Hybrid magnetic-based and impedance-based position sensing

• US 7,536,218 B2
• Filed: 07/15/2005
• Issued: 05/19/2009
• Est. Priority Date: 07/15/2005
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Schwartz, Yitzhack, Govari, Assaf, Altmann, Andres Claudio, Ephrath, Yaron
• Primary Examiner(s): Winakur; Eric F
• Assistant Examiner(s): Laryea; Lawrence N
• Application Number:
  US11/182,272
• Publication Number:
  US 20070016007A1
• Time in Patent Office: 1,404 Days
• Field of Search: 600421-424, 600/374, 600/393, 600/547, 600/427, 600506-511, 600/481, 600/411, 600/466, 600/467, 600/435, 128/899, 128/898, 606/41
• US Class Current: 600/424
• CPC Class Codes: A61B 5/0035 adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/063 using impedance measurements

Abstract

A position sensing system includes a probe adapted to be introduced into a body cavity of a subject. The probe includes a magnetic field transducer and at least one probe electrodes. A control unit is configured to measure position coordinates of the probe using the magnetic field transducer. The control unit also measures an impedance between the at least one probe electrodes and one or more points on a body surface of the subject. Using the measured position coordinates, the control unit calibrates the measured impedance.

Claims

1. A method for position sensing, comprising:

introducing a probe comprising a magnetic field transducer and at least one probe electrode into a body cavity of a subject;

measuring position coordinates of the probe at a location in the body cavity using the magnetic field transducer;

measuring an impedance between the at least one probe electrode and one or more points on a body surface of the subject; and

calibrating the measured impedance using the measured position coordinates.

2. The method according to claim 1, wherein the magnetic field transducer comprises one or more coils.

3. The method according to claim 1, wherein measuring the position coordinates of the probe comprises generating an external magnetic field and measuring signals induced in the magnetic field transducer due to the external magnetic field.

4. The method according to claim 1, wherein measuring the position coordinates comprises driving the magnetic field transducer to generate a magnetic field and measuring signals induced in an external magnetic field sensor due to the magnetic field.

5. The method according to claim 1, wherein measuring the impedance comprises driving an electrical current through the body between the at least one probe electrode and one or more body surface electrodes and measuring the impedance responsively to the current.

6. The method according to claim 5, wherein driving the electrical current through the body comprises maintaining a constant voltage between the at least one probe electrode and the one or more body surface electrodes, and wherein measuring the impedance comprises measuring the current at the constant voltage.

7. The method according to claim 5, wherein driving the electrical current through the body comprises maintaining a constant current between the at least one probe electrode and the one or more body surface electrodes, and wherein measuring the impedance comprises measuring a voltage between the at least one probe electrode and the one or more body surface electrodes.

8. The method according to claim 1, wherein measuring the impedance comprises applying a voltage across at least one pair of body surface electrodes and measuring a voltage drop at the at least one probe electrode.

9. The method according to claim 1, wherein measuring the position coordinates comprises determining the position coordinates using the magnetic transducer at a plurality of locations in the body cavity, and wherein measuring the impedance comprises determining the impedance at the plurality of the locations, and wherein calibrating the measured impedance comprises generating a calibration map using the position coordinates and the impedance determined at the plurality of the locations.

10. The method according to claim 9, wherein the probe used to generate the calibration map is a first probe, and wherein the method further comprises:

introducing into the body cavity a second probe comprising at least one second probe electrode, and

measuring the impedance between the at least one second probe electrode and the one or more points on the body surface, and

determining second position coordinates of the second probe by calibrating the impedance measured with respect to the second probe electrode using the calibration map.

11. The method according to claim 1, wherein the probe comprises a base section, where the magnetic field transducer is located, and a deformable section, where the at least one probe electrode is located, the deformable section having a known shape when undeformed, and wherein the calibrating the measured impedance comprises determining a deflection of the deformable section relative to the base section.

12. The method according to claim 11, wherein determining the displacement comprises measuring a first impedance when the deformable section is undeformed, and measuring a second impedance when the deformable section is deflected, and comparing the second impedance to the first impedance in order to determine the deflection.

13. A position sensing system, comprising:

a probe comprising a magnetic field transducer and at least one probe electrode and adapted to be introduced into a body cavity of a subject; and

a control unit configured to measure position coordinates of the probe using the magnetic field transducer, and to measure an impedance between the at least one probe electrode and one or more points on a body surface of the subject, and to calibrate the measured impedance using the measured position coordinates.

14. The system according to claim 13, wherein the magnetic field transducer comprises one or more coils.

15. The system according to claim 13, and comprising an external magnetic field generator adapted to generate an external magnetic field, which causes the magnetic field transducer to generate a position signal, wherein the control unit is configured to receive and process the position signal so as to measure the position coordinates of the probe.

16. The system according to claim 13, wherein the magnetic field transducer is adapted to generate a magnetic field, and wherein the system further comprises an external magnetic field sensor adapted, responsively to the magnetic field, to generate a position signal, and wherein the control unit is configured to receive and process the position signal so as to measure the position coordinates of the probe.

17. The system according to claim 13, wherein the control unit is configured to drive an electrical current between the at least one probe electrode and body surface electrodes at the one or more points, and to measure the impedance responsively to the current.

18. The system according to claim 17, wherein the control unit is configured to maintain a constant voltage between the at least one probe electrode and the body surface electrodes, and to measure the current at the constant voltage.

19. The system according to claim 17, wherein the control unit is configured to maintain a constant current between the at least one probe electrode and the body surface electrodes, and to measure the voltage between the at least one probe electrode and the body surface electrodes.

20. The system according to claim 13, wherein the control unit is configured to apply a voltage across at least one pair of body surface electrodes at the one or more points and to measure the impedance by sensing a voltage drop at the at least one probe electrode.

21. The system according to claim 13, wherein the control unit is configured to determine the position coordinates using the magnetic transducer at a plurality of locations in the body cavity and to determine the impedance at the plurality of the locations, and to generate a calibration map determining the impedance at the plurality of the locations.

22. The system according to claim 21, wherein the probe used to generate the calibration map is a first probe, and wherein the system further comprises a second probe, comprising at least one second probe electrode and adapted to be introduced into the body cavity, and

wherein the control unit is configured to measure the impedance between at least one second probe electrode and the one or more points on the body surface and to determine second position coordinates of the second probe by calibrating the impedance measured with respect to the second probe electrode using the calibration map.

23. The system according to claim 13, wherein the probe comprises a deformable section where the at least one probe electrode is located, and a base section, where the magnetic field transducer is located, the deformable section having a known shape when undeformed, and

wherein the control unit is configured to calibrate the measured impedance so as to determine a deflection of the deformable section relative to the base section.

24. The system according to claim 23, wherein the control unit is configured to measure a first impedance when the deformable section is undeformed, and to measure a second impedance when the deformable section is deflected, and to compare the second impedance to the first impedance so as to determine the deflection of the probe.