System and method for light based lung visualization

• US 10,448,861 B2
• Filed: 08/27/2014
• Issued: 10/22/2019
• Est. Priority Date: 09/06/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Stopek, Joshua B., Brannan, Joseph D., Dickhans, William J., Ladtkow, Casey M.
• Primary Examiner(s): Chen, Tse W
• Assistant Examiner(s): Hoffman, Joanne M
• Application Number:
  US14/469,744
• Publication Number:
  US 20150073268A1
• Time in Patent Office: 1,882 Days
• Field of Search: 600424
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• 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 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• 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 5/062 using magnetic field
• CPC Class Codes: A61B 5/066 Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/113 occurring during breathing
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30

Abstract

A system for light based interrogation of a lung includes a memory, an electromagnetic (EM) board, an extended working channel (EWC), an EM sensor, a light source, a light receptor and a processor. The memory stores a 3D model and a pathway plan of a luminal network and the EM board generates an EM field. The EWC navigates a luminal network of a patient toward a target in accordance with the pathway plan and the EM sensor extends distally from a distal end of the EWC and is configured to sense the EM field. The light source is located at or around the EWC and emits light, and the light receptor is located at or around the EWC and is configured to sense reflected light from airway of the luminal network. The processor converts the reflected light into light based data and identifies a type or density of tissue.

Claims

1. A system for light-based interrogation comprising:

a memory storing a pre-procedural three-dimensional (3D) model of a luminal network and a pathway plan illustrating a pathway in the pre-procedural 3D model to a target identified in the pre-procedural 3D model, wherein the pre-procedural 3D model is made of a plurality of two dimensional (2D) images, which are from computed tomography scanning, magnetic resonance imaging (MRI), fluoroscopic imaging, or X-ray imaging;

an electromagnetic (EM) board configured to generate an EM field;

an extended working channel (EWC) configured to navigate a luminal network of a patient toward the target in accordance with the pathway plan;

an EM sensor located at a distal portion of a medical device, which is extending distally from a distal end of the EWC, and configured to sense the EM field;

a light source located at the distal portion of the EWC and configured to emit light;

a light receptor located at the distal portion of the EWC and configured to sense light reflected from airway of the luminal network; and

a processor configured to convert the reflected light into light based data and identify one or more physiological features, generate a visible image, and generate an intra-procedural 3D model by replacing at least one of the plurality of 2D images of the pre-procedural 3D model at a location that corresponds to a detected location of the EM sensor with the visible image, the intra-procedural 3D model generated based on a predetermined offset between the EM sensor and the light receptor.

2. The system according to claim 1, further comprising a display device configured to display the light based data with the pre-procedural 3D model.

3. The system according to claim 2, wherein the display device is further configured to display a status based on the location of the EM sensor.

4. The system according to claim 3, wherein the status indicates whether the EM sensor is located at a not-in-target location, the target, or a location adjacent to healthy tissue.

5. The system according to claim 3, wherein the status indicates whether treatment of the target is complete.

6. The system according to claim 2, wherein the generated visible images show an interior of the luminal network.

7. The system according to claim 1, wherein a resolution of the generated visible images is finer than a resolution of the pre-procedural 3D model at the location.

8. The system according to claim 1, wherein the visible images are generated from the light based data.

9. The system according to claim 1, wherein the processor is further configured to determine whether a treatment device is at the target based on the light based data.

10. The system according to claim 1, wherein the processor is further configured to determine a sufficiency of treatment based on a density of the target according to the light based data.

11. The system according to claim 1, wherein the processor is further configured to determine a sufficiency of treatment based on a change in fluorescence of the target which is dyed with a fluorescent dye.

12. The system according to claim 1, wherein the processor performs a spectroscopy analysis using a predictive algorithm based on reflections patterns of the light from lung tissue.

13. The system according to claim 1, wherein the light source and the light receptor are integrated into a confocal imaging device or an optical coherence tomographic device.

14. The system according to claim 1, further comprising a plurality of reference sensors located on a patient and configured to recognize a breathing pattern of the patient.

15. The system according to claim 14, further comprising a tracking device configured to identify a location of the EM sensor by compensating for patient'"'"'s breathing based on the breathing pattern.

16. The system according to claim 1, wherein the generated visible images are selectively fused to create a composite image data set with the pre-procedural 3D model.

17. The system according to claim 1, wherein the emitted light wavelength ranges from 400 nanometer to 700 nanometer.

18. The system according to claim 1, wherein the physiological features are selected from the group consisting of a type of tissue, a density of tissue, or presence of one or more blood vessel.