Optical sensing system for cochlear implant surgery

• US 9,345,397 B2
• Filed: 09/21/2011
• Issued: 05/24/2016
• Est. Priority Date: 09/21/2010
• Status: Active Grant

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Taylor, Russell H., Kang, Jin U., Niparko, John
• Primary Examiner(s): Cattungal, Sanjay
• Application Number:
  US13/238,538
• Publication Number:
  US 20120172893A1
• Time in Patent Office: 1,707 Days
• Field of Search: 600/424, 600437-480, 606/130
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00172 with means for scanning
• CPC Class Codes: A61B 1/227 for ears, i.e. otoscopes
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61F 11/20 Ear surgery
• CPC Class Codes: A61N 1/36038 Cochlear stimulation

Abstract

A sensing system for implant surgery includes an insertion device for moving an implant into a narrow cavity in a patient'"'"'s body. A sensor measures the distance from an end of the insertion device to anatomic surfaces at a distance from the end of the insertion device. An optical coherence tomography (OCT) system integrates the sensor and produces OCT images, which can be quantified to distance measurements. The system is particularly useful for cochlear implant surgery.

Claims

1. A sensing system for implant surgery, comprising:

an insertion device or stylet configured for moving a cochlear implant into a narrow cavity in a patient'"'"'s body;

an optical sensor for measuring distance from an end of the insertion device to anatomic surfaces at a distance from the end of the insertion device; and

an optical coherence tomography (OCT) system connected to the optical sensor,

wherein the optical sensor is incorporated within and at a distal end of the insertion device, and

wherein a distal end of the optical sensor provides a reference signal for the OCT system.

2. The sensing system of claim 1, wherein the optical sensor comprises an optical waveguide to transmit and collect a laser beam of light.

3. The sensing system of claim 2, wherein the optical waveguide comprises an optical fiber.

4. The sensing system of claim 1, wherein the OCT system is a Fourier domain common path OCT (FD-CPOCT) system, and wherein the OCT system includes a computer processor for processing OCT images from the optical sensor to anatomic surfaces and converting the OCT images to distances.

5. The sensing system of claim 1, further comprising a display device for displaying OCT images or distance information to a surgeon.

6. The sensing system of claim 1, further comprising an auditory device for providing auditory information representing distance information.

7. The sensing system of claim 1, wherein said optical sensor includes facets for creating forward and side viewing probe beams so as to measure multiple distances.

8. The sensing system of claim 7, wherein the multiple distances are measured simultaneously.

9. The sensing system of claim 7, wherein the multiple distances are measured sequentially.

10. The sensing system of claim 1, further comprising multiple optical sensors to measure multiple distances between multiple anatomical locations.

11. The sensing system of claim 1, wherein the distance measurements are directed to a control system of a robotic device for cochlear implant surgery.

12. The sensing system of claim 1, wherein the optical sensor is an ultrasound sensor.

13. The sensing system of claim 1, wherein the insertion device is a stylet.

14. The sensing system of claim 1, wherein the insertion device is a sheath.

15. The sensing system of claim 14, wherein the optical sensor is an ultrasound sensor.

16. The sensing system of claim 1, wherein the OCT system produces A-mode OCT images.

17. The sensing system of claim 1, wherein the OCT system produces B-mode OCT images.

18. The sensing system of claim 1, wherein the OCT system produces C-mode OCT images.

19. A sensing system for implant surgery, comprising:

a cochlear implant adapted to be positioned into a narrow cavity during implant surgery;

an optical sensor for measuring distance from an end of the optical sensor to anatomical surfaces at a distance from the end of the optical sensor; and

an optical coherence tomography (OCT) system connected to the optical sensor,

wherein the optical sensor is incorporated within and at a distal end of the cochlear implant, and

wherein a distal end of the optical sensor provides a reference signal for the OCT system.

20. The sensing system of claim 19, wherein the sensor is used to reshape the implant by manipulating its spatial relationship relative to the implant.

21. The sensing system of claim 19, further comprising one or more optical fibers disposed within the implant, said optical fibers configured to measure multiple distances including at least one of a forward distance and one or more side distances to a cavity wall.

22. The sensing system of claim 19, wherein the optical sensor comprises an optical waveguide to transmit and collect a laser beam of light.

23. The sensing system of claim 22, wherein the optical waveguide comprises an optical fiber.

24. The sensing system of claim 19, wherein said OCT system produces A-mode OCT images.

25. The sensing system of claim 19, wherein the OCT system is a Fourier domain common path OCT (FD-CPOCT) system, and wherein the OCT system includes a computer processor for processing OCT images from the optical sensor to anatomic surfaces and converting OCT images to distances.

26. The sensing system of claim 24, further comprising a display device for displaying OCT images or distance information to a surgeon.

27. The sensing system of claim 19, further comprising an auditory device for providing auditory information representing distance information.

28. The sensing system of claim 19, wherein said optical sensor includes facets for creating forward and side viewing probe beams so as to measure multiple distances.

29. The sensing system of claim 28, wherein the multiple distances are measured simultaneously.

30. The sensing system of claim 28, wherein the multiple distances are measured sequentially.

31. The sensing system of claim 19, wherein the distance measurements are directed to a control system of a robotic device for cochlear implant surgery.

32. A method of implant surgery, comprising:

providing a cochlear implant having an optical sensor integrated therein, wherein the optical sensor is integrated at a distal end of the cochlear implant;

providing an optical coherence tomography (OCT) system connected to the optical sensor, wherein a distal end of the optical sensor provides a reference signal for the OCT system;

moving the cochlear implant into a narrow cavity in a patient'"'"'s body; and

measuring a distance from an end of the optical sensor to anatomic surfaces at a distance from the end of the optical sensor.

33. The method of claim 32, further comprising measuring a distance from an end of the optical sensor to anatomic surfaces at a distance from sides of the sensor or implant so as to center it from a cavity wall.