Methods and devices for controlling a shapeable medical device

• US 10,143,360 B2
• Filed: 01/27/2014
• Issued: 12/04/2018
• Est. Priority Date: 06/24/2010
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Auris Health, Inc. (Johnson & Johnson)
• Inventors: Roelle, Matthew J., Tanner, Neal A., Younge, Robert G., Carlson, Christopher R., Barbagli, Federico, Camarillo, David
• Primary Examiner(s): BOUCHELLE, LAURA A
• Application Number:
  US14/164,961
• Publication Number:
  US 20140357953A1
• Time in Patent Office: 1,772 Days
• CPC Class Codes: A61B 1/00006 of control signals
• CPC Class Codes: A61B 1/00042 for mechanical operation
• CPC Class Codes: A61B 1/0011 Manufacturing of endoscope parts
• CPC Class Codes: A61B 1/0016 using motor drive units
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/008 Articulations
• CPC Class Codes: A61B 1/009 with bending or curvature detection of the insertion part
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

Systems and methods are described herein that improve control of a shapeable or steerable instrument using shape data. Additional methods include preparing a robotic medical system for use with a shapeable instrument and controlling advancement of a shapeable medical device within an anatomic path. Also described herein are methods for altering a data model of an anatomical region.

Claims

1. A method of controlling advancement of a shapeable medical device within an anatomic path, the method comprising:

processing a command from an input device to actuate the shapeable medical device into a desired configuration of one or more portions of the shapeable medical device;

issuing a position control signal to one or more actuators based on a model of shapeable medical device mechanics to advance the shapeable medical device along the anatomic path;

obtaining a plurality of localization data to determine a real shape of at least the one or more portions of the shapeable instrument when advanced along the anatomic path; and

determining a differential between the real shape and the desired configuration of the one or more portions; and

based on the differential between the real shape and the desired configuration of the one or more portions, updating the model of shapeable medical device mechanics and controlling advancement of the shapeable medical device based on the updated model.

2. The method of claim 1, where controlling the advancement of the shapeable medical device comprises reversing the shapeable medical device along the anatomic path until the differential between the real shape and the desired configuration decreases.

3. The method of claim 1, where controlling the advancement of the shapeable medical device comprises slowing advancement of the shapeable medical device along the anatomic path until the differential between the real shape and the desired configuration decreases.

4. The method of claim 1, where controlling the advancement of the shapeable medical device comprises advancing a guide device from the shapeable medical device within the anatomic path and subsequently advancing the shapeable medical device along the guide track.

5. The method of claim 1, where controlling the advancement of the shapeable medical device comprises stopping the shapeable medical device and withdrawing a proximal end of the shapeable medical device until the differential between the real shape and the desired configuration decreases.

6. The method of claim 1, wherein the model of shapeable medical device mechanics is based in part on a historical database of real shapes of the one or more portions of the shapeable medical device.

7. The method of claim 1, wherein the desired configuration is determined based on commanded catheter configurations.

8. The method of claim 1, wherein the desired configuration is indicative of an anatomical path.