High-sensitivity pressure-sensing probe

• US 8,900,229 B2
• Filed: 08/21/2013
• Issued: 12/02/2014
• Est. Priority Date: 10/08/2007
• Status: Active Grant

• Current Assignee: Biosense Webster Israel Ltd. (Johnson & Johnson)
• Original Assignee: Biosense Webster Israel Ltd. (Johnson & Johnson)
• Inventors: Govari, Assaf, Ephrath, Yaron, Garcia, Ariel, Altmann, Andres Claudio
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US13/971,955
• Publication Number:
  US 20140024969A1
• Time in Patent Office: 468 Days
• Field of Search: 606 27- 34, 606/41, 606/45, 128/898
• US Class Current: 606/41
• 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 2034/2051 Electromagnetic tracking systems
• 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 2090/3958 emitting a signal
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• 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 5/48 Other medical applications
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A medical probe includes an insertion tube, having a longitudinal axis and having a distal end. A distal tip is disposed at the distal end of the insertion tube and is configured to be brought into contact with a body tissue. A joint couples the distal tip to the distal end of the insertion tube. A joint sensor, contained within the probe, senses a position of the distal tip relative to the distal end of the insertion tube. The joint sensor includes first and second subassemblies, which are disposed within the probe on opposite, respective sides of the joint and each include one or more magnetic transducers.

Claims

1. A medical probe, comprising:

an insertion tube, having a longitudinal axis and having a distal end;

a distal tip, which is disposed at the distal end of the insertion tube and is configured to be brought into contact with a body tissue;

a joint, which couples the distal tip to the distal end of the insertion tube; and

a joint sensor, contained within the probe, for sensing a position of the distal tip relative to the distal end of the insertion tube, the joint sensor comprising first and second subassemblies, which are disposed within the probe on opposite, respective sides of the joint and each comprise one or more magnetic transducers, the joint sensor being configured to generate a signal indicative of an axial displacement and an orientation of the distal tip relative to the distal end of the insertion tube, wherein one of the first and second subassemblies is coupled to be driven by an electrical current to emit at least one magnetic field, and the other of the first and second subassemblies is coupled to output one or more signals in response to the at least one magnetic field, and wherein the signals are indicative of the position of the distal tip relative to the distal end of the insertion tube.

2. The probe according to claim 1, wherein the magnetic transducers comprises coils, and wherein the first subassembly comprises a first coil having a first coil axis parallel to the longitudinal axis of the insertion tube, and wherein the second subassembly comprises two or more second coils in different, respective radial locations within a section of the probe that is spaced apart axially from the first subassembly.

3. The probe according to claim 2, wherein the second coils have respective second coil axes that are parallel to the longitudinal axis of the insertion tube.

4. The probe according to claim 2, wherein the two or more second coils comprise at least three second coils.

5. The probe according to claim 4, wherein the at least three second coils are disposed within an axial plane of the probe at different, respective azimuthal angles about the longitudinal axis.

6. The probe according to claim 1, and comprising a position sensor for sensing position coordinates of the probe relative to a frame of reference that is separate from the probe.

7. The probe according to claim 1, wherein the distal tip comprises an electrode, which is configured to make electrical contact with the tissue.

8. The probe according to claim 1, wherein the joint comprises a resilient member, which is configured to deform in response to pressure exerted on the distal tip when the distal tip engages the tissue.

9. The probe according to claim 8, wherein the resilient member comprises a tubular piece of an elastic material having a helical cut therethrough along a portion of a length of the piece.

10. Apparatus for performing a medical procedure on a body of a patient, the apparatus comprising:

a probe, which comprises;

an insertion tube, having a longitudinal axis and having a distal end;

a distal tip, which is disposed at the distal end of the insertion tube and is configured to be brought into contact with tissue of the body;

a joint, which couples the distal tip to the distal end of the insertion tube; and

a joint sensor, contained within the probe, for sensing a position of the distal tip relative to the distal end of the insertion tube, the joint sensor comprising first and second subassemblies, which are disposed within the probe on opposite, respective sides of the joint and each comprise one or more magnetic transducers; and

a processor, which is coupled to apply a current to one of the first and second subassemblies, thereby causing the one of the subassemblies to generate at least one magnetic field, and which is coupled to receive and process one or more signals output by the other of the first and second subassemblies responsively to the at least one magnetic field so as to detect changes in a position of the distal tip relative to the distal end of the insertion tube.

11. The apparatus according to claim 10, wherein the magnetic transducers comprise coils, and wherein the first subassembly comprises a first coil having a first coil axis parallel to the longitudinal axis of the insertion tube, and wherein the second subassembly comprises two or more second coils in different, respective radial locations within a section of the probe that is spaced apart axially from the first subassembly.

12. The apparatus according to claim 10, wherein the changes in the position of the distal tip detected by the processor comprise an axial displacement of the distal tip and a deflection of the distal tip relative to the distal end of the insertion tube.

13. The apparatus according to claim 10, wherein the joint comprises a resilient member, which is configured to deform in response to pressure exerted on the distal tip when the distal tip engages the tissue.

14. The apparatus according to claim 13, wherein the processor is configured to generate, responsively to the detected changes in the position, an output that is indicative of the pressure exerted on the distal tip.

15. The apparatus according to claim 10, and comprising a magnetic field generator, for generating a further magnetic field in a vicinity of the body, and a position sensor in the probe for generating a position signal in response to the further magnetic field, wherein the processor is coupled to receive and process the position signal in order to compute coordinates of the probe relative to a frame of reference that is separate from the probe.

16. The apparatus according to claim 15, wherein the position sensor comprises at least one of the magnetic transducers in one of the first and second subassemblies.

17. Apparatus for sensing movement of a joint in an assembly having a longitudinal axis passing through the joint, the apparatus comprising:

first and second sensing subassemblies, which are disposed within the assembly on opposite, respective sides of the joint and each comprise one or more magnetic transducers; and

a processor, which is coupled to apply a current to one of the first and second assemblies, thereby causing the one of the assemblies to generate at least one magnetic field, and which is coupled to receive and process one or more signals output by the other of the first and second assemblies responsively to the at least one magnetic field so as to detect changes in a disposition of the joint.

18. The apparatus according to claim 17, wherein the magnetic transducers comprise coils, and wherein the first subassembly comprises a first coil having a first coil axis parallel to the longitudinal axis of the insertion tube, and wherein the second subassembly comprises two or more second coils in different, respective radial locations within a section of the assembly that is spaced apart axially from the first subassembly.

19. The apparatus according to claim 17, wherein the processor is configured to detect, by processing the one or more signals, an axial compression of the joint and an angular deflection of the joint.

20. The apparatus according to claim 17, wherein the joint comprises a resilient member, which is configured to deform in response to pressure exerted on the assembly, and wherein the processor is configured to generate, responsively to the detected changes in the disposition, an output that is indicative of the pressure exerted on the assembly.

21. A method for performing a medical procedure on tissue in a body of a patient, the method comprising:

applying to the body a probe, which comprises an insertion tube and a distal tip, which is coupled to a distal end of the insertion tube by a joint, and which comprises a joint sensor, which is contained within the probe and comprises first and second subassemblies, which are disposed within the probe on opposite, respective sides of the joint and each comprise one or more magnetic transducers;

advancing the probe so that the distal tip engages and applies a pressure against the tissue, so as to cause a change in a position of the distal tip relative to the distal end of the insertion tube;

applying a current to one of the first and second subassemblies, thereby causing the one of the subassemblies to generate at least one magnetic field; and

receiving and processing one or more signals output by the other of the first and second subassemblies responsively to the at least one magnetic field so as to detect the change in the position of the distal tip.

22. The method according to claim 21, wherein the magnetic transducers comprise coils, and wherein the first subassembly comprises a first coil having a first coil axis parallel to a longitudinal axis of the insertion tube, and wherein the second subassembly comprises two or more second coils in different, respective radial locations within a section of the probe that is spaced apart axially from the first subassembly.

23. The method according to claim 21, wherein processing the one or more signals comprises detecting an axial displacement and an orientation of the distal tip relative to the distal end of the insertion tube.

24. The method according to claim 21, wherein the joint comprises a resilient member, which is configured to deform in response to the pressure on the distal tip, and wherein processing the one or more signals comprises generating, responsively to the detected change in the position, an indication of the pressure exerted on the distal tip.

25. The method according to claim 21, and comprising generating a further magnetic field in a vicinity of the body, and sensing a position signal output by one of the first and second subassemblies in response to the further magnetic field in order to compute coordinates of the probe relative to a frame of reference that is separate from the probe.

26. The method according to claim 21, wherein advancing the probe comprises bringing an electrode on the distal tip into electrical contact with the tissue.

27. The method according to claim 26, and comprising applying electrical energy to the electrode so as to ablate a region of the tissue that is engaged by the distal tip.

28. The method according to claim 27, wherein the position of the distal tip relative to the distal end of the insertion tube changes in response to a pressure of the distal tip against the tissue, and wherein applying the electrical energy comprises controlling application of the energy responsively to the pressure, as indicated by the position of the distal tip, so that the electrical energy is applied to the electrode when the pressure is within a desired range.