances for deep brain stimulator implantation,” Inrerdisciplinary Neurosurgery, Mar. 2015, 2(1):29-39. [cited by applicant]
Miller et al., “A Stencil Instrument for Countersinking Deep Brain Stimulator Lead Anchoring Devices,” World Neurosurg., Nov. 2022, 167:98-101. [cited by applicant]
Morishita et al., “Postoperative lead migration in deep brain stimulation surgery: Incidence, risk factors, and clinical impact,” PLoS One, Sep. 2017, 12(9):e0183711. [cited by applicant]
Park et al., “A Combination Procedure with Double C-Shaped Skin Incision and Dual-Floor Burr Hole Method to Prevent Skin Erosion on the Scalp and Reduce Postoperative Skin Complications in Deep Brain Stimulation,” Stere… [cited by applicant]
Shin et al., “DBS Revision Surgery: Indications and Nuances,” In: Surgery for Parkinson's Disease, Goodman (ed)., Springer, Dec. 2018, Chapter 8, pp. 91-104. [cited by applicant]
Sixel-Döring et al., “Skin complications in deep brain stimulation for Parkinson's disease: frequency, time course, and risk factors,” Acta Neurochir., Feb. 2010, 152(2):195-200. [cited by applicant]
Yamamoto et al., “Dual-floor burr hole adjusted to burr hole ring and cap for implantation of stimulation electrodes,” J. Neurosurg., Oct. 2003, 99(4):783-784. [cited by applicant]
Zhou et al., “Long-Term Effect of Modified Incision to Prevent Related Complications in Deep Brain Stimulation,” World Neurosurg., Sep. 2018, 117:280-283. [cited by applicant]