Devices and methods for tracking an energy device

• US 9,199,091 B2
• Filed: 03/17/2010
• Issued: 12/01/2015
• Est. Priority Date: 04/21/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Asthmatx, Inc. (Boston Scientific Corporation)
• Inventors: Danek, Christopher J., Wizeman, William J., Dalbec, Timothy R., French, Glendon E., Laufer, Michael D.
• Primary Examiner(s): Porter, Jr., Allen
• Application Number:
  US12/725,576
• Publication Number:
  US 20100268222A1
• Time in Patent Office: 2,085 Days
• Field of Search: 607/96, 606 27- 29, 606 32- 34, 606 41- 42
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/309 using white LEDs
• CPC Class Codes: A61B 2090/365 augmented reality, i.e. correlating a live optical image with another image
• 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 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/3601 of respiratory organs
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia

Abstract

Methods for treating a network of organs including generating a map of at least a portion of the network of organs using a rendering system; selecting at least one treatment location within the luminal passageway of the network of organs; and applying an energy therapy to the treatment location to treat the smooth muscle tissue, where the energy therapy applied to the respective treatment location is defined by a plurality of parameters that are associated with a map. Such a system allows for historical or ideal treatment parameters to be identified, visually or otherwise to actual treatment locations. Also, control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Claims

1. A method for tracking an energy delivery device, the method comprising:

generating a virtual map of airways of a lung using a rendering system;

advancing the energy delivery device within the lung airways and applying an energy therapy to a selected treatment location;

generating a virtual position of the energy delivery device on the virtual map with a sensor assembly coupled to a distal portion of the device;

displaying the virtual map on a visual display; and

automatically preventing, with a controller, application of the energy therapy by the energy delivery device when the energy therapy is demanded by an operator when the controller determines that the energy delivery device is located at one or more previous treatment locations.

2. The method of claim 1, wherein the rendering system comprises ultrasonic imaging, computer aided tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET).

3. The method of claim 1, wherein the rendering system generates the virtual map externally or internally.

4. The method of claim 1, wherein the sensor assembly is configured to transmit information to the rendering system to generate the virtual map as the device is advanced within the lung airways.

5. The method of claim 1, wherein the virtual map is rendered prior to or during advancement of the device within the lung airways.

6. The method of claim 1, wherein the virtual map comprises a three dimensional map.

7. The method of claim 1, wherein the virtual map comprises a graphic display or data coordinates.

8. The method of claim 1, further comprising generating a virtual treatment location on the virtual map after the device applies energy therapy to the selected treatment location within the lung airways to treat asthma.

9. The method of claim 8, further comprising associating parameters of a particular energy therapy with the virtual treatment location.

10. The method of claim 8, further comprising automatically preventing energy therapy to a subsequent treatment location if it comprises an overlapping treatment location.

11. The method of claim 1, further comprising generating a suggested treatment location on the virtual map.

12. The method of claim 11, further comprising guiding a user to the suggested treatment location with the virtual map.

13. The method of claim 11, further comprising distinguishing the suggested treatment location from the selected treatment location on the virtual map.

14. The method of claim 1, further comprising analyzing an anatomical characteristic of the lung airway at the selected treatment location based on the virtual map.

15. The method of claim 14, wherein applying the energy therapy to the selected treatment location to treat asthma comprises adjusting a parameter of the energy therapy based on the anatomical characteristic.

16. The method of claim 1, further comprising generating an ideal procedure profile based on the virtual map.

17. The method of claim 16, wherein applying the energy therapy to the selected treatment location to treat asthma comprises tailoring a parameter of the energy therapy based on the ideal procedure profile.

18. The method of claim 1, wherein the sensor assembly includes a light emitting source, a sensor, and a digital processor, and wherein the light emitting source includes a light emitting diode, and the sensor includes a complimentary metal-oxide semiconductor.

19. The method of claim 1, further including:

generating a treatment history profile including treatment parameters associated with the one or more previous treatment locations; and

using the treatment history profile to prevent the initiation of application of the energy therapy by the energy delivery device when the energy delivery device is located at one of the one or more previous treatment locations.

20. The method of claim 19, wherein the treatment parameters include at least one of temperature, impedance, energy, power, duration of treatment, total energy provided during treatment, total power provided during treatment, average power during treatment, rate of change in temperature during treatment, rate of change in applied energy during treatment, and impedance of the treatment location.

21. A method for tracking an energy delivery device, the method comprising:

generating a virtual map of airways of a lung using a rendering system;

advancing the energy delivery device within the lung airways and applying an energy therapy;

generating a virtual position of the energy delivery device on the virtual map with a sensor assembly coupled to a distal portion of the device;

generating a virtual treatment location on the virtual map after the device applies an energy therapy to a selected treatment location within the lung airways; and

automatically preventing, with a controller, application of the energy therapy by the energy delivery device when the energy therapy is demanded by an operator when the energy delivery device is located at one or more previous treatment locations.

22. The method of claim 21, wherein the sensor assembly includes a light emitting source, a sensor, and a digital processor, and wherein the light emitting source includes a light emitting diode, and the sensor includes a complimentary metal-oxide semiconductor.

23. The method of claim 21, further including:

generating a treatment history profile including treatment parameters associated with the one or more previous treatment locations; and

using the treatment history profile to prevent the initiation of application of the energy therapy by the energy delivery device when the energy delivery device is located at one of the one or more previous treatment locations.

24. The method of claim 23, wherein the treatment parameters include at least one of temperature, impedance, energy, power, duration of treatment, total energy provided during treatment, total power provided during treatment, average power during treatment, rate of change in temperature during treatment, rate of change in applied energy during treatment, and impedance of the treatment location.

25. An energy delivery and tracking system, the system comprising:

a shaft having a proximal end and a distal end;

a plurality of radio frequency electrodes disposed at the distal end of the shaft, the plurality of electrodes being configured to contact a lung airway wall at a treatment location when in an expanded radial configuration and apply an energy therapy; and

a sensor assembly coupled to the distal end of the shaft so as to track a virtual position of the device;

a controller to control a supply of current to the plurality of radio frequency electrodes and a power source to provide power to the system; and

wherein, when the controller determines that the plurality of electrodes are located at one or more previous treatment locations, the controller is configured to automatically prevent application of the energy therapy from the plurality of electrodes when the energy therapy is demanded by an operator.

26. An energy delivery and tracking system comprising:

the system of claim 25; and

a rendering system for generating a virtual map.

27. The system of claim 26, wherein the rendering system comprises ultrasonic imaging, computer aided tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET).

28. The system of claim 26, wherein the sensor assembly is configured to transmit information to the rendering system to generate the virtual map as the device is advanced within the lung airway.

29. The system of claim 25, wherein the sensor assembly includes a light emitting source, a sensor, and a digital processor, and wherein the light emitting source includes a light emitting diode, and the sensor includes a complimentary metal-oxide semiconductor.

30. The system of claim 25, wherein:

the controller is configured to generate a treatment history profile including treatment parameters associated with the one or more previous treatment locations; and

the controller is configured to use the treatment history profile to prevent application of the energy therapy by the plurality of electrodes when the plurality of electrodes are located at one of the one or more previous treatment locations.

31. The system of claim 30, wherein the treatment parameters include at least one of temperature, impedance, energy, power, duration of treatment, total energy provided during treatment, total power provided during treatment, average power during treatment, rate of change in temperature during treatment, rate of change in applied energy during treatment, and impedance of the treatment location.