The present disclosure relates to systems, methods, and devices for tracking items. More specifically, the disclosure relates to systems, methods, and devices for electro-magnetically tracking medical devices used in medical procedures.
A variety of systems, methods, and devices can be used to track medical devices. Tracking systems can use externally generated magnetic fields that are sensed by at least one tracking sensor in the tracked medical device. The externally generated magnetic fields provide a fixed frame of reference, and the tracking sensor senses the magnetic fields to determine the location and orientation of the sensor in relation to the fixed frame of reference.
In Example 1, a sensing apparatus comprising a magneto-resistive (MR) sensing element for sensing magnetic fields, and semiconductor circuitry including an output circuit coupled to the MR sensing element. The output circuit generates a sensing signal proportional to the sensed magnetic fields to be combined with a bias signal to the MR sensing element, and the MR sensing element is formed on a first chip and the semiconductor circuitry is formed on a second chip.
In Example 2, the sensing apparatus of Example 1, further comprising a reset coil element for resetting a magnetic orientation of the MR sensing element, wherein the semiconductor circuitry further includes a reset configured to supply a reset current to the reset coil element.
In Example 3, the sensing apparatus of either of Examples 1 or 2, further comprising a tuning resistor, wherein the sensing signal is based on a resistance value of the tuning resistor.
In Example 4, the sensing apparatus of Example 3, wherein the reset coil element and the tuning resistor are formed on the first chip.
In Example 5, the sensing apparatus of any of Examples 1-4, wherein the first chip is placed in close proximity to the second chip.
In Example 6, the sensing apparatus of any of Examples 1-5, wherein the first chip and the second chip are electrically connected to one another.
In Example 7, the sensing apparatus of any of Examples 1-6, wherein the first chip is placed on top of the second chip.
In Example 8, a sensor assembly comprising a plurality of sensing apparatuses according to any of Examples 1-7 mechanically coupled to a substrate.
In Example 9, the sensor assembly of Example 8, wherein the substrate is a flexible substrate.
In Example 10, the sensor assembly of either of Examples 8 or 9, wherein the substrate includes a first portion oriented in a first plane and a second portion oriented in a second plane that is non-parallel to the first plane.
In Example 11, the sensor assembly of Example 10, wherein the second plane is oriented orthogonally to the first plane.
In Example 12, the sensor assembly of either of Examples 10 or 11, wherein a first one of the plurality of sensing apparatuses is supported by the first portion of the substrate, and a second one of the plurality of sensing apparatuses is supported by the second portion of the substrate.
In Example 13, a medical probe including a distal portion having a sensor assembly according to any of Examples 8-12.
In Example 14, a medical system comprising the medical probe according to Example 13, a magnetic field generator configured to generate a multi-dimensional magnetic field in a volume including the medical probe and a patient, and a processor operable to receive outputs from the sensor assembly to determine a position of the sensor assembly within the volume.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
While the disclosure is amenable to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and are described in detail below. The intention, however, is not to limit the disclosure to the particular embodiments described. On the contrary, the disclosure is intended to cover all modifications, equivalents, and alternatives falling within the scope of the invention as defined by the appended claims.
During medical procedures, medical devices such as probes (e.g., catheters) are inserted into a patient through the patient's vascular system and/or a catheter lumen. To track the location and orientation of a probe within the patient, probes can be provisioned with magnetic field sensors.
In various embodiments, the probe 108 may include, for example, a catheter (e.g., a mapping catheter, an ablation catheter, a diagnostic catheter, introducer, etc.), an endoscopic probe or cannula, an implantable medical device (e.g., a control device, a monitoring device, a pacemaker, an implantable cardioverter defibrillator (ICD), a cardiac resynchronization therapy (CRT) device, a CRT-D device, etc.), and/or the like. For example, in embodiments, the probe 108 may include a mapping catheter associated with an anatomical mapping system. The probe 108 may include any other type of device configured to be at least temporarily disposed within a subject.
The sensor assembly 102 is communicatively coupled to the controller 106 by a wired or wireless communications path such that the controller 106 sends and receives various signals to and from the sensor assembly 102. The magnetic field generator 104 is configured to generate one or more magnetic fields. For example, the magnetic field generator 104 is configured to generate at least three magnetic fields B1, B2, and B3, each generated by a respective magnetic field transmitter (e.g., a coil). The controller 106 is configured to control the magnetic field generator 104 via a wired or wireless communications path to generate one or more of the magnetic fields B1, B2, and B3 to assist with tracking the sensor assembly 102 (and therefore probe 108).
In various embodiments, the controller 106 includes a signal generator configured to provide driving current to each of the magnetic field transmitters, causing each magnetic field transmitter assembly to transmit an electromagnetic field. In certain embodiments, the controller 106 is configured to provide variable (e.g., sinusoidal) driving currents to the magnetic field transmitters within the magnetic field generator 104. The controller 106 can be implemented using firmware, integrated circuits, and/or software modules that interact with each other or are combined together. For example, the controller 106 may include computer-readable instructions/code for execution by a processor within or associated with the controller 106. Such instructions may be stored on a non-transitory computer-readable medium and transferred to the processor for execution. In some embodiments, the controller 106 can be implemented in one or more application-specific integrated circuits and/or other forms of circuitry suitable for controlling and processing magnetic tracking signals and information.
The sensor assembly 102 is configured to sense the generated magnetic fields and provide tracking signals indicating the location and orientation of the sensor assembly 102 in up to six degrees of freedom (i.e., x, y, and z measurements, and pitch, yaw, and roll angles). Generally, the number of degrees of freedom that a tracking system is able to track depends on the number of magnetic field sensors and magnetic field generators. For example, a tracking system with a single magnetic field sensor may not be capable of tracking roll angles and thus are limited to tracking in only five degrees of freedom (i.e., x, y, and z coordinates, and pitch and yaw angles). This is because a magnetic field sensed by a single magnetic field sensor does not change as the single magnetic field sensor is “rolled.” As such, the sensor assembly 102 includes at least two magnetic field sensors, 110A and 110B. The magnetic field sensors can include sensors such as inductive sensing coils and/or various sensing elements such as magneto-resistive (MR) sensing elements (e.g., anisotropic magneto-resistive (AMR) sensing elements, giant magneto-resistive (GMR) sensing elements, tunneling magneto-resistive (TMR) sensing elements, Hall effect sensing elements, colossal magneto-resistive (CMR) sensing elements, extraordinary magneto-resistive (EMR) sensing elements, spin Hall sensing elements, and the like), giant magneto-impedance (GMI) sensing elements, and/or flux-gate sensing elements. In addition, the sensor assembly 102 and/or the probe 108 can feature other types of sensors, such as temperature sensors, ultrasound sensors, etc.
The sensor assembly 102 is configured to sense each of the magnetic fields B1, B2, and B3 and provide signals to the controller 106 that correspond to each of the sensed magnetic fields B1, B2, and B3. The controller 106 receives the signals from the sensor assembly 102 via the communications path and determines the position and location of the sensor assembly 102 and probe 108 in relation to the generated magnetic fields B1, B2, and B3.
The magnetic field sensors can be powered by voltages or currents to drive or excite elements of the magnetic field sensors. The magnetic field sensor elements receive the voltage or current and, in response to one or more of the generated magnetic fields, the magnetic field sensor elements generate sensing signals, which are transmitted to the controller 106. The controller 106 is configured to control the amount of voltage or current to the magnetic field sensors and to control the magnetic field generators 104 to generate one or more of the magnetic fields B1, B2, and B3. The controller 106 is further configured to receive the sensing signals from the magnetic field sensors and to determine the location and orientation of the sensor assembly 102 (and therefore probe 108) in relation to the magnetic fields B1, B2, and B3. The controller 106 can be implemented using firmware, integrated circuits, and/or software modules that interact with each other or are combined together. For example, the controller 106 may include computer-readable instructions/code for execution by a processor. Such instructions may be stored on a non-transitory computer-readable medium and transferred to the processor for execution. In general, the controller 106 can be implemented in any form of circuitry suitable for controlling and processing magnetic tracking signals and information.
In the illustrated embodiment the controller 106 is shown as a single functional block that controls the operation of the magnetic field generator 104 and also receives and processes the signals from the sensor assembly 102 corresponding to the sensed magnetic fields B1, B2, B3 for tracking the position and orientation of the probe 108 within the multi-dimensional magnetic field generated by the magnetic field generator 104. The skilled artisan will appreciate that the foregoing functionality may be implemented in one or more hardware and software components/systems. For example, in embodiments, the controller 106 functionality relating to control of the magnetic field generator 104 and the processing of the signals from the sensor assembly 102 may be performed by a single processor. In other embodiments, these functions may be performed in multiple processors.
In various embodiments, the magnetic field sensors 110a, 110b are disposed on a substrate as part of the sensor assembly 102. In embodiments, the substrate may be a flexible substrate. In embodiments, the magnetic field sensors 110a, 110b may be oriented so as to be sensitive to components of the generated magnetic field in different directions. In embodiments, the directions of sensitivity may be orthogonal to one another. In various embodiments, the magnetic field sensors 110a, 110b may lie in the same plane, but be oriented in different directions. In other embodiments, the substrate may include a first portion oriented in a first plane, with the magnetic field sensor 110a being located thereon, and may also include a second portion oriented in a second plane with the magnetic field sensor 110b located thereon. In embodiments, the first and second planes may be orthogonal to one another.
Although in the illustrated embodiment the sensor assembly 102 includes two magnetic field sensors 110a, 110b, in other embodiments the sensor assembly 102 may include additional magnetic field sensors.
The sensor portion 202 includes one or more MR sensing elements 206, which can be AMR sensing elements, GMR sensing elements, TMR sensing elements, CMR sensing elements, EMR sensing elements, and the like. The MR sensing elements 206 are configured to sense magnetic fields, like those generated by the magnetic field generator 104 of
The ASIC portion 204 includes various integrated circuits such as an amplifier circuit 208 and a reset circuit 210, which can be fashioned using any suitable semiconductor technology. The ASIC portion 204 also includes bias connections, 212A and 212B, which are used to provide a bias current to the MR sensing elements 206 from a supply source (not shown), and also to provide power to the ASIC portion 204.
The amplifier circuit 208 operates to increase the signal strength of the generated responsive sensing signal from the MR sensing elements 206. Accordingly, the amplifier circuit 208 includes an output connection 214 and a Kelvin connection 216. The Kelvin connection 216 is operable to compensate for voltage losses caused by line resistances, which would otherwise cause errors in low voltage measurements, and to define the reference voltage for the amplifier circuit 208 output (i.e., when the input signal to the amplifier circuit 208 is zero, the output from the amplifier circuit 208 is equal to the reference voltage).
The reset circuit 210 operates to reset the one or more MR sensing elements 206. Accordingly, the reset circuit 210 includes a reset coil 218 constructed near the MR sensing elements 206 on the sensor portion 202. After exposure to external magnetic fields such as the magnetic fields B1, B2, and B3 of
The sensor circuitry 900 sends the generated sensing signal from the MR sensing elements 906 back to the MR sensing elements 906 via the same signal line used to provide the bias current. A controller, such as the controller 106 of
Similar to the sensor circuitry 900 of
While
The present disclosure provides the advantages of minimizing the number of signal lines when using MR technology. For example, the number of signal lines is reduced by using current mode signaling and by using the amplifier output for reset control. Moreover, by compensating for sensor bias current variations, the amount of magnetic coupling (crosstalk) from a distal sensor to a proximal sensor can be reduced.
It should be noted that, for simplicity and ease of understanding, the elements described above and shown in the figures are not drawn to scale and may omit certain features. As such, the drawings do not necessarily indicate the relative sizes of the elements or the non-existence of other features.
Various modifications and additions can be made to the exemplary embodiments discussed without departing from the scope of the present invention. For example, while the embodiments described above refer to particular features, the scope of this invention also includes embodiments having different combinations of features and embodiments that do not include all of the described features. Accordingly, the scope of the present invention is intended to embrace all such alternatives, modifications, and variations as fall within the scope of the claims, together with all equivalents thereof.
This application claims priority to Provisional Application No. 62/455,316, filed Feb. 6, 2017, which is herein incorporated by reference in its entirety.
Number | Date | Country | |
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62455316 | Feb 2017 | US |