Automatic pathway and waypoint generation and navigation method

• US 9,375,141 B2
• Filed: 06/21/2013
• Issued: 06/28/2016
• Est. Priority Date: 05/15/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Trumer, Dror, Nir, Yaniv, Averbuch, Dorian
• Primary Examiner(s): NGUYEN, TU T
• Application Number:
  US13/923,821
• Publication Number:
  US 20130281838A1
• Time in Patent Office: 1,103 Days
• Field of Search: 382/131
• US Class Current: 1/1
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2090/3762 using computed tomography systems [CT]
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 5/00 Measuring for diagnostic purposes radiation diagnosis A61B6/00; diagnosis by ultrasonic, sonic or infrasonic waves A61B8/00; Identification of persons
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/463 characterised by displaying multiple images or images and diagnostic data on one display
• CPC Class Codes: A61B 6/466 adapted to display 3D data
• CPC Class Codes: A61B 6/469 for selecting a region of interest [ROI]
• CPC Class Codes: A61B 6/5217 extracting a diagnostic or physiological parameter from medical diagnostic data
• CPC Class Codes: G06T 2207/10081 Computed x-ray tomography [CT]
• CPC Class Codes: G06T 2207/30061 Lung
• CPC Class Codes: G06T 7/0012 Biomedical image inspection

Abstract

A navigation system for use in a luminal network of a patient, such as the airways, that is able to analyze a three-dimensional model of the luminal network and automatically determine a pathway from an entry point to a designated target. The system further automatically assigns waypoints along the determined pathway in order to assist a physician in navigating a probe to the designated target.

Claims

1. A system for accessing a target location within a luminal network, the system comprising:

a locatable guide insertable through a luminal network from an entry point to a target location;

a non-transitory computer readable medium storing a program for causing a computer to determine a pathway through the luminal network from the entry point to the target location and assign a plurality of waypoints along the pathway; and

a user interface configured to display an orientation of the locatable guide relative to a next one of the plurality of waypoints as the locatable guide is inserted through the luminal network from the entry point towards the target location.

2. The system of claim 1, wherein determining the pathway through the luminal network initially includes:

collecting data regarding the luminal network;

developing a three-dimension map of the luminal network using the collected data; and

selecting the target location on the three-dimensional map.

3. The system of claim 2, wherein collecting data regarding the luminal network includes receiving a plurality of CT scans of said luminal network.

4. The system of claim 1, wherein determining the pathway is performed by beginning at the target location and following lumina back to the entry point.

5. The system of claim 4, wherein following lumina back to the entry point is based upon luminal diameter.

6. The system of claim 4, wherein following lumina back to the entry point includes following an airflow direction.

7. The system of claim 1, wherein assigning at least one of the plurality of waypoints includes:

detecting an intersection; and

designating a point on the pathway spaced-apart from the intersection as a waypoint.

8. The system of claim 1, wherein assigning at least one of the plurality of waypoints includes:

receiving a user-selected position; and

designating the user-selected position as a waypoint.

9. The system of claim 1, wherein the user interface is configured to display the orientation of the locatable guide relative to the next one of the plurality of waypoints in a navigation mode and wherein the user interface is further configured to display the determined pathway in a planning mode.

10. The system of claim 9, wherein, in the planning mode, the user interface is configured provide zoom and pan functions of the displayed determined pathway.

11. The system of claim 9, wherein, in a fly-through feature of the planning mode, the user interface displays a simulated navigation view from the entry point to the target location.

12. The system of claim 1, wherein the user interface is further configured to display at least one of a lateral view of the luminal network, a side view of the luminal network, and a birds-eye view of the luminal network.

13. The system of claim 1, wherein displaying the orientation of the locatable guide relative to the next one of the plurality of waypoints further includes indicating a direction of travel necessary for the locatable guide to reach the next way point.

14. A system for accessing a target location within a luminal network, the system comprising:

a locatable guide insertable through a luminal network from an entry point to a target location;

a non-transitory computer readable medium storing a program for causing a computer to determine a pathway through the luminal network from the entry point to the target location; and

a user interface operable in both a planning mode, wherein a simulated navigation view from the entry point to the target location is displayed, and a navigation mode, wherein an orientation of the locatable guide within the luminal network and relative to the pathway as the locatable guide is inserted through the luminal network from the entry point towards the target location is displayed.

15. The system of claim 14, wherein the user interface is further configured to display, in each of the planning and navigation modes, at least one of a lateral view of the luminal network, a side view of the luminal network, and a birds-eye view of the luminal network.

16. The system of claim 14, wherein the non-transitory computer readable medium is further configured to cause the computer to assign a plurality of waypoints along the pathway, and wherein, in the navigation mode, the user interface is further configured to display an orientation of the locatable guide relative to a next one of the plurality of waypoints as the locatable guide is inserted through the luminal network from the entry point towards the target location.

17. The system of claim 16, wherein assigning at least one of the plurality of waypoints includes:

detecting an intersection; and

designating a point on the pathway spaced-apart from the intersection as a waypoint.

18. The system of claim 16, wherein assigning at least one of the plurality of waypoints includes:

receiving a user-selected position; and

designating the user-selected position as a waypoint.

19. The system of claim 14, wherein determining the pathway through the luminal network initially includes:

collecting data regarding the luminal network;

developing a three-dimension map of the luminal network using the collected data; and

selecting the target location on the three-dimensional map.

20. The system of claim 14, wherein the user interface is further configured to provide zoom and pan functions in at least one of the planning and navigation modes.