Intracardiac tracking system

• US 8,538,509 B2
• Filed: 04/02/2008
• Issued: 09/17/2013
• Est. Priority Date: 04/02/2008
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Rhythmia Medical, Inc. (Boston Scientific Corporation)
• Inventors: Harlev, Doron, Eldar, Rotem, Badics, Zsolt
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Stice, Paula J
• Application Number:
  US12/061,297
• Publication Number:
  US 20090253976A1
• Time in Patent Office: 1,994 Days
• Field of Search: 600508-509, 600512-513, 600/574, 600/373
• US Class Current: 600/509
• 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2562/0214 Capacitive electrodes
• CPC Class Codes: A61B 2562/04 Arrangements of multiple sensors of the same type
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 5/068 using impedance sensors
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/343 Potential distribution indication
• CPC Class Codes: A61B 5/35 by template matching
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence

Abstract

In general, in one aspect, a method is disclosed for determining information about a position of an object. The method includes: (i) causing current to flow between each of three or more sets of current-injecting electrodes on a first catheter inserted into an organ in a patient'"'"'s body, the organ having a periphery (ii) in response to current flow caused by each set of current injecting electrodes, measuring an electrical signal at each of one or more measuring electrodes located on one or more additional catheters inserted into the organ in the patient'"'"'s body and (iii) determining the position of each of one or more of the measuring electrodes on the additional catheters relative to the first catheter based on the measured signals from the one or more measuring electrodes.

Claims

1. A method comprising:

determining locations of multiple tracked elements within an organ, the organ having a periphery;

positioning at least three of the tracked elements in fixed locations relative to the organ such that the at least three tracked elements stay in the fixed locations, to provide at least three fixed tracked elements; and

using the locations of the at least three fixed tracked elements to determine the locations of one or more other tracked elements relative to the surface of the organ.

2. A method of claim 1, wherein all of the tracked elements are electrodes.

3. A method of claim 1, wherein all of the tracked elements are catheters.

4. A method of claim 1, wherein the at least three fixed tracked elements are sensors of a tracking system.

5. A method of claim 1, wherein the at least three fixed tracked elements are mounted on a single catheter.

6. A method of claim 1, wherein each of the at least three fixed tracked elements is mounted on a separate catheter.

7. A method of claim 1, wherein the determination of the locations of the one or more other tracked elements relative to a surface of the organ accounts for movement of the organ.

8. The method of claim 1, wherein the movement of the organ comprises a translation of the organ.

9. The method of claim 1, wherein the at least three of the fixed tracked elements are arranged to define a plane in space.

10. The method of claim 1, wherein the movement of the organ comprises a rotation of the organ.

11. The method of claim 1, wherein the movement of the organ comprises a movement caused by respiration.

12. The method of claim 1, wherein the movement of the organ comprises a movement caused by movement of the patient.

13. The method of claim 1, wherein positioning the at least three of the tracked elements to fixed locations relative to the organ comprises positioning a catheter including the at least three of the tracked elements in a location such that the catheter will conform to the anatomy.

14. The method of claim 1, wherein positioning the at least three of the tracked elements to fixed locations relative to the organ comprises positioning a catheter including the at least three of the tracked elements in the coronary sinus.

15. The method of claim 1, wherein positioning the at least three fixed tracked elements comprises positioning a catheter including the at least three of the tracked elements in the apex.

16. The method of claim 1, wherein positioning the at least three fixed tracked elements comprises securing the at least three of the tracked elements using a fixation mechanism.

17. The method of claim 16, wherein the fixation mechanism comprises an anchoring mechanism or balloon mechanism.

18. The method of claim 16, further comprising removing the at least three of the tracked elements from the fixed locations.

19. A system comprising:

multiple tracked elements configured for insertion into an organ in a patient'"'"'s body at least three of which are configured to be positioned in fixed locations relative to the organ such that the at least three of the tracked elements will stay in the fixed locations to form provide tracked elements;

an electronic control system coupled to the fixed tracked elements; and

a processing system coupled to the electronic system and configured to determine locations of the multiple fixed tracked elements within the organ, determine a location of one or more other tracked elements relative to the at least three fixed tracked elements while the at least three of the fixed tracked elements are in the fixed locations, and use the locations of the at least three fixed tracked elements secured to the fixed locations within the organ to determine the locations of the one or more other tracked elements relative to the surface of the organ.

20. A system of claim 19, wherein all of the tracked elements are electrodes.

21. A system of claim 19, wherein all of the tracked elements are catheters.

22. A system of claim 19, wherein the at least three fixed tracked elements are sensors of a tracking system.

23. A system of claim 19, wherein the at least three fixed tracked elements are mounted on a single catheter.

24. A system of claim 19, wherein each of the at least three secured tracked elements is mounted on a separate catheter.

25. A computer program product residing on a computer readable medium, the computer program product comprising instructions for causing a computer to:

determine locations of multiple tracked elements within an organ, the organ having a periphery at least three of the tracked elements being positioned in fixed locations relative to the organ such that the at least three of the tracked elements will stay in the fixed locations to provide fixed tracked elements;

while the at least three of the tracked elements are in the fixed locations, determine a location of one or more other tracked elements relative to the at least three fixed tracked elements secured to the fixed locations within the organ; and

use the locations of the at least three fixed tracked elements secured to the fixed locations within the organ to determine the locations of the one or more other tracked elements relative to the surface of the organ.