Apparatus and methods for fiber integration and registration

• US 9,138,166 B2
• Filed: 12/07/2011
• Issued: 09/22/2015
• Est. Priority Date: 07/29/2011
• Status: Active Grant

• Current Assignee: Auris Health, Inc. (Johnson & Johnson)
• Original Assignee: Hansen Medical Incorporated (Johnson & Johnson)
• Inventors: Wong, Serena H., Hsu, Jason J., Reis, Gene, Schlesinger, Randall L., Tanner, Neal A., MacNamara, Francis
• Primary Examiner(s): Kianni, Kaveh
• Assistant Examiner(s): LAM, HUNG Q
• Application Number:
  US13/314,057
• Publication Number:
  US 20130028554A1
• Time in Patent Office: 1,385 Days
• Field of Search: 385/12, 385/13, 385/65, 385/66, 385/68, 385/83, 385/84, 385/117, 600/104, 600/182, 600/424, 604/95.01, 606/130
• US Class Current: 1/1
• CPC Class Codes: A61B 1/0051 with controlled bending of insertion part
• CPC Class Codes: A61B 1/009 with bending or curvature detection of the insertion part
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2034/2061 using shape-sensors, e.g. fiber shape sensors with Bragg gratings
• CPC Class Codes: A61B 2562/12 Manufacturing methods specially adapted for producing sensors for in-vivo measurements
• 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 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: G01B 11/24 for measuring contours or curvatures
• CPC Class Codes: G01L 1/242 the material being an optical fibre

Abstract

Systems and methods for integrating and/or registering a shape sensing fiber in or to various instruments are described herein. Registration fixtures and registration techniques for matching the coordinate system of a fiber to the coordinate system of an elongate instrument or other device are provided. Various systems and methods for integrating a shape sensing fiber into an elongate instrument or other device are also described herein.

Claims

1. A system, comprising:

an elongate instrument having a proximal end, a distal end and at least one lumen defined therein;

a shape sensing fiber comprising a first portion and a second portion, wherein at least the first portion of the shape sensing fiber is positioned in the at least one lumen of the elongate instrument; and

an anchor slide fixed to at least the second portion of the shape sensing fiber, wherein the anchor slide is axially movable but prevented from vertical, yaw, and pitch movement, wherein the anchor slide reduces axial strain on the shape sensing fiber, and wherein the anchor slide is a registration point for matching a coordinate system of the shape sensing fiber to a coordinate system of the elongate instrument or a known structure to register the shape sensing fiber to the elongate instrument or a known structure.

2. The system of claim 1, wherein the second portion of the shape sensing fiber is fixed to the anchor slide such that one or more degrees of freedom of the second portion of the shape sensing fiber may be determined relative to one of the elongate instrument or the known structure.

3. The system of claim 1, wherein the second portion of the shape sensing fiber has a known shape.

4. The system of claim 1, further comprising a registration fixture coupled with the anchor slide, wherein the second portion of the shape sensing fiber is fixed in a known location on the registration fixture and the registration fixture is in a known location relative to the elongate instrument.

5. The system of claim 1, further comprising a registration fixture having grooves for holding at least a portion of the shape sensing fiber in one of a known shape, a known orientation or a known position.

6. The system of claim 1, further comprising a registration fixture having grooves for holding at least a portion of the shape sensing fiber and at least a portion of the elongate instrument in one of a known shape or a known position.

7. The system of claim 1, further comprising a housing coupled with a proximal portion of the elongate instrument, wherein the housing comprises:

an interface coupled with the proximal end of the elongate instrument for receiving an actuating force and transferring the actuating force to the elongate instrument to articulate a distal portion of the elongated instrument; and

a registration fixture coupled with the anchor slide.

8. The system of claim 7, wherein a housed portion of the shape sensing fiber is positioned within the housing, and wherein the housed portion includes a service loop, which allows for sliding of the shape sensing fiber within the lumen of the elongate instrument when the distal portion of the elongate instrument is articulated.

9. The system of claim 1, wherein the system is removably coupled to an instrument driver and a controller which controls actuation of the elongate instrument, wherein actuation motion is transferred from the controller to the system via the instrument driver to articulate the distal end of the elongate instrument in at least one degree of freedom.

10. The system of claim 1, further comprising a registration fixture coupled with the anchor slide, wherein the second portion of the shape sensing fiber is configured in one of a known position or a known orientation in the registration fixture, such that data can be collected regarding the known position or the known orientation of at least a partial length of the second portion of the shape sensing fiber, and wherein the collected data is used to calculate a transform between the coordinate system of the fiber and the coordinate system of the elongate instrument or the known structure.

26. The system of claim 10, wherein the transform is compared to known data to determine a relationship between the transform and the known data, and a registration of the shape sensing fiber to the elongate instrument is detected in response to the relationship staying within a predefined tolerance.

27. The system of claim 5, wherein the anchor slide is positioned in a pocket of the registration fixture, such that the anchor slide is configured to slide back and forth in the pocket.

28. The system of claim 27, wherein the anchor slide is positioned in the pocket to fix a desired length of the shape sensing fiber.

11. A method for detecting a shape of an elongate instrument, the method comprising operating an assembly having an elongate instrument, a shape sensing fiber and an anchor slide, the elongate instrument having a proximal end, a distal end and at least one lumen defined therein, wherein at least a first portion of the shape sensing fiber is positioned in the lumen of the elongate instrument and wherein at least a second portion of the shape sensing fiber is fixed to the anchor slide, wherein the anchor slide is axially movable but prevented from vertical, yaw, and pitch movement, and wherein the anchor slide reduces axial strain on the shape sensing fiber;

ascertaining a position of the fixed second portion of the shape sensing fiber relative to the elongate instrument; and

matching, based on the ascertained position, a coordinate system of the shape sensing fiber with a coordinate system of the elongate instrument to register the shape sensing fiber to the elongate instrument.

12. The method of claim 11, wherein ascertaining a position of the shape sensing fiber comprises ascertaining at least one degree of freedom of the fixed second portion of the shape sensing fiber relative to the elongate instrument.

13. The method of claim 11, wherein ascertaining a position of the fixed second portion of the shape sensing fiber relative to the elongate instrument is performed while the elongate instrument is positioned within an anatomical region.

14. The method of claim 11, further comprising accessing saved registration data regarding registration between the coordinate system of the shape sensing fiber and the coordinate system of the elongate instrument from a memory component to determine the shape of the elongate instrument.

15. The method of claim 11, further comprising ascertaining at least one degree of freedom of a portion of the shape sensing fiber configured in one of a known shape, a known plane, or a known orientation, relative to the elongate instrument.

16. The method of claim 11, wherein the assembly is removably coupled to an instrument driver and a controller which controls actuation of the elongate instrument, wherein actuation motion is transferred from the controller to the elongate instrument via the instrument driver to articulate the distal end of the elongate instrument in at least one degree of freedom.

17. The method of claim 11, wherein the assembly further comprises a registration fixture, wherein the second portion of the shape sensing fiber is fixed in a known location on the registration fixture and the registration fixture is in a known location relative to the elongate instrument, and wherein at least one degree of freedom of the second portion of the shape sensing fiber is determined relative to the registration fixture and the elongate instrument.

18. The method of claim 11, wherein the assembly further comprises a registration fixture having grooves for holding at least a portion of the shape sensing fiber in one of a known shape, a known orientation or a known position.

19. A system comprising:

an elongate instrument having a proximal end, a distal end and at least one lumen defined therein;

a shape sensing fiber, wherein at least a first portion of the shape sensing fiber is positioned within the lumen of the elongate instrument, wherein at least a second portion of the shape sensing fiber is fixed to an anchor slide, wherein the anchor slide is axially movable but prevented from vertical, yaw, and pitch movement, wherein the anchor slide reduces axial strain on the shape sensing fiber, and wherein the shape sensing fiber has a proximal service loop which allows for sliding of the shape sensing fiber within the lumen of the elongate instrument when a distal portion of the elongate instrument is articulated; and

a coil positioned within the lumen of the elongate instrument and surrounding the shape sensing fiber, wherein the coil is slideable within the lumen and wherein the coil maintains the lumen in an open state during articulation of the elongate instrument.

20. The system of claim 19, wherein the coil is positioned in a distal section of the lumen.

21. The system of claim 19, wherein the shape sensing fiber is free floating within the coil.

22. The system of claim 19, wherein a proximal section of the lumen is incorporated into a braid in the elongate instrument.

23. The system of claim 22, wherein the braid is configured to wind around the proximal section of the lumen, a working lumen and a control wire lumen of the elongate instrument in a diamond braid pattern.

24. The system of claim 19, wherein the elongate instrument comprises a tip which is reinforced to support or protect at least a portion of a fiber termination positioned therein.

25. The system of claim 19, wherein the distal end of the elongate instrument includes a control ring, and wherein the shape sensing fiber extends through or along the control ring.