Instruments with location markers and methods for tracking instruments through anatomical passageways

• US 9,623,208 B2
• Filed: 01/12/2005
• Issued: 04/18/2017
• Est. Priority Date: 01/12/2004
• Status: Expired due to Fees

• Current Assignee: Varian Medical Systems Incorporated (Siemens AG)
• Original Assignee: Varian Medical Systems Incorporated (Siemens AG)
• Inventors: Wright, J. Nelson, Dimmer, Steven C.
• Primary Examiner(s): Cwern, Jonathan
• Application Number:
  US10/585,494
• Publication Number:
  US 20090299174A1
• Time in Patent Office: 4,479 Days
• Field of Search: 600424, 340 104, 340140, 3405721, 34035926, 340506, 34087001, 607 5
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• 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 5/06 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 5/062 using magnetic field
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

Instruments and methods for tracking such instruments in a human patient. One embodiment of an instrument in accordance with the invention comprises an elongated body, such as an elongated flexible member, which has a distal section configured to be passed through a vessel or other passageway in a human. The instrument can further include a lumen through the distal section and a magnetic marker having a transponder at the distal section. The transponder includes a circuit configured to be energized by a wirelessly transmitted magnetic excitation energy and to wirelessly transmit a magnetic location signal in response to the excitation energy. The magnetic marker, for example, can be attached to or otherwise integral with the instrument.

Claims

1. A system for tracking an instrument in a patient, comprising:

a catheter including an elongated flexible tube having a distal section configured to be passed through a passageway in a human;

a first magnetic marker surrounding a first outer portion of the distal section of the tube;

a second magnetic marker surrounding a second outer portion of the distal section of the tube, wherein—

each of the first and second magnetic markers include a transponder having an alternating magnetic circuit and a capacitor electrically connected to the alternating magnet circuit,

the alternating magnetic circuit includes a tubular ferrite core and a coil having a plurality of windings surrounding the tubular ferrite core, and

the alternating magnetic circuit is configured to be energized by a wirelessly transmitted pulsed magnetic excitation field from external of the passageway in the human and to wirelessly transmit a pulsed magnetic location signal in response to the pulsed magnetic field;

a generally rigid support surrounding the tube and extending between the first and the second magnetic markers, and configured to separate the first magnetic marker from the second magnetic marker; and

an external excitation source comprising an energy storage device, a source coil, and a switching network coupled to the energy storage device and the source coil, the source coil being configured to wirelessly transmit the pulsed magnetic excitation field to energize the transponder of each of the first and second magnetic markers, and the switching network being configured to alternately transfer (a) stored energy from the energy storage device to the source coil and (b) energy in the source coil back to the energy storage device.

2. The system of claim 1 wherein the switching network comprises an H-bridge switch.

3. The system of claim 1 wherein the switching network is configured to have a first on position in which the stored energy is transferred from the energy storage device to the source coil and a second on position in which energy in the source coil is transferred back to the energy storage device.

4. The system of claim 3 wherein the first on position has a first polarity and the second on position has a second polarity opposite the first polarity.

5. The system of claim 1 wherein the source coil comprises an array having a plurality of coplanar source coils.

6. The system of claim 5 wherein the switching network is configured to selectively energize the coplanar source coils to change a spatial configuration of the pulsed magnetic field.

7. The catheter device of claim 1 wherein the generally rigid support has a first end portion contacting the first magnetic marker, and a second end portion contacting the second magnetic marker.

8. A catheter device, comprising:

an elongated tube structure having a distal section configured to be passed through a passageway in a human, wherein the distal section includes a rigid region and first and second flexible regions on opposite sides of the rigid region;

a first magnetic marker surrounding the first flexible region of the tube structure; and

a second magnetic marker surrounding the second flexible region of the tube structure;

wherein—

the rigid region is configured to separate the first and second magnetic markers,

each of the first and second magnetic markers includes a magnetic circuit having a tubular ferrite core surrounding a corresponding one of the first and second flexible regions, and a coil having a plurality of windings surrounding the tubular ferrite core, and

the magnetic circuit is configured to be energized by a wirelessly transmitted pulsed magnetic excitation field from external of the passageway in the human and to wirelessly transmit a pulsed magnetic location signal in response to the pulsed magnetic field.

9. The catheter device of claim 8 wherein each of the first and second magnetic markers includes a capacitor electrically connected to the alternating magnet circuit.

10. The catheter device of claim 8 wherein the tube structure further includes a third flexible region between the first and second flexible regions, and a rigid support surrounding the third flexible region.

11. The catheter device of claim 10 wherein the rigid support has a first end portion contacting the first magnetic marker, and a second end portion contacting the second magnetic marker.

12. The catheter device of claim 8 wherein:

the tube structure includes a tube wall;

the rigid region includes a first portion of the tube wall; and

the first flexible region includes a second portion of the tube wall that is thinner than the first portion of the tube wall.