System and method for electrode localization using ultrasound

• US 6,970,733 B2
• Filed: 10/21/2002
• Issued: 11/29/2005
• Est. Priority Date: 08/01/1997
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Willis, N. Parker, Brisken, Axel, Zeng, Jinglin, Hurd, Marsha
• Primary Examiner(s): Smith, Ruth S.
• Application Number:
  US10/273,468
• Publication Number:
  US 20030036696A1
• Time in Patent Office: 1,135 Days
• Field of Search: 600/373, 600/374, 600/424, 600/509, 606/32, 606/34, 606/41, 606/45, 606/49, 607/122, 607/126
• 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 2017/00106 ultrasonic
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00113 with foam
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00351 Heart
• 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 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2562/0215 Silver or silver chloride containing
• CPC Class Codes: A61B 2562/043 in a linear array
• 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 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 : Details of catheter construction
• CPC Class Codes: A61B 8/543 : involving acquisition triggered by a physiological signal
• CPC Class Codes: A61N 2007/0078 : with multiple treatment transducers

Abstract

The present invention is a device localization system that uses one or more ultrasound reference catheters to establish a fixed three-dimensional coordinate system within a patient'"'"'s heart using principles of triangulation. The coordinate system is represented graphically in three-dimensions on a video monitor and aids the clinician in guiding other medical devices, which are provided with ultrasound transducers, through the body to locations at which they are needed to perform clinical procedures. In one embodiment of a system according to the present invention, the system is used in the heart to help the physician guide mapping catheters for measuring electrical activity, and ablation catheters for ablating selected regions of cardiac tissue, to desired locations within the heart.

Claims

1. A medical system, comprising:

one or more reference catheters having a plurality of ultrasound reference transducers;

a medical device having one or more ultrasound target transducers; and

localization processing circuitry coupled to the ultrasound reference and target transducers, the processing circuitry configured for causing the ultrasound reference transducers to transmit and receive ultrasound signals between each other in order to establish a three-dimensional coordinate system, and for causing the plurality of ultrasound reference transducers and the one or more ultrasound target transducers to transmit and receive ultrasound signals between each other in order to determine a position of the one or more ultrasound target transducers within the three-dimensional coordinate system.

2. The system of claim 1, wherein the processing circuitry is configured for causing the one or more ultrasound target transducers to receive ultrasound signals from the plurality of reference transducers in order to determine the position of the one or more ultrasound target transducers within the three-dimensional coordinate system.

3. The system of claim 1, wherein the processing circuitry is further configured for measuring elapsed time between transmission of ultrasound signals by transmitting transducers and receipt of the signals by receiving transducers, and for calculating distances between the transducers using the measured elapsed times.

4. The system of claim 1, further comprising a graphical display, wherein the processing circuitry is further configured for generating a three-dimensional image of at least a portion of the medical device for display on the graphical display.

5. The system of claim 1, wherein the medical device comprises a catheter.

6. The system of claim 5, wherein the catheter is a mapping catheter.

7. The system of claim 6, wherein the mapping catheter has one or more mapping electrodes, the system further comprising electrophysiology processing circuitry coupled to the one or more mapping electrodes for receiving mapping signals corresponding to electrical activity measured by the one or more mapping electrodes.

8. The system of claim 7, further comprising a graphical display, wherein the localization processing circuitry is further configured for generating a three-dimensional image of at least a portion of the mapping catheter for display on the graphical display, and for generating data representing the received mapping signals for display on the graphical display.

9. The system of claim 5, wherein the catheter is an ablation catheter.

10. The system of claim 9, wherein the ablation catheter comprises one or more ablation electrodes, the system further comprising a radio frequency generator coupled to the one or more ablation electrodes for creating a lesion on tissue.

11. The system of claim 10, further comprising a graphical display, wherein the localization processing circuitry is further configured for generating a three-dimensional image of at least a portion of the ablation catheter for display on the graphical display, and for generating data representing a three-dimensional position of the lesion.

12. The system of claim 5, wherein the medical device is marking catheter.

13. The system of claim 1, wherein the one or more reference catheters comprises the medical device.

14. The system of claim 1, wherein the one or more reference catheters and medical device are separate.

15. The system of claim 1, wherein the one or more reference catheters comprises a plurality of reference catheters.

16. The system of claim 1, wherein the one or more ultrasound tracking transducers comprises a single tracking transducer.

17. The system of claim 1, wherein the one or more ultrasound tracking transducers comprises a plurality of tracking transducers.

18. The system of claim 1, wherein each of the one or more reference catheters comprises a single spline.

19. A method of performing a medical procedure on a body, comprising:

positioning one or more reference catheters within the body, the one or more reference catheters having a plurality of ultrasound reference transducers;

positioning a medical device within the body, the medical device having one or more ultrasound target transducers;

causing the ultrasound reference transducers to transmit and receive ultrasound signals between each other in order to establish a three-dimensional coordinate system; and

causing the plurality of ultrasound reference transducers and the one or more ultrasound target transducers to transmit and receive ultrasound signals between each other in order to determine a position of one or more ultrasound target transducers within the three-dimensional coordinate system.

20. The method of claim 19, wherein the one or more ultrasound target transducers receive ultrasound signals from the plurality of reference transducers in order to determine the position of the one or more ultrasound target transducers within the three-dimensional coordinate system.

21. The method of claim 19, further comprising:

measuring elapsed time between transmission of ultrasound signals by transmitting transducers and receipt of the signals by receiving transducers; and

calculating distances between the transducers using the measured elapsed times.

22. The method of claim 19, further comprising generating a three-dimensional image of at least a portion of the medical device for display.

23. The method of claim 19, further comprising using the medical device to measure the electrical activity of body tissue.

24. The method of claim 19, further comprising using the medical device to ablate body tissue.

25. The method of claim 19, wherein the medical device is positioned in the heart chamber of the body.

26. The method of claim 25, wherein one of the one or more reference catheters are positioned within the coronary sinus of the heart.

27. The method of claim 25, wherein one of the one or more reference catheters is positioned within the coronary sinus of the heart, and another of the one or more reference catheters is positioned in the right ventricle of the heart.

28. The method of claim 19, wherein the one or more reference catheters comprises the medical device.

29. The method of claim 19, wherein the one or more reference catheters and medical device are separate.

30. The method of claim 19, wherein the one or more reference catheters comprises a plurality of reference catheters.

31. The method of claim 19, wherein the one or more ultrasound tracking transducers comprises a single tracking transducer.

32. The method of claim 19, wherein the one or more ultrasound tracking transducers comprises a plurality of tracking transducers.

33. The method of claim 19, wherein each of the one or more reference catheters comprises a single spline.