System and method for navigating a guide wire

• US 9,962,229 B2
• Filed: 11/19/2015
• Issued: 05/08/2018
• Est. Priority Date: 10/12/2009
• Status: Active Grant

• Current Assignee: Corindus, Inc. (Siemens AG)
• Original Assignee: Corindus, Inc. (Siemens AG)
• Inventors: Blacker, Steven J., Zirps, Christopher, Bromander, Thomas, Handler, David, Wenderow, Tal
• Primary Examiner(s): Holwerda, Stephen
• Application Number:
  US14/946,117
• Publication Number:
  US 20160067448A1
• Time in Patent Office: 901 Days
• Field of Search: 600407, 600424, 600426, 600434, 606 1, 606108, 606130, 700245
• CPC Class Codes: A61B 2034/252 indicating steps of a surgical procedure
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/70 Manipulators specially adapted for use in surgery
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A catheter procedure system includes a bedside system having a guide wire, a guide wire advance/retract actuator coupled to the guide wire and a guide wire rotate actuator coupled to the guide wire and a workstation coupled to the bedside system. The workstation includes a user interface, at least one display and a controller coupled to the bedside system, the user interface and the at least one display. The controller is programmed to advance the guide wire through a path using the guide wire advance/retract actuator, determine if the guide wire is in a desired path based at least on at least one image of a region of interest, rotate the guide wire using the guide wire rotate actuator if the guide wire is not in the desired path, wherein the guide wire is rotated a predetermined amount, and retract the guide wire using the guide wire advance/retract actuator. The steps of advancing the guide wire and retracting and rotating the guide wire using guide wire advance/retract actuator and the guide wire rotate actuator are repeated until the guide wire is in the desired path. The guide wire is advanced to a desired position using the guide wire advance/retract actuator.

Claims

1. A method for navigating a guide wire during a catheter procedure, the method comprising:

advancing a guide wire using a catheter procedure system through a desired path of an anatomy past a junction point at a correct branch and a side branch;

determining if the distal end of the guide wire is in the correct branch of the desired path past the junction point based on at least one image of a region of interest;

retracting the guide wire using the catheter procedure system to a position before the junction point if the distal end of the guide wire is in the side branch and automatically rotating a proximal end of the guide wire about a longitudinal axis of the guide wire using the catheter procedure system while the guide wire is being retracted;

repeating the steps of advancing the guide wire, determining if the distal end of the guide wire is in the correct branch of the desired path, and retracting and automatically rotating the guide wire using the catheter procedure system until the guide wire is in the correct branch of the desired path; and

advancing the guide wire to a desired position using the catheter procedure system.

2. A method according to claim 1, wherein the guide wire is retracted a predetermined amount.

3. A method according to claim 1, wherein the at least one image is a fluoroscopic image.

4. A method according to claim 1, wherein the steps of advancing the guide wire and retracting and rotating the guide wire are repeated until a user input is received indicating the guide wire is in the desired correct branch of the desired path.

5. A method according to claim 1, wherein the guide wire is rotated and retracted in response to a user input to retract the guide wire.

6. A method according to claim 1, wherein the proximal end of the guide wire is rotated a predetermined amount while the guide wire is being retracted.

7. The method of claim 1 wherein advancing the guide wire past the junction point is automatically advanced past the junction point by the catheter procedure system.

8. A method for navigating a guide wire during a catheter procedure, the method comprising:

receiving a set of parameters defining a predetermined path of an anatomy passing at least one junction point at a correct first branch and a side branch;

advancing a guide wire through the predetermined path using a catheter procedure system;

determining if a distal tip of the guide wire is in the predetermined path based on at least one image of a region of interest past the junction point using a controller of the catheter procedure system;

retracting the guide wire using the catheter procedure system to a position before the junction point if the distal tip of the guide wire is not in the predetermined path past the junction point;

automatically rotating the guide wire about a longitudinal axis of the guide wire using the catheter procedure system while the guide wire is retracted;

repeating the steps of advancing the guide wire, determining if the distal end of the guide wire is in the predetermined path, and retracting and rotating the guide wire using the catheter procedure system until the guide wire is in the predetermined path past the junction point.

9. A method according to claim 8, wherein the guide wire is retracted a predetermined amount.

10. A method according to claim 8, wherein the at least one image is a fluoroscopic image.

11. A method according to claim 8, wherein a proximal end of the guide wire is rotated a predetermined amount while the guide wire is being retracted.

12. The method of claim 8 wherein advancing the guide wire through the predetermined path is automatically advanced by the catheter procedure system.

13. A catheter procedure system comprising:

a bedside system comprising a guide wire, a guide wire advance/retract actuator coupled to the guide wire and a guide wire rotate actuator coupled to the guide wire; and

a workstation coupled to the bedside system, the workstation comprising;

a user interface;

at least one display;

a controller coupled to the bedside system, the user interface and the at least one display, the controller programmed to;

advance the guide wire through a desired path of an anatomy past a junction point at a correct branch and a side branch using the guide wire advance/retract actuator;

determine if a distal end of the guide wire is in the correct branch of the path past the junction point based on at least one image of a region of interest;

retract the guide wire using the guide wire advance/retract actuator to a position before the junction point if the distal end of the guide wire is in the side branch;

automatically rotate a proximal end of the guide wire about a longitudinal axis of the guide wire using the guide wire rotate actuator, wherein the guide wire is rotated while the guide wire is being retracted;

repeat the steps of advancing the guide wire, determine if the distal end of the guide wire is in the correct branch past the junction point and retracting and automatically rotating the guide wire using the guide wire advance/retract actuator and the guide wire rotate actuator until the guide wire is in the correct branch; and

advance the guide wire to a desired position using the guide wire advance/retract actuator.

14. A catheter procedure system according to claim 13, wherein the at least one image is a fluoroscopic image.

15. A catheter procedure system according to claim 13, wherein the steps of advancing the guide wire and retracting and rotating the guide wire are repeated until a user input is received indicating the guide wire is in the correct branch of the desired path.

16. A catheter procedure system according to claim 13, wherein the proximal end of the guide wire is rotated a predetermined amount while the guide wire is being retracted.

17. The catheter procedure system of claim 13 wherein advancing the guide wire through the predetermined path is automatically advanced by the guide wire advance/retract actuator.

18. A catheter procedure system comprising:

a bedside system comprising a guide wire, a guide wire advance/retract actuator coupled to the guide wire and a guide wire rotate actuator coupled to the guide wire; and

a workstation coupled to the bedside system, the workstation comprising;

a user interface;

at least one display;

a controller coupled to the bedside system, the user interface and the at least one display, the controller programmed to;

receive a set of parameters defining a predetermined path of an anatomy passing at least one junction point at a correct first branch and a side branch using the user interface;

advance the guide wire through the predetermined path using the guide wire advance/retract actuator;

determine if a distal tip of the guide wire is in the predetermined path based on at least one image of a region of interest past the junction point;

retract the guide wire using the guide wire advance/retract actuator to a position before the junction point if the distal tip of the guide wire is not in the predetermined path past the junction point;

automatically rotate the guide wire about a longitudinal axis of the guide wire using the guide wire rotate actuator, wherein the guide wire is rotated while the guide wire is being retracted;

repeat the steps of advancing the guide wire, determining if the distal end of the guide wire is in the predetermined path, and retracting and rotating the guide wire using the guide wire advance/retract actuator and the guide wire rotate actuator until the guide wire is in the predetermined path past the junction point.

19. A catheter procedure system according to claim 18, wherein the at least one image is a fluoroscopic image.

20. A catheter procedure system according to claim 18, wherein a proximal end of the guide wire is rotated a predetermined amount while the guide wire is being retracted.

21. The catheter procedure system of claim 18 wherein advancing the guide wire through the predetermined path is automatically advanced by the guide wire advance/retract actuator.