Title of Invention

SRIAN EMPOTOME

Abstract

Srian Empotome is a multipurpose instrument used in Neurosurgical imaging and operative procedures. It is used to perform craniotomies at a faster pace and with precision, by utilizing the multiple burrs simultaneously. Intra-operative imaging with C T MRI Sonar is made possible, besides possessing many other additional advantages viz., an intra operative endoscopes attachment and attachment for a digital camera, besides having many slots for retraction of the brain. The burrs have an in-built endoscope to prevent dorsal and cerebral injury. The neck stand with the head and neck ring makes cranial and cervical fixation rigid and easy. The "Syrian Epitome works on electricity based on pneumatic & hydraulic principles. The figures provided alongwith the application, depicts a composite view of the instrument with the helmet, spinal extension, head & neck ring and the C T MRI plates, with all its attachments. "Syrian Epitome is a safe, automated, computerised, user-friendly, extremely efficient and cost-effective instrument, which is a novel invention and unique due to the abovestated features.

Full Text

SRIAN EMPOTOME SYRIAN BMPOTOMB is the name given to the new invention, which incorporates unique features of scanning/imaging coupled with facilities for expeditious performance of neuro-surgical procedures embodied as a single unit. This invention is a very unique and novel idea in the field of neurosurgery. SRIAN EMPOTOMB has a number of newer and useful features, which were hitherto not available in the existing craniotomes. This Empotome is not only an improvement of the existing craniotomes, but also possesses additional novel structures, expeditiously facilitating neuro-surgical procedures. The existing craniotomes, available at present, which are used in neuro¬surgical operations, are able to drill only a single burr-hole [making hole in the skull during opening of a skull J at a time and there is no facility to visualize the dura Afum - the outermost layer of the Brmu] during drilling in order to prevent injury to the dural structures in the brain. SRIAN EMPOTOMB on the other hand, improvises on this feature. The improvement incorporated in the "Empotome" is that, multiple burr-holes can be drilled on the skull, simultaneously, thus minimizing the time utilised. The dural il\jViry is also prevented by incorporating a endoscopic lens system with a light source in the burr itself, so that drilling may be stopped, as soon as the dura is vizualised or encountered. This is possible, by connecting the burr with a computer assisted system, which displays the surgical procedure on-line, on a video monitor / screen. "SRIAN BBIPOTOMB" further, has the facility to perform intra¬operative neurosurgical imaging of the cranio-spinal axis, utilising the CT and MRI facilities, which have been incorporated in the form of a 'cranial helmet' for visualizing the brain and a 'retractable spinal extension of the helmet' for visualizing the whole spinal cord. This form of imaging, utilizing CT Scan and MRI simultaneously in the same machine, at the same time, with facilities for super-imposition of both the CT and MRI images, is not only a new’ concept, but also, a very compact version of the existing intra-operative CT and MRI apparatus/es, which are hitherto available as separate units. The existing CT and MRI apparatus/es are very huge, {as huge as a large room} and a patient has to be shifted from the operating table, to the MRI or CT table [ also known as gantry ], in order to get an image of the brain or the spinal cord, as the circumstances may demand. Moreover the CT and MRI images cannot be obtained simultaneously from the same machine and also cannot be super imposed. This handicap has been removed in the Empotome. 'SRIAN BMPOTOMB', has obliviated this shifting of the patient from the operating table, to the CT or MRI gantry, by incorporating the features of the CT and MRI on a very compact gadget, which is in the form of a helmet and a spinal extension, as stated earlier. The compactness of these gadgets viz., the helmet and the spinal extension, is due to the CT / MRI plates which captures the image of the brain or the spinal cord and transmits it through the electronic connections, on to the screen, ‘vhich is a simultaneous activity and hence does not require the shifting of the patient, wrhich itself is a new concept, not available at present. SRIAN BMPOTOMB, hence reduces the operative time and at the same time, performs the surgical procedures, expeditiously , without damaging the brain. The 'Empotome' also provides facilities for operational procedures of the brain and the spinal cord, without disturbing the patient from the operating table, hence facilitating intra-operative super-imposed CT and/or MRl imaging w’hich minimizes the trauma during shifting of the patient. These features provide an edge to the newly invented "Empotome" over the other existing craniotomes. SRZAif BBSPOTOMB is, thus, the name given to the apparatus luhich implies : CT Scanner & Magnetic Resonance Imaging Attachments in Neuro Surgical apparatus alongwtth Endoscopic Burrs Ss a Multi Purpose Cranio TOMES. Empotome, implies "Empo* + "tome", where "empo" refers to an abbreviated and mnemonic form of the letters *m' and 'p', in the word 'multipurpose', and "tome" - aOo medkaCfy urmetC otomy- suggesting 'cutting' or 'opening' during surgical procedures. Therefore, ISRIAN EMPOTOME" is a multi purpose apparatus comprising facilities for pre and/or intra-operative imaging alongwith features to facilitate early and expeditious surgery for opening of the skull and operating upon the brain. THE MOST REVOLUTIONARY FEATURES OP THIS SRIAN EMPOTOMEARE : The SRIAN BMPOTOMB can be used in the pre-operative period [Before surgery], per-operative period [during surgery] and in the post¬operative period [after surgery] for imaging studies. The combined facilities of imaging and performance of craniotomies, are exclusive to this new invention viz., 'SRIAN BMPOTOMB', both of which are not available, in the same apparatus, in any of the available craniotomes, being presently used to perform brain surgeries, till date. Hence, the existing craniotomes ceut only be used to perform neurosurgical operations tma cannot be used for imaging studies. This handicap has been removed by this new’ invention, 'SRIAN BMPOTOME', apart from possessing new features, which makes it a novel invention. The imaging facilities alluded above include. Computed Tomography Scan [CTscan] 8B Magnetic Resonance Imaging Scan [M(1(/ scan] of the cranium and also the imaging of the spinal axis, through which an on-line image of the brain and the spinal cord can be visualised, not only before or after cranio-spinal procedures, but also during the performance of cranio-spinal procedures on-table. This procedure of a combination of imaging and surgery, is extremely useful to assess the extent of surgery, the completeness of the surgery being performed and the requirement for future course of action during the process of surgery and also pre-emptive remedial measures that are to be taken to prevent injuries to the vital structures of the brain viz., the motor-cortex, the sensory-cortex, the speech area, the olfactory, auditory and visual centres, the limbic system, the ventricles, the supra-cranial and infra-cranial vascular structures, the brain stem which includes the mid-brain, pons and medulla, the cranial nerves, the dural-venous sinuses, the cerebellum, the spinal cord including the cervical spine, dorsal spine and the lumbo-sacral spine and also the spinal nerves and the coverings of the brain and spinal cord. Recognizing the importance of time and the need for a quick and expeditious craniotomy, w’hich are very important and vital factors in neuro-surgery, essential to prevent infection, blood loss, trauma secondary to retraction, cerebral edema etc., the 'SRIAN BMPOTOUS' embodies all the features of performing multiple burr-holes and imaging at that point of time, with precision and deftness, combined in a single apparatus. The intra-operative imaging, facilitates the assessment of the completeness of resection of a particular tumor, the amount of residual tumor, the adjacent vital structures which have to be avoided during surgery, the surrounding and adjacent vascular structures which need to be avoided for preventing excessive hemorrhage etc. This prevents a second or subsequent operation, which minimises the risk of infection and trauma to the brain. Additional important feature of this "SRIAN E’POTOMB" is that there is no necessity for the patient to be shifted out of the theatre for performing the MRI or CT scan. The image can be seen, as and when the operation is being performed. This imaging facility in the " SRIAN EMPOTOME" is highly compact which does not occupy the space of more than the size of a helmet, which can not only be used separately as an imaging machine, but can also be combined with a craniotome. The brain and the spinal cord can be im’ed simultaneously. This combined feature is not available in any of the existing intra-operative machines. This " SRIAN EMPOTOME" does not require additional space, as stated earlier, and the imaging structures are detachable, which facilitates easy maneuvering. 1SRIAN EMPOTOME" has facilities for holding an endoscope, an intra¬operative sonar and a digital camera fis slots to place retractors. Besides being able to be operated upon, utilizing only electrical connections, it can also be connected to a computer for complete automation and three dimensional [ 3D ] visualisation. As alluded earlier, it not only works on electricity but also has additional connections to the UPS and a battery source. The working is based both on pneumatic & hydraulic principles. This new instrument can easily be mounted on any state of the art OT-Table 85 has all the facilities for performing cervical traction and for procedures on the neck, both before surgery and also while performing surgery, through a rotatable and adjustable neck-stand. The SRIAN EMPOTOME, an investigative and an operative neuro-surgical device, comprising of a helmet, two head rings, neck ring, CT and MRI rings and a spinal extension alongwith an expandable and a retractable endoscopic burr-bit and a fixobur FUl’ TOPOCatAPHT OF TUK ISRIAN EMPOTOME" COMPRISBS : 1. UPFBR AND LOWBR CASES Or TUB HEAD Rma WITH ATTACBMSMTB. 2. MscK Rma 3. CT / Mia Rmo 4. majKBT AND SPBMI, EXTKNSION 3. MBCK STAND QBimRAL DBSGRIPTIOJir OF THB 8RIAN EUPOrOMOB Please Note ; The description of the ' Srian Empotome' is cited to hereinctfier in relation to Fig. Nos. and/or RefNos. given under the heading " detailed description of the accompanying drawings with reference numbers" as applicable. The SRIAN E’POTOMB [ Fig NO. 3 ] comprises of the following:-The Head Ring [upper case — 3{g/r 5Vb.4 and lower case — (R’. 5Vb. SJ Neck Ring [ . 1 J with a spinal extension [ The Head Ring, consists of an Upper case and a Lower Case. The Head Ring and the Neck Ring are connected to each other by four vertical rods, whose length can be varied. In betwreen the head ring and the neck ring, there are multiple diamond-shaped plates. These diamond-shaped plates are connected to each other and also to the four vertical rods by way of longitudinal side grooves. There is a hemi-spherical structure called the 'iielmet' which can be attachable / detachable to the head-ring. On the posterior and inferior aspect of the helmet, there is a structure called foldable spinal e«ben«ion' whose length can be extendable / retractable all along the aepltial axis. The w’hole neck-ring rests on a neck-stand w’hosfe height is variable. The helmet, spinal extension and the CT arid MRI plates can be attached / detached according to the ‘‘peratioIial convenience. BRIEF DESCRIPTION OF THE ACCOMPANYING DRAWINGS FIGURE 1 I I'/ I I FIGURE 2 I I FIGURE 3 SPINAL EMPOTOME WITH NO HELMET EXTENSION AND CT/ MRI PLATES EMPOTOME WITH CT / MRI PLATES AND WITHOUT HELMET AND SPINAL EXTENSION EMPOTOME WITH HELMET, SPINAL EXTENSION AND CT/ MRI PLATES FIGURE 4 SIDE VIEW OF THE HEAD RING SHOWING THE ADJUSTIBLE CIRCUMFERENCE FIGURE 5 I HEAD RING ~ UPPER CASE FIGURE 6 § FIGURE 7 I I FIGURE 8 I I FIGURE 9 FIGURE 10 FIGURE 11 f i FIGURE 121 FIGURE 14 FIGURE 13 I HEAD RING - LOWER CASE SHOWING THE OUTLINE OF PARTITIONS SUPERIOR VIEW OF THE LOWER CASE - 3 D VIEW LOWER CASE SHOWING VARIOUS PARTITIONS WITH CONTENTS RING FIXATOR FIXOBUR ENDOSCOPIC BURR - EXPANDED VIEW ENDOSCOPIC BURR - RETRACTED VIEW ENDOSCOPIC BURR WITH LENS AND NEON LIGHT DETAILED DESCRIPTION OF THE ACCOMPANYING DRAWINGS WITH REFERENCE NUMBERS REF.NOS DESCRIPTION 1. Helmet for obtaining CT / MRI images of the cranium 2. CT / MRI plates for obtaining images from the facial skeleton across the four vertical rods. 3. Foldable spinal extension, extending from the base of the helmet from its posterior surface down to the end of the spinal column. 4. Head ring upper case 5. Head ring lower case 6. Neck ring 7. Head ring fixator 8. Fixobur 9. Groove for moving the bun- 10. Groove for moving the fixobur 11. Slider 12. Electrical connection 13. Slots for retractor 14. Slot for digital camera 15. Slot for fixing an endoscope and sonar 16. Four vertical rods connecting the head ring and the neck ring which is connected to the ring’ fix’of’ . It has side grooves to accommodate the CT/MRI plates. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. Chamber for air Chamber for water Chamber for computer connection Connection to UPS Chamber for battery cells Adjustable screw’ to move the fixator forward and baclcward over the base Base of the fixator Grooves over the fixator Grooves over the base Central screw’ in the fixator for tightening Grooves in the central screw’ Burr-bit Expandable and retractable burr-bit holder / fixobur Lens inside the burr Neon-light sovirce behind the burr Hemispherical arc to hold the neck-ring Slot for fixing the neck-ring Circular knob w’ith grooved extensions [ as defined in 35 below] for moving the hemispherical arc Eight grooved extensions for moving the hemispherical arc in 8 directions Spherical globe attached to a vertical pointed joint [ as defined in 37 below ] w’hich holds the circular knob defined in 34 above. 37. 38. 39. 40. 41. 42. Vertical pointed joint Central heavy metallic grooved rod to vary the height of the neck-stand through hydraulic pressure Base to support the neck-stand Ball bearings which helps to rotate the spherical globe in all angles. This is situated between 36 & 38. Flexible rod of the fixobur {as seen in 8 above} whose length can be varied Circular ring to hold the burr in position, while performing the burr-hole THE DBTAILBD DESCRIPTION IS AS FOLJLOWS UPFKR Aim LOWER CASES Of THS HEAD RING WITH ATTACHMEttrs A ring, called the head ring. [ part is the upper case [ [ 3?g/r 9fo.S]. This Head ring is adjustable [Fig. No. 4] and can be sized according to the circumference of the head, and hence can be easily used in pediatric patients 8B also in Hydrocephalic (large sized) heads. This adjustment is made possible through a sliding circular frame / g?g/; 5Vb. 11 ] which is incorporated along with the head-ring [ ‘l’. 9 slides in and out of the head-ring, in a circular fashion, so that the shape of the frame is always maintained circular. The abovesaid head-ring is attached to another ring , called the neck-ring, f There is a hemi-spherical translucent helmet, / The hemispherical helmet [ i(gf. 5Vb. l ], spinal extension [ The neck-ring [ and fR’. 9fos. 32, 33, 34, 35, 36, 37, 38, 39 and40 ] which is to be placed behind the skull. This stand is adjustable according to the height of the OT-Table required by the operating surgeon. The stand has a rotating knob / head in any direction. The rotation helps in placing the patient on the table and turning the patient's head in any direction, while operating. The Upper case [ ?g/: J’os. 4’5] and Lower case [‘RiFf. T’os. 4, 6, 7, 8] are attached to each other through the vertical rods. [iR’.y’o. 16] A. The Upper Case Consists Of : n Fixators which are of a variable length [‘R’. !Nb. 7 and Fig. No. 9 ] D Fixator [ Fig. No. 9] ivhose length is variable, which stands on a base I'R’. 5Vb. 23] and. which can be moved over the grooves on the base of the upper case [ ‘t’. 5Vb. 25]. This fixator, consists of grooves over its surface [ a Slots for Fixators, Fixoburs, retractors. [ a Four flexible burr-bits [ D Expandable and retractable burr-bit holder / fixobur [ Fig. No. 10 and a Burrs ivith endoscopic lens & light attachment for meujing during burring. { Fig Nos. 11,12, 13 and a Slots for retractor, digital camera, endoscope arui Sonar attachment. [ (Rgf. O’os. 13,14 and 15] D Adjustable screw to move the fixator, foruKu-ds and backwards over the base [ B. The Lower Case Consists Of : Connections & attachments to :-O Poiuer supply through AC [Main electHcxU connection] [ 3?g’ 5Vb. 12 ] D A battery source for supply of poiuer, in case of need. [ D An UPS. l’.yro.20] D Computer attachment [ for automisation J [ n Water supply & pneumatic sources. [ NECK RING The neck-ring [Fig. NOS. i, 2 & 3] is attached to the head ring with the upper and lower case [ Fig. Nos. i, 2 & 3 ] through four vertical rods whose length can be varied fligf. 5Vb. 16 J. It has slots f’R’. 5Vb. 33 J all around for connection to the neck stand [ Fig. No. 14 ]. The neck-ring can be moved both in the cranial / towards the fiead] and the caudal directions [ away from tfie head in the dbvmward direction ] wdth the help of the four vertical rods for adjustment during cranial or cervical [on the nec’] procedures It also helps to provide rigid cervical traction for cervical procedures. Since the length of the vertical rods situated betw’een the head ring and the neck ring can be varied, the area bet’veen the head and the neck can be operated without removing the 'SRIAN BMPOTOMB'. CT / MRI RING The CT / MRI ring [ the im’i;ing n’fJtJ’pds opted tilj nqw. The C’ / IyIR| ring consists of multiple-diamond shaped structures which are radio-lucent materials. They are present between the head and neck ring in the vertical axis and across the four vertical rods in the horizontal axis [ as in Fig. Nos. 2 and 3 ] and are attached to the vertical rods through side grooves [ If’. !Nb. 16 ] These multiple diamond shaped structures act as scanners and the images can be procured from any angle viz., axial, saggital 8s coronal axes. It can take images in other axes also like oblique views, or in any particular axis or region of interest that were hither to considered unconventional. It also gives a super-imposed three dimensional image combining the facility of both the CT Scan and the MRI scan. This helps in visualizing both the bony structures and the soft-tissue structures in great detail. They also help in acquiring intra-operative CT / MRI images along with the helmet [ HELMET WITH A SPINAL EiXTBNSION This again is a revolution in the history of neuro-surgery. A large hemispherical translucent helmet [ Vif 5Vb. l and Fig. No. 3 ] is attached to the head-ring. There is a foldable spinal extension [ 3?g’ 5Vb. 3 and Fig. Nos. 2 & 3 ] along its posterior / inferior border to obtain / acquire images of the spinal area. The helmet and the spinal extension will obtain intra-operative CT / MRI images of the cranium emd the spinal axis respectively. NEX;K STAND The Neck Stand [ Fig. No. 14 ] consists of a hemi-circular MRI compatible construction [ A vertically pointed joint/rod f ‘(i’. 3’o. 3r J connects the circular knob with grooved extensions f > The spherical globe rests on a centrally based heavy metallic grooved rod with multiple internal adjustable levers [ . 38 ]. The height of the neck-stand can be varied by hjsdraulic pressure utilizing the internal adjustable levers . The whole stand rests on a broad star shaped heavy base / METHOD OF PERFORMING THE PROCEDURE UTILIZING THE INVENTION VIZ.. "SRIAN EMPOTOME" "SRlAN EMPOTOME" is an instrument used in Neuro-surgical imaging and operations. Initially, a patient who requires imaging / neuro-surgical operation is brought into the Operation Theatre [ OT ]. The patient is made to he down on the OT table. The "SRIAN EMPOTOiyiE" consisting of the Head Ring and the Neck Ring, is inserted from above downwards over the head of the patient. The Head ring mth the upper and the low’er case is adjusted, according to the size of the head of the patient, using the slider available in the "Srian Empotome". The head ring is now fixed to the head of the patient by utilizing the head ring fixator, after giving local anesthesia at the points where the adjustable screw’ of the head-ring fixator penetrates into the skin of the skull of the patient. The adjustable screw’ provided in the fixator is moved either forwards / Jt?i’Jt>vards, so that the head-ring is anchored tightly, allow’ing no Mjovement of the head of the patient. The Neck ring w’ill now lie over the shoulders of the patient. The distance between the head ring and neck ring is adjusted according to the need of the patient by the four verticzd rods. The patient is now’ made to Ue on the Operation Table either in a supine position [Lying on one's 6ac’ so tRat the face is turned towards the roof] or in the prone position [Cying on one's stomacfi or addbmen, so tfiat the face is turned towards the floor] depending upon the surgical needs. The neck ring is now attached to the neck stand jind the height of the table and the patient is accordingly adjusted. After this rigid immobilization of the head emd neck of the patient, the 'helmet' w’ith the 'retractable spinal extension' is anchored on to the head ring. The 'retractable spinal extension' is adjusted in such a w’ay over the OT table, so that there is no inconvenience caused when the patient Ues either in the supine or prone position. The CT and MRl plates are now fixed in betw’een the head and neck ring and slided along the vertical grooved slots available in the vertical rods. This apparatus is then connected to the AC/ DC / Battery / UPS source as the case may be. The apparatus is now’ connected to the computer and then on to a monitor screen in the OT, so that the images are seen both instantaneously and as an online image. It now’ requires to assess whether the patient needs (a) only imaging or (b) imaging and surgery (a) In case, the patient requires only CT / MRl imaging, without any immediate surgical intervention : > the machine is turned on, > the CT and/or MRl images of the head, facial skeleton and the spine are obtained >■ the image is seen instantaneously on the monitor screen and recorded in the computer. The three-dimensional CT + M R 1 images of the head, facial skeleton and the spine, as the case may be, can be accurately visualized, (b) In case the patient requires both imaging and surgery : > The same procedure as in (a) above, is followed, initially > Thereupon, the marking of the flap, [ demar’ng the area on tfie brain which is to Be operated upon ] which is the most important initied step in neuro-surgery, in order to open the skull, is precisely done after imaging, on the Operating Table itself, after obtaining the three dimensional super-imposed CT + MRI pictures, which gives the bony details and the soft-tissue details of the brain. The 'helmef is now’ detached from the head-ring. > Depending on the case, either the brain, the neck or the spinal cord will be operated upon > During surgery, • After marking the flap, the four burrs w’ith the burr-bits are placed in the slots available in the region of the upper case of the head ring. • The skin flap is raised and the four burr bits are placed on the’kull to make four burr holes. The burr bits which are expauidable eavA retractable €ure placed and fixed in their respective positions, in order to prevent unnecessary movements. This fixation is done, utilizing the fixobur. • If more than four burr-holes are required, the procedure is repeated again or more number of burr-slots may be provided in the same upper case of the head ring , so that simultaneously more number of biu-rs can be performed. • The burr bits and the fixobur can be moved in their respective slots provided in the upper case of the head ring. • The burrs are turned on and the procedure of making the burr holes is begun. The chambers for air and w’ater provided in the lower case of the head ring facilitates a pneumatic as w’ell as hydraulic power required for the burr to drill the hole in the bone. • The lens inside the burr with the endoscopic light source gives an online image of the burring process. As soon as the dura is encountered, it is visualized as a pearly white glistening structure. At this point of time the burring procedure is stopped. • Utilizing a separate bone-cutter, the four burr holes are joined together, so that a bone flap is raised. • Utilizing the sonzir appeiratus, the tumor cind the blood vessels are visualized through the dural cover. • The dura is opened and the operation on the brain is begun. • The images are taken during surgery and seen on the monitor, £is an online imaging process, so as to prevent injury to the vital structures as alluded to earlier. The completeness of the resection and the amount of residual tumor available, can all be made out easily. • The brain can be retracted, utilizing the self-reteiiiung retractors which are provide in the slots available for the very purpose in the upper case of the head ring. • Per chance, any power cuts are encountered, the UPS or the battery available in the lower case of the head ring, takes over and facilitates uninterrupted surgery / imaging. • A digital camera and an endoscope can also be fixed in the slot provided in the head ring for taking per-operative pictures and visualizing the inner comers of the resected area, by the endoscope, in the brain, which may not be possible by CT or MRI imaging. • the extent of resection of the tumor is accurately defined • the vascular structures, adjacent to the tumors, can be visualized exactly. • the important arteries, veins, vital structures of the brain Uke the motor cortex, sensory cortex, auditory cortex, visual cortex, speech area, ventricles, breiin stem {xvitA tHe mid-6rain, pons and medulla o6Congata) , cerebellum and spinal cord can be spared from being damaged during surgery, due to accurate visueilization. > The amount of residual tumor can be defined accurately > The presence / absence of post-operative compUcations Woe haemotoma in the tumor bed / collection of blood wlack increases t6e pressure inside the Brain ] can be detected early after completion of the surgery before shifting the patient out of the operating table. > When the neck or the spine [cervical dorsal lumSar or sacral] is being operated, the foldable spinal extension extending from the base of the 'helmef all along the length of the spinal column gives images, so that the surgical details are precisely localized. WE CLAIM; 1. The Srian Empotome, an investigative and an operative neuro-surgical device, comprising of a helmet two head rings, neck ring, CT and MRI rings and a spinal extension alongwith an expandable and a retractable endoscopic burr-bit and a fixobur. 2. The Srian Empotome, as claimed in Claim 1, comprising of the helmet, takes the CT and MRI pictures of the head, face, neck and the brain in all the axes and muhiple sequences which can be visualized on a digital video screen. 3. The Srian Empotome as claimed in claim 1 and claim 2, comprising of two headrings with upper and lower case, consists of adjustable screws for different head-sizes of differing age groups, slots for the burr-bits, endoscopic slots, slot for fixobur, slot for digital camera, slot for sonar and also a ring fixture as in the upper case of the head-ring and multiple partitions with connections for electrical source, UPS source and battery source in the lower ring. 4. The Srian Empotome as claimed in claim 1, claim 2 and claim 3, comprising of the neck-rings, consists of an adjustable unit for the neck-fixation and to give traction to the head and neck during surgery, if required, and slots to fix the neck-ring on to the neck-stand. 5. The Srian Empotome, as claimed in claim 1, claim 2 , claim 3 and claim 4, comprising of the CT and MR! rings, consists of muhiple inter¬locked diamond-shaped units, which captures the three-dimensional [ 3D ] CT and MRI pictures in the axial, coronal, capital views in all the available sequences and super-imposes both of them on a digital on-line video screen. 6. The Srian Empotome, as claimed in claim 1, claim 2, claim 3, claim 4 and claim 5, comprising o f the spinal extension, consists of longitudinal extension from the helmet as alluded in claim 1, includes the unit which captures the CT and MRI images of the spinal cord in all available sequences which can be seen on a digital on-line video screen. 7. The Srian Empotome, as claimed in claim 1, claim 2, claim 3, claim 4, claim 5 and claim 6, comprising of the expandable and retractable endoscopic burr-bits with a fixobur which consists of the burrs, to dirll multiple holes simultaneously in the skull which has an in-built endoscopic apparatus with a neon light source through which the procedures can be vizualised on the digital screen which aids in preventing injury to the dura and the brain. 8. The Srian Empotome, as claimed in claim 1, claim 2, claim 3, claim 4, claim 5 , claim 6 and claim 7, comprising of a neck-stand consists of a heavy metallic base-stand with a longitudinal metallic rod, whose height can be varied and upon which lies a rotatable spherical gadget which can be affixed onto the neck-stand, whose position can be altered in any desirable direction during surgery to tilt the head and neck. 9. The Srian Empotome, as claimed in claim 1, claim 2, claim 3, claim 4, claim 5, claim 6, claim 7 and claim 8, consists of the unique singular advantage of a dual facility of investigative and operative option with the added feature of speed and precision to perform neurosurgical procedures on the head, neck, brain and the spinal-cord. 10. The Srian Empotome, substantially consists as herein described with respect to the above claims and accompanying drawings.

Documents:

0212-mas-2001 abstract.pdf

0212-mas-2001 claims duplicate.pdf

0212-mas-2001 claims.pdf

0212-mas-2001 correspondence others.pdf

0212-mas-2001 correspondence po.pdf

0212-mas-2001 description (complete) duplicate.pdf

0212-mas-2001 description (complete).pdf

0212-mas-2001 drawings.pdf

0212-mas-2001 form-1.pdf

0212-mas-2001 form-13.pdf