Navigation systems are frequently utilized to assist medical professionals in carrying out various types of surgical procedures, including neurosurgical and orthopedic procedures. To this end, a surgeon may utilize a navigation system to track, monitor, or otherwise locate one or more tools, surgical instruments, and/or portions of a patient’s anatomy within a common reference frame. Typically, tools and/or surgical instruments are tracked together with the anatomy, and their relative movement is depicted on a display. Often, trackers are attached or otherwise integrated into the objects being tracked. A localizer cooperates with tracking elements (e.g., fiducials, markers, and the like) coupled to the trackers to monitor the tracker to determine a position and/or orientation of the object being tracked.
Many types of navigation systems may utilize an active tracker that requires a power source for operation of components of the tracker, e.g., activation of markers on the tracker. Many active trackers have utilized a battery as the power source. However, if the battery is not replaceable or removable from the tracker, sterilization of the tracker can destroy the battery, reduce viable lifetime of the battery and/or force the tracker to be a “single use” tracker that must be discarded. Furthermore, even if the battery is removable from the conventional tracker, the internal components of the tracker are typically not well adapted to withstand the sterilization process. In such instances, the sensitive internal components of the tracker must be removed before sterilization to ensure the internal components are not damaged. Removal of these components is a time-consuming process that adds complexity and costs. Accordingly, there remains a need in the art to overcome at least the deficiencies described above.
This Summary introduces a selection of concepts in a simplified form that are further described below in the Detailed Description below. This Summary is not intended to limit the scope of the claimed subject matter nor identify key features or essential features of the claimed subject matter.
According to a first aspect, a surgical tracker is provided for identifying and/or tracking a surgical instrument. The surgical tracker includes a tracker body that may include a first surface, a second surface spaced from and opposite the first surface, and a side surface connected between the first and second surfaces, the tracker body defining a chamber formed within the first surface, second surface, and side surface. The tracker also includes a plurality of openings formed in the first surface. The tracker also includes at least one channel formed in the tracker body, the at least one channel extending between the chamber and one of the surfaces of the tracker body. The tracker also includes a printed circuit board (PCB) being configured to support a plurality of markers that are actively energizable through the PCB, and where the PCB is located within the chamber of the tracker body and where each one of the markers is visible through one of the plurality of openings of the tracker body. The tracker also includes where the tracker body is configured to be sterilizable with the PCB being located within the chamber of the tracker body, and where the at least one channel is configured to enable sterilization fluid to enter into and drain from the chamber of the tracker body during sterilization.
According to a second aspect, a surgical tracker is provided. The surgical tracker also includes a tracker body defining an interior chamber. The tracker also includes a plurality of openings extending through the tracker body and into the interior chamber. The tracker also includes at least one channel extending through the tracker body and into the interior chamber, the at least one channel configured to enable fluid to enter into and drain from the interior chamber. The tracker also includes a printed circuit board (PCB) located within the interior chamber and being configured to support a plurality of tracking markers, where each tracking marker is visible through and substantially occupies one of the openings.
According to a third aspect, a surgical tracker is disclosed. The surgical tracker assembly also includes a tracker body defining an interior chamber and a battery opening, where a first contact and a second contact are disposed in the battery opening. The assembly also includes a channel formed within the tracker body, the channel extending from the interior chamber and through an exterior surface of the tracker body and configured to enable sterilization fluid to enter into and drain from the interior chamber of the tracker body during sterilization. The assembly also includes a printed circuit board (PCB) at least partially disposed in the interior chamber, the PCB supporting at least one marker and the PCB being connected to the first contact and the second contact. The assembly also includes a battery assembly removably couplable to the tracker body and configured to be securely installed in the battery opening, the battery assembly may include a first battery contact configured to engage the first contact and a second battery contact configured to engage the second contact to form an electrical connection with the PCB and to enable the PCB to actively energize the at least one marker.
According to a fourth aspect, a surgical tracker is disclosed. The surgical tracker assembly also includes a tracker body defining an interior chamber. The assembly also includes a channel extending through the tracker body and into the interior chamber, the channel configured to enable sterilization fluid to enter into and drain from the interior chamber. The assembly also includes a printed circuit board (PCB) at least partially disposed in the interior chamber, the PCB supporting at least one tracking marker. The assembly also includes where the PCB is coated with a parylene coating to protect the PCB from sterilization fluid that enters the interior chamber of the tracker body through the channel during sterilization.
According to a fifth aspect, a surgical tracker assembly is provided. The surgical tracker assembly comprises a tracker body defining an interior chamber and a battery opening, wherein a first contact and a second contact are disposed in the battery opening. A printed circuit board (PCB) is at least partially disposed in the interior chamber, the PCB supporting at least one marker and the PCB being connected to the first contact and the second contact. A battery assembly comprises a first battery contact and a second battery contact. The battery assembly is configured to be installed in the battery opening in a first position wherein the first battery contact of the battery assembly engages the first contact and the second battery contact of the battery assembly is disengaged from the second contact thereby creating an open circuit between the battery assembly and the PCB. The battery assembly, when installed in the battery opening, is configured to be rotated from the first position to a second position wherein the first battery contact of the battery assembly engages the first contact and the second battery contact of the battery assembly engages to form a closed circuit between the battery assembly and the PCB for energizing the PCB.
According to a sixth aspect, a method of sterilizing a surgical tracker assembly including a tracker body defining an interior chamber is disclosed. The method also includes applying a sterilant to the surgical tracker assembly as part of a sterilization process and enabling at least a portion of the sterilant to flow through the at least one channel to enter the interior chamber and contact the PCB. The method also includes draining the sterilant from within the interior chamber and through the at least one channel of the tracker body after completion of the sterilization process.
According to a seventh aspect, a method of manufacturing a surgical tracker assembly including a tracker body and a printed circuit board (PCB) supporting a plurality of tracking markers is disclosed. The method also includes forming the tracker body with an interior chamber, a plurality of openings extending through the tracker body and into the interior chamber; and at least one channel extending through the tracker body and into the interior chamber. The method also includes applying a coating to the PCB for protecting the PCB from fluid during sterilization of the surgical tracker assembly. The method also includes installing the PCB within the interior chamber of the tracker body such that the tracking markers are visible through the openings and such that fluid can access the PCB through the at least one channel during sterilization.
According to an eighth aspect, a method of activating a surgical tracker is disclosed. The method may include connecting a battery assembly to a surgical tracker. The method also includes installing the battery assembly in the battery opening in a first position where the first battery contact of the battery assembly is engaging the first contact and the second battery contact of the battery assembly is disengaged from the second contact thereby creating an open circuit between the battery assembly and the PCB. The method also includes while installed in the battery opening, rotating the battery assembly from the first position to a second position where the first battery contact of the battery assembly is engaging the first contact and the second battery contact of the battery assembly is engaging the second contact to form a closed circuit between the battery assembly and the PCB.
According to a ninth aspect, a battery assembly is provided that is configured to couple to a battery opening of a surgical tracker. The battery assembly comprises a body that is annular and defines an exterior surface and an interior chamber configured to receive a battery. Two electrical contacts are coupled to the battery within the interior chamber. A first and a second electrical contact extend through the exterior surface of the body such that they are exposed. The first electrical contact is located at a distal end of the body. The second electrical contact is located on the side of the body. The exterior surface comprises one or more channels to guide an electrical contact of the surgical tracker into engagement with the second electrical contact in response to rotation of the battery assembly within the battery opening of the surgical tracker.
According to a tenth aspect, an adapter is provided for mounting a tracker to a surgical instrument for use with a surgical navigation system to track the pose of the surgical instrument.
Any of the above aspects can be utilized individually, or in combination.
Any of the above aspects can be utilized with any of the following implementations:
In some implementations, the tracker body defines at least three tracker body arms and each of the tracker body arms may define at least one opening formed in the tracker body. In some implementations, the at least one channel is formed in each tracker body arm of the tracker body. The tracker can be a tool tracker, an anatomy tracker, a manipulator tracker or base tracker, an end effector tracker, a pointer tracker, a hand-held robotic cutting tool tracker, an imaging device tracker, a limb holder tracker, a surgical table tracker, a head-mounted device tracker, or the like.
In some implementations, the PCB and the tracker body may be configured to have similar shapes. This may include being formed in the shape of a triangle, square, rectangle, or other similar polygonal shape. It is also contemplated that the PCB and the tracker body may comprise less traditional shapes such as being x-shaped, T-shaped, or the like. In some implementations, each of the PCB arms is configured to support one of the markers and/or each of the PCB arms is arranged within the tracker body such that each marker is visible through one of the plurality of openings formed in the tracker body. In some implementations, the PCB is sterilizable. This may be accomplished by applying a protective coating to the PCB. One type of coating that may be applied to the PCB is a parylene coating. In some implementations, the PCB comprises an infrared (IR) communication receiver. In some implementations, the PCB may further comprise a line-of-sight (LOS) indicator that is configured to be controlled to indicate presence and/or absence of a line-of-sight communication from any one or more of the markers to a camera of a surgical navigation system.
In some implementations, the tracker body further defines a battery opening that is configured to receive a battery assembly, the battery removably couplable to the tracker body via the battery opening. A first electrical contact and/or a second electrical contact may be disposed in the battery opening and connected to the PCB, the first contact and the second contact configured to engage opposing battery contacts of the battery assembly to form an electrical connection between the battery assembly and the PCB when the battery assembly is disposed in the battery opening. In some implementations, the battery assembly can be a battery module switch. In some implementations, the battery assembly can provide a seal to the battery opening when installed. In some implementations, the battery assembly is a disposable, single use, component.
According to an eleventh aspect, a sterilizable printed circuit board assembly (PCBA) is provided. The sterilizable printed circuit board assembly includes a printed circuit board (PCB) substrate may include layers including a first outer layer, a second outer layer, and one or more inner layers disposed between the first and second outer layers. The assembly also includes a via-in-pad formed in the PCB substrate and may include a via hole extending through at least one of the layers, the via hole may include a first end terminating at one of the inner layers and a second end terminating at, or beyond, one of the outer layers, and the via-in-pad may include a plating that seals the via hole at the second end. The assembly also includes a parylene coating that is sterilization resistant and disposed in direct contact with one or both of the first and second outer layers.
According to a twelfth aspect, a sterilizable surgical or medical device is provided. The sterilizable surgical or medical device includes a housing defining: an interior chamber; and an opening defined in an outer surface of the housing and in fluid communication with the interior chamber, the opening configured to enable fluid to enter into and drain from the interior chamber. The device also includes a sterilizable printed circuit board assembly (PCBA) disposed within the interior chamber of the housing and may include: a printed circuit board (PCB) substrate may include layers including a first outer layer, a second outer layer, and one or more inner layers disposed between the first and second outer layers; a via-in-pad formed in the PCB substrate and may include a via hole extending through at least two of the layers, the via hole may include a first end terminating at one of the inner layers and a second end terminating at, or beyond, one of the outer layers, and the via-in-pad may include a plating that seals the via hole at the second end; an electronic or electrical component electrically connected to the via-in-pad and being configured to facilitate operation of the surgical or medical device; and a parylene coating that is sterilization resistant and disposed in direct contact with one or both of the outer layers and in direct contact with at least a portion of the electronic or electrical component.
According to a thirteenth aspect, a sterilizable tracking device is provided. The sterilizable tracking device includes a tracker body defining: an interior chamber; an opening defined in an outer surface of the tracker body and in communication with a channel extending through the tracker body and into the interior chamber, the opening and the channel configured to enable sterilization fluid to enter into and drain from the interior chamber. The device also includes a sterilizable printed circuit board assembly (PCBA) disposed within the interior chamber of the tracker body and may include: a printed circuit board (PCB) substrate may include layers including a first outer layer, a second outer layer, and one or more inner layers disposed between the first and second outer layers; a via-in-pad formed in the PCB substrate and may include a via hole extending through at least two of the layers, the via hole may include a first end terminating at one of the inner layers and a second end terminating at, or beyond, one of the outer layers, and the via-in-pad may include a plating that seals the via hole at the second end; a tracking marker electrically connected to the via-in-pad; and a parylene coating that is sterilization resistant and disposed in direct contact with one or both of the outer layers and in direct contact with at least a portion of the tracking marker.
According to a fourteenth aspect, a sterilizable printed circuit board assembly (PCBA) is provided. The sterilizable printed circuit board assembly includes a printed circuit board (PCB) substrate may include layers including a first outer layer, a second outer layer, and one or more inner layers disposed between the first and second outer layers. The assembly also includes a via-in-pad formed in the PCB substrate and may include a via hole extending through at least one of the outer layers, the via-in-pad may include a plating that seals the via hole at the second end. The assembly also includes a conformal coating that is sterilization resistant and disposed in direct contact with one or both of the first and second outer layers.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally be configured where the plating seals the via hole such that no solder mask is otherwise required to seal the via hole.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally be configured where the parylene coating is solely the only coating disposed on the PCBA. It is also contemplated that the parylene coating is disposed in direct contact with the first and second outer layers, and the plating. The parylene coating may be a conformal coating.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally be configured where the via-in-pad further comprises a surface cap disposed over the plating, and wherein the parylene coating is disposed in direct contact with the surface cap. It is also contemplated that the via hole has an interior surface that is plated with a conductive material and a non-conductive material that fills the via hole.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally be configured where the plating is integrated and flush with the one of the outer layers, or wherein the plating is disposed on top of one of the outer layers. The PCBA or sterilizable surgical/medical device may also further comprise an electronic or electrical component is electrically connected to the via-in-pad, and wherein the parylene coating covers at least a portion of the electronic or electrical component.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally be configured where the PCB comprises one or more conductive traces disposed on, or in, the inner layers, and wherein the PCB is designed such that no conductive traces are disposed on an exterior surface of the outer layers.
In some implementations, the PCBA or sterilizable surgical/medical device may optionally comprise a solder mask is applied directly to a portion of the first and second outer layers surrounding the via-in-pad, the parylene coating being applied directly to a remaining portion of the first and second outer layers and over the solder mask.
According to a fifteenth aspect, a method of manufacturing a sterilizable printed circuit board assembly (PCBA) is provided. The method includes assembling a printed circuit board (PCB) substrate including a first outer layer, a second outer layer, and one or more inner layers disposed between the first and second outer layers. The method also includes forming a via-in-pad in the PCB substrate with a via hole extending through at least one of the outer layers. The method also includes sealing the via hole with a plating at the second end. The method also includes applying a parylene coating that is sterilization resistant to the PCBA such that the parylene coating is disposed in direct contact with one or both of the outer layers.
Any of the above implementations can be combined, in part, or in whole.
Other features and advantages of the configurations of the present disclosure will be readily appreciated, as the same becomes better understood, after reading the subsequent description taken in conjunction with the accompanying drawings.
It will be appreciated that one or more of the configurations depicted throughout the drawings may have certain components, structural features, and/or assemblies removed, depicted schematically, and/or shown in phantom for illustrative purposes.
The present disclosure describes a tracker that can be sterilizable such that a single tracker is capable of being used multiple times. To accomplish this, the tracker and/or tracker assembly may comprise features to assist with the sterilization process. The tracker assembly may be adapted to allow for the sterilant utilized in the sterilization process to reach all surfaces of the tracker assembly. Furthermore, the sensitive electrical or electronic components of the tracker assembly may be treated with an additive or coating to prevent damage if exposed to the sterilant. It is further contemplated that the tracker assembly may comprise a removable and/or replaceable battery assembly. In addition to powering the electronic components of the tracker assembly, the battery assembly may be configured to activate and/or deactivate the tracker assembly. Other advantages will be understood as the various features of the tracker assembly will be described in greater detail below.
Referring now to the Figures, wherein like numerals indicate like or corresponding parts throughout the several views, implementations of a surgical tracker assembly 1 are provided. The surgical tracker assembly 1 comprises a surgical tracker 30 (as illustrated in
Referring to
The first portion 12 and second portion 14 may be separable from one another to allow the battery 16 to be inserted and/or installed between the two portions 12, 14. The first portion 12 and the second portion 14 of the battery assembly 10 may comprise complementary coupling features 24, 26 to allow for removably coupling the first portion 12 and the second portion 14 to one another. For example, as best illustrated in
The first portion 12 may define a first aperture 17 and/or a second aperture 19A, 19B. The first aperture 17 and/or the second aperture 19A, 19B may be positioned on the first portion 12 and configured to provide access to the battery contacts 21A, 21B on the battery 16 from outside the housing 12, 14. For example, the first aperture 17 may be defined in a distal (top) surface of the first portion 12 to provide access to a first battery contact 21A on the battery 10. The second aperture 19A, 19B may be defined in a side surface of the first portion 12 to provide access to a second electrical contact 21B on the battery 10. It is further contemplated that the first portion may define two or more second apertures 19A, 19B arranged on the side surface of the first portion 12. For example, as illustrated in
The first portion 12 may also be shaped and/or configured to define features for removably coupling the battery assembly 10 to the tracker 30. For example, the first portion 12 may define one or more vertical channels 18A, 18B or chamfers for receiving and/or orienting the battery assembly 10 relative to complementary features of the tracker 30. The first portion 12 may further define a lateral channel 20A, 20B in connection and/or communication with the vertical channels 18A, 18B. The lateral channel 20A, 20B may be configured to receive the complementary features of the tracker 30, allow the rotation of the battery assembly 10 relative to the tracker 30. The vertical channels 18A, 18B and/or the lateral channel 20A, 20B may further be configured to position a complementary feature on the tracker relative to at least one of the to the second aperture(s) 19A, 19B to form an electrical connection between the battery 16 and the tracker 30. For example, vertical channels 18A, 18B and/or the lateral channel 20A, 20B may define a pathway to guide and/or position the electrical connector 45 of the tracker 30 within the apertures 17, 19A, 19B and relative to the battery contacts 21A, 21B on the battery 16. For example, the vertical channels 18A, 18B of the battery housing 12, 14 may receive the electrical connector 45 of the tracker 30 and direct it to the lateral channel 20A, 20B as the battery assembly 10 is inserted into the tracker 30. The lateral channel 20A, 20B may then direct the electrical connector 45 of the tracker 30 to one of the second aperture(s) 19A, 19B as the battery assembly 10 is related relative to the tracker 30 positioning the electrical connector 45 of the tracker 30 in contact with one of the battery contacts 21A, 21B of the battery to form an electrical connection between the battery 16 and he tracker 30 through one of the second aperture(s) 19A, 19B. This will be described in greater detail below.
In addition to alignment and/or positioning the battery assembly 10 relative to the tracker 30, the vertical channels 18A, 18B and/or the lateral channel 20A, 20B may also be configured to couple the battery assembly 10 to the tracker 30. As illustrated in the figures, the vertical channels 18A, 18B may comprise a ramped surface leading to the lateral channel 20A, 20B. The ramped surface of the vertical channel 18A, 18B may allow for the use of a biased component on the tracker 30, such as the electrical connector 45, to create a friction fit, compressive fit, interference fit, or the like between vertical channel 18A, 18B and/or the lateral channel 20A, 20B to couple the battery assembly 10 to the tracker 30.
The battery assembly 10 may further comprises an attachment member 22 configured to removably secure the battery assembly 10 to the device it is intended to provide power to, such as the tracker 30. For example, the first portion 12 may define one or more attachment members 22A, 22B defined as a detent or protrusion, as is illustrated in
The battery assembly 10 may further comprise a seal 23, such as a gasket or O-ring, configured to create a seal between the battery assembly 10 and the device it is coupled to, such as the tracker 30. As illustrated in
While the battery assembly 10 is described as being couplable to the tracker 30, it is also contemplated that the battery assembly 10 described herein may be configured and/or modified to be coupled to any item requiring a removable and/or replaceable power source. For example, the battery assembly 10 may include a battery sized to operate/power a hand tool, such as a surgical instrument 70 including a drill or saw, with the housing 12, 14 being configured and adapted to be coupled to the hand tool 70 to create an electrical connection.
Referring to
The tracker body 32, 34 may comprise any shape, such as a square, rectangle, x-shape, circle, or the like. As illustrated in the figures, the tracker body 32, 34 may configured in a generally square shape, with an arm 35A, 35B, 35C, 35D extending outward from the tracker body 32, 34. For example, the tracker body 32, 34 may be shaped such that an arm 35A, 35B, 35C, 35D extends from each corner. As illustrated in the figures, the tracker body 32, 34 may include four arm 35A, 35B, 35C, 35D extending outward from the tracker body 32, 34, each arm 35A, 35B, 35C, 35D extending in a different direction from a central portion of the tracker body 32, 34. Each of the of the arms 35A, 35B, 35C, 35D may be configured to define an aperture 36A, 36B, 36C, 36D. While not required, each of the apertures 36A, 36B, 36C, 36D may be covered by a window or similar coating that allows for light to pass through and/or be visualized through the aperture 36A, 36B, 36C, 36D.
As shown in
The exterior surfaces 31A, 31B, 33 of the tracker body 32, 34 may further define one or more openings 38, each of the one or more openings in fluid communication with the one of the one more channels 39A, 39B, 39C, 39D. The openings 38 in conjunction with the channels 39A, 39B, 39C, 39D form a pathway to/from and through the chamber 37 of the tracker body 32, 34 to allow sterilant to enter/exit through the chamber 37. The channels 39A, 39B, 39C, 39D and opening(s) 38 also serve as a drain for any debris, sterilant, or the like that may enter the channel 39A, 39B, 39C, 39D and/or chamber 37 to drain from the tracker body 32, 34. As illustrate in the Figures, the second body 34 of the tracker body 32, 34 defines the at least one opening 38. Alternatively, it is also contemplated that the opening may be defined by the first body 32 of the tracker body 32, 34. Furthermore, while the opening 38 is illustrated as two openings 38 defined proximate the corner(s) of the tracker body 32, 34 and in communication with the channels 39A, 39B, 39C, 39D, it is further contemplated that there may only be a single opening defined in the first and/or the second body 32, 34 of the tracker body 30 proximate the corner(s) of the tracker body 32, 34. While not illustrated in the figures, it is further contemplated that the one more channels 39A, 39B, 39C, 39D may extend from the chamber 37 toward any side or exterior surface of the tracker body 32, 34, and the openings may be defined in a side or exterior surface of the tracker body 32, 34 to be in fluid communication with each of the one more channels 39A, 39B, 39C, 39D.
The tracker 30 may further comprise a printed circuit board (PCB) 50. The PCB 50 may be shaped to correspond to the shape of the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34. For instance, assuming the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34 are arranged in an X-shape, the PCB 50 may be configured to have a shape conforming to the X-shape (e.g., including legs 42A, 42B, 42C, 42D corresponding to the channels 39A, 39B, 39C, 39D formed in the tracker body 32, 34). The PCB 50 may include a central portion and a plurality of leg portions 42A, 42B, 42C, 42D that extend from the central portion of the PCB 50. While the tracker 30 is illustrated in the figures as having a generally X-shaped PCB 50, it is contemplated that the PCB 50 may be formed in any number of suitable shapes, such as a square, rectangle, disk, triangle, plate, circle, sphere, trapezoid cube, or the like that correspond to and/or fit within the shape of the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34.
The PCB may further comprise at least one marker 52A, 52B, 52C, 52D which may also be referred to as fiducials or tracking element. The PCB 50 may include traces connecting the markers 52A, 52B, 52C, 52D, a control circuit (not shown), and electrical connections 45 for forming an electrical connection with the battery 16. The markers 52A, 52B, 52C, 52D may be configured as light sources or reflective type markers 52A, 52B, 52C, 52D. The markers 52A, 52B, 52C, 52D may be coupled to the PCB 50 in a unique pattern or arrangement that is identifiable to a navigation system (not shown). For example, as illustrated in
The markers 52A, 52B, 52C, 52D of the PCB 50 described above may thus be arranged in a predefined pattern on the PCB 50 and to be visible through the 36A, 36B, 36C, 36D such that the pattern is recognized by the navigation system to track a surgical object or instrument 70 associated with the tracker 30. Each marker 52A, 52B, 52C, 52D may be a light emitting diode (LED), or more particularly, an infrared LED (IR-LED), that is configured to emit light at a wavelength corresponding to the range of wavelengths detectable by the camera unit of the navigation system.
Referring to
The PCB 50 may further be configured to survive exposure to a sterilant and/or sterilization process. Based on the design of the tracker body 32, 34 being configured to allow sterilant to flow into and/or contact all surfaces of the tracker body 32, 34 the PCB 50 is likely to be exposed to sterilant when the tracker 30 is subjected to a sterilization process. In order to prevent damage to the PCB 50 by the sterilant and/or the sterilization process, the exterior surface(s) of the PCB 50 may be protected by the application of a conformal coating 520, which creates a barrier on the PCB 50 preventing the ingress of debris and/or fluids. Exemplary conformal coatings may comprise a parylene film applied to assembled PCBs 50. This may include application of the parylene film and/or coating being applied to legs 42A, 42B, 42C, 42D, the markers 52A, 52B, 52C, 52D, and/or the other components of the PCB 50 during manufacturing.
As described above, the tracker 30 may be configured to be subjected to a sterilization process to allow for repeated use of a single tracer 30. A method of sterilizing the surgical tracker 30 may comprise applying a sterilant to the surgical tracker 30 as part of a sterilization process and enabling at least a portion of the sterilant to flow through the channels 39 to enter the interior chamber 37 and contact the PCB 50. The method may further comprise draining the sterilant from within the interior chamber 37 through the channel 39 and or openings 38 defined by the tracker body 32, 34 after completion of the sterilization process.
In some configurations, the tracker 30 may further comprise circuitry for a status indicator 40 electrically coupled to at least one of the markers 52A, 52B, 52C, 52D, the battery 16, and/or the PCB 50. In one implementation, the status indicator 40 may comprise an LED that emits visible (i.e., non-infrared) light so that a surgeon can easily see a status of the tracker 30. The status can relate to the tracker 30 properly functioning or malfunctioning. For example, the status indicator 40 may emit visible light to indicate when the tracker 30 is operating correctly and/or that the markers 52A, 52B, 52C, 52D are in view of the navigation system (established line-of-sight). Alternatively, the status indicator 40 may be configured to emit visible light to indicate when the tracker 30 is not operating correctly and/or one or more of the markers 52A, 52B, 52C, 52D are not in view of the navigation system (lost line-of-sight). The status indicator 40 may also be configured to provide additional diagnostic or operational information to the surgeon, such as remaining battery capacity of the battery assembly 10. For example, the status indicator 40 may flash or blink when the battery 16 voltage corresponds to a first level, and when the battery 16 voltage corresponds to a second level the status indicator 40 may turn off. The status indicator 40 may further be implemented with more than one LED, or an LED capable of illuminating with more than one color. If more than one LED is used the voltage level of the battery 16 may correspond to the number of LEDs that are concurrently illuminated. If multi-color LEDs are used the color may correspond to the voltage level of the battery 16. Any other status can be communicated with the status indicator 40.
Referring to
The battery mount 44 defines an opening 48. The opening 48 may be sized and configured to receive the battery assembly 10 described above. For example, the interior diameter of the opening 48 may be sized and/or shaped to receive the first portion 12 of the battery housing 12, 14. The interior surface of the opening 48 may also comprise a groove or channel 46A, 46B. For example, as illustrated in
The channel(s) 46A, 46B may be sized and shaped to provide for removable coupling of the battery assembly 10 to the tracker 30 via the battery mount 44. For example, channel(s) 46A, 46B may be positioned within the opening 48 and configured to receive the attachment member(s) 22A, 22B, which as described above may be defined as a detent or protrusion extending from an outer surface of the first potion 12 of the battery assembly 10. The channel(s) 46A, 46B may be shaped to create and interlocking or friction fit with the attachment member(s) 22A, 22B of the battery assembly 10. For example, the channel(s) 46A, 46B may comprise a L-like shape, such the attachment member(s) 22A, 22B of the battery assembly 10 may be slid along the channel(s) 46A, 46B as the battery assembly 10 is inserted into the opening 48 of the battery mount 44, and then be rotated or twisted once fully inserted so that the channel(s) 46A, 46B interlock with the attachment member(s) 22A, 22B of the battery assembly 10 to prevent the battery assembly from sliding out.
The battery mount 44 may further comprise two or more terminals defining electrical contacts 45A, 45B for engaging a battery 16 of the battery assembly 10 when the battery assembly 10 is seated in the battery mount 44. In particular, the electrical contacts 45A, 45B may be configured to communicate electrical energy between the battery 16 disposed in the battery mount 44 and the PCB 50, which in turn is connected to each of the markers 52A, 52B, 52C, 52D and other elements of the tracker 30 that require a power source for operation. Some implementations of LED tracking markers 52A, 52B, 52C, 52D that are powered by a battery are shown and described in U.S. Pat. Application Publ. No. 2019/0321108 and International Application No. PCT/IB2020/060187, both of which are hereby incorporated by reference.
The electrical contacts 45A, 45B may be sized, shaped, and/or configured to cooperate with the vertical channels 18A, 18B and/or the lateral channel 20A, 20B of the battery assembly 10 described above. As illustrated in the Figures, the tracker 30 may comprise a first electrical contact 45A and a second electrical contact 45B. The first electrical contact 45A may be configured as a biased or spring-loaded contact configured capable of being compressed when engaged by the first battery contact 21A of the battery assembly 10. For example, as illustrated in
The second electrical contact 45A may be configured to engage with and/or interact with at least one of the vertical channel 18A, 18B and/or the lateral channel 20A, 20B. As described above, the vertical channel 18A, 18B may comprise a ramped surface, this may be configured to initiate contact with the second electrical contact 45B. As such, the second electrical contact 45B may be configured as a biased contact. In operation, as the battery assembly 10 is inserted into the opening 48 of the tracker, the ramped surface of the vertical channel 18A, 18B may initiate contact with the second electrical contact 45B. As the battery assembly 10 is inserted further into the tracker 30, the second electrical contact 45B will be compressed as it travels along the ramped surface of the vertical channel 18A, 18B. In addition to the biasing force assisting to ensure contact between the second electrical contact 45B and the battery assembly 10, the biasing force of the second electrical contact 45B can also be configured to create a friction fit between the battery assembly 10 and the tracker 30 when coupled together. The vertical channel 18A, 18B guide the second electrical contact 45B to the lateral channel 20A, 20B as the battery assembly is inserted further into the opening 48. Once inserted to max depth, the lateral channel 20A, 20B may configured to guide the second electrical contact 45B to one of the second aperture(s) 19A, 19B of the battery housing 12, 14, and by extension, to the second battery contact 21B. For example, as the battery assembly 10 is inserted into the opening 48 of the battery mount 44 and the attachment member(s) 22A, 22B of the battery assembly 10 move along the channel(s) 46A, 46B of the of the battery mount to couple the battery assembly 10 to the battery mount 44, the vertical channels 18A, 18B and/or the lateral channel 20A, 20B may be configured to position and/or seat the electrical contacts 45A, 45B within the first and second aperture(s) 17, 19A, 19B of the battery housing 12 to create an electrical connection between the electrical contacts 45A, 45B of the battery mount 44 and the battery contacts 21A, 21B on the battery 16. This may be accomplished by engaging a first electrical contact 45A with a first battery contact 21A and engaging a second electrical contact 45B with a second battery contact 21B to define an electrical circuit between the battery 16 and the PCB 50, and by extension the components of the tracker 30 that require a power source for operation. The step of engaging the first electrical contact 45A with the first battery contact 21A and engaging the second electrical contact 45B with the second battery contact 21B to form an electrical circuit between the battery 16 and the PCB 50 may also serve as a selective switch for activation of the PCB 50, and more broadly the tracker 30. Forming the connection between the first electrical contact 45A and the first battery contact 21A and between the second electrical contact 45B and the second battery contact 21B may be configured to close the circuit and allow electricity to flow from the battery 16 to the components of the tracker 30. Alternatively, disengaging the first electrical contact 45A with the first battery contact 21A and engaging the second electrical contact 45B with the second battery contact 21B by removing the battery assembly 10 from the tracker 30 will open the circuit between the battery 16 and the PCB 50 causing the electrical components of the tracker 30 to be deactivated.
When the battery assembly 10 is coupled to the tracker 30, the seal 23 of the battery assembly 10 may form a hermetic seal between the battery assembly 10 and the tracker 30. This may prevent fluid and/or debris from entering the opening 48 when the battery assembly 10 is coupled to the tracker 30. Fluid or debris inside the opening 48 may interfere with the electrical connection between the battery 16 and the electrical contact(s) 45A, 45B of the tracker 30.
It is also contemplated that the battery assembly 10, such as the housing 12, 14 may comprises indicia and symbols configured to identify the battery 16, batter assembly 10, or the like. The indicia may comprise text, visual identifiers, color coding, bar codes, or the like. The indicia may be etched into the housing 12, 14, provided on a sticker, or mounted to the housing 12, 14 in a similar fashion. For example, the housing 12, 14, such as the exposed surface of the second portion 14, may include indicia that identifies the size and/or power of the battery 16 disposed in the battery housing 12, 14. This may help the user in identifying which trackers 30 the battery 16 is capable of powering. The housing 12, 14 may also include indicia identify the size and/or shape of the housing 12, 14 to identify which trackers 30 the battery assembly 30 is compatible with. For example, their may be a plurality of different sized trackers 30, and the indicia may identify which tracker 30 the battery assembly 10 will couple to. The indicia may also comprise text or symbols illustrating the method of coupling and/or removing the battery assembly 10 from the tracker 30. For example, housing 12, 14 may comprise a curved line with arrows at the opposing ends of the line. The first arrow indicating the rotational direction to move the battery assembly 10 to the first position (i.e., OFF) and the second arrow indicating the rotational direction to move the battery assembly 10 to the second position (i.e. ON). This may also include illustrating the method of removing the battery 16 from the housing 12, 14.
The tracker body 32, 34 may similarly comprise textual or graphical indicia. The indicia may be etched into the surface, protruding from the surface, or printed on the surface of the tracker body 32, 34. The indicia may illustrate the method of coupling and/or removing the battery assembly 10 from the tracker 30. For example, the indicia on the tracker body 32, 34 may denote the first and second positions (ON or OFF) for the battery assembly 10. This could include a pair of arrows or marks spaced radially about the opening on the tracker body 34 that corresponds to a similar indicium on the battery assembly 10. The first arrow identifying the first position and the second arrow identifying the second position. When the corresponding marking on the battery assembly 10 is positioned adjacent the first arrow, the battery assembly 10 is in the first position (i.e., OFF). Alternatively, when the corresponding marking on the battery assembly 10 is positioned adjacent the second arrow, the battery assembly 10 is in the second position (i.e., ON).
The battery assembly 10 being separable from the tracker 30 allows for the battery 16 to be replaced and/or recharged. For example, following a medical procedure, the battery assembly 10 may be removed from the battery opening 48, and replaced with a new battery 16. The battery assembly 10 with the new battery 16 may then be re-installed in the opening 48 of the tracker 30 as described above to activate the tracker assembly 1. Alternatively, the battery assembly 10 may be removed from the battery opening 48 of the tracker 30 and a second battery assembly 10 may then be installed in the opening 48 of the tracker 30 in the same manner described above. The removed battery assembly 10 may optionally be discarded, disposed of, or reprocessed. Reprocessing may include replacing the battery 16 of the battery assembly 10. Attentively, reprocessing may include recharging the battery 16 of the battery assembly 10.
As described above, the tracker 30 may comprise one or more active markers 52A, 52B, 52C, 52D disposed on the PCB 50 and driven by the PCB 50 of the tracker 30. The control circuit of the PCB 50 (or coupled to the PCB) may be coupled to the battery assembly 16 to power the markers 52A, 52B, 52C, 52D through the PCB 50. The PCB 50 may be configured to control any operating parameters of the light emitted from the markers 52A, 52B, 52C, 52D, such as by regulating the current, voltage or power supplied to the markers 52A, 52B, 52C, 52D from the battery 16. These operating parameters can include transmission power, intensity, firing sequence, wavelength, or the like.
Referring to
In
It is further contemplated that the surgical tracker assembly 1 and the surgical instrument 70 may be constructed as a unitary device, where a portion of the surgical instrument 70 forms a tracker coupling member 72B and the surgical tracker assembly 1 is disposed on the tracker coupling member 72B. For example, the tracker coupling member 72B may be unitarily formed with the first body member 32 or the second body member 34 of the tracker body 32, 34. Alternatively, the tracker coupling member 72B may be coupled to the tracker body 32, 34 by a weld, adhesive, epoxy, or similar coupling means.
In addition to hand-held surgical instruments 70 of various types and configurations, aspects of the tracker assembly 1 may also be employed in connection with surgical instruments 70 that may be controlled, guided, positioned, or otherwise manipulated with one or more types of surgical robots. Certain types of surgical robots are disclosed in U.S. Pat. No. 9,119,655, entitled “Surgical Robotic arm Capable of Controlling a Surgical Instrument in Multiple Modes;” U.S. Pat. No. 10,456,207, entitled “Systems and Tools for use with Surgical Robotic Manipulators;” U.S. Pat. Application Publication No. 2019/0231447, entitled “End Effectors And Methods For Driving Tools Guided By Surgical Robotic Systems;” U.S. Pat. Application Publication No. 2016/0302871, entitled “Integrated Medical Imaging and Surgical Robotic System;” and U.S. Pat. Application Publication No. 2020/0078097, entitled “Methods and Systems for Robot-Assisted Surgery,” the disclosures of each of which are hereby incorporated by reference in their entirety.
It is further contemplated that the aspects of the tracker assembly 1 may also be employed in connection with a connector assembly 66, an implementation of a connector assembly 66A, 66B including a key 64 for removable attaching a tracker assembly 1 is described in U.S. Pat. No. 10,537,395, entitled “Navigation tracker with kinematic connector assembly;” which is hereby incorporated by reference in its entirety. Referring to
In the configuration shown in
The tracker assembly 1, tracker 30, and/or the tracker mount 72 may be further comprise textual or graphical indica. The indicia may include arrows, text, or other similar markings. The indicia may be configured to assist the user in coupling and/or detaching the tracker 30 from the tracker mount and/or the connector assembly 66A, 66B. this may include markings to assist with alignment, provide directional indicators, or the like. For example, the tracker assembly 1 and the tracker mount 72 may include markings indicating how to align the tracker assembly 1 relative to the tracker mount 72.
Referring to
Referring to
The first body member 32 and second body member 34 may be formed from a material that is not susceptible to damage when exposed to a sterilant or repeatedly subjected to a sterilization process. It is also contemplated that the first body member 32 and the second body member 34 may be formed from a plastic or similar polymeric material, steel, carbon, titanium, or similar material. It is further contemplated that the first body member 32 and the second body member 34 may be formed from any rigid or generally rigid material, then coated with a conformal coating to one or more of the outer surfaces of the that the first body member 32 and the second body member 34, with the conformal coating configured to protect that the first body member 32 and the second body member 34 from being damaged when subjected to sterilization process such as autoclaving. The conformal coating applied to the surface(s) of that the first body member 32 and the second body member 34 may comprise one or more of the following: an epoxy, a polyurethane, parylene or a parylene polymer, a silicone, an acrylic, or a similar protective coating. The coating may also be referred to as a film, film-coating, or film-like layer. In example, a parylene coating may be applied and/or disposed over the first body member 32 and/or the second body member 34 to protect first body member 32 and the second body member 34 from damage when undergoing a sterilization process. While a surgical tracker 30 is shown as one example configuration of a sterilizable surgical device 1 for which a conformal coating, such as a parylene, may be applied to it should be understood that is if further contemplated that the conformal coating may also be applied to other sterilizable surgical devices 1 to protect the device during a sterilization process. Some examples of a sterilizable surgical device 1 may include a drill, surgical handpiece, saw, driver, saw blade, tracker mount, surgical instrument, surgical instrument tip or bit, surgical helmet, headpiece, or similar sterilizable device.
As described above, the tracker body 32, 34 may comprise any shape, such as a square, rectangle, x-shape, circle, or the like. As illustrated in the figures, the tracker body 32, 34 may configured in a generally square shape, with an arm 35A, 35B, 35C, 35D extending outward from the tracker body 32, 34. Each of the of the arms 35A, 35B, 35C, 35D may be configured to define an aperture 36A, 36B, 36C, 36D. While not required, each of the apertures 36A, 36B, 36C, 36D may be covered by a window or similar coating that allows for light to pass through and/or be visualized through the aperture 36A, 36B, 36C, 36D.
As shown in
The exterior surfaces 31A, 31B, 33 of the tracker body 32, 34 may further define one or more openings 38, each of the one or more openings in fluid communication with the one of the one more channels 39A, 39B, 39C, 39D. The openings 38 in conjunction with the channels 39A, 39B, 39C, 39D form a pathway to/from and through the chamber 37 of the tracker body 32, 34 to allow sterilant to enter/exit through the chamber 37. The channels 39A, 39B, 39C, 39D and opening(s) 38 also serve as a drain for any debris, sterilant, or the like that may enter the channel 39A, 39B, 39C, 39D and/or chamber 37 to drain from the tracker body 32, 34. While the example configuration of the tracker body 32, 34 illustrated in the figures defines two openings 38 in each arm of the second body member 34, it is contemplated that one a single opening 38 may be defined in each arm of the second body member 34. Alternatively, it is also contemplated that opening 38 may be formed in the first body member 32 of the tracker body 32, 34 and in fluid communication with the one of the one more channels 39A, 39B, 39C, 39D to form a pathway to/from and through the chamber 37 of the tracker body 32, 34 to allow sterilant to enter/exit through the chamber 37
The tracker 30 may further comprise a printed circuit board (PCB) 50, 150. The printed circuit may comprise all of the same features and/or functionality as the PCB 50 described. As such, components of the PCB 150 illustrated in
The PCB 150 may be shaped to correspond to the shape of the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34. For instance, assuming the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34 are arranged in an X-shape, the PCB 150 may be configured to have a shape conforming to the X-shape (e.g., including legs 142A, 142B, 142C, 142D corresponding to the channels 39A, 39B, 39C, 39D formed in the tracker body 32, 34). The PCB 150 may include a central portion and a plurality of leg portions 142A, 142B, 142C, 142D that extend from the central portion of the PCB 150. While the tracker 30 is illustrated in the figures as having a generally X-shaped PCB 150, it is contemplated that the PCB 150 may be formed in any number of suitable shapes, such as a square, rectangle, disk, triangle, plate, circle, sphere, trapezoid cube, or the like that correspond to and/or fit within the shape of the chamber 37 and channels 39A, 39B, 39C, 39D defined by the tracker body 32, 34.
Referring to
Similar to as described above, the PCB 150 may include traces, also know as circuit trace(s). Traces are generally conductive tracks of a printed circuit board that connect components electrically and allows electric current to flow with little resistance. For example, as described above, the trace(s) of the PCB 150 may be arranged on the PCB 150 and configured to connect the markers 152A, 152B, 152C, 152D, a control circuit (not shown), and electrical connections 45 for forming an electrical connection with the battery 16. The trace(s) may also be arranged and configured to form electrical connections between one or more electronic or electrical components 180 of the PCB 150. In the configurations of the PCB 150 illustrated in
The PCB 150 may further comprise one or more via-in-pad 139 arrangements in/on the PCB 150. The via-in-pad 139, may include an aperture or hole 143 defined in one or more layers 151A, 151B, 151C, 151D of the PCB 150. For example, as illustrated in
Referring to
The hole 143 of the via-in-pad 139 may also include the second material 149. The second material 149 may also be disposed within the hole 143 of the via-in-pad 139. As illustrated in
The via-in-pad 139 may further comprise a cap 141 disposed over the opening of the hole 143 define in the outer layer 151A, 151B. The cap may also be referred to and/or described as plating. The cap 141 covers the opening in the hole 143 of the via-in-pad 139. A cap may be disposed over each opening defined in one of the outer layers 151A, 151B of the PCB 150. For example, as is illustrated in
The cap 141 is configured to define an electrical connection with the material 147, 149 disposed within the hole 143 of the via-in-pad 139. More specifically, the cap 141 may form an electrical connection with the material 147, 149 within the hole 143 that comprises the conductive properties, with the material 147, 149 having conductive properties forming an electrical connection between the cap 141 and the one or more traces disposed between the outer layers 151A, 151B of the PCB 150. The cap 141 may also be configured to form an electrical connection with an electronic or electrical component 180 of the PCB 150. For example, as illustrated in
A protective coating 153 may be applied to the exterior surface(s) of the PCB 150, such at least the exterior surface(s) of the outer layers 151A, 151B of the PCB 150. The coating 153 may also be referred to as a film, film-coating, or film-like layer. The coating 153 applied to the to the exterior surface(s) of the PCB 150 may comprise one or more of the following conformal coatings: an epoxy, a polyurethane, parylene or a parylene polymer, a silicone, an acrylic, or a similar protective coating. As is illustrated in
As discussed above, there are no traces disposed on the outer surface to of the outer layers 151A, 151B of the PCB 150. By moving the traces from the outer surface to of the outer layers 151A, 151B to being disposed below or between the outer surface(s) of the outer layers 151A, 151B, such as on the outer surfaces of the inner layer(s) 151C, 151D, a parylene coating 153 can be utilized to protect the PCB 150 during use, handling, exposure to chemicals and/or undergoing cleaning/sterilization processes without need for solder mask or another protective coating in addition to the parylene coating 153. Other such conformal coatings that may be utilized as a protective coating on the PCB 150 include acrylic coatings, polyurethan coatings, silicone coatings, UV cure coatings or other hybrid conformal coatings.
While in the example configuration described above only includes a protective coating 153, such a parylene coating to the outer layers 151A, 151B, the exposed portion of the via-in-pad 139 (the cap 141), and the exposed portion of the electrical component 180,
Referring to
Referring to
The method may also further comprise applying the parylene coating 153 directly to PCBA 150 without a solder mask 157 being applied to the PCBA 150 for increasing adhesion of the parylene coating 153 to the PCBA 150. This may include applying the parylene coating 153 directly to PCBA 150 such that the parylene coating 153 is solely the only coating applied to the PCBA 150. This may also include applying the parylene coating 153 such that the parylene coating 153 is disposed in direct contact with both of the outer layers 151A, 151B and the plating/cap 141.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of disposing a surface cap over the plating; and applying the parylene coating in direct contact with the surface cap. As describe above, the surface cap may at least partially disposed on top of one of the exterior surfaces of the outer layers 151A, 151B of the PCB 150.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of forming the via hole 143 such that an interior surface of the via hole is plated with a conductive material 147, 149; and filling the via hole with a nonconductive material 147, 149.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of filling the via hole 143 with a conductive material 147, 149.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of sealing the via hole with the plating at the second end such that the plating is integrated and flush with the one of the outer layers or such that the plating is disposed on top of one of the outer layers.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of attaching an electronic or electrical component to the PCBA and electrically connecting the electronic or electrical component to the via-in-pad.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of applying the parylene coating such that the parylene coating covers at least a portion of the electronic or electrical component.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of forming one or more conductive traces in or on the inner layers of the PCB; and maintaining an exterior surface of the outer layers of the PCB to be absent of any conductive traces.
The method of manufacturing a sterilizable printed circuit board assembly (PCBA) 30, 150 may also comprise a step of applying a solder mask directly to a portion of the first and second outer layers surrounding the via-in-pad, the parylene coating being in direct contact with a remaining portion of the first and second outer layers and is applied over the solder mask.
It will be further appreciated that the terms “include,” “includes,” and “including” have the same meaning as the terms “comprise,” “comprises,” and “comprising.” Moreover, it will be appreciated that terms such as “first,” “second,” “third,” and the like are used herein to differentiate certain structural features and components for the non-limiting, illustrative purposes of clarity and consistency.
Several configurations have been discussed in the foregoing description. However, the configurations discussed herein are not intended to be exhaustive or limit the invention to any particular form. The terminology which has been used is intended to be in the nature of words of description rather than of limitation. Many modifications and variations are possible in light of the above teachings and the invention may be practiced otherwise than as specifically described.
The present application claims priority to and all the benefits of U.S. Provisional Pat. Application No. 63/333,676, filed on Apr. 22, 2022, which is expressly incorporated herein by reference.
Number | Date | Country | |
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63333676 | Apr 2022 | US |