Catheter locator apparatus and method of use

• US 8,934,960 B2
• Filed: 12/09/2013
• Issued: 01/13/2015
• Est. Priority Date: 08/23/2000
• Status: Expired due to Fees

• Current Assignee: Avent Incorporated (Avanos Medical, Inc.)
• Original Assignee: CORPAK MedSystems, Inc. (Avanos Medical, Inc.)
• Inventors: Besz, William John, Chorley, Donald Philip, Brasted, Stuart, Walker, Robert Anthony
• Primary Examiner(s): KISH, JAMES M
• Application Number:
  US14/100,847
• Publication Number:
  US 20140100450A1
• Time in Patent Office: 400 Days
• Field of Search: 600/407, 600/424
• US Class Current: 600/424
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/363 Use of fiducial points
• CPC Class Codes: A61B 2090/3983 Reference marker arrangements for use with image guided surgery
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• 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 5/061 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 5/062 using magnetic field
• 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 5/6851 Guide wires
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61J 15/0007 inserted by using a guide-wire guide wires A61M25/09
• CPC Class Codes: A61J 15/0069 Tubes feeding directly to the intestines, e.g. to the jejunum
• 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
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

This disclosure relates to a method of catheter and radiating coil location in a human body and in particular to the determination over time of the location of the tip of a catheter as it is inserted and during its use in the body. In particular when a radiating coil is used in conjunction with a catheter, a coil locating device can be used to determine the distance the coil is from the device and hence its depth in the body of a patient. To assist a clinician using the coil-locating device, a display is provided that shows both a reference image of a part or portion of a body (non-subject body) and an image of the coil located on the display with reference to the reference image. This is achieved by locating the coil-locating device on or over a predetermined landmark on the patient'"'"'s body.

Claims

1. A catheter locator system comprising:

a processor;

a display operatively connected to the processor;

a detector operatively connected to the processor, the detector being configured to be positioned over a predetermined location of a subject;

a coil operatively connected to the processor, the coil being configured to be inserted into a catheter; and

a memory storing;

(a) a first predetermined delineation representative of a mid-sagittal line of a subject;

(b) a second predetermined delineation representative of a diaphragm of the subject; and

(c) instructions which when executed by the processor, cause the processor to, in cooperation with the display, the detector, the coil and the memory, while at least one of the coil is being advanced and the coil is being removed from the catheter;

(a) display the first predetermined delineation representative of the mid-sagittal line of the subject and the predetermined delineation representative of the diaphragm of the subject;

(b) for an esophageal segment, determine and display a first position including a first depth of the coil in relation to the detector;

(c) for a stomach segment, determine and display a second position including a second depth of the coil in relation to the detector;

(d) for a pylorus segment, determine and display a third position including a third depth of the coil in relation to the detector; and

(e) for a duodenum segment, determine and display a fourth position including a fourth depth of the coil in relation to the detector.

2. The catheter locator system of claim 1, wherein a route of the coil through the subject body is recorded.

3. The catheter locator system of claim 2, wherein the route includes at least an X-Y location.

4. The catheter locator system of claim 1, wherein the first predetermined delineation and the second predetermined delineation intersect at a point representative of a xiphoid sternal junction of the subject.

5. The catheter locator system of claim 1, wherein the coil is configured to transmit electromagnetic signals.

6. The catheter locator system of claim 1, which includes a plurality of wires having an end portion which is connected to the coil, the plurality of wires being at least one of a stylet and a guide wire.

7. The catheter locator system of claim 1, wherein the detector includes a plurality of receiving coils which receive electromagnetic signals from the coil.

8. The catheter locator system of claim 1, wherein arrow symbols which are indicative of a direction of travel of the coil are generated and displayed.

9. The catheter locator system of claim 1, wherein the instructions, when executed by the processor, cause the processor to, in cooperation with the display, the detector, the coil and the memory, while at least one of the coil is being advanced and the coil is being removed from the catheter, for a jejunum segment, determine and display a fifth position including a fifth depth of the coil in relation to the detector.

10. A catheter locator system comprising:

a processor;

a display operatively connected to the processor;

a detector operatively connected to the processor, the detector being configured to be positioned over a predetermined location of a subject;

a coil operatively connected to the processor, the coil being configured to be inserted into a catheter;

a memory storing;

(a) a first predetermined delineation representative of a mid-sagittal line of a subject;

(b) a second predetermined delineation representative of a diaphragm of the subject; and

(c) instructions which when executed by the processor, cause the processor to, in cooperation with the display, the detector, the coil and the memory, while at least one of the coil is being advanced and the coil is being removed from the catheter;

(a) display the first predetermined delineation representative of the mid-sagittal line of the subject and the predetermined delineation representative of the diaphragm of the subject;

(b) for an esophageal segment, determine and display a first position including a first depth of the coil in relation to the detector; and

(c) for a stomach segment, determine and display a second position including a second depth of the coil in relation to the detector.

11. The catheter locator system of claim 10, wherein a route of the coil through the subject body is recorded.

12. The catheter locator system of claim 11, wherein the route includes at least an X-Y location.

13. The catheter locator system of claim 10, wherein the first predetermined delineation and the second predetermined delineation intersect at a point representative of a xiphoid sternal junction of the subject.

14. The catheter locator system of claim 10, wherein the coil is configured to transmit electromagnetic signals.

15. The catheter locator system of claim 10, which includes a plurality of wires having an end portion which is connected to the coil, the plurality of wires being at least one of a stylet and a guide wire.

16. The catheter locator system of claim 10, wherein the detector includes a plurality of receiving coils which receive electromagnetic signals from the coil.

17. The catheter locator system of claim 10, wherein arrow symbols which are indicative of a direction of travel of the coil are generated and displayed.

18. A catheter locator system comprising:

a processor;

a means for display operatively connected to the processor;

a means for detecting a coil operatively connected to the processor, the means for detecting the coil being configured to be positioned over a predetermined location of a subject;

a coil operatively connected to the processor, the coil being configured to be inserted into a catheter;

a means for storing;

(a) a first predetermined delineation representative of a mid-sagittal line of a subject;

(b) a second predetermined delineation representative of a diaphragm of the subject; and

(c) instructions which when executed by the processor, cause the processor to, in cooperation with the means for display, the means for detecting the coil, the coil and the means for storing, while at least one of the coil is being advanced and the coil is being removed from the catheter;

(a) display the first predetermined delineation representative of the mid-sagittal line of the subject and the predetermined delineation representative of the diaphragm of the subject;

(b) for an esophageal segment, determine and display a first position including a first depth of the coil in relation to the means for detecting the coil; and

(c) for a stomach segment, determine and display a second position including a second depth of the coil in relation to the means for detecting the coil.

19. The catheter locator system of claim 18, wherein the instructions further cause the processor, in cooperation with the means for display, the means for detecting the coil, the coil and the means for storing, to:

(d) for a pylorus segment, determine and display a third position including a third depth of the coil in relation to the means for detecting the coil; and

(e) for a duodenum segment, determine and display a fourth position including a fourth depth of the coil in relation to the means for detecting the coil.

20. The catheter locator system of claim 18, wherein the first predetermined delineation and the second predetermined delineation intersect at a point representative of a xiphoid sternal junction of the subject.