Head registration using a personalized gripper

• US 10,631,935 B2
• Filed: 10/25/2016
• Issued: 04/28/2020
• Est. Priority Date: 10/25/2016
• Status: Active Grant

• Current Assignee: Biosense Webster Israel Ltd. (Johnson & Johnson)
• Original Assignee: Biosense Webster Israel Ltd. (Johnson & Johnson)
• Inventors: Amit, Matityahu
• Primary Examiner(s): Davis, Amelie R
• Assistant Examiner(s): Li, John Denny
• Application Number:
  US15/334,183
• Publication Number:
  US 20180110567A1
• Time in Patent Office: 1,281 Days
• Field of Search: 600411
• CPC Class Codes: A61B 17/24 for use in the oral cavity, larynx, bronchial passages or nose for medical inspection of cavities or tubes in the body A61B1/00; Tongue scrapers
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/108 Computer aided selection or customisation of medical implants or cutting guides
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/374 NMR or MRI
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 2090/3764 with a rotating C-arm having a cone beam emitting source
• CPC Class Codes: A61B 2090/3991 having specific anchoring means to fixate the marker to the tissue, e.g. hooks
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• 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 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 6/04 Positioning of patients; Tiltable beds or the like operating tables A61G13/00; operating chairs A61G15/00
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: B33Y 80/00 Products made by additive manufacturing

Abstract

A method includes acquiring an anatomical image of at least part of a head of a specific patient, the anatomical image capturing at least a selected location in the head. A personalized gripper, which is shaped based on the anatomical image to personally fit an organ of the specific patient at the selected location, and which includes a first position sensor of a position-tracking system, is fitted. The anatomical image is registered with a coordinate system of the position-tracking system, by identifying the selected location in the anatomical image and measuring a first position of the first position sensor using the position-tracking system. A medical device that includes a second position sensor of the position-tracking system, is navigated in the head of the specific patient by displaying a second position of the medical device in the head on the registered anatomical image.

Claims

1. A method, comprising:

(a) acquiring an anatomical image of at least part of a head of a specific patient, wherein the anatomical image captures at least a selected location in the head;

(b) fitting a personalized gripper, which is shaped based on the anatomical image to personally fit one or more teeth of the specific patient at the selected location, the personalized gripper comprising;

(i) a body portion,

(ii) a sensor placement position located on the body portion, wherein the sensor placement position is associated, in an electronic memory of a surgical system, with a first fixed coordinate offset describing the sensor placement position relative to the one or more teeth when the personalized gripper is fit to the one or more teeth, and

(iii) a first position sensor of a position-tracking system positioned at the sensor placement position, wherein the position-tracking system comprises a magnetic position-tracking system, and wherein the first position sensor comprises a magnetic position sensor;

(c) registering the anatomical image with a coordinate system of the position-tracking system, by identifying the selected location in the anatomical image and measuring a first position of the first position sensor using the position-tracking system, wherein registering comprises;

(i) generating an electromagnetic field around the head of the patient, and

(ii) receiving signals from the first position sensor in response to the generated electromagnetic field;

(d) calibrating the position-tracking system for a second position sensor using a registration groove on an external wall of the body portion of the personalized gripper, wherein;

(i) the registration groove is adapted to couple with a portion of a medical device and statically position the medical device relative to the first position sensor,

(ii) the registration groove is positioned on the external wall based on a second fixed coordinate offset describing the registration groove position relative to the first position sensor, and

(iii) calibration of the position tracking system for the second position sensor is based on the second fixed coordinate offset; and

(e) navigating to one or more locations in the head of the specific patient the medical device that comprises the second position sensor of the position-tracking system, by displaying a second position of the medical device in the head on the registered anatomical image, wherein the second position sensor comprises a second magnetic position sensor, wherein navigating comprises;

(i) receiving signals from the first position sensor, in response to the generated electromagnetic field, to indicate positioning of the head of the patient,

(ii) receiving signals from the second position sensor, in response to the generated electromagnetic field, to indicate positioning of the medical device, and

(iii) displaying the second position of the medical device based upon the indicated positioning of the head of the patient and the indicated positioning of the medical device.

2. The method according to claim 1, wherein acquiring the anatomical image comprises acquiring one or more images using a modality selected from a list consisting of computerized tomography (CT), cone beam computed tomography (CBCT), and magnetic resonance imaging (MRI).

3. The method according to claim 1, wherein navigating the medical device comprises navigating the medical device into a nasal-sinus of the head.

4. The method according to claim 1, wherein navigating the medical device comprises navigating the medical device into a neural-system of the head.

5. The method according to claim 1, wherein the medical device comprises a suction catheter.

6. The method according to claim 1, wherein the medical device comprises a guidewire.

7. A method for producing a gripper, the method comprising:

(a) receiving an anatomical image of at least part of a head of a specific patient, wherein the anatomical image captures at least a selected location in the head;

(b) deriving from the anatomical image instructions for producing a personalized gripper that is shaped to personally fit one or more teeth at the selected location;

(c) producing the personalized gripper based on the instructions and providing a registration groove at a groove position on an external wall of a body portion of the personalized gripper, wherein the registration groove is adapted to couple with a portion of a medical device and statically position the medical device relative to the personalized gripper;

(d) associating the registration groove, in an electronic memory, with a second fixed coordinate offset describing the groove position relative to a sensor placement position;

(e) coupling a position sensor to the personalized gripper at the sensor placement position on the body portion of the personalized gripper, wherein the position sensor comprises a magnetic position sensor configured to generate a position-indicative signal in response to an electromagnetic field; and

(f) associating the position sensor, in the electronic memory of a surgical system, with a first fixed coordinate offset describing the sensor placement position relative to the one or more teeth.

8. The method according to claim 7, wherein receiving the anatomical image comprises receiving one or more images of a modality selected from a list consisting of computerized tomography (CT), cone beam computed tomography (CBCT), and magnetic resonance imaging (MRI).

9. The method according to claim 7, wherein producing the personalized gripper comprises printing the personalized gripper by a three-dimensional (3D) printer in accordance with the instructions.

10. The method according to claim 9, wherein printing the personalized gripper comprises printing the personalized gripper from at least one biocompatible material.

11. The method of claim 7, wherein the instructions for producing the personalized gripper comprise a set of known offsets describing spatial relationships between a plurality of points on the personalized gripper, further comprising:

(a) determining the first fixed coordinate offset at the time the gripper is produced based on the set of known offsets; and

(b) determining the second fixed coordinate offset at the time the gripper is produced based on the set of known offsets.

12. An article of manufacture, comprising:

(a) a personalized gripper body, which is shaped to personally fit one or more teeth at a selected location in a head of a specific patient, based on an anatomical image of at least part of the head of the specific patient; and

(b) a position sensor coupled to the personalized gripper body at a sensor placement position, wherein the position sensor comprises a magnetic position sensor configured to generate a position-indicative signal in response to an electromagnetic field, and wherein the position sensor is associated, in an electronic memory of a surgical system, with a fixed coordinate offset describing the sensor placement position relative to the one or more teeth;

wherein;

(i) the personalized gripper body comprises a groove, which is shaped to fit a distal tip of a catheter,

(ii) the groove is positioned at a groove position on an external wall of the personalized gripper body, and

(iii) the groove is associated, in the electronic memory, with a second fixed coordinate offset describing the groove position relative to the sensor placement position.

13. The article of manufacture according to claim 12, wherein the personalized gripper is made of at least one biocompatible material.

14. The article of manufacture according to claim 12, wherein the position sensor is configured to be coupled to the personalized gripper by gluing the position sensor to the personalized gripper.