Medical intervention device

• US 8,977,342 B2
• Filed: 11/21/2008
• Issued: 03/10/2015
• Est. Priority Date: 12/11/2007
• Status: Active Grant

• Current Assignee: Siemens Healthineers AG (Siemens AG)
• Original Assignee: Siemens AG
• Inventors: Hoheisel, Martin
• Primary Examiner(s): Cattungal, Sanjay
• Application Number:
  US12/313,567
• Publication Number:
  US 20090149740A1
• Time in Patent Office: 2,300 Days
• Field of Search: 600/117, 600/118, 600/173, 600407-424, 600/573, 600/578, 606/130
• US Class Current: 600/424
• CPC Class Codes: A61B 2017/00694 with means correcting for movement of or for synchronisation with the body
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0818 Redundant systems, e.g. using two independent measuring systems and comparing the signals
• CPC Class Codes: A61B 2090/364 Correlation of different images or relation of image positions in respect to the body
• 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 90/06 Measuring instruments not otherwise provided for

Abstract

The invention relates to a device for a medical intervention in or on moving tissue of a living being, said device having a medical instrument provided for the intervention, a position detection system by means of which the position of the medical instrument in the body of the living being can be determined, and at least one acceleration sensor for recording at least one movement of the instrument caused by the moving tissue. The invention also relates to a medical instrument for a medical intervention in or on moving tissue of a living being, said medical instrument having at least one acceleration sensor and a sensor of a position detection system, as well as to an operating method for the device.

Claims

1. A medical intervention device, comprising:

a medical instrument that performs an intervention on a moving tissue of a patient positioned on a patient position device;

a position detection system that determines position data for a position of the medical instrument in a body of the patient, wherein the position detection system comprises an electromagnetic sensor and a transmitter disposed on the patient position device that generates an electromagnetic field for detecting the position of the medical instrument in a coordinate system assigned to the position detection system;

an acceleration sensor that records a movement of the medical instrument caused by involuntary movement of the moving tissue of the patient in a coordinate system assigned to the acceleration sensor;

a computing device that;

synchronizes the position data determined by the position detection system and the movement of the medical instrument recorded by the acceleration sensor for correcting the position data of the medical instrument determined by the position detection system with the movement of the medical instrument recorded by the acceleration sensor, and

superimposes the corrected position data of the medical instrument and an image of the medical instrument onto an image of the moving tissue of the patient; and

a display device that displays the superimposed image comprising the corrected position data of the medical instrument relative to a target tissue to be treated in the moving tissue of the patient to an physician performing the intervention.

2. The medical intervention device as claimed in claim 1, wherein the acceleration sensor comprises a measured value recorder for recording the movement of the medical instrument in a spatial direction or in a rotational direction.

3. The medical intervention device as claimed in claim 1, wherein the acceleration sensor comprises a plurality of measured value recorders and each of the measured value recorders records the movement of the medical instrument in a spatial direction or in a rotational direction.

4. The medical intervention device as claimed in claim 1, further comprising a plurality of acceleration sensors.

5. The medical intervention device as claimed in claim 4, wherein at least one of the acceleration sensors is disposed on or in the medical instrument.

6. The medical intervention device as claimed in claim 4, wherein at least one of the acceleration sensors is disposed on a body surface of the patient.

7. The medical intervention device as claimed in claim 1, wherein the electromagnetic sensor is disposed in or on the medical instrument.

8. The medical intervention device as claimed in claim 1, wherein the medical instrument comprises a catheter or a puncture needle.

9. A medical instrument for performing a medical intervention on a moving tissue of a patient, comprising:

a position detection system that determines a position of the medical instrument in a body of the patient positioned on a patient position device, wherein the position detection system comprises an electromagnetic sensor and a transmitter disposed on the patient position device that generates an electromagnetic field for detecting the position of the medical instrument in a coordinate system assigned to the position detection system;

an acceleration sensor that records a movement of the medical instrument caused by involuntary movement of tissue of the patient in a coordinate system assigned to the acceleration sensor;

a computing device that;

synchronizes the position data determined by the position detection system and the movement of the medical instrument recorded by the acceleration sensor for correcting the position data of the medical instrument determined by the position detection system with the movement of the medical instrument recorded by the acceleration sensor, and

superimposes the corrected position data of the medical instrument and an image of the medical instrument onto an image of the moving tissue of the patient; and

a display device that displays the superimposed image comprising the corrected position data of the medical instrument relative to a target tissue to be treated in the moving tissue of the patient to an ph si performing the intervention.

10. The medical instrument as claimed in claim 9, wherein the acceleration sensor comprises a measured value recorder for recording the movement of the medical instrument in a spatial direction or in a rotational direction.

11. The medical instrument as claimed in claim 9, wherein the acceleration sensor comprises a plurality of measured value recorders and each of the measured value recorders records the movement of the medical instrument in a spatial direction or in a rotational direction.

12. The medical instrument as claimed in claim 9, wherein the medical instrument comprises a catheter or puncture needle.

13. The medical instrument as claimed in claim 9, wherein the acceleration sensor is disposed at, in or on a tip region of the medical instrument.

14. A method for operating a medical instrument performing a medical intervention on a moving tissue of a patient, comprising:

determining position data of the medical instrument in a body of the patient by a position detection system during the medical intervention, wherein the position detection system comprises an electromagnetic sensor and a transmitter disposed on the patient position device that generates an electromagnetic field for detecting the position of the medical instrument in a coordinate system assigned to the position detection system;

recording a movement of the medical instrument caused by involuntary movement of the moving tissue of the patient by an acceleration sensor in a coordinate system assigned to the acceleration sensor; and

synchronizing the position data determined by the position detection system and the movement of the medical instrument recorded by the acceleration sensor for correcting the position data of the medical instrument determined by the position detection system with the movement of the medical instrument recorded by the acceleration sensor by a computing device;

superimposing the corrected position data of the medical instrument and an image of the medical instrument onto an image of the moving tissue of the patient by the computing device; and

displaying the superimposed image comprising the corrected position data of the medical instrument relative to a target tissue to be treated in the moving tissue of the patient on a display device to an physician performing the intervention.