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OsteoMark: A Navigation Aid for Endoscopic Orthognathic Surgery

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 1R43DE019322-01
Agency Tracking Number: DE019322
Amount: $148,751.00
Phase: Phase I
Program: SBIR
Solicitation Topic Code: N/A
Solicitation Number: PHS2007-2
Timeline
Solicitation Year: 2008
Award Year: 2008
Award Start Date (Proposal Award Date): N/A
Award End Date (Contract End Date): N/A
Small Business Information
PHYSICAL SCIENCES INC 20 NEW ENGLAND BUSINESS CENTER
ANDOVER, MA 01810
United States
DUNS: 073800062
HUBZone Owned: No
Woman Owned: No
Socially and Economically Disadvantaged: No
Principal Investigator
 () -
Business Contact
Phone: (978) 689-0003
Email: sasso@psicorp.com
Research Institution
N/A
Abstract

DESCRIPTION (provided by applicant): Physical Sciences Inc., with our clinical partners in the Dept of Oral and Maxillofacial Surgery at the Massachusetts General Hospital, propose to develop a marking system for navigation during orthognathic surgery. The
device can be used for both endoscopic and open procedures. It can be used to transfer treatment plans from computer-based 3D surgical planning tools or cephalometric tracings onto the bone. The system will provide for intraoperative registration of the i
mage to the patient, with no requirement for fiducial markers in the pre-operative images and no fixation frame attached to the head. Examples of procedures where OsteoMark might be used include minimally-invasive (endoscopic) reconstruction and distractio
n osteogenesis. Once the marks are made, the surgeon will complete the procedure using instruments without any tracking, using the marks to guide the modification of bone. The proposed device will be less expensive and less complex than a system that track
s the motion of multiple surgical instruments as procedures are performed. We are proposing to develop navigation based on both 2D and 3D pre-operative images, though Phase I will address only the 3D images. OsteoMark will be developed to interact with the
open-source medical imaging software Slicer/Osteoplan. In Phase I, we will fabricate the prototype marker, develop a rudimentary software interface for Slicer, and characterize its performance in a series of bench tests. The capstone feasibility demonstra
tion will be a set of endoscopic procedures performed in porcine cadaver heads, from which we will quantify the performance of the marking device in an environment that closely resembles an operating-room. Public Health Significance: Minimally-invasive sur
gery is becoming more widely used in reconstruction of bones in the face because it results in faster recovery times, less pain and discomfort, and less scarring than open procedures. Another recent advancement has been the use of computer graphics tools t
o plan complex reconstruction operations. We are proposing to develop a device that will enable surgeons to copy computer treatment plans to the bone even through a very small incision, allowing surgeons to perform more sophisticated procedures with less d
ifficulty for the patient.

* Information listed above is at the time of submission. *

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