Method and apparatus for the cancellation of motion artifacts in medical interventional navigation

• US 9,610,118 B2
• Filed: 12/31/2008
• Issued: 04/04/2017
• Est. Priority Date: 12/31/2008
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Olson, Eric S.
• Primary Examiner(s): Fernandez, Katherine
• Assistant Examiner(s): BOR, HELENE CATHERINE
• Application Number:
  US12/347,167
• Publication Number:
  US 20100168558A1
• Time in Patent Office: 3,016 Days
• Field of Search: 600322, 600310
• 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 2017/00699 correcting for movement caused by respiration, e.g. by triggering
• CPC Class Codes: A61B 2017/00703 correcting for movement of heart, e.g. ECG-triggered
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 2034/2072 Reference field transducer attached to an instrument or patient
• 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 5/062 using magnetic field
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/725 using specific filters therefor, e.g. Kalman or adaptive filters A61B5/316 take precedence
• CPC Class Codes: A61B 8/0841 for locating instruments

Abstract

A method and apparatus for mapping a location of a point within the body is disclosed. A plurality of positional reference nodes are determined, each aligned on a first element. A second element is mapped with reference to the plurality of reference nodes to determine the relative location of a point on the second element.

Claims

1. A method for determining a motion compensated node location in a three-dimensional coordinate system associated with a node disposed on a first medical device within a body, the method comprising:

determining a plurality of reference locations in said coordinate system corresponding to a positional reference node within the body and corresponding to a plurality of secondary reference nodes relative to the positional reference node, wherein the positional reference node and each of the secondary reference nodes are disposed on a second medical device;

determining a mapping transformation function configured to transform, for the positional reference node and each of the plurality of secondary reference nodes, the respective determined reference locations to be defined as corresponding constant locations over time in said coordinate system such that the reference locations are an input to the mapping transformation function and the corresponding constant are an output to the mapping function to thereby define a static model of the second medical device, wherein the transformed reference locations of the corresponding constant locations define a static position of the second medical device; and

determining the motion compensated node location associated with the node disposed on the first medical device by

applying the determined mapping transformation function to a raw node location in said coordinate system associated with the node, wherein the node disposed on the first medical device comprises a first node and wherein the first medical device further comprises a second node, the first node and the second node selected from at least one of an electromagnetic field node and a magnetic position node, wherein applying the determined mapping transformation to the raw mode location includes;

applying the determined mapping transformation function to a first raw node location associated with the first node to determine a first motion compensated node location associated with the first node; and

applying the determined mapping transformation to a second node location associated with the second node to determine a second motion compensated node location associated with the second node.

2. The method of claim 1, wherein the reference locations corresponding to both the positional reference node and secondary reference nodes are determined through measuring at least one potential gradient passing through the body.

3. The method of claim 1, wherein at least one of the reference locations corresponding to at least one of the positional reference node and secondary reference nodes is determined through magnetic means.

4. The method of claim 1, wherein at least one of the reference locations corresponding to at least one of the positional reference node and secondary reference nodes is determined through ultrasound means.

5. The method of claim 1, wherein at least one of the reference locations corresponding to at least one of the positional reference node and secondary reference nodes is determined through electrical impedance means.

6. The method of claim 1, wherein a thin plate splines algorithm is used to determine the mapping transformation function.

7. The method of claim 1, wherein a radial basis function network is used to determine the mapping transformation function.

8. The method of claim 1, wherein the mapping transformation function is generated using a mean position of the positional reference node and each of the plurality of secondary reference nodes.

9. The method of claim 1, wherein the mapping transformation function is generated at a specific cardiac phase.

10. A method for determining a motion compensated node location in a three-dimensional coordinate system associated with a node disposed on a first medical device with a body, the method comprising:

determining a plurality of reference locations in said coordinate system corresponding to a plurality of reference nodes disposed on a second medical device;

determining a mapping transformation function configured to transform the reference locations associated with each of the plurality of reference nodes to be defined as corresponding constant locations over time in said coordinate system such that the reference locations are an input to the mapping transformation function and the corresponding constant locations are an output to the mapping transformation function to thereby define a static model of the second medical device, wherein the transformed reference locations of the corresponding constant locations define a static position of the second medical device; and

determining the motion compensated node location associated with the node disposed on the first medical device by;

applying the determined mapping transformation function to a raw node location in said coordinate system associated with the node, wherein the node disposed on the first medical device comprises a first node and wherein the first medical further comprises a second node, the first node and the second node selected from at least one of an electromagnetic field node and a magnetic position node, wherein applying the determined mapping transformation to the raw node location includes;

applying the determined mapping transformation function to a first raw node location associated with the first node to determine a first motion compensated node location associated with the first node; and

applying the determined mapping transformation function to a second raw node location associated with the second node to determine a second motion compensated node location associated with the second node.

11. The method of claim 10, wherein the reference nodes are electrodes.

12. The method of claim 10, where determining the plurality of reference locations corresponding to the plurality of reference nodes comprises measuring the voltage at a point in a potential gradient between a pair of electrodes.

13. The method of claim 10, where determining the plurality of reference locations corresponding to the plurality of reference nodes is determined through magnetic means.

14. The method of claim 10, where determining the plurality of reference locations corresponding to the plurality of reference nodes is determined through ultrasound means.

15. The method of claim 10, where determining the plurality of reference locations corresponding to the plurality of reference nodes is determined through electrical impedance means.

16. The method of claim 10, wherein a thin plate splines algorithm is used to determine the mapping transformation function.

17. The method of claim 10, wherein a radial basis function network is used to determine the mapping transformation function.

18. The method of claim 10, wherein the mapping transformation function is generated using a mean position of each of the reference nodes.

19. The method of claim 10, wherein the mapping transformation function is generated at a specific cardiac phase.

20. The method of claim 10 wherein each of the plurality of reference nodes is tracked through ultrasound means.

21. A method for determining a motion compensated node location in a three-dimensional coordinate system associated with a node disposed on a first medical device within a body, the method comprising:

determining a plurality of reference locations in said coordinate system corresponding to a plurality of reference nodes disposed on a second medical device and a third medical device;

determining a mapping transformation function configured to transform the reference locations associated with each of the plurality of reference nodes to be defined as corresponding constant locations over time in said coordinate system such that the reference locations are an input to the mapping transformation function and the corresponding constant locations are an output to the mapping transformation function to thereby define a static model of the second medical device, wherein the transformed reference locations of the corresponding constant locations define a static position of the second medical device; and

determining the motion compensated node location associated with the node disposed on the first medical by

applying the determined mapping transformation function to a raw node location in said coordinate system associated with the node, wherein the node disposed on the first medical device comprises a first node and wherein the first medical device further comprises a second node, the first node and the second node selected from at least one of an electromagnetic field node and a magnetic position node, wherein applying the determined mapping transformation to the raw node location includes;

applying the determined mapping transformation function to a first raw node location associated with the first node to determine a first motion compensated node location associated with the first node; and

applying the determined mapping transformation function to a second raw node location associated with the second node to determine a second motion compensated node location associated with the second node.