Iconic representations for guidance of an indwelling medical device

• US 10,751,509 B2
• Filed: 03/07/2014
• Issued: 08/25/2020
• Est. Priority Date: 11/26/2007
• Status: Active Grant

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Misener, Anthony K.
• Primary Examiner(s): Levicky, William J
• Application Number:
  US14/201,300
• Publication Number:
  US 20140188133A1
• Time in Patent Office: 2,363 Days
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/378 using ultrasound
• 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 46/00 Surgical drapes
• 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 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 8/0833 involving detecting or locating foreign bodies or organic structures
• CPC Class Codes: A61B 8/0841 for locating instruments
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61M 25/0102 Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means

Abstract

An integrated catheter placement system for accurately placing a catheter within a patient'"'"'s vasculature is disclosed. In one embodiment, the integrated system comprises a system console, a tip location sensor for temporary placement on the patient'"'"'s chest, and an ultrasound probe. The tip location sensor senses a magnetic field of a stylet disposed in a lumen of the catheter when the catheter is disposed in the vasculature. The ultrasound probe ultrasonically images a portion of the vasculature prior to introduction of the catheter. ECG signal-based catheter tip guidance is included in the integrated system to enable guidance of the catheter tip to a desired position with respect to a node of the patient'"'"'s heart. Iconic representations for depiction on the display of the system and relating to positional and other characteristics of the catheter or medical device are also disclosed.

Claims

1. A system for guiding and placing a catheter in a patient, the system comprising:

a sensor designed for positioning on a chest of the patient;

a stylet designed for insertion into a lumen of the catheter; and

a console, comprising;

one or more processors;

a display communicatively coupled to the one or more processors;

a non-transitory storage device communicatively coupled to the one or more processors, the non-transitory storage device having stored thereon logic, that when executed by the one or more processors, causes performance of operations including;

depicting an icon on the display, the icon designed to indicate at least a four-dimensional position of the catheter and the stylet when the catheter and the stylet are inserted together into the patient, the icon including;

(i) a position indicator designed to indicate the position of the catheter and the stylet in a x-y plane with respect to the sensor,

(ii) an orientation indicator having a first shape designed to indicate a first pitch of the catheter and the stylet, and a second shape different from the first shape to indicate a second pitch different from the first pitch, and

(iii) a depth indicator designed to indicate a depth of the catheter and the stylet with respect to the sensor;

receiving updated positioning information as the catheter and the stylet are moved with respect to the sensor; and

depicting the icon in an updated state on the display according to the received updated positioning information.

2. The system as defined in claim 1, wherein the orientation indicator is depicted on the display as an elongate rod.

3. The system as defined in claim 2, wherein the position indicator and the depth indicator are depicted on the display as a concentric circle array.

4. The system as defined in claim 3, wherein the position indicator is depicted as a center of the concentric circle array.

5. The system as defined in claim 4, wherein the depth indicator is depicted as one or more circles, and wherein a greater number of circles indicates a closer proximity to the sensor.

6. The system as defined in claim 1, wherein the position indicator and the depth indicator are depicted on the display as a concentric circle array.

7. The system as defined in claim 6, wherein the depth indicator is depicted as one or more circles, and wherein a greater number of circles indicates a closer proximity to the sensor.

8. The system as defined in claim 1, wherein the icon further comprises a location indicator that indicates a proximity of the catheter to an intended destination within the patient.

9. The system as defined in claim 8, wherein the location indicator is depicted as one of a diamond and an octagon.

10. The system as defined in claim 9, wherein the diamond is colored green and wherein the octagon is colored red.

11. The system as defined in claim 1, wherein the icon further comprises a confidence indicator that indicates a level of confidence determined by the system relating to at least the position of the catheter.

12. The system as defined in claim 11, wherein the confidence indicator is depicted as a bar graph.

13. The system as defined in claim 1, wherein the icon further comprises an uncertainty indicator that indicates a level of uncertainty determined by the system relating to at least the position of the catheter.

14. A system for guiding and placing a catheter in a patient, the system comprising:

a sensor designed for positioning on a chest of the patient;

a stylet designed for insertion into a lumen of the catheter; and

a console, comprising;

one or more processors;

a display communicatively coupled to the one or more processors, the display designed to depict positional information relating to the catheter during insertion of the catheter and the stylet into the patient, the positional information depicted by an icon comprising;

a position indicator designed to indicate a position of the catheter and the stylet in a x-y plane with respect to the sensor;

a pitch indicator designed to indicate a direction of a distal portion of the catheter, the pitch indicator comprising a first concentric circle array; and

a depth indicator designed to indicate a depth of the catheter and the stylet with respect to the sensor, the depth indicator comprising a second concentric circle array spaced from the first concentric circle array.

15. The system as defined in claim 14, wherein the icon further comprises an angle indicator designed to indicate an angle at which the distal portion of the catheter is moving toward or away from the sensor, the angle indicator comprising a shape connecting the first concentric circle array to the second concentric circle array.

16. The system as defined in claim 15, wherein the icon further comprises a confidence level indicator.

17. The system as defined in claim 16, wherein the shape of the angle indicator is an elongate rod.

18. The system as defined in claim 14, wherein the position indicator and the depth indicator are depicted on the display as the second concentric circle array, the position indicator being a center of the second concentric circle array.

19. The system as defined in claim 14, wherein the first concentric circle array has a first appearance, and wherein the second concentric circle array as has a second appearance different from the first appearance.

20. The system as defined in claim 19, wherein the first appearance comprises a first color, and wherein the second appearance comprises a second color different from the first color.