Tracking using field mapping

• US 8,942,786 B2
• Filed: 09/14/2012
• Issued: 01/27/2015
• Est. Priority Date: 05/11/2010
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Rhythmia Medical, Inc. (Boston Scientific Corporation)
• Inventors: Harlev, Doron, Kane, Derek, Stewart, Brian, Hultz, Paul, Csendes, Alpar
• Primary Examiner(s): Le, Long V
• Assistant Examiner(s): KELLOGG, MICHAEL S
• Application Number:
  US13/616,000
• Publication Number:
  US 20130006084A1
• Time in Patent Office: 865 Days
• Field of Search: 600/424, 600/425
• US Class Current: 600/424
• CPC Class Codes: A61B 5/0044 for the heart
• CPC Class Codes: A61B 5/05 Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves impedance plethysmography A61B5/0295; measuring movement of the entire body or parts thereof A61B5/11; detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof A61B5/24
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0536 Impedance imaging, e.g. by tomography
• 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 5/6846 specially adapted to be brought in contact with an internal body part, i.e. invasive
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6869 Heart

Abstract

Methods and systems for determining the position of an object, such as tracking the position of one or more catheters in a patient'"'"'s heart cavity are disclosed herein.

Claims

1. A system comprising:

a field mapping catheter configured for insertion into an organ in a patient'"'"'s body and comprising multiple measuring electrodes;

a tracked catheter configured for insertion into the organ in the patient'"'"'s body and comprising at least one measuring electrode;

a catheter comprising multiple current injecting electrodes configured to be placed in stable locations inside a patient'"'"'s body to generate signals used to determine a set of expected signals and signals to track the location of the at least one measuring electrode on the tracked catheter;

an electronic control system coupled to the multiple current injecting electrodes, the measuring electrodes on the field mapping catheter, and the at least one measuring electrode on the tracked catheter and configured to;

cause current to flow among multiple current injecting electrodes to generate a field in the organ;

in response to the current flow caused by the current injecting electrodes, measure a signal at each of the multiple measuring electrodes for each of multiple locations of the field mapping catheter;

in response to the current flow caused by the current injecting electrodes, measure a signal at the at least one measuring electrode of the tracked catheter;

a processing system coupled to the electronic control system and configured to;

determine relative locations of the plurality of measuring electrodes at different ones of the multiple locations in the organ based on the measured signals by reconciling fields measured at the different ones of the multiple locations;

determine expected signals at additional locations within the organ based on the measured signals from the field mapping catheter and the determined relative locations; and

determine a position of the at least one measuring electrode of the tracked catheter based on at least the expected signals.

3. The system of claim 1, wherein the current-injecting electrodes comprise at least three sets of current injecting electrodes.

2. The system of 1, wherein the measuring electrodes mounted on the field mapping catheter comprise electrodes that can be moved and positioned at multiple locations in an organ.

4. The system of 1, wherein the current injecting electrodes are not on the catheter that includes the measuring electrodes.

5. The system of 1, wherein the processing system is further configured to determine the expected signals in the absence of information from an external tracking system.

6. The system of 1, wherein the processing system is further configured to reconcile fields measured at the different ones of the multiple locations using a cost function.

7. The system of 1, wherein the processing system is further configured to determine a translation and rotation between the plurality of measuring electrodes at the multiple locations.

8. The system of 1, wherein the measured signals for the catheter at each location define a corresponding set of measurements and wherein the processing system is further configured determine the expected signals by combining information from the different sets to determine a field map indicative of the expected signals at the additional locations.

9. The system of claim 8, wherein the processing system is further configured to combine the information from the different sets to determine a field map by aligning the information from the different sets to account for the different locations of the catheter based on the known relative locations of the measuring electrodes on the catheter.

10. The system of 1, wherein the expected signals comprise a field map.

11. The system of 1, wherein the processing system is further configured to determine the expected signals using Laplace'"'"'s equation.

12. The system of 1, wherein the processing system is further configured to determine the expected signals using Poisson'"'"'s equation.

13. The system of 1, wherein the processing system is further configured to determine the expected signals using a polynomial estimation.

14. The system of 1, wherein the current injecting electrodes comprise both electrodes mounted on one or more catheters placed in stable locations inside the organ and one or more body-surface electrodes.

15. The system of 1, wherein the processing system is further configured to process the measured signals and expected signals to account for respiration and heart beat.