Treatment tip incision template

Abstract

A shape and depth template for incisions with treatment tips, usable in treatments such as bone surgery, comprising a guiding body for a treatment tip provided with two mutually opposite end surfaces arranged at a preset distance and a lateral surface, one of the end surfaces being arrangeable at the treatment tip incision region and with a hole that of preset shape that passes there through from one end surface to the other.

What is claimed is: 
     
         1 . A medical implement receiving energy from an instrument in order to effectuate a treatment application onto a region of a body, the medical implement comprising:
 a longitudinal structure having a proximal portion and a distal portion and being arranged for coupling to the instrument at the proximal portion;   a treatment tip which is disposed at the distal portion and which is configured to emit treatment energy for effectuating the treatment application, the treatment tip comprising a tapered working surface able to emit the treatment energy onto the region in order to effectuate the treatment application;   a smooth surface adapted to facilitate a slidable fit of the medical implement within a template; and   a stop area adapted to facilitate limiting to a predetermined depth the treatment application.   
     
     
         2 . The medical implement as set forth in  claim 1 , the treatment tip being configured to emit one or more of electromagnetic energy, abrasive particles propelled by compressed fluid, and acoustic energy in the form of sonic, supersonic or ultrasonic emissions. 
     
     
         3 . The medical implement as set forth in  claim 1 , wherein the treatment tip comprises a maximum cross-sectional dimension which is less than a maximum cross-sectional dimension of the stop area. 
     
     
         4 . The medical implement as set forth in  claim 1 , wherein the stop area is formed on the treatment tip in a vicinity of the smooth surface and the treatment tip comprises one or more of a conical, oval or tapered sonic or ultrasonic tip. 
     
     
         5 . The medical implement as set forth in  claim 1 , wherein the treatment application comprises dosing, disrupting, ablating, boring, incising or cutting hard tissue with one or more of sonic, supersonic and ultrasonic energy. 
     
     
         6 . The medical implement as set forth in  claim 1 , wherein one or more of the longitudinal structure and the treatment tip comprises a waveguide for delivering treatment energy suitable for boring or ablating bone. 
     
     
         7 . The medical implement as set forth in  claim 1 , wherein the stop area is adapted to abut with the template in order to facilitate limiting of the treatment application to a predetermined depth within the region. 
     
     
         8 . The medical implement as set forth in  claim 1 , wherein the template comprises a jacket and a guiding body. 
     
     
         9 . The medical implement as set forth in  claim 8 , wherein:
 the instrument is a handpiece; and   the stop area abuts with the jacket.   
     
     
         10 . The medical implement as set forth in  claim 8 , wherein the jacket has a through hole that is formed by an internal surface shaped complementarily to a lateral surface of the guiding body. 
     
     
         11 . The medical implement as set forth in  claim 10 , the jacket comprising a first end surface and a mutually opposite second end surface surrounding a tissue contact end, whereby the jacket forms a reference for the guiding body. 
     
     
         12 . The medical implement as set forth in  claim 11 , the first and second end surfaces being arranged at a preset distance separated by the lateral surface and being formed with a preset shape providing a contour to guide and be followed by the treatment tip, with one of the end surfaces being arranged so as to rest on the region where the treatment application is to be performed. 
     
     
         13 . The medical implement as set forth in  claim 1 , wherein the treatment energy is emitted via control by one or more of a circuit, a microprocessor, a microscanner comprising an electromagnetically controlled mirror positioned above and coupled to the template, and a surface-profile imager configured to provide a computer generated model of a surface to be scanned via a beam that enables collecting profile information of the region. 
     
     
         14 . An assembly suitable for performing a treatment application on a region of a body, the assembly comprising:
 a template adapted to be coupled to rest on the region; and   a medical implement operable to receive energy from an instrument and to effectuate the treatment application, the medical implement including a longitudinal structure having a proximal portion arranged for coupling to the instrument and an opposing distal portion having a treatment tip configured to emit treatment energy for performance of the treatment application, and further including (a) a working surface able to emit the treatment energy onto the region for performance of the treatment application, (b) a surface able to facilitate a slidable fit of the medical implement within the template, and (c) a stop area adapted to facilitate limiting of the treatment application to a predetermined depth within the body.   
     
     
         15 . The assembly as set forth in  claim 14 , wherein the working surface is tapered. 
     
     
         16 . The assembly as set forth in  claim 14 , further comprising a microscanner able to scan emissions from the treatment tip with a power, timing, amount and distribution of the emissions being variable in accordance with one or more of different areas and desired treatment applications to be performed. 
     
     
         17 . The assembly as set forth in  claim 14 , the template comprising a hole with a cross-sectional shape of one or more of triangular, elliptical, oval, figure-of-eight (two-lobe), square, rectangular and semicircular, and further with corners that are radiused. 
     
     
         18 . A tool for holding the template of  claim 14 , comprising an elongate handpiece with a first end and a second end opposing the first end, a longitudinal projection having a diameter smaller than a diameter of the handpiece and having a proximal vicinity coupled to the second end, a joint connection disposed at a distal vicinity of the longitudinal projection, and a holding rod connected to the joint connection, the holding rod comprising connecting projections for securely connecting with one or more templates at the distal vicinity. 
     
     
         19 . A microscanner system for performing a treatment application on a region of a body, comprising:
 a template arranged for coupling onto the region where the treatment application is to be performed;   a longitudinal structure having a proximal portion coupled to an instrument and a distal portion coupled to the template, the longitudinal structure being adapted to receive treatment energy from the instrument and to emit the treatment energy toward the region to cause performance of the treatment application;   an electromagnetically controllable mirror positioned between the proximal and distal portions of the longitudinal structure; and   a circuit coupled and configured to control the mirror, whereby the treatment energy is dynamically scanned via movement of the mirror to advance the treatment energy over the region.   
     
     
         20 . The microscanner system as set forth in  claim 19 , wherein the mirror is positioned above and coupled to the template and the treatment energy is emitted via control by a microprocessor, the microscanner being enabled to scan and ablate or cut the region without insertion of a fiber optic into the body. 
     
     
         21 . The microscanner system as set forth in  claim 19 , in which the treatment application comprises lasing of the region with the circuit comprising a microprocessor configured to control the microscanner to scan laser energy over the region whereby the microscarmer is operated via direction of the microprocessor to scan the treatment energy over the body to accomplish boring or ablating of the region. 
     
     
         22 . The microscanner system as set forth in  claim 19 , further comprising a surface-profile imager configured to provide a computer generated model of a surface to be scanned, the imager being adapted to project and collect a beam and to collect profile information of the region.