MOTION COMPENSATING CATHETER DEVICE

• US 20130190726A1
• Filed: 04/29/2011
• Published: 07/25/2013
• Est. Priority Date: 04/30/2010
• Status: Abandoned Application

• Current Assignee: President and Fellows of Harvard College (Harvard Corporation)
• Original Assignee: Children's Medical Center Corporation, President and Fellows of Harvard College (Harvard Corporation)
• Inventors: Howe, Robert, Kesner, Samuel, Yuen, Shelton, Del Nido, Pedro, Perrin, Douglas, Vasilyev, Nikolay
• Application Number:
  US13/643,625
• Publication Number:
  US 20130190726A1
• Time in Patent Office: Days
• US Class Current: 604/510
• 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 8/0841 for locating instruments
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data
• CPC Class Codes: A61B 8/565 involving data transmission via a network
• CPC Class Codes: A61M 2025/0046 Coatings for improving slidability
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 25/0045 multi-layered, e.g. coated coating materials A61L29/08
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/0113 Mechanical advancing means, e.g. catheter dispensers
• CPC Class Codes: A61M 25/0116 self-propelled, e.g. autonomous robots A61M25/0122 takes precedence
• CPC Class Codes: A61M 25/0133 Tip steering devices
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A catheter system allows for percutaneous intervention on the fast-moving structures inside the heart. The device consists of a steerable catheter sheath, an actuated, multi-degree of freedom moving catheter, and a catheter end effector, such as a fixation device. An actuator controls the motion of the catheter guide-wire in the catheter sheath to follow the motion of the target tissue. A control system controls the actuator and compensates for mechanical characteristics of the system including friction and backlash. A 3-D imaging system can be used to view the motion of the target tissue and the catheter end effector and produce 3-D imaging data. The 3-D imaging data can be used by the control system to track the target tissue and accurately position the end effector with respect to the moving target tissue allowing a clinician to repair the target tissue while it is moving. The system can be used to perform mitral valve annuloplasty wherein the actuated catheter compensates for the heart valve motion and an end effector fixation device is used to place fixation items, like anchors or staples, into the heart valve tissue to fix the annulus.

Claims

1. A catheter based system comprising:

a catheter having a catheter guide-wire within a catheter sheath;

an actuator coupled to the guide-wire for moving the catheter guide-wire in the catheter sheath;

an end effector coupled to a remote end of the guide-wire;

a catheter control system connected to the actuator and adapted to control the actuator;

a location sensing system for sensing target tissue and the end effector locations and providing location data to the catheter control system; and

wherein the catheter control system controls the actuator as a function of the location data received from the location sensing system.

2. A catheter base surgical system according to claim 1 further comprising a position sensor coupled to the actuator and providing position data to the catheter control system and the catheter control system controls the motion of the guide-wire as a function of the position data.

3. A catheter based surgical system according to claim 1 wherein the location sensing system includes an ultrasound system and provides image data and location data to the catheter control system and the catheter control system controls the motion of the guide-wire as a function of at least one of the image data and the location data.

4. A catheter based surgical system according to claim 1 wherein the location sensing system is a three dimensional imaging system and provides image data and location data to the catheter control system and the catheter control system controls the motion of the guide-wire as a function of at least one of the image data and the location data.

5. A catheter based surgical system according to claim 1 further comprising a force sensor coupled between the actuator and the guide-wire, the force sensor being connected to the catheter control system to provide force data to the catheter control system, wherein the catheter control system controls the motion of the guide-wire as a function of the force data.

6. A catheter based surgical system according to claim 5 wherein the catheter control system uses the force data to determine a measure of a friction force resisting the motion of the catheter guide-wire in the catheter.

7. A catheter based surgical system according to claim 1 further comprising a force sensor coupled between the end effector and the guide-wire, the force sensor being connected to the catheter control system to provide force data to the catheter control system, wherein the catheter control system controls the motion of the guide-wire as a function of the force data.

8. A catheter based surgical system according to claim 7 wherein the catheter control system uses the force data to determine a measure of force applied to the target tissue by the end effector.

9. A catheter based surgical system according to claim 8 wherein the catheter control system uses the force data to control the motion of the end effector to provide a constant force on the target tissue.

10. A catheter based surgical system according to claim 8 wherein the catheter control system uses the force data to control the motion of the end effector to apply a variable force on the target tissue.

11. A catheter based surgical system according to claim 8 wherein the catheter control system uses the force data to control the motion of the end effector to apply a variable force on the target tissue according to a predefined force profile.

12. A catheter based surgical system according to claim 1 wherein the catheter includes a movable catheter tip and the catheter system further comprises a catheter tip position and trajectory sensor.

13. A method for controlling a catheter system comprising:

providing a catheter having a catheter guide-wire within a catheter sheath;

providing an actuator, coupled to the guide-wire, for moving the catheter guide-wire within the catheter sheath;

providing an end effector, coupled to a remote end of the guide-wire;

receiving image data of target tissue and the end effector of the catheter; and

controlling the actuator as a function of the image data.

14. A method of controlling a catheter system according to claim 13 further comprising:

providing a position sensor coupled to the actuator, the position sensor generating position data;

providing the position data to the catheter control system; and

controlling the motion of the guide-wire as a function of the position data.

15. A method of controlling a catheter system according to claim 13 further comprising:

providing a force sensor coupled between the actuator and the guide-wire for generating force data and controlling the motion of the guide-wire as a function of the three dimensional image data and the force data.

16. A method of controlling a catheter system according to claim 15 further comprising using the force data to determine a measure of a friction force resisting the motion of the catheter guide-wire in the catheter.

17. A method of controlling a catheter system according to claim 13 further comprising:

providing a force sensor coupled between the end effector and the guide-wire for generating force data and controlling the motion of the guide-wire as a function of the three dimensional image data and the force data.

18. A method of controlling a catheter system according to claim 17 further comprising using the force data to determine a measure of force applied to the target tissue by the end effector.

19. A method of controlling a catheter system according to claim 18 wherein the catheter control system uses the force data to control the motion of the end effector to provide a constant force on the target tissue.

20. A method of controlling a catheter system according to claim 18 wherein the catheter control system uses the force data to control the motion of the end effector to provide a variable force on the target tissue.

21. A method of controlling a catheter system according to claim 18 wherein the catheter control system uses the force data to control the motion of the end effector to provide a variable force on the target tissue according to a predefined force profile.

22. A method of controlling a catheter system according to claim 13 wherein the image data is two dimensional image data.

23. A method of controlling a catheter system according to claim 13 wherein the image data is three dimensional image data.

24. A method of controlling a catheter system according to claim 13 wherein the image data is ultrasound image data.