Ultrasonic based detection of interventional medical device contact and alignment

• US 6,546,276 B1
• Filed: 09/12/2000
• Issued: 04/08/2003
• Est. Priority Date: 09/12/2000
• Status: Active Grant

• Current Assignee: Claudio I. Zanelli
• Original Assignee: Claudio I. Zanelli
• Inventors: Zanelli, Claudio I.
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): QADERI, RUNA S
• Application Number:
  US09/660,056
• Time in Patent Office: 938 Days
• Field of Search: 600/424, 600/439, 600/407, 600/448, 600/459, 600/462, 600/466
• US Class Current: 600/424
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 8/4254 using sensors mounted on the probe

Abstract

A method and apparatus for remotely monitoring the location of an interventional medical device (IMD) using ultrasonic signals. Both the proximity and alignment of the IMD are calculated from ultrasound signals reflected off the tissue surface. The inclusion of an offset between the distal end of the IMD and the ultrasound transducer enables accurate position and alignment monitoring of when the IMD is in contact with, or very close to, the tissue surface. The timing of the reflected signal is used to measure proximity or contact. A comparison of the strength between multiple reflected signals is used to measure the alignment of the IMD in 3D space or perpendicularity to a given surface. The present invention may be used as a location indicator within a wide variety of IMDs, and in a wide variety of medical procedures.

Claims

1. A method of monitoring the position of a longitudinal axis, of an, interventional medical device (IMD) relative to a tissue surface, comprising:

transmitting at least three ultrasound signals toward the tissue surface, where the signals travel in a direction which is substantially parallel to the longitudinal axis of the IMD;

detecting a plurality of echo signals reflected off the tissue surface;

analyzing an elapsed time between said transmitting and said detecting to measure proximity of said IMD to the tissue surface; and

comparing a signal strength or time delay in receipt of the echo among the at least three echo signals to measure perpendicularity of the longitudinal axis of the IMD to the tissue surface.

2. A method in accordance with claim 1, wherein:

measuring perpendicularity is performed along two orthogonal planes.

3. A method in accordance with claim 2, further comprising:

reporting said proximity and perpendicularity.

4. An apparatus to monitor the position of an interventional medical device (IMD) relative to a tissue surface, comprising:

an IMD with a transducer ring assembly mounted on the IMD at an offset distance from the distal end of the IMD, aligned to transmit signals substantially a longitudinal axis of the IMD toward the distal end of the IMD and receive echo signals reflected off the tissue surface, where the transducer ring assembly transmits at least three signals toward the tissue surface;

a signal detection controller coupled to said transducer ring for routing the echo signals received by the transducer ring;

an echo timing analyzer coupled to the controller, for measuring proximity; and

an echo strength analyzer coupled to the controller, for measuring perpendicularity.

5. A method of monitoring a perpendicularity of a distal end of an interventional medical device (IMD) relative to a tissue surface, comprising:

transmitting at least three ultrasound signals from said IMD toward the tissue surface, wherein the signals are transmitted substantially parallel to a longitudinal axis of the IMD;

receiving at least three echos which correspond with said at least three ultrasound signals, which signals are reflected from the tissue surface; and

comparing said at least three echos which correspond with said at least three signals, to determine a degree of perpendicularity of said distal end of said IMD relative to the tissue surface.

6. A method in accordance with claim 5, wherein said at least three ultrasound signals are transmitted simultaneously from said IMD toward the tissue surface.

7. A method in accordance with claim 5, wherein said signals are transmitted from a transducer-containing device so that said at least three signals emanate from a plane which is essentially perpendicular to said longitudinal axis of said IMD, but travel in a direction which is substantially parallel to said longitudinal axis of said IMD.

8. A method in accordance with claim 5, wherein proximity and perpendicularity of said distal end of said IMD relative to said tissue surface are determined without interference in said echo signals due to closeness to or contact of said distal end of said IMD with said tissue surface, wherein said transducer-containing device is set back from said distal end of said IMD a distance sufficient to permit the transmitted signal amplitude to decay below the amplitude of an echo signal reflected off the tissue surface when the tissue surface is in contact with the distal end of the IMD.

9. A method in accordance with claim 8, further including an additional step in which a position of said distal end of said IMD relative to the tissue surface is adjusted and a second set of at least three ultrasonic signals is transmitted toward the tissue surface, a second set of at least three echos is received, and a second degree of perpendicularity of said distal end of said IMD relative to the tissue surface is determined.

10. A method in accordance with claim 9, wherein said additional step is repeated a number of times to improve perpendicularity.

11. A method in accordance with claim 5, further including an additional step in which a position of said distal end of said IMD relative to the tissue surface is adjusted and a second set of at least three ultrasonic signals is transmitted toward the tissue surface, a second set of at least three echos is received, and a second degree of perpendicularity of said distal end of said IMD relative to the tissue surface is determined.

12. A method in accordance with claim 11, wherein said additional step is repeated a number of times to improve perpendicularity.

13. An apparatus to monitor the position of a longitudinal axis of an interventional medical device (IMD) relative to a tissue surface, comprising:

an IMD including an ultrasonic transducer device which transmits a signal from at least three different locations around the periphery of longitudinal axis of the IMD, where the ultrasonic transducer device is mounted in a manner so that signals from the ultrasonic transducer device travel in a direction which is substantially, parallel to the longitudinal axis of the IMD, wherein the ultrasonic transducer device is capable of both transmitting the ultrasonic signal and receiving an echo from the reflected signal; and

an echo signal strength analyzer which compares the echo strength relative to the original ultrasonic signal to determine perpendicularity of the longitudinal axis of the IMD relative to the tissue surface.

14. An apparatus in accordance with claim 13, wherein said transducers transit a signal which emanates from a plane which is essentially perpendicular to the longitudinal axis of the IMD.

15. An apparatus in accordance with claim 13, wherein the ultrasonic transducer device is mounted on the IMD at an offset distance from a distal end of the IMD.

16. An apparatus in accordance with claim 15, further comprising:

an echo timing analyzer to determine the proximity of the distal end of the IMD to the tissue surface.

17. An apparatus in accordance with claim 16, wherein the echo signal strength analyzer and the echo timing analyzer are coupled to a signal detection controller.

18. An apparatus in accordance with claim 13, wherein said signal strength measured is an amplitude.

19. A method of positioning a longitudinal axis of an interventional medical device (IMD) to be perpendicular to a tissue surface, comprising:

a) transmitting a signal in the form of an annular ultrasound wave toward the tissue surface, wherein the signal travels in a direction which is substantially parallel to the longitudinal axis of the IMD;

b) measuring an amplitude of an echo signal reflected off the tissue surface,

c) repeating steps a) and b) until a maximum amplitude is obtained, indicating that the IMD is perpendicular to the tissue surface.