System and method for navigating an ultrasound catheter to image a beating heart

• US 7,806,829 B2
• Filed: 01/27/2005
• Issued: 10/05/2010
• Est. Priority Date: 06/30/1998
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Hauck, John A.
• Primary Examiner(s): Winakur; Eric F
• Assistant Examiner(s): BOR, HELENE CATHERINE
• Application Number:
  US11/044,344
• Publication Number:
  US 20050203394A1
• Time in Patent Office: 2,077 Days
• Field of Search: 600/463, 600/424, 600/466
• US Class Current: 600/466
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• CPC Class Codes: A61B 2090/367 creating a 3D dataset from 2D images using position information
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 2562/046 in a matrix array
• 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 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• 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 8/4254 using sensors mounted on the probe
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/466 adapted to display 3D data 3D imaging and stereoscopic displays in devices for short-range imaging with acoustic waves G01S15/8993 and G01S7/52068, respectively; 3D image rendering G06T15/00; manipulating 3D models for computer graphics G06T19/00
• CPC Class Codes: A61B 8/5223 for extracting a diagnostic or physiological parameter from medical diagnostic data for algorithms to analyse biomedical images G06T7/0012
• CPC Class Codes: A61B 8/5253 : combining overlapping images, e.g. spatial compounding
• CPC Class Codes: A61B 8/5292 : using additional data, e.g. patient information, image labeling, acquisition parameters
• CPC Class Codes: A61B 90/36 : Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61N 1/056 : Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/3625 : External stimulators
• CPC Class Codes: A61N 1/37 : Monitoring; Protecting
• CPC Class Codes: A61N 1/3702 : Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371

Abstract

Catheter navigation is coupled with ultrasound imaging to yield a context map showing the location on a heart of the ultrasonically imaged frame.

Claims

1. A system for navigating an ultrasound catheter to image a beating heart, comprising:

a) a catheter system carrying sensor electrodes and an ultrasonic transducer;

b) an ultrasound system operatively coupled to said transducer to generate a sound wave and to sense an echo wave to yield and capture ultrasound data for a first frame of the interior surface of a heart;

c) a navigation system operatively coupled to said electrodes for determining the location, in the context of a larger portion of the heart than is captured in the first frame, of the first frame; and

d) an imaging system for simultaneously displaying an ultrasound image of the first frame and a three-dimensional context map of an interior heart geometry and simultaneously highlighting a first surface on the context map corresponding to the first frame and a second surface on the context map corresponding to a second frame of the interior surface of the heart for which ultrasound data was previously captured by the ultrasound system.

2. A system according to claim 1, wherein said system further comprises:

e) data processing and storage for storing ultrasound data in association with location data.

3. A system according to claim 1 wherein said navigation system further determines the orientation of the catheter system as said ultrasound data is captured.

4. A system according to claim 3, wherein said system further comprises:

e) data storage for storing ultrasound data in association with location and orientation data.

5. A system according to claim 1 wherein said catheter system carries five electrodes, one of said electrodes lying on the axis of the catheter and the four other electrodes being spaced approximately equally from one another and equally spaced radially from said axis.

6. The system of claim 1 wherein the first and second frames partially overlap.

7. A system to generate images of the interior of a beating heart comprising:

a) a catheter carrying multiple electrodes, said electrodes spaced from one another sufficiently to generate location and orientation data;

b) an ultrasonic transducer attached to said catheter'"'"'s distal end, for generating image data of a first portion of a surface within the heart;

c) a signal processing system electrically coupled to said electrodes for receiving location and orientation data from said electrodes and coupled to said transducer for receiving the image data from said transducer; and

d) an imaging system coupled to said signal processing system for displaying an image generated from the image data and for simultaneously displaying a three dimensional context map of an interior heart geometry and highlighting a first surface on the context map corresponding to said first surface portion of the heart displayed in the image and a second surface on the context map corresponding to a second surface portion of the heart for which a second image was previously generated by the ultrasound transducer within an image of a second heart portion that is larger than and contains said first and second surface portions,

whereby the imaged portion of the surface of the heart is displayed and simultaneously the location in the heart of that displayed surface portion is displayed.

8. An image-generating system according to claim 7, wherein the imaging system displays the ultrasound image in real time.

9. An image-generating system according to claim 7, wherein said catheter carries a central electrode and four side electrodes proximate its distal end.

10. An image-generating system according to claim 9, wherein said central electrode lies on the longitudinal axis of the catheter and is spaced longitudinally from said side electrodes.

11. The system of claim 7 wherein the first and second surface portions partially overlap.

12. A method of imaging the interior of a beating heart, comprising the steps of:

a) positioning a catheter in the interior of a heart chamber, said catheter carrying multiple electrodes spaced from one another sufficiently to generate location and orientation data and said catheter having an ultrasonic transducer coupled to its distal end;

b) applying orthogonal current across the heart to generate voltage signals from the electrodes to yield position and orientation data;

c) with the ultrasonic transducer, generating a wave and sensing its echo to generate a first ultrasonic image of a first portion of a surface of the interior of the heart;

d) displaying the first ultrasonic image and simultaneously highlighting on a three-dimensional context map of an interior heart geometry a first surface on the context map corresponding to the frame of the heart surface that is displayed in the first ultrasonic image;

e) repositioning the catheter, while the first surface of the context map remains highlighted, such that the catheter yields a second ultrasonic image of a second portion of the surface of the interior of the heart, said repositioning being accomplished by observing the three-dimensional context map; and

,

f) displaying the second ultrasonic image and simultaneously highlighting on the three-dimensional context map, while the first surface of the context map remains highlighted, a second surface on the context map corresponding to the frame of the heart surface that is displayed in the second ultrasonic image.

13. A method of generating an image of the interior of a beating heart according to claim 12, further comprising the step of:

g) storing each of the first and second ultrasonic images in association with location and orientation data.

14. The method of claim 12 wherein the first and second surface portions of the surface of the interior of the heart partially overlap.

15. A system for navigating an ultrasound catheter to image a beating heart, comprising:

a) a catheter system carrying sensor electrodes and an ultrasonic transducer;

b) an ultrasound system operatively coupled to said transducer to generate a sound wave and to sense an echo wave to yield and capture ultrasound data for a first frame of the interior surface of a heart;

c) an electroanatomical mapping system operatively coupled to said ultrasound system to generate a three-dimensional electroanatomical map of the interior of the heart; and

d) an imaging system cooperatively coupled to the electroanatomical mapping system and the ultrasound system to display an ultrasound image of the first frame and the three-dimensional electroanatomical map of the interior of the heart and simultaneously highlight a first surface on the electroanatomical map corresponding to the location of the first frame and a second surface on the electroanatomical map corresponding to the location of a second frame of the interior surface of the heart for which ultrasound data was previously captured by the ultrasound system in addition to an ultrasound image of the first frame.

16. The system of claim 15 wherein the first and second frames partially overlap.