Removable navigation system and method for a medical device

• US 10,390,889 B2
• Filed: 07/26/2010
• Issued: 08/27/2019
• Est. Priority Date: 07/26/2010
• Status: Active Grant

• Current Assignee: St. Jude Medical International Holding SARL (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical International Holding SARL (Abbott Laboratories Incorporated)
• Inventors: Sobe, Lior
• Primary Examiner(s): Ton, Martin T
• Application Number:
  US12/843,095
• Publication Number:
  US 20120017923A1
• Time in Patent Office: 3,319 Days
• Field of Search: 623 111, 604270, 604523, 604529, 604500, 604 9601, 60416403, 600112, 600 9- 13, 600422-424, 128899, 606129, 607115, 607116, 607126-128
• CPC Class Codes: A61B 2017/00053 Mapping
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis

Abstract

A removable navigation system for a medical device configured for insertion within a lumen in a body is provided. The removable navigation system includes a sheath operatively configured to cover at least a portion of the medical device, a positioning sensor affixed to the sheath and a deformable fixation element disposed between the sheath and the medical device. The deformable fixation element is operatively deformed to temporarily fix a position of the medical device relative to the sheath and positioning sensor.

Claims

1. A medical navigation device, comprising:

a sheath comprising a material, the sheath configured to cover at least a portion of a medical device configured for navigation in a body lumen of a patient, wherein the sheath comprises a first opening, a second opening, and a lumen therebetween, wherein the first opening, the second opening, and the lumen are each sized and configured such that a portion of the medical device may removably pass therethrough; and

a positioning sensor comprising an electromagnetic coil affixed within the material of the sheath so that the sheath and the positioning sensor are removable from the medical device and from the body lumen while the medical device remains in the body lumen, wherein the electromagnetic coil is sized and configured such that a portion of the medical device may removably pass therethrough, and wherein the electromagnetic coil is electrically coupled to conductors extending longitudinally along the sheath from the electromagnetic coil to a sheath proximal end located outside of the body lumen and patient while the medical device remains in the body lumen so as to enable connection of the conductors to a navigation and tracking system, and

wherein the electromagnetic coil is sized and configured to produce a signal that can be interpreted by a signal processing unit and such that a portion of the medical device may pass therethrough.

2. The medical navigation device as defined in claim 1, further comprising a deformable fixation element disposed between the sheath and the medical device, the deformable fixation element configured to be operatively deformed to temporarily fix a position of the medical device relative to the sheath and positioning sensor.

3. The medical navigation device as defined in claim 1 wherein the fixation element comprises an inflatable balloon disposed between the sheath and the medical device.

4. The navigation device as defined in claim 1 wherein the fixation element comprises a shape memory alloy.

5. The medical navigation device as defined in claim 1 wherein the sheath is operatively configured to be separated from the medical device while the medical navigation device and the medical device are both disposed within a lumen in a body, such that the sheath may be removed from the body while the medical device remains disposed within the lumen in the body.

6. The medical navigation device as defined in claim 5 wherein the sheath defines perforations configured to allow portions of the sheath to break away from one another.

7. The medical navigation device as defined in claim 5 wherein the sheath defines a portion that is weakened relative to other portions of the sheath to allow the portion that is weakened to break away from the other portions of the sheath.

8. The medical navigation device of claim 5, wherein the sheath further comprises a weakened area extending longitudinally along the sheath allowing the sheath to be broken apart, wherein the sheath further comprises an extended section that is sized and configured to remain outside a patient'"'"'s body, and wherein, upon application of a force to the extended section, the sheath may be broken away from the medical device along the weakened area.

9. The medical navigation device as defined in claim 1 wherein the portion of the medical device comprises a portion of the distal end of the medical device.

10. The medical navigation device as defined in claim 1, wherein the signal comprises an induced voltage when the electromagnetic coil is subject to an external magnetic field.

11. The medical navigation device as defined in claim 1, wherein the signal is interpretable by the signal processing unit to determine a location of the electromagnetic coil relative to a navigation and tracking system.

12. The medical navigation device as defined in claim 11 wherein the signal processing unit is connected to the navigation and tracking system, and wherein the navigation and tracking system is configured to measure an induced voltage produced by the electromagnetic coil.

13. The medical navigation device as defined in claim 1, wherein the conductors extend within the material of the sheath from the electromagnetic coil to the sheath proximal end.

14. The medical navigation device of claim 1, wherein the electromagnetic coil is embedded within the material of the sheath.

15. The medical navigation device of claim 1, wherein the electromagnetic coil is disposed within the material of the sheath.

16. The medical navigation device of claim 1, wherein the medical device is a guide wire.

17. The medical navigation device of claim 1, wherein the medical device is selected from the group consisting of a catheter, a guide wire, an electrical lead, a stent, a stylet, and a needle.

18. The medical navigation device of claim 1, wherein the medical device is configured to engage a guide wire.

19. A navigation method for a medical device within a body, the navigation method comprising the steps of:

inserting the medical device into a sheath comprising a material and having a positioning sensor affixed within the material of the sheath so that the sheath and the positioning sensor are removable from the medical device and the body while the medical device remains within the body, the positioning sensor comprising an electromagnetic coil located within the sheath and sized and configured such that a portion of the medical device may removably pass through the electromagnetic coil, and wherein the electromagnetic coil is electrically coupled to conductors extending longitudinally along the sheath from the electromagnetic coil to a sheath proximal end located outside of the body;

deforming a deformable fixation element disposed between the sheath and the medical device to temporarily fix a position of the medical device relative to the sheath and positioning sensor;

guiding the medical device and sheath to a location within a lumen of a body; and

monitoring a position of the positioning sensor within the body to thereby monitor a position of the medical device during navigation of the medical device within the body.

20. The navigation method as defined in claim 19, further comprising the step of separating the sheath from the medical device while the sheath and medical device are disposed within the body.

21. The navigation method as defined in claim 19 wherein the medical device is a catheter.

22. The navigation method as defined in claim 19 wherein the medical device is a guide wire.

23. The navigation method as defined in claim 19 wherein the medical device is a stent.

24. The navigation method as defined in claim 19 wherein the sheath is tubular and disposed about the medical device.

25. The navigation method as defined in claim 19 wherein the fixation element comprises an inflatable balloon disposed between the sheath and the medical device.

26. The navigation method as defined in claim 19 wherein the fixation element comprises a shape memory alloy.

27. The navigation method as defined in claim 19, wherein the deformable fixation element engages the sheath and the medical device to temporarily fix the position of the medical device at least partially within the sheath.