System and method for graphically representing anatomical orifices and vessels

• US 7,633,502 B2
• Filed: 05/19/2004
• Issued: 12/15/2009
• Est. Priority Date: 05/19/2004
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Zeng, Jinglin, Hwang, Ren-Her, Willis, N. Parker
• Primary Examiner(s): Tung; Kee M
• Assistant Examiner(s): Lay; Michelle K
• Application Number:
  US10/850,357
• Publication Number:
  US 20050261580A1
• Time in Patent Office: 2,036 Days
• Field of Search: 345/420, 345/441, 345/633, 345/636, 600/459, 600/462, 600/463
• US Class Current: 345/420
• 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 2017/00053 Mapping
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2034/102 Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• 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 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/0891 for diagnosis of blood vessels
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: G06T 17/00 Three dimensional [3D] modelling, e.g. data description of 3D objects
• CPC Class Codes: G06T 2210/41 Medical

Abstract

Methods and systems are provided for generating graphical representations of orifices and vessels. One method comprises generating a representation of the surface (e.g., an endocardial surface) within a coordinate system, and laterally moving the distal end of an elongated probe within an orifice (e.g., a valve or a vessel ostium) associated with the surface. The method further comprises defining line segments within the coordinate system while the probe distal end is moved within the orifice, wherein each of the line segments represents the probe distal end. The method further comprises defining intersection points within the coordinate system, wherein each of the points represents an intersection of one of the line segments and the surface representation. Lastly, the method comprises graphically generating a representation of the orifice based on the intersection points, e.g., by forming the orifice representation around the intersection points. Another method comprises moving the distal end of an elongated probe within the vessel, defining line segments within a coordinate system while the probe distal end is moved within the vessel, wherein each of the line segments represents the probe distal end, and graphically generating a representation of the vessel based on the line segments.

Claims

1. A method of graphically creating a representation of an anatomical body having a surface with an orifice, comprising:

graphically generating a representation of the surface within a coordinate system;

laterally moving the distal end of an elongated probe within the orifice;

defining line segments within the coordinate system while the probe distal end is moved within the orifice, each of the line segments representing the probe distal end;

defining intersection points within the coordinate system using one or more processors, where each of the points representing an intersection of one of the line segments and the surface representation; and

graphically generating a representation of the orifice based on the intersection points.

2. The method of claim 1, wherein the anatomical body is a heart chamber.

3. The method of claim 1, wherein the orifice is an ostium of a blood vessel.

4. The method of claim 3, wherein the blood vessel is a pulmonary vein.

5. The method of claim 1, wherein the orifice is valve.

6. The method of claim 5, wherein the valve is a mitral valve.

7. The method of claim 1, wherein the coordinate system is a three-dimensional coordinate system.

8. The method of claim 1, further comprising:

graphically regenerating a representation of the surface;

redefining new intersection points within the coordinate system, each of the new points representing an intersection of one of the line segments and the regenerated graphical surface representation; and

graphically regenerating a representation of the orifice based on the new intersection points.

9. The method of claim 1, wherein the line segments are rectilinear.

10. The method of claim 1, wherein the step of defining each line segment comprises determining at least two points along the probe distal end within the coordinate system.

11. The method of claim 1, wherein the step of graphically generating the orifice representation comprises connecting outermost intersection points with lines to form a polygon.

12. The method of claim 1, wherein the step of graphically generating the orifice representation comprises fitting an ellipse around the intersection points.

13. The method of claim 1, wherein the anatomical body has a vessel and the orifice is an ostium of the vessel, the method further comprising graphically generating a representation of the vessel based on the line segments.

14. The method of claim 13, wherein the step of graphically generating the vessel representation comprises forming the graphical vessel representation around the line segments.

15. The method of claim 1, further comprising displaying the surface and orifice representations.

16. A medical system for use with an anatomical body having a surface with an orifice, comprising:

an elongated medical probe having a distal section with a known geometry;

one or more processors configured for;

graphically generating a representation of the surface within a three-dimensional coordinate system;

defining line segments within the coordinate system, each of which represents the probe distal end;

defining intersection points within the coordinate system, each of which represents an intersection of one of the line segments and the surface representation; and

graphically generating a representation of the orifice based on the intersection points.

17. The system of claim 16, wherein the coordinate system is a three-dimensional coordinate system.

18. The system of claim 16, wherein the one or more processors are configured for:

graphically regenerating a representation of the surface;

redefining new intersection points within the coordinate system, each of the new points representing an intersection of one of the line segments and the regenerated graphical surface representation; and

graphically regenerating a representation of the orifice based on the new intersection points.

19. The system of claim 16, wherein the probe comprises an intravascular catheter.

20. The system of claim 16, wherein the wherein the distal probe section has a rectilinear geometry, and the line segments are rectilinear.

21. The system of claim 16, wherein the one or more processors are configured for defining each line segment by determining at least two points along the probe distal end within the coordinate system.

22. The system of claim 16, wherein the one or more processors are configured for graphically generating the orifice representation comprises by connecting outermost intersection points with lines to form a polygon.

23. The system of claim 16, wherein the one or more processors are configured for graphically generating the orifice representation by fitting an ellipse around the intersection points.

24. The system of claim 16, wherein the anatomical body has a vessel and the orifice is an ostium of the vessel, and wherein the one or more processors are configured for graphically generating a representation of the vessel based on the line segments.

25. The system of claim 24, wherein the one or more processors are configured for graphically generating the vessel representation by forming the graphical vessel representation around the line segments.

26. The system of claim 16, further comprising an output device configured for displaying the surface and orifice representations.