Guided delivery of prosthetic valve

• US 10,537,428 B2
• Filed: 04/23/2012
• Issued: 01/21/2020
• Est. Priority Date: 04/28/2011
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Harks, Godefridus Antonius, 'T Hooft, Gert Wim, Chan, Raymond
• Primary Examiner(s): Louis, Richard G
• Application Number:
  US14/114,214
• Publication Number:
  US 20140052241A1
• Time in Patent Office: 2,829 Days
• CPC Class Codes: A61B 2034/2061 using shape-sensors, e.g. fiber shape sensors with Bragg gratings
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61F 2/2427 Devices for manipulating or deploying heart valves during implantation

Abstract

An image-guided prosthetic valve deployment system employs a prosthetic valve (80), a catheter (70) and a delivery tracking system (90). The catheter (70) has an elongated body with a proximal tip (71a) and a distal tip (71b), and the elongated body includes a delivery section (72) adjacent the distal tip (71b) for deploying the prosthetic valve (80) relative to a heart valve (21) within an anatomical region (20). The delivery section (72) includes a delivery segment (73) for sensing a shape and an orientation of the delivery section (72) within the anatomical region (20) relative to a reference point (74). The delivery tracking system (90) tracks a position and an orientation of the prosthetic valve (80) relative to the heart valve (21) as a function of a sensed shape and a sensed orientation of the delivery section (72) within the anatomical region (20) relative to the reference point (74) by the delivery segment (73).

Claims

1. An image-guided prosthetic valve deployment system, comprising:

a prosthetic valve;

a catheter having an elongated body with a proximal tip and a distal tip, the elongated body including a delivery section adjacent the distal tip for deploying the prosthetic valve relative to a heart valve within an anatomical region,

wherein the delivery section includes a delivery segment operable for sensing a shape and an orientation of the delivery section within the anatomical region relative to a reference element located at a position along the delivery section, and

wherein the delivery segment includes;

an optical fiber including a deformation sensor optic array operable for sensing the shape and the orientation of the delivery section within the anatomical region relative to the reference element; and

an electromagnetic coil for defining the reference element;

a delivery tracking system in communication with the delivery segment to track a position and an orientation of the prosthetic valve relative to the heart valve as a function of a sensed shape and a sensed orientation of the delivery section within the anatomical region relative to the reference element as sensed by the delivery segment; and

an image guiding system in communication with the delivery tracking system to display an orientation of the prosthetic valve relative to a valve annulus plane of the heart valve derived from at least one of the sensed shape and the sensed orientation of the delivery section within the anatomical region relative to the reference element,

wherein the valve annulus plane is extracted from within a volume image of the anatomical region excluding the prosthetic valve.

2. The image-guided prosthetic valve deployment system of claim 1,

wherein the delivery segment is an optical fiber including a deformation sensor optic array operable for sensing the shape and the orientation of the delivery section within the anatomical region relative to the reference element;

and

wherein the deformation sensor array defines the reference element.

3. The image-guided prosthetic valve deployment system of claim 1, wherein a display of the orientation of the prosthetic valve relative to the valve annulus plane of the heart valve includes:

a display the prosthetic valve relative to the valve annulus plane of the heart valve within an X-ray image of the anatomical region.

4. The image-guided prosthetic valve deployment system of claim 1, wherein the delivery segment at least partially circumscribes the prosthetic valve.

5. The image-guided prosthetic valve deployment system of claim 1, wherein a display of the orientation of the prosthetic valve relative to the valve annulus plane of the heart valve includes:

a display of an orientation axis perpendicular to the valve annulus plane; and

a display of an angular orientation of a prosthetic vector relative to the orientation axis, the prosthetic vector being representative of the position and the orientation of the prosthetic valve relative to the heart valve.

6. The image-guided prosthetic valve deployment system of claim 5, wherein a display of the orientation of the prosthetic valve relative to the valve annulus plane of the heart valve includes:

a display of an angular differential value between the orientation axis and the prosthetic vector.

7. An image-guided therapeutic device deployment system, comprising:

a therapeutic device;

an interventional instrument having an elongated body with a proximal tip and a distal tip, the elongated body including a delivery section adjacent the distal tip for deploying the therapeutic device relative to an anatomical object within an anatomical region,

wherein the delivery section includes a delivery segment operable for sensing a shape and an orientation of the delivery section within the anatomical region relative to a reference element located at a position along the delivery section, and

wherein the delivery segment includes;

an optical fiber including a deformation sensor optic array operable for sensing the shape and the orientation of the delivery section within the anatomical region relative to the reference element; and

an electromagnetic coil for defining the reference element;

a delivery tracking system in communication with the delivery segment to track a position and an orientation of the therapeutic device relative to the anatomical object as a function of a sensed shape and a sensed orientation of the delivery section within the anatomical region relative to the reference element as sensed by the delivery segment; and

an image guiding system in communication with the delivery tracking system to display an image of an orientation of the therapeutic device relative to a plane of the anatomical object derived from at least one of the sensed shape and the sensed orientation of the delivery section within the anatomical region relative to the reference element,

wherein the plane is extracted from within a volume image of the anatomical region excluding the therapeutic device.

8. The image-guided therapeutic device deployment system of claim 7,

wherein the delivery segment is an optical fiber including a deformation sensor optic array operable for sensing the shape and the orientation of the delivery section within the anatomical region relative to the reference element;

and

wherein the deformation sensor array defines the reference element.

9. The image-guided therapeutic device deployment system of claim 7, wherein a display of the orientation of the therapeutic valve relative to the plane of the anatomical object includes:

a display of the therapeutic valve relative to the plane of the anatomical object within an X-ray image of the anatomical region.

10. The image-guided therapeutic device deployment system of claim 7, wherein the delivery segment at least partially circumscribes the therapeutic device.

11. The image-guided therapeutic device deployment system of claim 7, wherein a display of the orientation of the therapeutic device relative to the plane of the anatomical object includes:

a display of an orientation axis perpendicular to the plane; and

a display of an angular orientation of a vector relative to the orientation axis, the vector being representative of the position and the orientation of the therapeutic device relative to the anatomical object.