Catheter movement control

• US 10,206,745 B2
• Filed: 10/19/2017
• Issued: 02/19/2019
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Inventors: Hendrick, Brandon Thomas, Schneider, Blaine Andrew
• Primary Examiner(s): Peng, Bo Joseph
• Application Number:
  US15/788,618
• Publication Number:
  US 20180036085A1
• Time in Patent Office: 488 Days
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 18/201 with beam delivery through a hollow tube, e.g. forming an articulated arm through a flexible conduit A61B18/22; Hand-pieces therefor
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• 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 2090/3954 magnetic, e.g. NMR or MRI
• 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 5/062 using magnetic field
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 25/0108 using radio-opaque or ultrasound markers
• CPC Class Codes: A61M 25/0113 Mechanical advancing means, e.g. catheter dispensers
• CPC Class Codes: A61M 25/0116 self-propelled, e.g. autonomous robots A61M25/0122 takes precedence
• CPC Class Codes: A61M 25/0662 Guide tubes

Abstract

An endovascular device monitoring system is provided that determines, based on movement of the endovascular device past a selected reference location, at least one of a movement rate of a endovascular device and position of a distal end of a endovascular device in a body of a patient.

Claims

1. A system comprising:

a sheath;

a vascular device configured to move relative to the sheath, and wherein at least one of the sheath and the vascular device comprises a movement sensor configured to sense relative movement of the vascular device and the sheath; and

a controller comprising a non-transient, tangible computer readable medium including logic, whereupon execution of the logic, the controller, based on relative movement sensed by the movement sensor;

(A) operates in an assisted mode wherein the controller is configured to regulate one or more operational parameters of the vascular device, the assisted mode including;

(A1) determining in a first instance a first position of the vascular device relative to the sheath and whether the first position is acceptable or unacceptable based on at least one predetermined threshold; and

(A2) in response to a determination in (A1), the controller controlling an operational parameter of the one or more operational parameters;

(B) operates in an unassisted mode wherein the controller is not configured to regulate the one or more operational parameters, the unassisted mode including;

(B1) determining in a second instance a second position of the vascular device relative to the sheath and whether the second position is acceptable based on the at least one predetermined threshold; and

;

(B2) in response to an unacceptable determination in (B1), the controller being unable to control the operational parameter.

2. The system of claim 1, wherein the one or more operational parameters are one or more of velocity, acceleration, position, emission, and operational state of the vascular device.

3. The system of claim 2, wherein the position is at a distal end of the vascular device.

4. The system of claim 2, wherein the velocity is associated with a distal end of the vascular device relative to the sheath.

5. The system of claim 1, wherein the controller is configured to receive a selection between the assisted mode and an unassisted mode.

6. The system of claim 5, further comprising providing feedback to a user.

7. The system of claim 6, wherein the feedback comprises one or more of audible, tactile and visual feedback.

8. The system of claim 1, further comprising providing feedback to a user.

9. The system of claim 8, wherein the feedback comprises one or more of audible, tactile and visual feedback.

10. The system of claim 9, wherein the vascular device is a laser catheter and wherein the operational parameter is a movement rate of the laser catheter.

11. The system of claim 10, wherein the operational parameter comprises a velocity of the laser catheter.

12. The system of claim 10, wherein the operational parameter is comprises an acceleration of the laser catheter.

13. The system of claim 1, wherein the vascular device is a laser catheter.

14. The system of claim 13, wherein the operational parameter is an emission of laser energy by the laser catheter.

15. The system of claim 14, wherein the operational parameter is an operational state of emission of laser energy, and the operational state is on.

16. The system of claim 14, wherein the operational parameter is an operational state of emission of laser energy, and the operational state is off.

17. The system of claim 13, wherein the operational parameter of the laser catheter is an emission level of the laser energy.

18. The system of claim 13, wherein the operational parameter of the laser catheter is an intensity of the laser energy.

19. The system of claim 1, wherein (A1) comprises determining in the first instance the first position of the vascular device relative to the sheath, a first movement rate of the vascular device relative to the sheath, and whether the first position and the first movement rate are acceptable or unacceptable based on the predetermined threshold, and wherein (B1) comprises determining in the second instance the second position of the vascular device relative to the sheath, a second movement rate of the vascular device relative to the sheath, and whether the second position and the second movement rate are acceptable based on the at least one predetermined threshold.

20. A system comprising:

a sheath;

a vascular device configured to move relative to the sheath, and wherein at least one of the sheath and the vascular device comprises a movement sensor configured to sense relative movement of the vascular device and the sheath; and

a controller comprising a non-transient, tangible computer readable medium including logic, whereupon execution of the logic, the controller, based on relative movement sensed by the movement sensor;

(A) operates in an assisted mode wherein the controller is configured to regulate one or more operational parameters of the vascular device, the assisted mode including;

(A1) determining in a first instance a first movement rate of the vascular device relative to the sheath and whether the first movement rate is acceptable or unacceptable based on at least one predetermined threshold; and

(A2) in response to a determination in (A1), the controller controlling an operational parameter of the one or more operational parameters;

(B) operates in an unassisted mode wherein the controller is not configured to regulate one or more operational parameters of the vascular device, the unassisted mode including;

(B1) determining in a second instance a second movement rate of the vascular device relative to the sheath and whether the second movement rate is acceptable based on the at least one predetermined threshold; and

;

(B2) in response to an unacceptable determination in (B1), the controller only monitoring the operational parameter without controlling the operational parameter.