Prevention of incorrect catheter rotation

• US 8,876,726 B2
• Filed: 12/08/2011
• Issued: 11/04/2014
• Est. Priority Date: 12/08/2011
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Amit, Matityahu, Breitman, Jaron
• Primary Examiner(s): Gedeon, Brian T
• Assistant Examiner(s): TEJANI, ANKIT D
• Application Number:
  US13/314,359
• Publication Number:
  US 20130150739A1
• Time in Patent Office: 1,062 Days
• Field of Search: None
• US Class Current: 600/508
• 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 2017/00075 Motion
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2018/00202 rotating
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided

Abstract

A method includes providing an elongated probe having a longitudinal axis and a distal end, and capable of rotation of the distal end about the longitudinal axis in mutually opposite first and second directions. While an operator manipulates the probe within a body of a patient, the rotation that is applied to the distal end is sensed automatically. An alert is issued to the operator upon sensing that the rotation is in the second direction, but not when the sensed rotation is in the first direction.

Claims

1. A method, comprising:

providing an elongated probe having a longitudinal axis and a distal end, and capable of rotation of the distal end about the longitudinal axis in mutually opposite first and second directions, the distal end comprising an end section formed to define an arc that is oriented obliquely to the longitudinal axis;

while an operator manipulates the probe within a body of a patient, automatically sensing the rotation that is applied to the distal end; and

automatically detecting an abnormality in the shape of the distal end of the elongated probe and issuing an alert to the operator upon sensing that the rotation is in the second direction, but not when sensing that the rotation is in the first direction, the alert allowing the operator to prevent the distal end of the elongated probe from engaging onto tissue and preventing damage to the tissue.

2. The method according to claim 1, wherein the distal end comprises a hook-shaped curve in a plane that is oriented obliquely with respect to the longitudinal axis.

3. The method according to claim 1, wherein the probe comprises a lasso cardiac catheter.

4. The method according to claim 1, wherein automatically sensing the rotation comprises receiving a signal from a sensor coupled to the probe, and determining the rotation based on the signal.

5. The method according to claim 4, wherein receiving the signal comprises accepting the signal from a position sensor that generates the signal responsively to an externally-generated magnetic field.

6. The method according to claim 4, wherein receiving the signal comprises accepting the signal from an acceleration sensor that generates the signal responsively to an angular acceleration of the probe.

7. The method according to claim 4, wherein the sensor is coupled to the distal end of the probe.

8. The method according to claim 1, wherein sensing the rotation comprises measuring an impedance between at least one sensor coupled to the distal end and one or more electrodes attached to the body of the patient, and calculating the rotation based on the impedance.

9. The method according to claim 1, wherein issuing the alert comprises displaying a visual alert on a monitor display viewed by the operator.

10. The method according to claim 1, wherein issuing the alert comprises sounding an audible alarm to the operator.

11. The method according to claim 1, and comprising detecting an entanglement of the distal end with tissue in the body, and issuing a notification of the entanglement to the operator.

12. The method according to claim 11, wherein detecting the entanglement comprises detecting a deviation of a shape of the distal end from a reference shape.

13. The method according to claim 1, wherein the probe is designated for operation in atria of a heart of the patient, and comprising measuring a location of the probe and alerting the operator upon detecting that the probe is located in a ventricle of the heart.

14. An apparatus, comprising:

a processor, which is connected to an elongated probe that has a longitudinal axis and a distal end and is capable of rotation of the distal end about the longitudinal axis in mutually opposite first and second directions, the distal end comprising an end section formed to define an arc that is oriented obliquely to the longitudinal axis, wherein the processor is configured to automatically sense the rotation that is applied to the distal end while an operator manipulates the probe within a body of a patient, and to automatically detect an abnormality in the shape of the distal end of the elongated probe and to issue an alert upon sensing that the rotation is in the second direction, but not when sensing that the rotation is in the first direction; and

an output device, which is configured to present the alert to the operator, the alert allowing the operator to prevent the distal end of the elongated probe from engaging onto tissue and preventing damage to the tissue.

15. The apparatus according to claim 14, wherein the distal end comprises a hook-shaped curve in a plane that is oriented obliquely with respect to the longitudinal axis.

16. The apparatus according to claim 14, wherein the probe comprises a lasso cardiac catheter.

17. The apparatus according to claim 14, wherein the processor is configured to automatically sense the rotation by receiving a signal from a sensor coupled to the probe, and determining the rotation based on the signal.

18. The apparatus according to claim 17, wherein the processor is configured to receive the signal from a position sensor that generates the signal responsively to an externally-generated magnetic field.

19. The apparatus according to claim 17, wherein the processor is configured to receive the signal from an acceleration sensor that generates the signal responsively to an angular acceleration of the probe.

20. The apparatus according to claim 17, wherein the sensor is coupled to the distal end of the probe.

21. The apparatus according to claim 14, wherein the processor is configured to measure an impedance between at least one sensor coupled to the distal end and one or more electrodes attached to the body of the patient, and to calculate the rotation based on the impedance.

22. The apparatus according to claim 14, wherein the processor is configured to detect an entanglement of the distal end with tissue in the body, and to issue a notification of the entanglement to the operator.

23. The apparatus according to claim 22, wherein the processor is configured to detect the entanglement by detecting a deviation of a shape of the distal end from a reference shape.

24. The apparatus according to claim 14, wherein the probe is designated for operation in atria of a heart of the patient, and wherein the processor is configured to measure a location of the probe, and to alert the operator upon detecting that the probe is located in a ventricle of the heart.