Catheter locating device

• US 4,173,228 A
• Filed: 05/16/1977
• Issued: 11/06/1979
• Est. Priority Date: 05/16/1977
• Status: Expired due to Term

• Current Assignee: Blue Medical Devices B.V.
• Original Assignee: Blue Medical Devices B.V.
• Inventors: Van Steenwyk, Donald H., Childress, Ira N.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US05/797,318
• Time in Patent Office: 904 Days
• Field of Search: 128/1.3, 128/1.4, 128/1.5, 128/2 R, 128/2 M, 128/2 S, 128/2.05 R, 128/2.05 E, 128/348-351, 128/4-8
• US Class Current: 600/409
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61M 25/0108 using radio-opaque or ultrasound markers
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers
• CPC Class Codes: G01V 3/105 forming directly coupled primary and secondary coils or loops

Abstract

A system for detecting and monitoring the position of a catheter tip during insertion and after placement of the catheter in a body cavity. A coupling means such as an inductor coil is secured adjacent the catheter tip, and leads extend from the coil along the catheter for connection to external indicating equipment. Energy is propagated through the body to the coupling means from an external source such as an oscillator-driven coil or coils, and relative proximity and orientation of the external and catheter coils is determined by monitoring amplitude and phase of the signal induced in the catheter coil.

Claims

1. A locating system for determining the position of a medical catheter inserted in a body, comprising:

an elongated catheter having a first end adapted for insertion in the body, and a second end which remains external to the body during insertion and use of the catheter;

a receiver coupling means mounted on the catheter adjacent the first end, the receiver coupling means having at least two terminals and being adapted to receive energy radiated from a remote source, and to generate a signal between the terminals which is analogous to the received energy;

connection means connected to the terminals of the receiver coupling means and extending along the catheter toward the second end to terminate outside the body;

generating means external to the body for generating a body-penetrating energy field detectable by the receiver coupling means; and

indicating means connected to the connection means for displaying the extent of coupling between the generating means and receiver coupling means, and thereby indicating the position of the catheter first end within the body.

2. The system defined in claim 1 wherein the generating means generates an alternating field of a known frequency, and wherein the indicating means includes filter means tuned to reject frequencies differing substantially from said known frequency.

3. The system defined in claim 2 wherein the alternating field is an electromagnetic field.

4. The system defined in claim 3 wherein the receiver coupling means comprises an inductive coil.

5. The system defined in claim 4 wherein the coil includes a core of magnetic material, the core being secured to the catheter.

6. The system defined in claim 5 wherein the coil core is magnetic stainless steel.

7. The system defined in claim 3 wherein the generating means comprises an oscillator, and a first inductive coil coupled to the oscillator to generate the electromagnetic field.

8. The system defined in claim 7 wherein the frequency of the oscillator and electromagnetic field is in the range of about 200 to 20,000 Hertz.

9. The system defined in claim 7 wherein the indicating means includes a phase-sensitive circuit coupled to the oscillator for comparing the relative phase of the oscillator frequency and the frequency of the signal induced in the catheter coil.

10. The system defined in claim 7 wherein the inductive coil of the generating means is mounted in a handheld probe adapted to be movable with respect to the body.

11. The system defined in claim 7 wherein the generating means further comprises a second inductive coil transversely oriented with respect to the first inductive coil and adapted for connection to the oscillator.

12. The system defined in claim 11, and further comprising switching means interconnecting the oscillator and first and second coils, and enabling selective excitation of the individual coils and alternatively of both coils simultaneously.

13. The system defined in claim 7 wherein the indicating means includes a meter or other means for displaying the magnitude of the signal received from the catheter coil, and a range-changing circuit either automatic or manual for adapting the meter to accommodate catheter-coil signals of significantly different magnitudes.

14. A method for determining the position of a catheter tip inserted in a living body, comprising the steps of:

inserting the catheter tip into the body, the tip having a coupling means thereon for generating a signal responsive to an energy field, the coupling means having connections extending to an external end of the catheter for connection to an external indicating means;

irradiating the body with an energy field which is propagated in wireless fashion into the body to the catheter-tip coupling means, the energy field being emitted from a source external and movable with respect to the body; and

determining the extent of coupling of the coupling means by monitoring the indicating means as the external source is moved to derive information on the position of the catheter tip.

15. The method defined in claim 14, wherein the energy field is an electromagnetic field propagated from an oscillator-driven inductive coil.