Devices and methods for tracking an energy delivery device

• US 9,808,312 B2
• Filed: 10/22/2015
• Issued: 11/07/2017
• Est. Priority Date: 04/21/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Danek, Christopher J., Wizeman, William, Dalbec, Timothy R., French, Glendon E., Laufer, Michael D.
• Primary Examiner(s): Porter, Jr., Allen
• Application Number:
  US14/920,006
• Publication Number:
  US 20160038230A1
• Time in Patent Office: 747 Days
• Field of Search: 607 96, 606 27- 29, 606 32- 34, 606 41- 42
• 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 treating a lung, the method comprising:

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

stimulating smooth muscle adjacent an airway of the lung to contract the smooth muscle;

analyzing the virtual map to determine a degree of contraction of the smooth muscle;

applying an energy therapy to tissue adjacent to the airway based on the determined degree of contraction of the smooth muscle; and

automatically preventing, with a controller, application of a subsequent energy therapy to a given portion of the airway when the subsequent energy therapy is demanded by an operator and when the controller determines the given portion of the airway has already received an energy therapy.

2. The method of claim 1, wherein applying an energy therapy to tissue includes determining one or more parameters of the energy therapy based on the determined degree of contraction of smooth muscle from the virtual map, wherein the one or more parameters include one or more of a time of the energy therapy, a time between energy therapies, and a temperature to be achieved during the energy therapy.

3. The method of claim 1, further including displaying the virtual map.

4. The method of claim 3, further including capturing an image of the airway with an imaging device, and displaying the image concurrently with the virtual map.

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

6. The method of claim 1, further including generating a treatment history profile which includes each treatment location where energy therapy was applied.

7. The method of claim 1, wherein the energy therapy is applied with a device having at least one locating implement that communicates with a locating system to establish a virtual position of the device on the virtual map.

8. The method of claim 7, further including displaying the virtual map, wherein displaying the virtual map includes imposing the virtual position of the device on the virtual map.

9. The method of claim 1, wherein generating a virtual map of airways of a lung using a rendering system includes compiling a plurality of images of the airways of the lung.

10. The method of claim 9, wherein the virtual map is three-dimensional.

11. A method for treating a lung, the method comprising:

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

stimulating smooth muscle adjacent an airway of the lung to contract the smooth muscle;

analyzing the virtual map to determine a degree of contraction of the smooth muscle;

determining a procedure profile based on the determined degree of contraction of the smooth muscle, wherein the procedure profile includes at least one treatment location;

applying an energy therapy, with an energy delivery device, to the at least one treatment location; and

automatically preventing, with a controller, application of a subsequent energy therapy by the energy delivery device when the subsequent energy therapy is demanded by an operator when the controller determines that the energy delivery device is located at the at least one treatment location where the energy therapy was already applied.

12. The method of claim 11, wherein determining the procedure profile includes determining one or more parameters of the energy therapy to be applied at the at least one treatment location, wherein the one or more parameters include one or more of a time of the energy therapy, a time between energy therapies, and a temperature to be achieved during the energy therapy.

13. The method of claim 11, wherein the rendering system includes ultrasonic imaging, computer aided tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET).

14. The method of claim 11, further including displaying the virtual map.

15. The method of claim 14, further including capturing an image of the airway with an imaging device, and displaying the image concurrently with the virtual map.

16. A system for treating a lung, comprising:

an energy delivery device; and

a controller configured to;

generate a virtual map of airways of the lung;

analyze the virtual map to determine a degree of contraction of smooth muscle after the smooth muscle is stimulated to contract;

determine one or more parameters of an energy therapy based on the analysis;

apply the energy therapy, with the energy delivery device, to at least one treatment location; and

automatically prevent application of a subsequent energy therapy at the at least one treatment location where the energy therapy was already applied, when the subsequent energy therapy is demanded by an operator.

17. The system of claim 16, wherein the one or more parameters include one or more of a time of the energy therapy, a time between energy therapies, and temperature to be achieved during the energy therapy.

18. The system of claim 16, wherein the energy delivery device includes an expandable basket.

19. The system of claim 16, further including at least one locating implement coupled to the energy delivery device that communicates with the controller to establish a virtual position of the device on the virtual map, wherein the controller is further configured to display the virtual map on a display device coupled to the controller, and impose the virtual position of the energy delivery device on the displayed virtual map.