Position sensing using electric dipole fields

• US 10,588,543 B2
• Filed: 04/24/2013
• Issued: 03/17/2020
• Est. Priority Date: 05/23/2012
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Bar-Tal, Meir, Osadchy, Daniel
• Primary Examiner(s): Abouelela, May A
• Application Number:
  US13/869,301
• Publication Number:
  US 20130317334A1
• Time in Patent Office: 2,519 Days
• Field of Search: 600300, 600547, 600377, 600424, 600373, 128899
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• 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 5/0538 invasively, e.g. using a catheter
• 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 5/068 using impedance sensors
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424

Abstract

A medical apparatus, including a reference probe having a flexible insertion tube with a distal end for insertion into a body cavity, a pair of isolated electrodes fixedly attached to the distal end, and a position sensor fixedly located in the distal end. The apparatus also includes a supplementary probe having an electrode fixed thereto. The apparatus further includes a processor, configured to inject respective alternating currents into the pair of isolated electrodes so as to generate an electrical field therefrom, to measure a potential generated at the electrode of the supplementary probe in response to the electrical field, and to evaluate a location of the supplementary probe with respect to the reference probe in response to the measured potential and in response to a position of the distal end indicated by the position sensor.

Claims

1. A medical apparatus, comprising:

a reference probe, comprising;

a flexible insertion tube having a circumferential surface extending along a longitudinal axis, a distal end configured to be inserted a body cavity, the distal end having a distal tip;

at least three pairs of mutually isolated electrodes fixedly attached linearly along the circumferential surface of the flexible insertion tube;

i] a first pair of the at least three pairs of mutually isolated electrodes being a pair of ring electrodes proximal the distal tip and separated by a first fixed distance along the longitudinal axis to be a first dipole having a dipole moment directed along the longitudinal axis,

ii] a second pair of the at least three pairs of mutually isolated electrodes being radially offset from each other by 180°

along a second pair axis perpendicular to the longitudinal axis to be a second dipole having a dipole moment directed along the second pair axis, and

iii] a third pair of the at least three pairs of mutually isolated electrodes being radially offset from each other by 180°

along a third pair axis perpendicular to the longitudinal axis and orthogonal to the second pair axis to be a third dipole having a dipole moment directed along the third pair axis, the second pair of mutually isolated electrodes and the third pair of mutually isolated electrodes being positioned directly on the surface of the distal end between the first pair of mutually isolated ring electrodes, wherein each electrode of each of the at least three pairs of mutually isolated electrodes comprising source electrodes for generating an electrical field; and

a position sensor fixedly located in the distal end;

a supplementary probe having an electrode fixed thereto; and

a processor, configured to inject respective alternating currents into at least one pair of the at least three pairs of mutually isolated electrodes to generate the electrical field therefrom, to measure a potential generated at the electrode of the supplementary probe in response to the electrical field, and to determine a location of the electrode on the supplementary probe with respect to a reference probe frame of reference and to then calculate the location of the electrode on the supplementary probe in the frame of reference using a location vector relating to a position of the position sensor.

2. The apparatus according to claim 1, wherein the processor is configured to respectively inject three sets of respective alternating currents into the three pairs of mutually isolated electrodes.

3. The apparatus according to claim 1, wherein the position sensor comprises at least one coil, and wherein the processor is configured to measure the position of the distal end, as a distal end location and a distal end orientation, using electrical signals generated in the at least one coil in response to a magnetic field.

4. The apparatus according to claim 1, wherein the supplementary probe has a further electrode fixed thereto, and wherein the processor is configured to measure a further potential generated at the further electrode in response to the electrical field, and to evaluate a further location of the further electrode with respect to the reference probe in response to the measured further potential and in response to the position of the distal end indicated by the position sensor, and to evaluate an orientation of the supplementary probe in response to the location of the supplementary probe and the further location of the further electrode.

5. The apparatus according to claim 1, and comprising:

a second reference probe, comprising;

a second flexible insertion tube having a second distal end configured to be inserted into the body cavity; and

a second pair of isolated electrodes fixedly attached to the second distal end, wherein the processor is configured to measure further potentials generated at the alternate pair of isolated electrodes of the supplementary probe in response to the electrical field, and to evaluate an alternate reference probe location and an alternate reference probe orientation in response to the measured further potentials.

6. The apparatus according to claim 5, wherein the processor is configured to inject respective further alternating currents into the second pair of isolated electrodes to generate a further electrical field therefrom.

7. The apparatus according to claim 6, wherein the processor is configured to measure a further potential generated at the electrode of the supplementary probe in response to the further electrical field, and to further evaluate the location of the supplementary probe in response to the measured further potential, the second reference probe location and the second reference probe orientation.

8. The apparatus according to claim 6, and comprising a further supplementary probe having a further electrode outside the electrical field and within the further electrical field, wherein the processor is configured to measure a further potential generated at the further electrode of the further supplementary probe in response to the further electrical field, and to evaluate a further supplementary probe location in response to the measured further potential, the second reference probe location and the second reference probe orientation.