Method of sensing forces on a working instrument

• US 8,388,556 B2
• Filed: 10/03/2011
• Issued: 03/05/2013
• Est. Priority Date: 02/22/2006
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: Wallace, Daniel T., Stahler, Gregory J., Goldenberg, Alex, Reis, Gene, Younge, Robert G., Clopp, Mathew, Camarillo, David, King, Toby St. John
• Primary Examiner(s): TOWA, RENE T
• Application Number:
  US13/251,370
• Publication Number:
  US 20120022405A1
• Time in Patent Office: 519 Days
• Field of Search: 600587-595, 606/130
• US Class Current: 600/587
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence

Abstract

A method for estimating the force on a distal end of a working catheter includes positioning a portion of a robotically controlled guide catheter and working catheter into a body lumen wherein a distal end of the working catheter projects distally from a distal end of the guide catheter. The working catheter and guide catheter are dithered with respect to one another using a dithering device operatively connected to a proximal portion of the working catheter. The coupling may occur directly to the working catheter or via a seal such as a Touhy seal. The force experienced by the working catheter at a proximal region is measured through at least one dithering cycle. The force at the distal end of the working catheter is then estimated based on the measured force at the proximal region. The estimated force may be displayed to a physician on, for example, a monitor.

Claims

1. A method of estimating the force on a distal end of a working catheter passing through a robotically controlled guide catheter adapted for insertion into a body lumen, the method comprising:

positioning a portion of the robotically controlled guide catheter and working catheter into the body lumen, wherein the distal end of the working catheter extends distally from an open distal end of the guide catheter;

reciprocating the working catheter with respect to the guide catheter using a dithering device operatively connected to a proximal portion of the working catheter;

measuring an insertion force;

measuring a withdrawal force; and

estimating a force on the distal end of the working catheter based on the measured insertion force and the measured withdrawal force.

2. The method of claim 1, wherein said reciprocating comprises longitudinal reciprocation of the working catheter with respect to the guide catheter.

3. The method of claim 1, wherein estimating the force on the distal end of the working catheter comprises comparing a profile of the measured insertion and withdrawal forces in a contact state with a profile of the measured insertion and withdrawal forces in a non-contact state.

4. The method of claim 1, wherein the insertion and withdrawal forces are measured over at least one dithering cycle.

5. The method of claim 1, wherein the dithering device is driven in a reciprocating manner by one of a speaker coil, air cylinder, hydraulic actuator, electric motor, solenoid, and piezoelectric element.

6. The method of claim 1, wherein the estimated force is based at least in part on an average of measured insertion and withdrawal forces.

7. The method of claim 1, further comprising determining an error associated with the estimated force, the error being based on one or more parameters of the group consisting of sheath angle, articulating angle, rate of change of articulating angle, insertion distance, and magnitude of force applied to the distal end of the working catheter.

8. The method of claim 1, further comprising the step of displaying the estimated force on a display.

9. The method of claim 8, wherein the estimated force is displayed along with a visual cue indicative of an estimated error in the estimated force.

10. The method of claim 9, wherein the visual cue comprises one or more colors.

11. The method of claim 9, wherein the visual cue comprises one or graphical elements displayed on the display, and wherein the one or more graphical elements is selected from the group consisting of an error bar, a warning indicator, a textual message, and a pointer.

12. The method of claim 1, further comprising comparing the estimated force against a pre-determined threshold value and initiating a warning when the estimated force exceeds the pre-determined threshold value.

13. The method of claim 12, wherein the warning comprises an audible signal.

14. The method of claim 12, wherein the warning comprises a visual signal.

15. The method of claim 12, wherein the warning comprises a haptic signal.

16. The method of claim 1, further comprising comparing the estimated force against a pre-determined threshold value and temporarily disabling one or both of the robotically controlled guide catheter and working catheter if the estimated force exceeds the pre-determined threshold value.

17. The method of claim 1, wherein the working catheter comprises one of an ablation catheter, guidewire, probe, surgical tool, injection device, and electrophysiology catheter.

18. The method of claim 1, wherein a rate at which the working catheter is reciprocated with respect to the guide catheter by the dithering device is adjustable.

19. The method of claim 1, wherein the insertion force is measured with a first force sensor, and the withdrawal force is measured with a second force sensor.

20. The method of claim 19, wherein the first and second force sensors, respectively, output a signal proportional to the measured force.