RESPIRATION MOTION STABILIZATION FOR LUNG MAGNETIC NAVIGATION SYSTEM

• US 20180055576A1
• Filed: 09/01/2016
• Published: 03/01/2018
• Est. Priority Date: 09/01/2016
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: KOYRAKH, LEV A., BARASOFSKY, OFER, WEINGARTEN, OREN P., BARAK, RON
• Application Number:
  US15/254,141
• Publication Number:
  US 20180055576A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 2017/00699 correcting for movement caused by respiration, e.g. by triggering
• CPC Class Codes: A61B 2017/00809 Lung operations
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• 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 5/113 occurring during breathing

Abstract

A system for stabilization based on respiratory movement includes a medical device configured to navigate inside of a patient, a tracking sensor affixed on the medical device and configured to track a location of the medical device, at least one motion sensor located on the patient and configured to sense respiratory movements of the patient, a computer configured to generate a respiratory model based on the respiratory movements sensed by the at least one motion sensor for a predetermined period and to stabilize a location of the medical device based on the respiratory model after the predetermined period, and a display configured to display a graphical representation of the medical device based on the stabilized location on a pre-procedure two-dimensional (2D) image or three-dimensional (3D) model.

Claims

1. A system for stabilization based on respiratory movement, the system comprising:

a medical device configured to navigate inside of a patient;

a tracking sensor affixed on the medical device and configured to track a location of the medical device;

at least one motion sensor located on the patient and configured to sense respiratory movements of the patient;

a computer configured to generate a respiratory model based on the respiratory movements sensed by the at least one motion sensor for a predetermined period, and to stabilize the location of the medical device based on the respiratory model after the predetermined period; and

a display configured to display a graphical representation of the medical device based on the stabilized location on a pre-procedure two-dimensional (2D) image or three-dimensional (3D) model.

2. The system according to claim 1, wherein the computer is further configured to receive an instruction to start sampling outputs of the at least one motion sensor and outputs of the tracking sensor for a predetermined period.

3. The system according to claim 2, wherein the computer is further configured to calculate a weight factor based on the respiratory model and the tracked locations of the medical device, which have been sampled for the predetermined period.

4. The system according to claim 3, wherein a new location of the medical device and a new respiratory movement of the at least one motion sensor are sampled at each sampling time for stabilization after the predetermined period.

5. The system according to claim 4, wherein the computer is further configured to multiply the new respiratory movement from the motion sensor with the weight factor to obtain a reference stabilization signal.

6. The system according to claim 5, wherein the stabilized location of the medical device is obtained by subtracting the reference stabilization signal from the new location of the medical device.

7. The system according to claim 2, wherein the predetermined period is at least two consecutive respiratory cycles.

8. The system according to claim 2, wherein the respiratory model is based on mean subtracted sampled outputs of the at least one motion sensor for the predetermined period.

9. The system according to claim 8, wherein the respiratory model is generated in matrix representation by performing singular value decomposition on the mean subtracted sampled outputs of the at least one motion sensor for the predetermined period.

10. The system according to claim 1, wherein the computer is further configured to check a correlation of the tracked locations of the medical device during the predetermined period.

11. The system according to claim 10, wherein the computer is further configured to restart the predetermined period if the correlation is greater than a threshold.

12. The system according to claim 10, wherein the tracked locations of the medical device are correlated when a periodic movement exists in the tracked locations of the medical device, which have been sampled during the predetermined period.

13. The system according to claim 11, wherein the computer is further configured to generate a weight based on the respiratory model and the tracked locations of the medical device if the correlation is less than or equal to the threshold.

14. The system according to claim 13, wherein a new location of the medical device and a new respiratory movement from the at least one motion sensor are sampled at each sampling time for stabilization after the predetermined period.

15. The system according to claim 14, wherein the computer is further configured to multiply the new respiratory movement from the at least one motion sensor with the weight to obtain a reference stabilization signal for the medical device.

16. The system according to claim 15, wherein the stabilized location of the medical device is obtained by subtracting the reference stabilization signal from the new location of the medical device.

17. The system according to claim 1, wherein the respiratory model is generated by performing principal components analysis (PCA).

18. The system according to claim 17, wherein 3 principal components are used in the PCA.

19. The system according to claim 1, wherein the tracking sensor tracks a location of a distal portion of the medical device.

20. The system according to claim 1, wherein the at least one motion sensor are located on a chest over a lung of the patient.