Intracardiac imaging system utilizing a multipurpose catheter

• US 10,206,652 B2
• Filed: 09/26/2014
• Issued: 02/19/2019
• Est. Priority Date: 12/30/2008
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Deno, D. Curtis, Hill, Anthony D., Zhong, Hua
• Primary Examiner(s): Cohen, Lee S
• Assistant Examiner(s): Cardinal, Erin M
• Application Number:
  US14/498,573
• Publication Number:
  US 20150080715A1
• Time in Patent Office: 1,607 Days
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• CPC Class Codes: A61B 2562/046 in a matrix array
• 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 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/7217 of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/5238 for combining image data of patient, e.g. merging several images from different acquisition modes into one image for image registration algorithms G06T7/30
• CPC Class Codes: Y10S 128/916 Ultrasound 3-D imaging

Abstract

A three dimensional physiological mapping system utilizing an intracardiac echo catheter capable of being located in six degrees of freedom by a visualization, navigation, or mapping system. An echocardiography image of the intracardiac echo catheter may be projected within a geometric model of the visualization, navigation, or mapping system where the location of the projected image is adjusted in response to user input identifying a structure present in the echocardiography image and the geometric model.

Claims

1. An intracardiac echo catheter comprising:

a flexible member having a distal end and a proximal end;

a sensor array having an ultrasound transducer and at least three electrodes being attached to the distal end, wherein each of the at least three electrodes comprises an electrical position and a physical position, and wherein the electrical position comprises a further radial distance from a longitudinal axis of the sensor array than a radial distance of the physical position for at least one of the at least three electrodes, each of the electrodes configured to generate a position signal in response to an electric field, the electrodes being arranged such that positions indicated by the position signals are not collinear and are not orthogonal;

whereby the position signals allow a visualization, navigation, or mapping system to locate and orient the catheter in space.

2. The catheter of claim 1, having at least one of the at least three electrodes positioned distal to the ultrasound transducer and having one of the at least three electrodes positioned proximal to the ultrasound transducer.

3. The catheter of claim 1, wherein at least one of the electrodes is a ring electrode.

4. The catheter of claim 1, wherein at least one of the electrodes is a spot electrode.

5. The catheter of claim 1, wherein at least one of the electrodes is a ring electrode having a portion of a conductive surface of the electrode insulated so as to be non-conductive.

6. The catheter of claim 1, each of the electrodes being further configured to generate an electrogram of cardiac structures in close proximity thereto.

7. An elongate medical device comprising:

a flexible member having a distal end portion and a proximal end portion;

an ultrasound transducer disposed at the distal end portion of the flexible member; and

at least three electrodes disposed in a non-collinear and non-orthogonal configuration at the distal end portion of the flexible member, wherein each of the at least three electrodes comprises an electrical position and a physical position, and wherein the electrical position comprises a further radial distance from a longitudinal axis of the flexible member than a radial distance of the physical position for at least one of the at least three electrodes, each of the electrodes configured to generate a position signal in response to an electric field.

8. The elongate medical device of claim 7, wherein a first one of the at least three electrodes is a first spot electrode.

9. The elongate medical device of claim 8, wherein a second one of the at least three electrodes is a second spot electrode.

10. The elongate medical device of claim 9, wherein a third one of the at least three electrodes is a ring electrode.

11. The elongate medical device of claim 9, wherein the first spot electrode is disposed at a different circumferential position of the flexible member than the second spot electrode.

12. The elongate medical device of claim 7, wherein a first of the at least three electrodes is distal of the ultrasound transducer and a second of the at least three electrodes is proximal of the ultrasound transducer.

13. The elongate medical device of claim 7, wherein at least one of the at least three electrodes is partially masked.

14. The elongate medical device of claim 7, wherein at least one of the at least three electrodes is disposed behind the ultrasound transducer.

15. The elongate medical device of claim 7, wherein the at least three electrodes are evenly spaced about the circumference of the flexible member.

16. A system comprising:

an elongate medical device comprising;

a flexible member having a distal end portion and a proximal end portion;

an ultrasound transducer disposed at the distal end portion of the flexible member, the ultrasound transducer associated with an ultrasound imaging plane;

at least three electrodes disposed in a non-collinear and non-orthogonal configuration at the distal end portion of the flexible member, wherein each of the at least three electrodes comprises an electrical position and a physical position, and wherein the electrical position comprises a further radial distance from a longitudinal axis of the flexible member than a radial distance of the physical position for at least one of the at least three electrodes, each of the electrodes configured to generate a position signal in response to an electric field; and

an electronic controller comprising a processor, the electronic controller configured to receive or determine respective electrical positions of the at least three electrodes and to determine a position and orientation of the ultrasound imaging plane according to the respective electrical positions of the at least three electrodes.

17. The system of claim 16, wherein the electronic controller is further configured to display an image from the ultrasound transducer with respect to an anatomical model according to the determined position and orientation of the ultrasound imaging plane.

18. The system of claim 16, wherein the electronic controller is further configured to receive electrograms captured with the at least three electrodes and to cause the electrograms to be displayed for a user.

19. The system of claim 16, wherein at least one of the at least three electrodes is a ring electrode.

20. The system of claim 16, wherein a first one of the at least three electrodes is disposed proximal of the ultrasound transducer and a second one of the at least three electrodes is disposed distal of the ultrasound transducer.