Method and apparatus for tracking a surgical instrument during surgery

• US 20080071140A1
• Filed: 09/18/2006
• Published: 03/20/2008
• Est. Priority Date: 09/18/2006
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Gattani, Abhishek, Hameed, Salmaan
• Granted Patent: US 7,824,328 B2
• Time in Patent Office: Days
• US Class Current: 600/117
• CPC Class Codes: A61B 1/0005 combining images e.g. side-by-side, superimposed or tiled
• CPC Class Codes: A61B 1/009 with bending or curvature detection of the insertion part
• CPC Class Codes: A61B 1/042 characterised by a proximal camera, e.g. a CCD camera
• CPC Class Codes: A61B 1/273 for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2090/367 creating a 3D dataset from 2D images using position information
• 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 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras

Abstract

An endoscopic surgical navigation system comprises a tracking subsystem to capture data representing positions and orientations of a flexible endoscope during an endoscopic procedure, to allow coregistration of live endoscopic video with intra-operative and/or pre-operative scan images. Positions and orientations of the endoscope are detected using one or more sensors and/or other signal-producing elements disposed on the endoscope. The sensors may include electromagnetic sensors, optical curvature sensors, or a combination thereof. Output signals of the sensors can be routed to the tracking subsystem through the light channel in the endoscope. A hybrid approach can be used to separately track the position and orientation of the (rigid) base and the flexible portion of the endoscope.

Claims

1. An endoscope comprising:

an elongate tubular member, at least a portion of which is flexible, having a proximal end and a distal end;

a light channel extending through the tubular member to the distal end; and

a first sensor located at the distal end, to provide through the light channel a first signal for use in determining a current position and orientation of the distal end.

2. An endoscope as recited in claim 1, wherein the first signal is an electrical signal provided through the optical channel.

3. An endoscope as recited in claim 1, wherein the first sensor is an electromagnetic sensor.

4. An endoscope as recited in claim 1, wherein the first sensor is an optical fiber curvature sensor.

5. An endoscope as recited in claim 1, further comprising:

a second sensor, located on the tubular member proximal to the first sensor, to provide a second signal for use in determining a current position and orientation of the distal end.

6. An endoscope as recited in claim 5, wherein the first sensor and the second sensors are optical fiber curvature sensors.

7. An endoscope as recited in claim 1, further comprising:

a light-generating element located at the proximal end of the tubular member, to provide a second signal for use in determining a current position and orientation of the proximal end of the tubular member.

8. An endoscope as recited in claim 7, wherein the first sensor is an optical fiber curvature sensor.

9. A surgical instrument comprising:

a rigid member;

an elongate flexible member extending from the rigid member, the flexible member having a distal tip; and

a plurality of sensors disposed along the flexible member, each to produce a separate signal for use in determining a current position of the distal tip relative to the rigid member.

10. A surgical instrument as recited in claim 9, wherein the plurality of sensors comprises a plurality of optical curvature sensors.

11. A surgical instrument as recited in claim 10, wherein each of the plurality of optical curvature sensors has a different length along the flexible member.

12. A surgical instrument as recited in claim 9, further comprising a location element disposed on the rigid member, for use in determining a current position of the rigid member.

13. A surgical instrument as recited in claim 9, wherein the surgical instrument is an endoscope.

14. An endoscope comprising:

a rigid member including a proximal end and a distal end;

an elongate flexible member extending from the distal end of the rigid member, the flexible member having a distal tip of the endoscope;

a light channel extending through the flexible member, to convey light from a light source to the distal tip of the endoscope; and

a plurality of optical curvature sensors disposed along the flexible member and optically coupled to the light channel, each to produce a separate signal for use in determining a current position and orientation of the distal tip.

15. An endoscope as recited in claim 14, wherein each of the plurality of optical curvature sensors has a different length along the flexible member.

16. An endoscope as recited in claim 15, wherein the plurality of optical curvature sensors includes:

a first optical curvature sensor having a first length along the flexible member; and

a second optical curvature sensor, disposed distally along the flexible member relative to the first optical curvature sensor, and having a second length along the flexible member which is shorter than the first length.

17. An endoscope as recited in claim 14, wherein the rigid member has a location element disposed thereon for use in determining a current position and orientation of the rigid member.

18. An endoscope comprising:

a rigid member including a proximal end and a distal end, the rigid member having a plurality of signal-emitting elements disposed thereon, each to produce a signal for use in determining a current position and orientation of the rigid member;

an elongate flexible member extending from the distal end of the rigid member, the flexible member having a distal tip of the endoscope;

a light channel extending through the flexible member, to convey light from a source to the distal tip; and

a plurality of optical curvature sensors disposed along the flexible member and optically coupled to the light channel, each to transmit a separate signal through the light channel, for use in determining a current position and orientation of the distal tip.

19. A method of determining a current position and orientation of a distal tip of a flexible endoscope, the endoscope including a rigid member which has a proximal end and a distal end, and an elongate flexible member extending from the rigid member, the flexible member having a distal end including a distal tip of the endoscope, the method comprising:

using a location element disposed on the rigid member to determine a current position of the rigid member as a reference point;

receiving a plurality of signals from a plurality of sensors located along the flexible member;

using the plurality of signals to compute a current position and orientation of the distal end of the flexible member relative to the reference point; and

computing the current position and orientation of the distal tip of the endoscope, based on the reference point and the computed current position and orientation of the distal end of the flexible member relative to the reference point.

20. A method as recited in claim 19, wherein the plurality of sensors located along the flexible member comprises a plurality of optical curvature sensors.

21. A method as recited in claim 20, wherein the location element disposed on the rigid member comprises a light-emitting element.

22. An apparatus for determining a current position and orientation of a distal tip of a flexible endoscope, the endoscope including a rigid member which has a proximal end and a distal end, and an elongate flexible member extending from the rigid member, the flexible member having a distal end including a distal tip of the endoscope, the apparatus comprising:

means for determining a current position of the rigid member as a reference point;

means for receiving a plurality of signals from a plurality of sensors located along the flexible member;

means for using the first signal to compute a current position of the rigid member as a reference point;

means for using the plurality of signals to compute a current position and orientation of the distal end of the flexible member relative to the reference point; and

means for computing the current position and orientation of the distal tip of the endoscope, based on the reference point and the computed current position and orientation of the distal end of the flexible member relative to the reference point.

23. An apparatus as recited in claim 22, wherein the plurality of sensors located along the flexible member comprises a plurality of optical curvature sensors located along a light channel of the endoscope.

24. An apparatus as recited in claim 23, wherein the location element disposed on the rigid member comprises a light-emitting element, and wherein the means for determining a current position of the rigid member as a reference point comprises means for receiving from a light detector a signal representative of light produced by the light-emitting element.