System and method for locating medical devices in vivo using ultrasound Doppler mode

• US 8,449,466 B2
• Filed: 05/27/2010
• Issued: 05/28/2013
• Est. Priority Date: 05/28/2009
• Status: Active Grant

• Current Assignee: Edwards Lifesciences Corporation
• Original Assignee: Edwards Lifesciences Corporation
• Inventors: Duhay, Francis G., Zollinger, David
• Primary Examiner(s): Kish, James
• Assistant Examiner(s): FISHER, MICHAEL NAPOLEON
• Application Number:
  US12/789,156
• Publication Number:
  US 20100305432A1
• Time in Patent Office: 1,097 Days
• Field of Search: 600/407, 600/437, 600/441, 600/443, 600/446, 600/447, 600/459, 600/462, 601/2, 601/46, 601/57
• US Class Current: 600/439
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/483 involving the acquisition of a 3D volume of data
• CPC Class Codes: A61B 8/488 involving Doppler signals

Abstract

A system for locating a medical device in vivo includes an ultrasound scanner having a scan head and being capable of operating in a 3D Doppler mode, a medical device having a distal end configured to be inserted in vivo, and a vibratory element coupled to the medical device to induce vibrations in the first distal end. When the scan head is positioned over the distal end inserted in vivo to obtain scan data of the tissue volume, the ultrasound scanner is configured to generate 3D Doppler data in the form of a plurality of slices from the scan data and to identify a location of the distal end within the slices based upon localized data within one of the slices meeting predetermined criteria.

Claims

1. A system for locating a medical device in vivo, the system comprising:

an ultrasound scanner having a scan head and being configured to operate in a 3D Doppler mode;

an elongated medical device having a distal end configured to be inserted in vivo, wherein the distal end comprises at least one cross-sectional segment having a different density as compared to adjacent cross-sectional segments; and

a first piezoelectric vibratory element coupled to the medical device configured to induce vibrations in the distal end, wherein the distal end vibrates at a different frequency than the adjacent cross-sectional segments of different density,

wherein when the scan head is positioned over the distal end inserted in vivo to obtain scan data of a tissue volume, the ultrasound scanner is configured to generate 3D Doppler data in the form of a plurality of slices from the scan data and to identify a location of the distal end within the slices based upon localized data within one of the slices meeting predetermined criteria.

2. The system of claim 1, wherein the first piezoelectric vibratory element is coupled to the elongated medical device near a proximal end that is not inserted in vivo.

3. The system of claim 1, wherein the first piezoelectric vibratory element is coupled to the medical device proximate the distal end.

4. The system of claim 3, further comprising a second piezoelectric vibratory element coupled to the medical device configured to induce vibrations in a medial section of the elongated medical device, wherein the medial section is configured to be inserted in vivo.

5. The system of claim 1, wherein the elongated medical device has three distinct sections, and each two adjacent sections are separated by a region composed of higher density material that attenuates the vibrations generated by the first piezoelectric vibratory element such that the distinct sections vibrate at different rates.

6. A method for locating a medical device in vivo, the method comprising:

inserting a first distal end of a first elongated medical device in vivo, the first elongated medical device having a first piezoelectric vibratory element coupled proximate the first distal end to induce vibrations in the first distal end;

inserting a medial section of the first elongated medical device in vivo, wherein a second piezoelectric vibratory element is coupled to the medial section to induce vibrations in the medial section;

positioning a scan head of an ultrasound scanner over the first distal end and medial section placed in vivo to obtain scan data of a tissue volume;

generating with the ultrasound scanner 3D Doppler data in the form of a plurality of slices from the scan data; and

identifying locations of the first distal end and medial section within the slices based upon localized data within one of the slices meeting predetermined criteria.

7. The method of claim 6, wherein the first distal end comprises at least one cross-sectional segment having a different density as compared to adjacent cross-sectional segments.

8. The method of claim 6, wherein the predetermined criteria includes the localized data indicating movement of an object above a predefined threshold value within the slices.

9. The method of claim 6, wherein the predetermined criteria includes the localized data having a maximum rate of change within the slices.

10. The method of claim 6, further comprising

inserting a second distal end of a second elongated medical device in vivo, the second elongated medical device having a second piezoelectric vibratory element coupled thereto to induce vibrations in the second distal end;

positioning a scan head of an ultrasound scanner over the first and second distal ends placed in vivo to obtain scan data of a tissue volume; and

identifying a location of the second distal end within the slices based upon localized data within one of the slices meeting predetermined criteria.

11. The method of claim 10, wherein the first and second piezoelectric vibratory elements are configured to operate at different rates of vibration.

12. The method of claim 6, wherein the piezoelectric vibratory element comprises a power source.

13. The method of claim 6, further comprising controlling the first piezoelectric vibratory element remotely through a radio frequency (RF) receiver included with the first piezoelectric vibratory element to enable activation and deactivation.

14. A system for locating a medical device in vivo, the system comprising:

an ultrasound scanner having a scan head and being configured to operate in a 3D Doppler mode;

a first elongated medical device having a distal end configured to be inserted in vivo; and

a first piezoelectric vibratory element coupled to the first medical device proximate the distal end configured to induce vibrations in the distal end, wherein the first piezoelectric vibratory element comprises a power source and radio frequency (RF) receiver to enable activation and deactivation and is configured to be controlled remotely,

wherein when the scan head is positioned over the distal end inserted in vivo to obtain scan data of a tissue volume, the ultrasound scanner is configured to generate 3D Doppler data in the form of a plurality of slices from the scan data and to identify a location of the distal end within the slices based upon localized data within one of the slices meeting predetermined criteria; and

wherein the distal end of the first elongated medical device comprises at least one cross-sectional segment having a different density as compared to adjacent cross-sectional segments, such that the distal end vibrates at a different frequency than the adjacent cross-sectional segments of different density.

15. The system of claim 14, further comprising a second piezoelectric vibratory element coupled to the first elongated medical device configured to induce vibrations in a medial section of the first elongated medical device, wherein the medial section is configured to be inserted in vivo.

16. The system of claim 14, further comprising a second piezoelectric vibratory element coupled to a proximal end of the first elongated medical device that is not inserted in vivo and configured to induce vibrations in the first elongated medical device.

17. The system of claim 14, further comprising

a second medical device having a second distal end configured to be inserted in vivo;

and

a second piezoelectric vibratory element coupled to the second medical device configured to induce vibrations in the second distal end, wherein the first and second piezoelectric vibratory elements are configured to operate at different rates of vibration.

18. The system of claim 14, wherein the first elongated medical device has three distinct sections, and each two adjacent sections are separated by a region composed of higher density material that attenuates the vibrations generated by the first vibratory element such that the distinct sections vibrate at different rates.