PROXIMITY SENSOR INTERFACE IN A ROBOTIC CATHETER SYSTEM

• US 20120158011A1
• Filed: 12/16/2010
• Published: 06/21/2012
• Est. Priority Date: 12/16/2010
• Status: Abandoned Application

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Sandhu, Kulbir S., Shaquer, Cem
• Application Number:
  US12/970,500
• Publication Number:
  US 20120158011A1
• Time in Patent Office: Days
• US Class Current: 606/130
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 34/30 Surgical robots

Abstract

A robotic catheter control system includes a proximity sensing function configured to generate a proximity signal that is indicative of the proximity of the medical device such as an electrode catheter to a nearest anatomic structure such as a cardiac wall. The control system includes logic that monitors the proximity signal during guided movement of the catheter to ensure that unintended contact with body tissue is detected and avoided. The logic includes a means for defining a plurality of proximity zones, such as a GREEN, YELLOW and RED designated zones, each having associated therewith a respective proximity (distance) criterion, with the RED zone being the nearest to the body tissue and the YELLOW zone being the next nearest to the body tissue. When the logic detects entry of the catheter into the RED zone, the logic terminates the operating power to the actuation units of the control system, to thereby stop movement of the catheter entirely. When the logic detects entry of the catheter into the YELLOW zone, the logic automatically reduces a pre-planned navigation speed of the catheter.

Claims

1. An apparatus for use in a robotic control system for manipulating a medical device toward a target, comprising:

an electronic control unit (ECU);

a computer-readable memory coupled to said ECU; and

control logic stored in said memory configured to be executed by said ECU, said control logic configured to produce an actuation control signal to control actuation of a manipulator assembly of the robotic control system so as to navigate the medical device in and with respect to a plurality of pre-defined proximity zones, said control logic being further configured to generate said actuation control signal based on a proximity signal indicative of at least one of a proximity metric and a contact metric related to a location of the medical device relative to tissue of a patient and in accordance with said pre-defined proximity zones.

2. The apparatus of claim 1 wherein a pre-planned movement of said medical device includes a pre-planned path and a pre-planned speed profile for the device while moving along said path, said control logic being configured to effect modifications to said pre-planned movement in accordance with said proximity signal and defined characteristics of said proximity zones, wherein said modifications include one of (i) a reduced speed relative to said pre-planned speed profile, (ii) a stoppage of movement of said device before completion of said pre-planned path, (iii) a reversal of movement of said device, and (iv) a return of said device to a prior location within a different proximity zone.

3. The apparatus of claim 1 further including user interface logic configured to display a view of a representation of a portion of the body and to receive user input with respect to said representation for specifying speed thresholds to be associated with said proximity zones.

4. The apparatus of claim 1 further including user interface logic configured to receive user input to specify a first distance with respect to said body tissue for determining a first boundary, said proximity zones including a first proximity zone that is established between said first boundary and said body tissue.

5. The apparatus of claim 4 wherein said first distance is a characteristic associated with said first proximity zone, said user interface logic is further configured to receive further user input to specify a further characteristic associated with said first proximity zone, including one of a speed threshold and a trajectory.

6. The apparatus of claim 4 wherein said user interface logic is further configured to receive further user input to specify a second distance with respect to said body tissue for determining a second boundary, said plurality of proximity zones including a second proximity zone established between said second boundary and said first boundary.

7. The apparatus of claim 6 wherein said plurality of proximity zones includes a third proximity zone beyond said first and second proximity zones.

8. The apparatus of claim 6 wherein said user interface logic is further configured to receive further user input to specify one of (i) a speed step control parameter indicative of a decrease in a navigation speed of the medical device;

(ii) a deflection step control parameter indicative of a decrease in a deflection angle of a distal end of the medical device;

(iii) a translation step control parameter indicative of a decrease in a translation amount of the medical device, and (iv) a relaxation step wherein any tension forces or compression forces imparted to the medical device is one of wholly released and partially released.

9. The apparatus of claim 1 wherein said plurality of proximity zones include (i) a first zone extending from a tissue boundary through a first distance to a first boundary;

(ii) a second zone extending from said first boundary to a second boundary a second distance from said tissue boundary; and

(iii) a third zone extending beyond said second boundary;

wherein said control logic is configured to determine, based said proximity signal, in which of said first, second and third zones said medical device reside, said control logic being further configured to generate said actuation control signals so as to,

navigate said medical device normally in accordance with a pre-planned movement having path and speed components when said medical device is in said third zone;

navigate said medical device with a reduced speed relative to said pre-planned speed when said device is in said second zone; and

discontinue navigation of said medical device before completion of the pre-planned path when the medical device is in the first zone.

10. The apparatus of claim 9 wherein said robotic control system includes a manipulator assembly having actuation units configured to actuate one or more control members associated with the medical device in response said actuation control signal;

and wherein,

said control logic is configured to cause operating power to said actuation units to be terminated when said medical device is in said first zone.

11. The apparatus of claim 10 wherein said reduction in speed is determined in accordance with a user specified speed step control parameter.

12. The apparatus of claim 9 wherein said control logic is configured to generate an alert when in a user specified monitor mode and said medical device is in one of said first and said second zones.

13. The apparatus of claim 11 wherein said control logic is configured to track the number of times in which said medical device entered one of said first and second zones, said control logic being further configured to increase a value for said speed step control parameter when said number of times exceeds a diagnostic threshold.

14. The apparatus of claim 1 wherein said medical device includes an electrode, and wherein said proximity signal is determined as a function of a complex impedance between said electrode and said tissue.

15. The apparatus of claim 14 wherein said proximity signal comprises an electrical coupling index (ECI).

16. The apparatus of claim 15 wherein said proximity signal is a derivative of said ECI.

17. A robotic control and guidance system for manipulating a medical device in a body of a patient, comprising:

an electronic control unit (ECU), a memory coupled to said ECU, and control logic stored in said memory configured to be executed by said ECU;

a manipulator assembly including a plurality of electrically-operated actuation units configured to actuate a plurality of control members associated with said medical device in response to a plurality of actuation control signals;

a proximity sensor configured to output a proximity signal indicative of the proximity of said medical device to body tissue; and

said control logic being configured to produce said actuation control signals so as to navigate said medical device in and with respect to a plurality of proximity zones in the body of the patient based on said proximity signal.

18. The apparatus of claim 17 wherein a pre-planned movement of said medical device includes a pre-planned path and a pre-planned speed profile for said device while moving along said pre-planned path, said control logic being configured to effect modifications to said pre-planned movement in accordance with said proximity signal and defined characteristics of said proximity zones, wherein said modifications include one of (i) a reduced speed relative to said pre-planned speed profile and (ii) a stoppage of movement of said device before completion of said pre-planned path.

19. The system of claim 17, wherein said plurality of proximity zones include first, second and third proximity zones, said control logic establishing

a first proximity zone extending away from body tissue out to a first distance;

a second proximity zone extending away from body tissue farther than said first distance but not exceeding a second distance; and

a third proximity zone extending away from body tissue farther than said second distance;

said control logic being configured to determine, based on said proximity signal, in which of said first, second and third proximity zones said medical device resides, said control logic being configured to generate said actuation signal so as to,

navigate said medical device normally in accordance with a pre-planned movement that includes a pre-planned path and a pre-planned speed profile when said medical device resides in said third proximity zone;

navigate said medical device at a reduced speed relative to said pre-planned speed when said medical device resides in said second proximity zone; and

discontinue navigation of said medical device when said medical device resides in said first proximity zone.

20. The system of claim 19 wherein said control logic is configured to cause operating power to be terminated to said actuation units when said medical device resides in said first proximity zone.