The disclosed invention relates generally to sensing devices capable of resolving the position of an elongated surgical manipulator as well as the magnitude and direction of a force vector externally imposed on a distal portion of the surgical manipulator. More specifically, the invention relates to a manipulator with elongated body shape resolution and a force sensing distal tip to aid in the positioning of catheters used in humans or animals, or for serving as feedback elements in robotic surgical systems.
The use of optical fiber strain sensors to detect the reactionary force on the end effector of a catheter is known. sU.S. Patent Application Publication No. 2007/0060847 to Leo et al. (Leo I), assigned to the assignee of the present application, discloses an apparatus and method using fiber Bragg gratings coupled to a deformable body for inferring the magnitude and direction of a reaction force imparted on the distal portion of an end effector. U.S. patent application Ser. No. 11/753,429 to Leo et al. (Leo II), also assigned to the assignee of the present application, discloses an apparatus and method using Fabry-Perot resonators operatively coupled to a fiber optic to infer the magnitude and direction of reaction forces imparted on the distal portion of an end effector. While these devices have advanced the art in terms of resolving the forces applied in touch sensitive operations such as ablation procedures, they lack an integrated way of determining the position or location of the catheter during the procedures. Instead, the position of the catheter and/or end effector within a patient must be determined by an alternative approaches such as fluoroscopy or fMRI.
Position sensing and shape resolution using multiple arrays of fiber Bragg gratings is also known for elongated catheter bodies without an end effector. U.S. Patent Application Publication No. 2007/0065077 to Childers et al. (Childers) and U.S. Patent Application Publication No. 2007/0265503 to Schlesinger, et al. (Schlesinger) disclose the use of fiber Bragg gratings operatively coupled to an elongate flexible body to sense the local strains of the body at a multitude of points, and a method for inferring the shape of the body and a position of the distal portion of the elongated catheter body based on the strain imposed on the fiber Bragg gratings.
A system that enables accurate determination of touching forces on a distal portion in combination with simultaneous accurate position sensing of an elongated surgical manipulator would be welcome.
Various embodiments of the disclosed invention provide effective apparatuses and procedures for resolving shape, position and force sensing of automated or manually controlled elongated surgical manipulators. Certain embodiments include the dual function of position indication of an end effector of the elongated surgical manipulator and the magnitude and direction of a reaction force exerted thereon.
Certain embodiments include a surgical manipulator arm or catheter body having an elongate flexible body that includes one or more fiber optics, each fiber optic being equipped with a number of fiber Bragg gratings. The elongate flexible body may include a flexing portion and a distal portion. In some embodiments, the flexing portion includes a plurality of fiber Bragg gratings and is configured for flexing with a steering mechanism, the operation of which does not flex the distal portion. The distal portion may include fiber optic sensors, such as fiber Bragg gratings or Fabry-Perot resonators, that are isolated from the flexing strain experienced by the flexing portion, and thus are suited for detecting deflection due to reaction forces imposed on the distal portion.
Embodiments of the present invention overcome the problems which would otherwise preclude combining the position sensing teaching of Childers and Schlesinger with the force sensing arrangements disclosed by Leo I or Leo II. Neither Childers nor Schlesinger have an end effector or can provide for an irrigation passage extending through the flexible elongate body. In particular, Schlesinger teaches a catheter having a soft tapered distal tip that is even more plyable than the flexible portion of the manipulator. (See U.S. Patent Application Publication No. 2006/0100610, which Schlesinger incorporates by reference in its entirety.) Such a tip is incompatible with the requirements of a force sensing assembly using fiber optics at the distal portion of an elongated surgical manipulator because the tip will generally flex under its own weight and cause the optical fiber strain sensors to undergo an orientation, non-force related strain. Soft plyable tips are also incompatible with ablation and/or irrigation end effectors.
In various embodiments of the present invention, an electromagnetic source, such as a tunable laser, may be used to interrogate each of the fiber optics. The reflected wavelengths from fiber Bragg gratings corresponding to the flexing portion provides knowledge of the strain of each, from which the shape or geometric configuration of at least a portion of the elongate flexible body may be inferred. The inferred shape may also provide knowledge of the position of the distal extremity of the elongate flexible body.
In another embodiment of the invention, the elongate body may be a catheter having an end effector such as an ablation catheter. The end effector may have a rigid or semi-rigid section that enables a stable reference, for example where the catheter goes through the septum in a left atrium intervention from the femoral vein.
Referring to
The proximal portion 24 may be supported by a rigid member 32. In the depicted embodiment, the rigid member 32 is a tubular member that serves as a cladding for the elongate flexible body 22 over the length of the proximal portion 24. The distal portion 30 may include a yoke portion 34 at the interface with the flexing portion 26. The proximal portion 24 may be permanently attached to the rigid member 32, or may be configured to move along the longitudinal axis 23 relative to the rigid member 32. In still other embodiments, the flexing portion 26 is anchored directly to a base without use of a rigid member (not depicted).
Referring to
In one embodiment, each of the fiber optics 44a, 44b, 44c includes a plurality of flexing portion fiber Bragg gratings 48 for determining the shape of the flexing portion 26, and/or the location of the distal portion 30. The flexing portion fiber Bragg gratings 48 may be positioned on the respective fiber optic 44a, 44b or 44c such that the fiber Bragg gratings 48 are disposed within the flexing portion 26.
The fiber optics 44a, 44b, 44c may each have the same axial spacing between the flexing portion fiber Bragg gratings 48. A typical and non-limiting axial spacing is on the order of 1- to 2-cm. The fiber optics 44a, 44b and 44c may also be aligned so that the flexing portion fiber Bragg gratings 48 are grouped in “sensor triplets” 49 (i.e. three sensors located at substantially the same axial location along the z-axis) at various axial locations along the z-axis of the flexing portion 26. That is, for every flexing portion fiber Bragg grating 48 on fiber optic 44a, there are also corresponding flexing portion fiber Bragg gratings 48 on fiber optics 44b and 44c centered at substantially the same axial location along the flexing portion 26. The sensor triplets 49 are best depicted in
At least one of the fiber optics 44a, 44b and/or 44c also extends through or past the yoke portion 34 and includes a distal fiber Bragg grating 50, disposed in and operatively coupled to the distal portion 30. The distal fiber Bragg grating(s) 50 may be utilized to determine a force component or components exerted on the distal portion 30 (e.g. such as described in the discussion attendant
It is understood that the force component “exerted on” the distal portion 30 may be the result of an object moving into contact with a substantially stationary distal portion 30, or the result of reaction forces caused by moving the distal portion 30 into contact with a substantially stationary member, or a combination thereof.
One or more temperature sensors 52 (
In
The fiber optics 44a and 44b may extend through the yoke portion 34 and may also be securely connected to the yoke portion 34 at anchor locations 56. Each of the anchor locations 56 may be affected by a potting- or adhesive-filled orifice 58 that bonds the respective fiber optic 44a and 44b to the yoke 34. Each of the fiber optics 44a and 44b includes a distal extremity 60 that may be operatively coupled to a force transfer member 61. The elongate flexible body 22, or portions thereof, may include or be contained within a braided sleeve 36.
In operation, the push-pull cables 40 may cooperate with each other to impart a torsion or moment 64 about the yoke portion 34 that causes the flexing portion 26 to flex and the yoke portion 34 to move from a default or “at rest” position (x0, y0, z0) to an activated position (x1, y1, z1). In the
Inference of position may be based on the differential strain between individual flexing portion fiber Bragg gratings 48 of a given sensor triplet 49. (See Eqn. (6) and attendant discussion below.) It was previously thought that the dependence on differential strains made the shape determination insensitive to temperature changes because the thermal expansion/contraction of one strain sensor would be matched by the thermal expansion/contraction of the other strain sensors of the sensor triplet 49. This is true only where the temperature changes of flexing portion 26 are are tangentially uniform at the location of the sensor triplet 49. In some applications, such as catheter systems that generate high thermal energy (e.g. ablation catheters), thermal gradients in the surroundings may cause one portion or side of the flexing portion 26 to be at a different temperature than the another portion or side, thereby introducing a temperature gradient between individual flexing portion fiber Bragg gratings 48 of the same sensor triplet 49.
To remedy against tangential thermal gradients, the flexing portion fiber Bragg gratings 48 may be coupled closely to the irrigation source passage 144, as depicted in
The fiber optics 44a and 44b may be coupled with the yoke portion 34, and the portion of the fiber optics 44a and 44b in the distal portion 30 (i.e. between the potting-filled orifices 58 and the force transfer member 61) are isolated from compression and tension loads experienced in the flexing portion 26. By this arrangement, the distal fiber Bragg gratings 50 included in the distal portion 30 theoretically do not experience a strain due to the flexing of the flexing portion 26. In practice, the forces exerted on the yoke portion 34 may cause some flexure of the end effector 28 relative to a neutral orientation, which may translate to a detectable strain on the distal fiber Bragg gratings 50. These effects are generally repeatable and thus can be calibrated and compensated as a function of the position (e.g. x-y-z location) relative to the distal portion 30.
The temperature sensor 52 may be positioned proximate the distal fiber Bragg gratings 50 to estimate the temperature of the distal fiber Bragg gratings 50.
The number of components of the force vector that can be resolved is limited by the number of distal fiber Bragg gratings 50. That is, a single distal fiber Bragg grating 50 will resolve only a strain that is parallel to its length, and at best can only infer the local axial force component. A pair of distal fiber Bragg gratings 50 may define an axial and a tangential force component, assuming a neutral axis between the two distal fiber Bragg gratings 50. And a trio of distal fiber Bragg gratings 50 will resolve an axial component (i.e. a z-axis component) and orthogonal tangential force components (i.e. x- and y-axis components), which further enables determination of the three-dimensional orientation of the force vector.
The braided sleeve 36 may provide a degree of stiffness to the flexing portion 26 that is desirable for certain applications. For embodiments where the elongate flexible body 22 moves relative to the rigid member 32, the braided sleeve 36 may also provide abrasion resistance.
The tension/compression of the flexing portion fiber Bragg gratings 48 for a given bend may vary depending on the orientation of the respective fiber optic 44a, 44b or 44c relative to the plane of bending. For example, for the bending in the plane that contains both fiber optic 44a and 44b (such as depicted in
The use of three or more push-pull cables enables an operator to control the position of the yoke portion 34 in three dimensions. The invention may be configured with just two push-pull cables, enabling control of a lateral movement or with a pull-wire that cooperates with a plane and a leaf spring to return the catheter the straight position (not depicted). The number and arrangement of push-pull cables 40 may be configured to provide bending in a plurality of planes. Accordingly, the flexing portion fiber Bragg gratings 48 on any one of the fiber optics 44 may experience varying degrees of tension, compression. In some configurations, some of the flexing portion fiber Bragg gratings 48 on a given fiber optic 44 may experience a tension while others on the same fiber optic 44 may experience a compression.
Referring to
Functionally, the various cross-sections depicted in
Referring to
The deformable body 110 may include a collar portion 122, a neck portion 124 having a neck radius 126, a radial standoff structure 128, and an outer sleeve 130 that surrounds the neck portion 124. The outer sleeve 130 may bridge between the radial standoff structure 128 and the collar portion 122 and cooperate with the neck portion 124 to define an annular gap 132. The annular gap 132 may include a thermal insulator 134.
An irrigation passage 140 may be defined as passing through the deformable body 110 and the ablation head 116, and may terminate at irrigation outlets 142 formed in the ablation head 116. An irrigation source passage 144 may be operatively coupled with the irrigation passage 140 for sourcing the irrigation passage 140 with irrigation fluid 145. An axial gap 146 may be defined between the deformable body 110 and a base surface 148 of the ablation head 116.
In one embodiment, a representative wall thickness 150 is approximately 200- to 300-micrometers; however, this wall thickness may not be representative or limiting for all embodiments.
A plurality of optical fiber strain sensors 152 may be operatively coupled to the deformable body 110. The one more temperature sensors 52 may also be operatively coupled to the deformable body 110. In one embodiment (depicted), the number of temperature sensors 52 is equal to the number of distal fiber Bragg gratings 50, one temperature sensor 52 for a corresponding distal fiber Bragg grating 50, with the sensitive portion of temperature sensor 52 being mounted in close proximity to the corresponding distal fiber Bragg grating 50. Channels 156 may be defined on the outer surface 112 of the deformable body 110 and the sensors 152, 52 coupled thereto. The sensitive portions of the optical fiber strain sensors 152 and temperature sensor(s) 52 may be substantially centered at the same axial location 160 relative to a proximal end 162 of the deformable body 110.
Generally, the deformable body 110 may comprise a polymeric material such as liquid crystal polymer (LCP) or polyetheretherketone (PEEK). Generally, the deformable body 110 is stiffer than the flexing portion 26 of the catheter so that deformable body 110 does not flex under its own weight and cause the optical fiber strain sensors 152 to undergo an orientation, non-force related strain. The channels 156 may aid in the precise location of the sensitive portions of the sensors 50, 52. Each optical fiber strain sensor 152 may comprise a fiber Bragg grating sensor (e.g distal fiber Bragg grating 50) or a Fabry-Perot sensor.
Operative coupling of the optical fiber strain sensor 152 and/or the temperature sensor(s) 52 may be accomplished in one embodiment using a glue 162. The glue 162 may be placed in the channels 156 or on the optical fiber strain sensors 152 and the strain sensors 152 placed in the channels 156. Excess glue may be removed after placement. Some glues may enable placement of the optical fiber strain sensors 152 in the channels 156 followed by a coating or dabbing of glue on the optical fiber strain sensors 152 to secure it to the channels 156.
Another bonding technique may involve the use of a solvent designed to cause the material of the deformable body 110 to melt or flow while not affecting the material of the strain sensors 152. The solvent may be applied to an area or zone of the deformable body 110 that encompasses at least a portion of the channels 156 where the strain sensors 152 are to be mounted, and the optical fiber strain sensors 152 placed therein. Alternatively, the optical fiber strain sensors 152 may be temporarily held in place in the channels 156 of the deformable body 110 and the solvent applied as a coating over both. The flowing of the material in and around the channels 156 can cause a bond between the deformable body 110 and the optical fiber strain sensors 152. The solvent may be removed by a process such as washing or evaporation to arrest the melting process.
While the mounting and bonding techniques above are directed to an embodiment that includes channels 156, it is recognized that the same procedures may be utilized in the absence of channels 156.
Dimensionally, representative and non-limiting ranges for the various parameters include the overall diameter 102 of approximately 2.3-mm, the irrigation passage 140 of approximately 0.4- to 0.8-mm diameter, and the representative wall thickness 150 on the order of 200- to 300-micrometers.
Functionally, the reduced neck radius 126 of the neck portion 124 and/or the decreased diameter of the irrigation passage 140 relative to certain existing configurations provides several advantages. For a given flow rate of irrigation fluid 145, the smaller diameter irrigation passage 140 increases the Reynolds number of the fluid flow, which can increase the convection heat transfer coefficient between the irrigation fluid 145 and the boundary of the irrigation passage 140, thereby enhancing the overall heat transfer between the irrigation fluid 145 and the optical fiber strain sensors 152. The reduced radius 126 may also provide a reduced cross-section of material, thereby reducing the thermal conductance through the neck portion 124 in the axial direction Z and the thermal coupling between the ablation head 116 and the optical fiber strain sensors 152. The wall thickness 150 of the neck portion 124 can also be tailored for a desired sensitivity (displacement) of the temperature compensated strain sensing assembly 100 in response to the force vector F. The reduced neck radius 126 of the neck portion 124 may also provide an increased thickness of the annular gap 132 relative to existing designs, thereby enhancing the thermal isolation between the operating environment 106 and the optical fiber strain sensors 152.
The channels 156, when present, may further decrease the thermal conduction path between the irrigation fluid 145 and the optical fiber strain sensors 152.
The axial gap 146, being flooded with irrigation fluid 145, may actively cool the base surface 148 of the ablation head 116 and mitigate against axial conduction of heat between the base surface 148 and the deformable body 110.
By these various thermal management aspects, various embodiments of the invention may cause the optical fiber strain sensors 152 to be dominated by the temperature of the irrigation fluid 145, with the influence of the ablation head 116 and the surroundings being secondary. An advantage of having the irrigation fluid 145 dominate the thermal state of the optical fiber strain sensors 152 is that the temperature of the irrigation fluid 145, as well as the convective coupling between the irrigation fluid 145 and the irrigation passage 140, tends to be more stable than the temperature of the ablation head 116 and the temperature and convective coupling between the operating environment 106 and the outer sleeve 130 during operation.
In operation, the temperature sensor(s) 52 may be utilized to compensate for the thermal expansion/contraction of the optical fiber strain sensors 152 relative to the calibration or nulling state. For configurations where the irrigation fluid 145 dominates the temperature of the neck portion 124, the temperature profile of the neck portion 124 may be substantially uniform or at least be substantially linear with respect to the axial coordinate Z, with no substantial variation tangentially in the temperature of the deformable body 110 at a given axial location (e.g. 160). In such conditions, a single temperature sensor 52 may be sufficient to accomplish the temperature compensation, particularly if the optical fiber strain sensors 152 and the temperature sensor 52 are positioned so the sensitive portions are centered about the same axial location 160.
Referring to
The OTDR in this embodiment includes an electromagnetic source 178 and a receiver 180, both operatively coupled to a plurality of fiber optics 44. A splitter 182 may be operatively coupled with the electromagnetic source 178 that divides the electromagnetic radiation supplied by the electromagnetic source 178 into a transmitted component 184 and a reference component 186. The transmitted component may be routed through a multiplexer 188 for interrogation of an individual fiber optic (e.g. 44a, 44b, 44c) and the fiber Bragg gratings 48, 50 disposed thereon. A plurality of reflected components 190 may be returned from the fiber optics 44 and coupled with the reference component 186 for transmission into the receiver 180.
The temperature sensor 52 may be operatively coupled to the distal portion 30 of the manipulator arm 20 to infer the temperature of the distal fiber Bragg gratings 50. A signal conditioner 192 and digitizer 194 may be operatively coupled to the temperature sensor 52 to produce a digitized signal that may be monitored by the microprocessor 176.
Referring to
In addition, a temperature sensing fiber Bragg grating 197 may be included on one the single fiber optic 196 and situated in the distal portion 30 proximate the distal fiber Bragg gratings 50. The temperature sensing fiber Bragg grating 197 may be mechanically isolated from the distal portion 30 so as to be free of any strain caused by forces imparted on the distal portion 30. In this way, the only dimensional and refractive index changes incurred by the temperature sensing fiber Bragg grating 197 may be due solely to temperature changes relative to a reference temperature. The temperature sensing fiber Bragg grating 197 may be interrogated with the other fiber Bragg gratings 48, 50, thus negating the need for separate routing of the temperature sensor 52 as well as the supporting instrumentation of the signal conditioner 192 and digitizer 194. The technique of using temperature sensing fiber Bragg gratings is further detailed in U.S. Patent Application Publication 2007/0060847, assigned to the assignee of the instant application, the disclosure of which is incorporated by reference except for express definitions contained therein.
Returning to
In another embodiment, the detector 172 may comprise an optical frequency-domain reflectometer (OFDR). The OFDR technique has been commercialized for numerous monitoring applications. Optical frequency-domain reflectometry enables sensors with the same nominal reflected wavelength to be read with very high spatial resolution for spectral analysis. With the OFDR technique, the fiber Bragg gratings 48, 50 may be interrogated with a swept wavelength source. Each of the fiber Bragg gratings 48, 50 of a given fiber optic 44 may be spaced a unique distance from a reflector 198 operatively coupled with the fiber optic 44 or 198 located in the proximal portion 24. In this way, each of the fiber Bragg gratings 48, 50 combines with the respective reflector 198 to form an interferometer with a unique optical-path difference. When interrogated with an electromagnetic source, the interferometers modulate the reflected components 190 of each grating with a unique frequency that is directly dependent on the path difference. A summary of the OFDR method is presented in Appendices A and B, copies of which are attached hereto and incorporated by reference except for express definitions therein. Note that only one reflector 198 is required for the single fiber optic 198 configuration of
Referring to
The Fabry-Perot resonators 199 may be selected to return a modulated signal from a selected portion of the spectrum of the electromagnetic source 178 that is functionally outside the operating ranges of the various flexing portion fiber Bragg gratings 48, so as not to be attenuated by the flexing portion fiber Bragg gratings 48. When the electromagnetic source 178 operates at this selected portion of the spectrum, the force sensing manipulator system 170 analyzes the returned modulated signal accordingly.
Functionally, the Fabry-Perot resonators 199 may be configured to provide certain advantages, including substantial insensitivity to bulk temperature changes and thermal gradients. The use of Fabry-Perot resonators may be more suitable with the OFDR technique.
A method for determining the position of the yoke portion 34 or the distal portion 30 or any arbitrary point on the elongate flexible body 22 is disclosed by Zhang, et al., “On SDM/WDM FBG Sensor Net for Shape Detection of Endoscope,” Proceedings of the IEEE, International Conference on Mechatronics and Automation, July 2005, included herein as Appendix D, a copy of which is attached hereto and which incorporated by reference except for express definitions therein. Other methods may also be utilized to infer position from the signals reflected from the flexing portion fiber Bragg gratings 48, such as described by U.S. Published Patent Application 2007/0065077 to Childers et al., previously incorporated by reference herein.
Referring to
For a given sensor triplet 49, a trio of strain values ϵ1, ϵ2, ϵ3 may be detected, one from each member of the sensor triplet 49. From the strain values ϵ1, ϵ2, ϵ3, one can calculate the direction β of the bend with respect to the x′ axis as well as a bend radius r about an axis of rotation 214, defined as the distance from the center of curvature to the center of the core perimeter (see
The beginning of the fiber segment 210 may be taken to be the origin of the (x′, y′, z′) system. When there is no curvature, each core segment 44a has a length s. When a curvature is introduced, each core is generally a different distance r1, r2 and r3 from the center of curvature, as shown in
The equations relating the change in length and radius of curvature of each fiber to the other fibers are derived as:
Because elastic strain (denoted by ϵ) is defined as the ratio of the change in length of the fiber, ds to its unstretched length s (i.e. ϵ=ds/s) the first part of Eqn. (1) may be written in terms of the measured strains:
Accordingly, with respect to the other terms of Eqn. (1) the following expression results:
To solve Eqn. (3) for r and β, r1, r2 and r3 are written in terms of r and β. This can be done by analyzing the geometry of the fiber cross-section (
where a is the radial distance of the individual fiber Bragg gratings of a given sensor triplet 49 from the z-axis (
Substituting Eqns. (4) to make substitutions into Eqns. (3), the following three equations are derived for r and β:
Equation (5) may be solved for β using the trigonometric identity
where ϵ12=ϵ2−ϵ1, ϵ13=ϵ3−ϵ1 and ϵ23=ϵ3−ϵ2.
Note that each term in the Eqn. (6) numerator and denominator is proportional to a strain difference. That is, the bend direction β is dependent only on the differential strains, not the absolute strain values.
The bend radius r can be computed in three different ways. Each of these formulae give the same solution for r, but in practice it is advantageous to implement at least two in case one of the differential strains ϵ12, ϵ13 or ϵ23 is zero.
where σ1=(1+ϵ1), σ2=(1+ϵ2) and σ3=(1+ϵ3).
From Eqn. (6), the domain of the bend direction β is −π/2<β<π/2. The extra π radians appear in the calculation of the bend radius r. That is, if r is negative, simply negate r and add π to β. After this operation, r>0 and 0≤β<2π. Also, where ϵ1=ϵ2=ϵ3, a special case arises where the bend direction β may be considered arbitrary because the bend radius r is infinite (zero curvature).
Resolution of a force vector (magnitude and direction) that is incident on the distal portion 30 may be inferred from strain measurements of the distal fiber Bragg gratings 50. In one embodiment, one of the distal fiber Bragg gratings 50 may reflect a reference wavelength λr when the distal fiber Bragg grating 50 is at a reference temperature Tr at a reference time r when a reference or null measurement is performed. During operation, the distal fiber Bragg grating 50 may reflect a wavelength λt at time t relative to the reference time r. The wavelength λt from the distal fiber Bragg grating 50 may differ from the respective reference wavelength λr due to a change in the length ΔL of the distal fiber Bragg grating 50 relative to its length L at time r.
The change in the length ΔL may be caused by a strain on the distal fiber Bragg grating 50, a temperature change that induces a thermal expansion of the distal fiber Bragg grating 50, or a combination thereof. An apparent strain ΔL/L may therefore be expressed as
ΔL/L=Cϵ·(λt−λr)=ϵ+α·ΔT Eqn. (8)
where ΔT=Tt−Tr Eqn. (9)
and Cϵ is the coefficient of linearity between the FBG reflected wavelength and apparent strain, ϵ is the elastic strain imposed on the distal fiber Bragg grating 50, α is an equivalent coefficient of thermal expansion for the distal fiber Bragg grating 50, and ΔT is the difference between the temperature Tt of the distal fiber Bragg grating 50 at time t and the reference temperature Tr. The apparent strain ΔL/L is so named because, without knowledge of the temperature and thermal behavior of the optical fiber sensor, the ratio ΔL/L would appear to be the result of an elastic strain.
Generally, it is desirable to mathematically isolate the elastic strains because it is primarily due to axial forces imposed on the distal fiber Bragg grating 50. Isolating the elastic strain gives
ϵ=ΔL/L−α·ΔT=Cϵ·(λt−λr)−α·ΔT Eqn. (10)
For a plurality of distal fiber Bragg gratings 50, Eqn. (10) may be expressed by
ϵi=(ΔL/L)i−αi·ΔTi=Cϵ·(λt−λr)i−αi·ΔTi Eqn. (11)
where the subscript i denotes one of a plurality of distal fiber Bragg grating 50.
But for the effects of temperature change on the optical fiber sensors, the apparent strain ΔL/Li is equal to the elastic strains ϵi. Accordingly, the product αi·ΔTi may be considered a thermal bias component of the respective apparent strain ΔL/Li.
The equivalent coefficient of thermal expansion α is a parameter that is influenced by many factors. In some embodiments, α is influenced primarily by the coefficient of thermal expansion (CTE) of the distal portion 30. The CTE of the fiber Bragg grating 50 may also be a contributing factor, as well as the CTE of the attachment mechanism (e.g. glue 162 or potting) between the distal portion 30 and the fiber Bragg grating 50. The range of the CTEs of these components can vary substantially. For example, the CTE of the optical fiber Bragg grating 50 can be on the order of about 0.3 micrometers per Kelvin (μ/K), whereas the CTE of a distal portion 30 constructed of LCP may have a CTE from 1- to 4-μ/K. Some glues can have a CTE on the order of 60 μ/K.
Furthermore, the refractive index of the optical fiber Bragg grating 50 may be sensitive to changes in temperature. The sensitivity of the refractive index of some optical fibers is on the order of 10 picometers per Kelvin (pm/K). Depending on the configuration (e.g. geometry, CTEs of the various materials, sensitivity of the refractive index to temperature), the influence of the refractive index change may be dominant. For example, the resultant changes due to refractive index changes have been known to be an order of magnitude greater than the influence of CTE changes.
The true equivalent coefficient of thermal expansion α is generally affected by imperfections and/or non-repeatability of the assembly. For example, the equivalent coefficient of thermal expansion α of an optical fiber sensor may be substantially affected by minute differences in the amount of glue utilized to affect the bond. Accordingly, each of the fiber Bragg gratings 50 in a given strain sensing assembly is generally characterized by its own unique equivalent coefficient of thermal expansion α.
All of these thermal influences are rolled into the equivalent coefficient of thermal expansion α. Moreover, the complexity of the parameter may cause a to be non-linear. Accordingly, it is often preferable to determine the equivalent coefficient of thermal expansion α experimentally, such as by calibration, and for each optical fiber strain sensor in an assembly.
A method for determining the force exerted on the distal portion 30 from the distal fiber Bragg gratings 50 is now described. Consider a manipulator arm 20 having three fiber optic Bragg strain sensors embedded within the distal portion 30, the distal portion 30 being comprised of a polymer, for example liquid crystal polymer (LCP). The total strain may be computed using:
where: r≡time when reference (zero) measurement is set;
t≡time relative to reference time;
λ(i,r)≡reference wavelengths of the three fiber Bragg gratings i≡1-3 at time r;
λ(i,t)≡active wavelengths of the three fiber Bragg gratings i≡1-3 at time t;
ΔL/L(i,t)≡apparent strain of the three fiber Bragg gratings i≡1-3 at time t;
ΔT(t)≡temperature change at time t relative to a reference temperature at time r;
Cϵ≡coefficient of linearity between the reflected wavelength and strain; and
CϵT≡coefficient of temperature compensation of the fiber Bragg gratings.
Where the temperature sensing fiber Bragg grating 197 is implemented to determine ΔT(t), Eqn. (12) may be expressed as
where λ(4,r) and λ(4,t) are, respectively, the reference and active wavelengths from the temperature sensing fiber Bragg grating 197.
In general, the total strain includes a component due to thermal expansion of the deformable body arising from the difference between the measured temperature of the deformable body and a predetermined reference temperature. The elastic strain, which is a function of the applied force, therefore may be calculated using:
where ϵ(i,t) and αi are, respectively, the elastic strain and the equivalent coefficient of thermal expansion of the three fiber Bragg gratings i=1-3 at time t.
Where temperature sensors 52 are provided for each of the trio of distal fiber Bragg gratings 50, the elastic strain may be calculated by:
where T(i,r) are the inferred reference temperature readings of the three fiber Bragg gratings i=1-3 at time r and T(i,t) are the inferred active temperature readings of the three fiber Bragg gratings i=1-3 at time t. Both T(i,r) and T(i,t) may be inferred from the plurality of temperature sensors 52.
The elastic strains are related to the internal forces experienced by the optical fiber sensors as a function of both the physical dimensions of, and the material properties of, the deformable body:
ET≡equivalent tension/compression Young modulus of the catheter;
EF≡equivalent flexural Young modulus of the catheter;
Ix≡moment of inertia of the catheter cross-section about the x-axis;
Iy≡moment of inertia of the catheter cross-section about the y-axis;
N(z,t)≡normal force in the direction of the z-axis at time t;
M(x,t)≡bending moment about the x-axis at time t; and
M(y,t)≡bending moment about the y-axis at time t.
Equation (17) may be rearranged to solve for the internal forces as a function of the elastic strain:
It remains only to relate the internal forces N(z,t), M(x,t) and M(y,t) experienced by the optical fiber sensors to the external contact or reaction forces F exerted on the distal extremity of the end effector 28. These forces are computed based on the positions of the optical fiber sensors from the exterior wall of the deformable body, assuming the deformable body is substantially incompressible:
where: F(x,t)≡lateral touching force parallel to the x-axis at time t (with opposite sense);
Having solved for the normal force F(z,t) and the lateral forces F(x,t) and F(y,t), a normal force Fnorm(t) at time t and a transverse force Ftrans(t) at time t of the touching force vector F may be computed:
An angle γt of incidence of the transverse force Ftrans(t) at time t and relative to the z-axis may be computed from Table I:
Many of the values employed in Eqns. (8) to (18) are related to the material properties of the deformable body or optical fiber sensors, such as the Bragg wavelengths, thermal expansion coefficients and elastic moduli of the deformable body. Other values, such as the distances between the optical fiber sensors and the external surface of the deformable body may be subject to variations as a consequence of the manufacturing process employed.
To ensure the accuracy of the computed force vector, specific information (e.g. calibration and geometric information) for each deformable body may be stored in the storage device 177. Generally, the information may take the form of a data file that is input to the storage device 177. For example, storage device 177 may comprise a memory chip associated with the manipulator 20 in which such information is stored, or a bar code or a RFID tag located on the manipulator arm 20 or the packaging for the manipulator arm 20. Alternatively, data specific to the manipulator arm may be uploaded to storage device 177 from an external computer via an item of removable storage (e.g., CD) or via a secure download from the manufacturer's website.
The information specific to each deformable body may be obtained during a calibration step, conducted during manufacture of the deformable body, by subjecting the manipulator arm 20 to a series of known forces. In this case, the foregoing equations may be collapsed so the normal and transverse forces may be computed directly from a force-to-wavelength conversion matrix:
F(t)=K(λ(t)−λ0) Eqn. (22)
where: F(t) is the vector of forces [F(x,t), F(y,t), F(z,t)];
During the calibration step of manufacture, the deformable body may be subjected to the following forces in series: (1) a purely axial force of known magnitude Fa; (2) a lateral force of known magnitude Fb applied perpendicular to the axial force Fa; and (3) a lateral force of known magnitude Fc applied perpendicular to the axial force Fa and 190 degrees to the orientation of force Fb. When all of the forces Fa, Fb and Fc, and wavelength vectors λ(t) and λ0 are known, the force-to-strain conversion matrix K may be computed as:
The force-to-strain conversion matrix K may be stored in the storage device 177 for access by the microprocessor 176 and associated with the corresponding manipulator arm, as described herein above. Once matrix K is provided for a given manipulator arm, the normal force Fnorm(t), transverse force and angle of application of the transverse force may be computed as described above and using Table I.
The values for the normal force, transverse force and angle of application of the transverse force Ftrans(t), computed as described above, may be output as numerical values, for example to a display monitor. In addition, a graphic including a variable size or colored arrow may be output pointing at a position on the circumference of a circle to visualize the magnitude and direction of the transverse force applied to the distal extremity of the deformable body. By monitoring an active display, the operator may continuously obtain feedback concerning the contact forces applied to the distal extremity of the deformable body.
References to relative terms such as upper and lower, front and back, left and right, or the like, are intended for convenience of description and are not contemplated to limit the invention, or its components, to any specific orientation. All dimensions depicted in the figures may vary with a potential design and the intended use of a specific embodiment of this invention without departing from the scope thereof.
Each of the additional figures and methods disclosed herein may be used separately, or in conjunction with other features and methods, to provide improved devices, systems and methods for making and using the same. Therefore, combinations of features and methods disclosed herein may not be necessary to practice the invention in its broadest sense and are instead disclosed merely to particularly describe representative embodiments of the invention.
For purposes of interpreting the claims for the present invention, it is expressly intended that the provisions of Section 112, sixth paragraph of 35 U.S.C. are not to be invoked unless the specific terms “means for” or “step for” are recited in the subject claim.
The present application is a divisional of application Ser. No. 12/127,657 filed May 27, 2008, which claims the benefit of U.S. Provisional Application No. 60/931,762 filed May 25, 2007, the disclosures of which are hereby incorporated by reference in their entireties. The present application is related to, but does not claim the benefit of, application Ser. No. 11/753,429 filed May 24, 2007 and now issued as U.S. Pat. No. 8,157,789, the disclosure of which is hereby incorporated by reference in its entirety.
Number | Name | Date | Kind |
---|---|---|---|
4757194 | Simms | Jul 1988 | A |
4918492 | Ferdinand et al. | Apr 1990 | A |
4966597 | Cosman | Oct 1990 | A |
4983034 | Spillman et al. | Jan 1991 | A |
5014709 | Bjelkhagen et al. | May 1991 | A |
5018529 | Tenerz et al. | May 1991 | A |
5065010 | Knute et al. | Nov 1991 | A |
5104392 | K1ttrell et al. | Apr 1992 | A |
5122137 | Lennox | Jun 1992 | A |
5174277 | Matsumaru | Dec 1992 | A |
5178153 | Einzig et al. | Jan 1993 | A |
5201317 | Kanazawa et al. | Apr 1993 | A |
5202939 | Belleville et al. | Apr 1993 | A |
5279793 | Glass et al. | Jan 1994 | A |
5289256 | Gramling | Feb 1994 | A |
5321501 | Schuman et al. | Jun 1994 | A |
5321510 | Childers et al. | Jun 1994 | A |
5348019 | Sluss et al. | Sep 1994 | A |
5392117 | Belleville et al. | Feb 1995 | A |
5396887 | Imran | Mar 1995 | A |
5409000 | Imran et al. | Apr 1995 | A |
5423807 | Milder | Jun 1995 | A |
5446546 | Breidenbach et al. | Aug 1995 | A |
5575787 | Abela et al. | Nov 1996 | A |
5594819 | Narendran et al. | Jan 1997 | A |
5622108 | Benedetto et al. | Apr 1997 | A |
5633494 | Danisch et al. | May 1997 | A |
5645065 | Shapiro et al. | Jul 1997 | A |
5688267 | Panescu et al. | Nov 1997 | A |
5693043 | Kittrell et al. | Dec 1997 | A |
5696863 | Kleinerman et al. | Dec 1997 | A |
5769847 | Panescu et al. | Jun 1998 | A |
5772590 | Webster | Jun 1998 | A |
5782828 | Chen et al. | Jul 1998 | A |
5798521 | Froggatt | Aug 1998 | A |
5807265 | Itoigawa et al. | Sep 1998 | A |
5833688 | Sieben et al. | Nov 1998 | A |
5844927 | Kringlebotn et al. | Dec 1998 | A |
5859717 | Scobey et al. | Jan 1999 | A |
5904658 | Niederauer et al. | May 1999 | A |
5906614 | Stern et al. | May 1999 | A |
5967978 | Littmann et al. | Oct 1999 | A |
6039743 | Quiachon et al. | Mar 2000 | A |
6056436 | Singh et al. | May 2000 | A |
6063078 | Wittkampf | May 2000 | A |
6066130 | Gregory et al. | May 2000 | A |
6088088 | Fortenberry et al. | Jul 2000 | A |
6102926 | Tartaglia et al. | Aug 2000 | A |
6113590 | Fischer et al. | Aug 2000 | A |
6113593 | Tu et al. | Sep 2000 | A |
6120476 | Fung et al. | Sep 2000 | A |
6120520 | Saadat et al. | Sep 2000 | A |
6129667 | Dumoulin et al. | Oct 2000 | A |
6133593 | Boos et al. | Oct 2000 | A |
6134003 | Fujimoto et al. | Oct 2000 | A |
6171275 | Webster et al. | Jan 2001 | B1 |
6173091 | Reich et al. | Jan 2001 | B1 |
6175669 | Colston et al. | Jan 2001 | B1 |
6197023 | Muntermann et al. | Mar 2001 | B1 |
6210346 | Hall | Apr 2001 | B1 |
6217574 | Webster et al. | Apr 2001 | B1 |
6226542 | Reisfeld et al. | May 2001 | B1 |
6246898 | Vesely et al. | Jun 2001 | B1 |
6256090 | Chen et al. | Jul 2001 | B1 |
6262822 | Obhi et al. | Jul 2001 | B1 |
6266542 | Stern et al. | Jul 2001 | B1 |
6266551 | Osadchy et al. | Jul 2001 | B1 |
6272371 | Shlomo et al. | Aug 2001 | B1 |
6276215 | Berg et al. | Aug 2001 | B1 |
6310990 | Bellemore et al. | Oct 2001 | B1 |
6324918 | Gitis et al. | Dec 2001 | B1 |
6370412 | Armoundas et al. | Apr 2002 | B1 |
6398778 | Gu et al. | Jun 2002 | B1 |
6425894 | Brucker et al. | Jul 2002 | B1 |
6451009 | Dasilva et al. | Sep 2002 | B1 |
6458123 | Brucker | Oct 2002 | B1 |
6466811 | Hassett et al. | Oct 2002 | B1 |
6470205 | Bosselmann et al. | Oct 2002 | B2 |
6470286 | Watts et al. | Oct 2002 | B1 |
6471710 | Bucholtz et al. | Oct 2002 | B1 |
6546271 | Reisfeld et al. | Apr 2003 | B1 |
6547780 | Sinofsky et al. | Apr 2003 | B1 |
6558378 | Sherman et al. | May 2003 | B2 |
6563970 | Bohnert et al. | May 2003 | B1 |
6572804 | Randall et al. | Jun 2003 | B2 |
6602242 | Fung et al. | Aug 2003 | B1 |
6660001 | Gregory et al. | Dec 2003 | B2 |
6674928 | Johnson et al. | Jan 2004 | B2 |
6695808 | Tom | Feb 2004 | B2 |
6701931 | Sliwa et al. | Mar 2004 | B2 |
6852109 | Winston et al. | Feb 2005 | B2 |
6868195 | Fujita et al. | Mar 2005 | B2 |
6898338 | Kersey et al. | May 2005 | B2 |
6915048 | Kersey et al. | Jul 2005 | B2 |
6947637 | Smith et al. | Sep 2005 | B2 |
6955675 | Jain et al. | Oct 2005 | B2 |
6986769 | Nelson et al. | Jan 2006 | B2 |
7050662 | Behrmann et al. | May 2006 | B2 |
7114938 | Chou et al. | Oct 2006 | B2 |
7173713 | Xu et al. | Feb 2007 | B2 |
7241986 | Wang et al. | Jul 2007 | B2 |
7460964 | Mizota et al. | Dec 2008 | B2 |
7466879 | Tjin et al. | Dec 2008 | B2 |
7491957 | Kitamura et al. | Feb 2009 | B2 |
7903907 | Park et al. | Mar 2011 | B1 |
8048063 | Aeby et al. | Nov 2011 | B2 |
8075498 | Leo et al. | Dec 2011 | B2 |
8157789 | Leo et al. | Apr 2012 | B2 |
20010021843 | Bosselmann | Sep 2001 | A1 |
20020041722 | Johnson et al. | Apr 2002 | A1 |
20020041723 | Ronnekleiv | Apr 2002 | A1 |
20020057859 | Walter et al. | May 2002 | A1 |
20020072680 | Schock et al. | Jun 2002 | A1 |
20040082844 | Vardi et al. | Apr 2004 | A1 |
20040165810 | Fujita et al. | Aug 2004 | A1 |
20040206365 | Knowlton et al. | Oct 2004 | A1 |
20040243119 | Lane et al. | Dec 2004 | A1 |
20050062979 | Zhu et al. | Mar 2005 | A1 |
20050085693 | Belson et al. | Apr 2005 | A1 |
20050213870 | Kersey et al. | Sep 2005 | A1 |
20060013523 | Childlers et al. | Jan 2006 | A1 |
20060045408 | Jones et al. | Mar 2006 | A1 |
20060100610 | Wallace et al. | May 2006 | A1 |
20060133715 | Belleville et al. | Jun 2006 | A1 |
20060200049 | Leo et al. | Sep 2006 | A1 |
20060263002 | Pocha et al. | Nov 2006 | A1 |
20070014490 | Silverbrook et al. | Jan 2007 | A1 |
20070041019 | Schmidt et al. | Feb 2007 | A1 |
20070043338 | Moll et al. | Feb 2007 | A1 |
20070060847 | Leo | Mar 2007 | A1 |
20070065077 | Childers et al. | Mar 2007 | A1 |
20070151390 | Blumenkranz et al. | Jul 2007 | A1 |
20070151391 | Larkin et al. | Jul 2007 | A1 |
20070156019 | Larkin et al. | Jul 2007 | A1 |
20070265503 | Schlesinger et al. | Nov 2007 | A1 |
20080009750 | Aeby et al. | Jan 2008 | A1 |
20080294144 | Leo et al. | Nov 2008 | A1 |
20090138007 | Govari et al. | May 2009 | A1 |
20090177095 | Aeby et al. | Jul 2009 | A1 |
20090287092 | Leo et al. | Nov 2009 | A1 |
20090306643 | Pappone et al. | Dec 2009 | A1 |
20090306650 | Govari et al. | Dec 2009 | A1 |
20100063478 | Selkee et al. | Mar 2010 | A1 |
20100087835 | Blumenkranz et al. | Apr 2010 | A1 |
20100094163 | Deladi et al. | Apr 2010 | A1 |
20100328675 | Bertholds et al. | Dec 2010 | A1 |
20110087112 | Leo et al. | Apr 2011 | A1 |
20120078138 | Leo et al. | Mar 2012 | A1 |
20120265102 | Leo et al. | Oct 2012 | A1 |
Number | Date | Country |
---|---|---|
3020785 | Dec 1981 | DE |
3828550 | Mar 1990 | DE |
0281405 | Sep 1988 | EP |
0934728 | Aug 1999 | EP |
1909650 | Apr 2006 | EP |
1858401 | Nov 2007 | EP |
2047797 | Apr 2014 | EP |
09297078 | Nov 1997 | JP |
10137200 | May 1998 | JP |
2000227367 | Aug 2000 | JP |
2004251779 | Sep 2004 | JP |
9729878 | Aug 1997 | WO |
199732182 | Sep 1997 | WO |
9738637 | Oct 1997 | WO |
9819044 | May 1998 | WO |
9945994 | Sep 1999 | WO |
0133165 | May 2001 | WO |
0174252 | Oct 2001 | WO |
0219898 | Mar 2002 | WO |
0219903 | Mar 2002 | WO |
0223148 | Mar 2002 | WO |
0247751 | Jun 2002 | WO |
2004002303 | Jan 2004 | WO |
2005059510 | Jun 2005 | WO |
2006092707 | Sep 2006 | WO |
2007015139 | Apr 2007 | WO |
2007050960 | May 2007 | WO |
2007111737 | Oct 2007 | WO |
2008000246 | Jan 2008 | WO |
2008003307 | Jan 2008 | WO |
2008045958 | Apr 2008 | WO |
2009114955 | Sep 2009 | WO |
Entry |
---|
Brown, “Development of Biollouin Scattering Based Distributed Fiber-Optic Strain Sensor”, The University of New Brunswick, 2001. 2 pgs. |
Calkins, et al., “HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations of Personnel, Policy, Procedures and Follow-up”, Eurospace (2007) 9, 335-379. |
Cappato, et al., “Worldwide Survey on the Methods, Efficacy, and Safety of Catheter Ablation for Human Atrial Fibrillation”, Journal of the American Heart Association, 2005, 7 pgs. |
Peirs, et al., “A micro optical force sensor for force feedback during minimally invasive robotic surgery”, Sensors and Actuators A 115, 2004, 447-455. |
Del Villar, et al., “Optimization of Sensitivity in Long Period Fiber Gratings with Overlay Deposition”, Optic Express, vol. 13, No. 1, Jan. 10, 2005, 56-69. |
Dickmann, “Experiment 03, Fabry Perot Resonator”, 2003, 1-19. |
Dupont, “DuPont Zenite LCP liquid crystal polymer resin”, Product and Property Guide, K-15415, May 2006. 35 pgs. |
Erdemir, et al., “Fiberoptic Measurement of Tendon Forces is Influenced by Skin Movement Artifact”, Journal of Biomechanics, vol. 36, No. 3, 449-455, Mar. 2003. |
Rao, “Recent progress in applications of in-fibre Bragg grating sensors”, Optics and Lasers in Engineering Elseiver UK, vol. 31, No. 4, Apr. 1999, 297-324. |
Schmidt, et al., “Fiber-Optic Extrinsic Fabry-Perot Interoferometer Strain Sensor with <50 pm Displacement Resolution Using Three-Wavelength Digital Phase Demodulation”, Optic Express, vol. 8, No. 8, Apr. 9, 2001, 475-480. |
Shah, et al., “Evaluation of a New Catheter Sensor for Reel-Time Measurement of Tissue Contact”, Heart Rhythm Society, vol. 3, Issue 5 (Supplement), S75-576, AB36-6, May 2006, 1 pg. |
Van Uffelen, et al. “Anchoring points for fibre optic strain sensors”. Optical Techniques for Smart Structures and Structural Monitoring. 1 pg. Feb. 17, 1997. |
Xiao, et al. “Fiber optic pressure sensor with self-compensation capability for harsh environment applications”. Optical Engineering 44(5), 054-403, XP-002527158. May 2005. 10 pgs. |
Fearn, et al., “An Optical Transducer for Single Myofibril Force Measurement”, IEEE Transaction on Biomedical Engineering, vol. 40, No. 11, 1993, 1127-1132. |
FISO, “FOS-N Strain Sensor”, FISO Technologies Inc. Canada, 2006, 2 pgs. fl. |
Fuster, et al., “ACC/AHA/ESC 2006 Guidelines for the Management of Patents with Atrial Fibrillation”, Circulation Journal of the American Heart Association, 2006, e319-e321. |
Hasin, et al., “Miniature Force Transducer for Myocardial Stimulation and Local Tension Measurements”, IEEE Transactions on Biomedical Engineering, vol. BME-26, No. 2, Feb. 1979, 104-105. |
Inaudi, “Application of optical fiber sensor in civil structural monitoring”, Proceedings of the SPIE—The International Society for Optical Engineering SPIE-INT. SOC. OPT. ENG USA, vol. 4328, 2001, 1-10. |
International Search Report, International Application No. PCT/IB2010/000021, dated May 27, 2010. 4 pgs. |
Yokoyama, et al. “Novel Radiofrequency Ablation Catheter with Contact Force Sensor Predicts Lesion Size and Incidence of Steam Pop in Canine Model”. Heart Rhythm Society, vol. 4, Issue 5 (Supplement), S340-S341, P05-106. 1 pg. May 2007. |
Zhang, et al. “On SDM/WDM FBG Sensor Net for Shape Detection of Endoscope”.Proceedings of the IEEE, International Conference on Mechatronics and Automation, Niagra Falls, Canada. Jul. 2005. pp. 1986-1991. |
Meller, “Extrinsic Fabry-Perot Interferometer System Using Wavelength Modulated Source”, Dec. 1996, 57 pgs. |
Komi, et al., “Optic Fibre as a Transducer of Tendomuscular Forces”, European Journal of Applied Physiology and Occupational Physiology, Vo. 72, No. 3, 1996, 278-280. |
Lo, “Using in-fiber Bragg-grating sensors for measuring axial strain and temperature simultaneously on surfaces of structures”, Optical Engineering, vol. 37, Aug. 1998, 2272-2276. |
Luna Innovations, “EFPI Techniques for Strain and Displacement Sensing”, Rec. C, Aug. 1999, 6 pgs. |
Luna Innovations, “Fiber Optic Bragg Grating Sensor”, www.lunainnovations.com/products/shape.asp, Aug. 2005, 18 pgs. |
International Search Report for PCT Application No. PCT/IB2009/051967, dated Mar. 16, 2010, 1 pg. |
International Search Report for PCT Application No. PCT/IB2008/002675, dated May 25, 2009, 2 pgs. |
“Endosense achieves ISO 13485 certification”, Aug. 12, 2008, 1 pg. |
“Endosense launches TOCCATA clinical study”, Multi-center European Safety Study on Groundbreaking Technology for the Treatment of Atrial Arrhythmias, Oct. 7, 2008, 1 pg. |
“Endosense receives CE mark for Tacticath force-sensing ablation catheter”, May 4, 2009, 1 pg. |
“Endosense unveils five groundbreaking abstracts on contact force measurement for catheter ablation”, May 13, 2008, 1 pg. |
“European Office Action for EP Application No. 06795186.3”, dated Nov. 25, 2010, 5 pgs. |
“European Office Action for EP Application No. 09746251.9, dated Jan. 24, 2012”, Jan. 24, 2012, 4 pgs. |
“IntelliSense Fine Force Technology”, Hansen Medical (website) http://www.hansenmedical.com/products/intellisense.aspx, Sep. 22, 2009, 1 pg. |
ISR and Written Opinion For International Application No. PCT/US2012/033791, dated Aug. 13, 2012. 4 pgs. |
Natale, et al., “Venice Chart International Consensus Document on Atrial Fibrillation Ablation”, Journal of Cardiovascular Electrophysiology, vol. 18, No. 5, 2007, 560-580. |
Paris-Seely, et al., “A Compliance-Independent Pressure Transducer for Biomedical Device-Tissue Interfacesm”, Biomedical Instrumentation & Technology, vol. 34, No. 6, Nov.-Dec. 2000, 423-31. |
“Precision Photonics Corporation”, Basic Physics and Design of Etalons, 2003, 1-5. |
“Sensei X Robotic Catheter System for Electrophysiology Procedures”, MedGadget, Sep. 18, 2009, 4 pgs. |
“The Unique Force Sensor Ablation Catheter”, www.endosense.com/site/product.htm, Mar. 14, 2007, 1 pg. |
Barb, et al., “Versatile, High-Speed Force Transducer Using a Laser Diode Beam as an Optical Lever”, Journal of Applied Physiology, vol. 88, No. 1, 2000, 308-314. |
Barrett, et al., “Extrinsic Fabry-Perot Interometer for Measuring the Stiffness of Ailiary Bundles of Hair Cells”, IEEE Transactions on Biomedical Engineering, vol. 46. No. 3, Mar. 1999, 331-339. |
Number | Date | Country | |
---|---|---|---|
60931762 | May 2007 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 12127657 | May 2008 | US |
Child | 14147859 | US |