Apparatus and method for locating and mapping a catheter in intracardiac operations

• US 6,185,448 B1
• Filed: 09/29/1998
• Issued: 02/06/2001
• Est. Priority Date: 09/29/1998
• Status: Expired due to Fees

• Current Assignee: Borovsky, Simcha
• Original Assignee: Borovsky, Simcha
• Inventors: Borovsky, Simcha
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): Lin, Jeoyuh
• Application Number:
  US09/163,270
• Time in Patent Office: 861 Days
• Field of Search: 607/2, 607/3, 607/96, 607/122, 600/373, 600/374, 600/409, 600/407, 600/424, 600/431, 600/481, 600/508, 600/585, 600/9, 600/10, 600/11, 600/12, 600/13, 606/130, 606/27, 606/28, 606/29, 606/30, 606/31
• US Class Current: 600/424
• 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 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• 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

Abstract

An apparatus for locating and mapping a catheter in a heart invasive operation, includes a permanent magnet with a north pole face, a permanent magnet with a south pole face, a frame for positioning the magnets on opposite sides of a person'"'"'s body; first and second motors for revolving the permanent magnets in synchronism and in alignment with each other to create a directional magnetic field that revolves 360 degrees through the person'"'"'s heart; a catheter for insertion into the heart, the catheter including a first sensor group of three mutually orthogonal sensors at the tip thereof and a second sensor group of three mutually orthogonal sensors in axially spaced relation to the first sensor group, each for detecting the relative strength of the revolving magnetic field; a magnetic field position detector which detects the angular position and speed of movement of the directional magnetic field; a plurality of electrodes spaced along an outer wall thereof for detecting electric signals which run along a wall of the heart; an ablation member at a tip of the catheter for burning out a wall of the heart; and a central processing unit for determining a location of the catheter position in relation to the heart in response to the detected strength of the revolving magnetic field by the first and second sensor groups and the angular position and speed of movement of the directional magnetic field.

Claims

1. An apparatus for locating and mapping a catheter in body invasive operations, comprising:

a device for creating a directional magnetic field, with the directional magnetic field revolving 360 degrees through a person'"'"'s body in correspondence to a specific organ in the person'"'"'s body, said device including;

a north pole magnet generator,

a south pole magnet generator, with the directional magnetic field being created by both the north and south pole magnetic generators and extending between said north pole magnet generator and said south pole magnet generator,

a frame for positioning said north and south pole magnet generators on opposite sides of the person'"'"'s body in correspondence to the specific organ in the person'"'"'s body, and

a revolving assembly for rotating said north and south pole magnet generators on said first and second opposite sides, respectively, in synchronism and in alignment with each other, in planes substantially transverse to said directional magnetic field such that said directional magnetic field traces a substantially cylindrical path during said rotation;

a catheter for insertion into the organ, said catheter including a first sensing group including three sensors facing in mutually orthogonal directions and which detect a strength of said revolving magnetic field;

a position detector for detecting an angular position of said directional magnetic field; and

a central processing unit for computing and determining a location of said catheter in relation to said organ in response to said detected strength of said revolving magnetic field by said sensors of said first sensing group and the angular position of said directional magnetic field.

2. An apparatus according to claim 1, wherein said north pole magnet generator includes a permanent magnet with a north pole face and said south pole magnet generator includes a permanent magnet with a south pole face.

8. An apparatus according to claim 1, wherein said catheter further includes a plurality of electrodes spaced along an outer wall thereof for detecting electric signals which run along a wall of said organ.

9. An apparatus according to claim 1, wherein said catheter further includes an ablation member at a tip of said catheter for burning out a wall of said organ.

10. An apparatus according to claim 1, wherein said central processing unit creates a three-dimensional image of said organ for display on a monitor in response to said determined locations of said catheter.

11. An apparatus according to claim 1, further including a second sensing group mounted on said catheter in axially spaced apart relation from said first sensing group, said second sensing group including three sensors which face in mutually orthogonal directions.

12. An apparatus according to claim 1, wherein each said sensor is a solid state magnetic sensor.

3. An apparatus for locating and mapping a catheter in body invasive operations, comprising:

a device for creating a directional magnetic field, with the directional magnetic field revolving 360 degrees through a person'"'"'s body in correspondence to a specific organ in the person'"'"'s body, said device including;

a north pole magnet generator,

a south pole magnet generator,

a frame for positioning said north and south pole magnet generators on opposite sides of the person'"'"'s body in correspondence to the specific organ in the person'"'"'s body, and

a revolving assembly for revolving said north and south pole magnetic generators in synchronism and in alignment with each other, said revolving assembly including a first motor assembly for revolving said north pole magnetic generator and a second motor assembly for revolving said south pole magnetic generator;

a catheter for insertion into the organ, said catheter including a first sensing group including three sensors facing in mutually orthogonal directions and which detect a strength of said revolving magnetic field;

a position detector for detecting an angular position of said directional magnetic field; and

a central processing unit for computing and determining a location of said catheter in relation to said organ in response to said detected strength of said revolving magnetic field by said sensors of said first sensing group and the angular position of said directional magnetic field.

4. An apparatus according to claim 3, wherein:

each said motor assembly includes a rotatable motor shaft and a front plate mounted on said motor shaft,

said north pole magnet generator includes a permanent magnet with a north pole face and is mounted to a peripheral portion of said respective front plate, and

said south pole magnet generator includes a permanent magnet with a south pole face and is mounted to a peripheral portion of said respective front plate.

5. An apparatus according to claim 4, wherein said position detector includes a plurality of position indicators on at least one said front plate, and an indicator detection unit mounted to a fixed housing adjacent to said plurality of position indicators for detecting each position indicator passing by said indicator detector unit so as to produce an indication signal of speed and position of said permanent magnets, which is supplied to said central processing unit.

6. An apparatus for locating and mapping a catheter in body invasive operations, comprising:

a device for creating a directional magnetic field, with the directional magnetic field revolving 360 dearees through a person'"'"'s body in correspondence to a specific organ in the person'"'"'s body, said device including;

a north pole magnet generator,

a south pole magnet generator, and

a frame for positioning said north and south pole magnet generators on opposite sides of the person'"'"'s body in correspondence to the specific organ in the person'"'"'s body, said frame including a U-shaped support conducted at least from a material which includes a ferrous magnetic material and having two parallel, spaced apart legs connected together by a connecting leg, with said north pole magnet generator mounted at a free end of one said leg and the south pole magnet generator mounted at a free end of the other said leg;

a catheter for insertion into the organ, said catheter including a first sensing group including three sensors facing in mutually orthogonal directions and which detect a strength of said revolving magnetic field;

a position detector for detecting an angular position of said directional magnetic field; and

a central processing unit for computing and determining a location of said catheter in relation to said organ in response to said detected strength of said revolving magnetic field by said sensors of said first sensing group and the angular position of said directional magnetic field.

7. An apparatus according to claim 6, wherein said U-shaped support is hinged at said connecting leg so that said free ends can be moved toward and away from each other.

13. A method for locating and mapping a catheter in body invasive operations, comprising the steps of:

creating a directional magnetic field that revolves through 360 degrees through a person'"'"'s body in correspondence to a specific organ in the person'"'"'s body, said step of creating including the steps of;

positioning a north pole magnet generator on a first side of the person'"'"'s body in correspondence to the specific organ in the person'"'"'s body,

positioning a south pole magnet generator on a second side of the person'"'"'s body in correspondence to the specific organ in the person'"'"'s body, with the directional magnetic field being created by both the north and south pole magnetic generators and extending between said north pole magnet generator and said south pole magnet generator,

revolving said north and south pole magnet generators on said first and second opposite sides, respectively, in synchronism and in alignment with each other, in planes substantially transverse to said directional magnetic field such that said directional magnetic field traces a substantially cylindrical path during said rotation;

inserting a catheter into the organ;

detecting a strength of said revolving magnetic field by a first sensing group including three sensors facing in mutually orthogonal directions on said catheter;

detecting an angular position of said directional magnetic field; and

determining a location of said catheter in relation to said organ in response to said strength of said revolving magnetic field detected by said sensors of said first sensing group and the angular position of said directional magnetic field.

14. A method according to claim 13, wherein said north pole magnet generator includes a permanent magnet with a north pole face and said south pole magnet generator includes a permanent magnet with a south pole face, and said step of creating includes the step of revolving each of said permanent magnets in synchronism and in alignment with each other.

15. A method according to claim 14, further including the steps of:

detecting the speed and angular position of said directional magnetic field by a plurality of position indicators revolvable with said permanent magnets and an indicator detection unit mounted to a fixed housing adjacent to said plurality of position indicators by detecting each position indicator passing by said indicator detector unit so as to produce an indication signal of speed and position of said permanent magnets,

supplying said indication signals to a central processing unit which determines the location of said catheter in relation to said organ.

16. A method according to claim 13, further including the step of detecting electric signals which run along a wall of said organ by a plurality of electrodes spaced along an outer wall of said catheter.

17. A method according to claim 16, further including the steps of:

accurately positioning said catheter in relation to said organ in response to the location which was previously determined in said step of determining and in response to the electrical signals which were previously detected and which run along the wall of said organ, to find an occurrence of defective tissue of said organ, and

ablating said defective tissue by an ablation member at a tip of said catheter.

18. A method according to claim 13, further comprising the step of creating a three-dimensional image of said organ for display on a monitor in response to said determined locations of said catheter.

19. A method according to claim 13, wherein there is a second sensing group mounted on said catheter in axially spaced relation to said first sensing group, and said step of detecting includes the step of detecting the strength of said revolving magnetic field by the sensors of said first and second sensing groups.

20. A method according to claim 13, wherein each said sensor is a solid state magnetic sensor.