The present disclosure generally relates to a flexible circuit device bearing a coil, the coil having a non-ferrous core. More particularly, but not exclusively, the present disclosure relates to a coil structure having, for example, an air core, which is arranged at one end of a flexible circuit, which can be used to track a medical instrument advanced within a body of a patient.
In many medical procedures, a medical practitioner accesses an internal cavity of a patient using a medical instrument. In some cases, the medical practitioner accesses the internal cavity for diagnostic purposes. In other cases, the practitioner accesses the cavity to provide treatment. In still other cases, different therapy is provided.
Due to the sensitivity of internal tissues of a patient's body, incorrectly positioning the medical instrument within the body can cause great harm. Accordingly, it is beneficial to be able to precisely track the position of the medical instrument within the patient's body. However, accurately tracking the position of the medical instrument within the body can be quite difficult. The difficulties are amplified when the medical instrument is placed deep within the body of a large patient.
One example of technology to track a medical device in the body of a patient is U.S. patent application Ser. No. 15/911,006 to King, which is entitled FLEXIBLE CIRCUIT BEARING A TRACKABLE LOW-FREQUENCY ELECTROMAGNETIC COIL, and which is incorporated herein by reference to the fullest extent allowed by law.
All of the subject matter discussed in the Background section is not necessarily prior art and should not be assumed to be prior art merely as a result of its discussion in the Background section. Along these lines, any recognition of problems in the prior art discussed in the Background section or associated with such subject matter should not be treated as prior art unless expressly stated to be prior art. Instead, the discussion of any subject matter in the Background section should be treated as part of the inventor's approach to the particular problem, which, in and of itself, may also be inventive.
The use of known technology to track a medical device within the body of the patient is improved when the tracking device is a flexible circuit device bearing a coil that has a non-ferrous core. The device may be easier to manufacture, less expensive to manufacture, smaller, lighter, less visible to certain imaging technologies, and also imbued with various other desirable features.
In a first embodiment, an electromagnetic coil device includes a non-ferrous core having a substantially cylindrical shape and an insulated conductive medium arranged as a plurality of windings coiled around the non-ferrous core. The insulated conductive medium includes a conductive medium encased within an insulating medium. The plurality of windings includes a first portion of windings and a second portion of windings separated by a third portion of windings. The insulating medium has at least one breakdown characteristic that permits shorting between individual conductors of the conductive medium in the first and second portions of windings thereby creating a first conductor region and a second conductor region electrically separated by the third portion of windings.
In at least some cases of the first embodiment, the electromagnetic coil device includes a flexible printed circuit having a length and a width. In these cases, the length is at least twenty times the width. The flexible printed circuit includes a first conductive trace running substantially along the length of the flexible printed circuit and a second conductive trace running substantially along the length of the flexible printed circuit. The first conductive trace has a first end electrically coupled to the first conductor region, and the second conductive trace has a first end electrically coupled to the second conductor region.
In at least some cases of the first embodiment, the breakdown characteristic is a melting point that is below a temperature of liquid solder, and the electrical coupling of the first and second portions to the first and second conductor regions, respectively, is via a solder connection. In these or in some other cases, the breakdown characteristic is a chemical composition that permits separation of the insulating medium from the conductive medium via a chemical reaction, or the breakdown characteristic is a tensile composition that permits separation of the insulating medium from the conductive medium via ultrasound.
In some cases of the first embodiment, the third portion of windings is a multi-layer portion of windings. In these or some other cases, the third portion of windings has a pitch of about 30 to 60 degrees off of an axis of the non-ferrous core. In some cases, the first, second, and third portions of windings form a continuous set of windings, and in some cases, the first portion of windings are electrically coupled to a first end of the third portion of windings via a first conductive conduit, and the second portion of windings are electrically coupled to a second end of the third portion of windings via a second conductive conduit.
In some cases, the third portion of windings has a linear length of between about 0.006 inches and 0.125 inches. In some cases, the third portion of windings has an outside diameter of between about 0.0025 inches and two (2) inches in linear length. In some cases the non-ferrous core is a hollow core. And in some cases, the non-ferrous core is a ceramic core, a resin core, or a glass core.
In a second embodiment, a method of operating a medical device includes passing a distal end of the medical device into a body of a patient while a proximal end of the medical device remains outside the body of the patient. The distal end of the medical device includes a non-ferrous core having a substantially cylindrical shape and an insulated conductive medium arranged as a plurality of windings coiled around the non-ferrous core. The insulated conductive medium includes a conductive medium encased within an insulating medium. The plurality of windings include a first portion of windings and a second portion of windings separated by a third portion of windings. And the insulating medium has at least one breakdown characteristic that permits shorting between individual conductors of the conductive medium in the first and second portions of windings thereby creating a first conductor region and a second conductor region electrically separated by the third portion of windings. The method also includes generating an excitation signal from a current induced in the third portion of windings arranged at the distal end of the medical device by an electromagnetic field, and operating ancillary circuitry arranged at the proximal end of the medical device to detect the excitation signal generated in the third portion of windings. The excitation signal is passed via first and second conductive traces running substantially along a length of a flexible printed circuit. The first conductor region is electrically coupled to a first end of the first conductive trace and the second conductor region is electrically coupled to a first end of the second conductive trace.
In some cases of the second embodiment, based at least in part on the detected excitation signal, the method also includes generating a representation of the distal end of the medical device in the body of the patient and communicating the representation of the distal end of the medical device in the body of the patient to a presentation system. In some of these cases, the method includes advancing the distal end of the medical device further into the body of the patient and tracking the distal end of the medical device as it advances into the body of the patient. What's more, in some cases, passing the distal end of the medical device into the body of the patient includes passing the passing the distal end of the medical device through a lumen of a catheter.
In a third embodiment, a method of manufacturing a medical device includes providing a non-ferrous core having a substantially cylindrical shape and winding an insulated conductive medium around the non-ferrous core a plurality of times. The insulated conductive medium includes a conductive medium encased within an insulating medium. The winding creates a first portion of windings and a second portion of windings separated by a third portion of windings. The method further includes creating a first breakdown condition to exceed a breakdown characteristic of the insulating medium that shorts together individual conductors of the conductive medium in the first portion of windings thereby creating a first conductor region. And the method includes creating a second breakdown condition to exceed the breakdown characteristic of the insulating medium that shorts together individual conductors of the conductive medium in the second portion of windings thereby creating a second conductor region.
In some cases, the method of the third embodiment includes providing a flexible printed circuit having a length and a width, wherein the length is at least twenty times the width. The flexible printed circuit includes first and second conductive traces running substantially along the length of the flexible printed circuit. The method also includes electrically coupling a first end of the first conductive trace to the first conductor region and electrically coupling a first end of the second conductive trace to the second conductor region.
In these or other cases of the third embodiment, creating the first breakdown condition includes soldering the first end of the first conductive trace to the first conductor region and creating the second breakdown condition includes soldering the first end of the second conductive trace to the second conductor region. In some cases, winding the insulated conductive medium around the non-ferrous core the plurality of times includes winding the insulated conductive medium in a plurality of layers.
This Brief Summary has been provided to introduce certain concepts in a simplified form that are further described in detail below in the Detailed
Description. Except where otherwise expressly stated, the Brief Summary does not identify key or essential features of the claimed subject matter, nor is it intended to limit the scope of the claimed subject matter.
Non-limiting and non-exhaustive embodiments are described with reference to the following drawings, wherein like labels refer to like parts throughout the various views unless otherwise specified. The sizes and relative positions of elements in the drawings are not necessarily drawn to scale. For example, the shapes of various elements are selected, enlarged, and positioned to improve drawing legibility. The particular shapes of the elements as drawn have been selected for ease of recognition in the drawings. One or more embodiments are described hereinafter with reference to the accompanying drawings in which:
In the following description, certain specific details are set forth in order to provide a thorough understanding of various disclosed embodiments. However, one skilled in the relevant art will recognize that embodiments may be practiced without one or more of these specific details, or with other methods, components, materials, etc. Also in these instances, well-known structures may be omitted or shown and described in reduced detail to avoid unnecessarily obscuring descriptions of the embodiments.
The present invention may be understood more readily by reference to this detailed description of the invention. The terminology used herein is for the purpose of describing specific embodiments only and is not limiting to the claims unless a court or accepted body of competent jurisdiction determines that such terminology is limiting. Unless specifically defined herein, the terminology used herein is to be given its traditional meaning as known in the relevant art.
In many medical situations, it is desirable to penetrate the solid or semi-solid biological matter of a patient's body, and guide a medical instrument to a precise location. For example, one common medical practice involves diagnosis and therapy of a tumor in a patient's body. Another common medical practice involves accurately placing a flexible catheter in a patient's body. When a portion of the medical instrument (e.g., the flexible catheter) that will penetrate and pass into the patient's body has at least one electromagnet coil structure, and when an excitation signal is induced within the electromagnet coil structure, then the electromagnet coil structure will be trackable to a precise location within the body of the patient.
An electromagnetic field (EMF) generator is operated by a medical practitioner proximal to the body of the patient. In some cases, the medical practitioner places the EMF generator directly in contact with the body of the patient. In some cases, the medical practitioner will attempt to place the EMF generator adjacent to the portion of the patient's body where the electromagnet coil structure is believed to be. In still other cases, the EMF generator is placed in another location in proximity to the patient.
Induction coils in the EMF generator produce electromagnetic fields having known characteristics. The electromagnetic fields induce corresponding excitation signals in the electromagnet coil structure integrated with the medical instrument. The induced excitation signals have measurable current and voltage parameters, which are inversely proportional to the cube of the distance from electromagnetic source. By this relationship, the excitation signals may be measured with ancillary detection circuitry coupled to the electromagnetic coil structure. The changing values representative of the excitation signal are then computationally processed to determine the electromagnet coil structure's location and movement in three dimensional space to an acceptably accurate precision (e.g., within 0.5 millimeters (mm), within 1 mm, within 2 mm, or within some other acceptable distance based on the medical procedure being performed).
The EMF generator may include any number of electromagnetic transmitters to create variable magnetic fields. The variable magnetic fields are created in any desirable way from source signals of various voltages, currents, frequencies, phases, encodings, or other characteristics. As the electromagnet coil structure moves through the variable magnetic fields, the induced excitation signal will change in a detectably corresponding manner.
In some cases, the EMF generator includes three electromagnetic transmitters placed in an equilateral triangle formation, and the EMF generator is substantially located along a midsagittal plane of the area of interest. Such a formation permits the electromagnet coil structure to produce excitation signals suitable for determining the location and movement of the medical instrument in two dimensions.
In other cases, the EMF generator includes at least two sets of three electromagnetic transmitters (i.e., at least six transmitters total) arranged equidistant from each other, and with right angles between them. In this configuration, two electromagnetic coil structures are employed, and at any one time, both of the electromagnet coil structures are never perpendicular to more than three of the electromagnetic transmitters. From this configuration, the excitation signals generated by the electromagnetic coil structure can be used to computationally triangulate the location and orientation of the medical instrument in up to six degrees of freedom (i.e., three dimensional Cartesian coordinates and three axes of rotation).
The electromagnet coil structure can be represented as a dipole with five degrees of freedom (i.e., three dimensional Cartesian coordinates and two angles, which represent the angular alignment of the dipole relative to the electromagnetic transmitter that induced the excitation signal). When the dipole is perpendicular to an electromagnetic transmitter, no excitation signal is generated because the varying magnetic field cancels itself out. Orthogonal placement of three (3) electromagnetic field generators allows for calculation of the position of a single coil electromagnetic coil structure with five (5) degrees of freedom (DOF). A second, non-symmetric, electromagnetic coil structure in this field arrangement allows for calculation of the position and orientation with six (6) DOF. The parameters of the excitation signal measured in detection circuitry that is electrically coupled to the electromagnet coil structures changes as a function of the varying distance and angle between electromagnet coil structures and the axis of each transmitter. The measured parameters are then used to calculate the distance between each electromagnetic transmitter and the electromagnet coil structures. Values (e.g., changes in voltage, current, or voltage and current) for six equations are provided by the detection circuitry, and these are used to calculate the Cartesian coordinates and the bi-angular position of the electromagnet coil structure.
A presentation system includes one or more of a video display, an audio input/output system, a tactile feedback system, or some other presentation mechanism. The presentation system may further include one or more user input interfaces for keyboards, mice, touch screens, buttons, dials, and other like controls. The presentation system may be arranged to provide input information, to receive output information, or to both provide and receive information to or from, as the case may be, any one or more of an electromagnetic field (EMF) generator, control circuitry, detection circuitry, and the like. In some cases, the presentation system 8 is embodied as an ultrasound device, a fluoroscopy device, a magnetic resonance imaging (MRI) device, a computed tomography (CT) device, a computer-assisted surgery device, an augmented reality device, a mobile device (e.g., smartphone, tablet, or the like), or some other medical device.
Embodiments of the presentation system are used to present information representing the position and orientation of the medical instrument by receiving and processing magnetic field information. Magnetic field information is produced when the excitation signal is detected by the electromagnet coil structure. The electromagnet coil structure is tracked as the medical instrument (e.g., flexible catheter) is advanced through the body of the patient. The medical instrument does not need to follow a straight line or any specific pattern in order to be tracked.
In one embodiment, the medical instrument 10 is a medical device configured to be introduced, either partially or wholly, into the body of a patient in conjunction with a medical procedure. The patient may be a human patient or a non-human patient.
In many cases, the electromagnet coil structure 4 and the flexible printed circuit 2 are integrated with the medical instrument 10. For example, when the medical instrument 10 includes or is a stylet, the electromagnet coil structure 4 and at least a portion of the flexible printed circuit 2 may be formed as part of the stylet.
In many medical procedures, it can be very advantageous to accurately track the position of the medical instrument 10 within the body of the patient. For example, if the medical instrument 10 is delivering fluid to a particular part of the patient's body, then it can be very advantageous to accurately track the position of medical instrument 10 to provide confidence to a medical practitioner that the medical instrument is in the correct position for fluid delivery. In some particularly sensitive medical procedures, knowing the exact position of the medical instrument 10 with substantial certainty can improve the well-being of the patient during a medical procedure.
The EMF generator 6 includes any number of electromagnetic field transmitters that generate a respective magnetic field. The generated magnetic field has characteristics that correspond to a controllable drive signal. The controllable drive signal in
The electromagnet coil structure 4 enables tracking of the position of the medical instrument 10. When a current is induced in the EMF detection coil 14, a detectable excitation signal is generated. The excitation signal is representative of the magnetic field generated by the EMF generator 6.
The excitation signal generated by the EMF detection coil 14 is passed through the flexible printed circuit 2 via metal traces 12 to the control circuit 18. The control circuit 18 includes detection circuitry arranged to detect parameters of the excitation signal that represent characteristics of the magnetic field such as field strength and direction. The field strength is inversely proportional to the cube of the distance between the electromagnetic transmitter of the EMF generator 6 and the EMF detection coil 14. Using the parameter values provided by the detection circuitry, the control circuit 18 generates position information of the medical instrument 10, which may include any one or more of location information (e.g., two-dimensional position, three-dimensional position, or the like), orientation, motion, and other location-based information. The position information may then be communicated to a presentation system 8, a database, or any other structure.
In one embodiment, the control circuit 18 both drives a signal to the EMF generator 6 and calculates location-based information (e.g., position, orientation, motion, and the like) of the medical instrument 10. The control circuit 18 receives one or more excitation signals from the medical instrument 10 and analyzes the one or more excitation signals. The control circuit 18 generates the location-based information, such as the position of the medical instrument 10, based on the one or more excitation signals.
In some embodiments, the control circuit 18 may be separate from the medical instrument 10. In other embodiments, the control circuit 18 may be integrated into the medical instrument 10.
In some embodiments, the control circuit 18 may be separate from the EMF generator 6. In other embodiments, the control circuit 18 may be integrated into the EMF generator 6.
In one embodiment the control circuit 18 executes particular algorithms to identify and track the position of the medical instrument 10 in three dimensions and the orientation of medical instrument 10 relative to a reference point, based on the position of the electromagnet coil structure 4. In these and other cases, tracking the position of the medical instrument 10 includes integrating current and historical position data in order to predict one or more future positions of the medical instrument 10.
It can be difficult to accurately track the position of the medical instrument 10 within the body of the patient as the medical instrument 10 is positioned deeper within the body of the patient. In larger patients, the problem can be exacerbated because the medical instrument 10 may need to travel deeper below the skin of the patient in order to reach particular areas of the body in accordance with various medical procedures. It can be difficult to generate a magnetic field with sufficient strength and stability to allow reliable tracking of the medical instrument 10. This problem can be compounded by the fact that in many circumstances it is more desirable to have an EMF detection coil 14 and a core 16 that are relatively small, in order to reduce disruption of body tissues as the medical instrument 10 is introduced into the body of the patient. As the dimensions of the conductive coil 14 are reduced, it can be difficult to generate sufficiently strong and acceptably stable excitation signals. Furthermore, interference from the Earth's magnetic field, from other medical and non-medical equipment that may be positioned in or near the patient's body, and from the medical instrument 10 itself can make it difficult to accurately calculate the position of the medical instrument 10 within the body of the patient.
In one embodiment, in order to enable more accurate tracking of the medical instrument 10 deep within the body of a patient, the control circuit 18 drives the EMF generator with a low frequency drive signal instead of a DC signal or a high-frequency drive signal. The low-frequency drive signal causes a current to be passed through an electromagnetic transmitter. As the direction and magnitude of the current change, the parameters of the magnetic field generated by the electromagnetic transmitter also change. The magnetic field generated by the electromagnetic transmitter has particular characteristics based in part on the waveform of the drive signal. These particular oscillating characteristics can enable the detection circuitry coupled to the EMF detection coil 14 to distinguish the magnetic field generated by the EMF generator 6 from noise, interference, and/or other magnetic fields. In this way, the control circuit 18 can track the position of the medical instrument 10 with acceptable accuracy, even when the medical instrument 10 is deep within the body of the patient.
The control circuit 18 may drive the EMF generator 6 with a drive signal of any frequency or a plurality of frequencies. In one embodiment, the control circuit 18 drives the EMF generator 6 with a drive signal having a frequency of 1000 Hz to 100,000 Hz. The excitation may be selected specifically to avoid AC line related components, which might occur at a multiple of a line frequency. For example, 3000 Hz, which is a multiple of both 50 Hz and 60 Hz—two common line frequencies in Europe and the U.S., respectively—may provide strong magnetic returns, but the strong magnetic returns may also have measurable harmonic components associated with the AC line frequency.
The control circuit 18 has been described as driving the EMF generator 6 with a drive signal. The control circuit 18 can accomplish this by directly applying the drive signal to a conductive coil of the EMF generator 6. Alternatively, the control circuit 18 can accomplish this indirectly by controlling a voltage source to apply a voltage to the EMF generator 6 or by controlling a current source to supply a current to the EMF generator 6. Those of skill in the art will recognize, in light of the present disclosure, that the control circuit 18 can apply a drive signal to the EMF generator 6 in many other ways. All such other ways fall within the scope of the present disclosure.
In one embodiment, the presentation system 8 displays a visual representation of the position of the medical instrument 10 within the body of the patient. The visual representation of the position of the medical instrument 10 enables medical personnel to accurately know the position of the medical instrument 10 within the body of the patient. This in turn can enable the medical personnel to correctly perform medical procedures on the patient.
In one embodiment, the control circuit 18 generates a video signal, and outputs the video signal to the presentation system 8. The video signal includes a representation of the position of the medical instrument 10 within the body of the patient. The video signal can also include position data that can be displayed on the presentation system 8. The position data can include text that indicates numerical coordinates representing the position, orientation, and motion of the medical instrument 10. The presentation system 8 can display both the visual representation of the position of the medical instrument 10 within the body of the patient and the position data indicating the position of the medical instrument 10 within the body of the patient.
The control circuit 18 may include multiple discrete control circuit portions. The control circuit 18 can include one or more microcontrollers, one or more microprocessors, one or more memory devices, one or more voltage sources, one or more current sources, one or more analog-to-digital converters, one or more digital-to-analog converters, and/or one or more wireless transceivers. One or more of these components can collectively make up the control circuit 18.
The electromagnetic coil structure 104 of
The flexible substrate 102 may comprise a flexible structure (e.g., polymer film, polyimide film, polyester film, plastic film, or the like) laminated or otherwise affixed to a conductive material such as a thin sheet of copper. The conductive material may be etched or otherwise formed to produce first and second conductor regions 110A, 110B, first and second conductive traces 112A, 112B, and any other circuit patterns if so desired. The conductive patterns may be formed on one or more sides of the flexible structure (e.g., top-side, bottom-side, inside), and in some cases, the conductive patterns may be layered between insulating flexible structures, shielding structures, and other structures. An overcoat (e.g., insulating, protective polymer) may be formed on the flexible substrate 102 before components are added, after components are added, or before and after components are added.
In some embodiments, the flexible substrate 102 may be polyimide film, though other materials are also contemplated. The flexible substrate 102 may be selected based on any one or more particular properties. A non-limiting, non-exhaustive list of properties includes a resistance to high heat (e.g., greater than 400 degrees Fahrenheit), electrical resistance, dimensional stability, dielectric strength, flexural capability, and durability.
In
The length of coil 114 may be about 25 mils (i.e., 0.0250 inches) to about 4000 mils (i.e., four inches). In other embodiments, coils formed along the lines of coil 114 may be shorter than 25 mils or longer than 4000 mils. In at least one case, coil 114 has a length of about 50 mils. In at least one other case, coil 114 has a length of about two inches.
The outside diameter of coil 114 may be about three mils (i.e., 0.0030 inches) to about 500 mils (i.e., 0.5000 inches). In other embodiments, coils formed along the lines of coil 114 may have smaller outside diameters than three mils or larger outside diameters than 500 mils. In at least one case, coil 114 has an outside diameter of about 6 mils. In at least one other case, coil 114 has an outside diameter of about 250 mils.
The coil 114 of
The outside diameter of non-ferrous core 116 may be about 2.5 mils (i.e., 0.0025 inches) to about 400 mils (i.e., 0.4000 inches). In other embodiments, non-ferrous cores formed along the lines of coil 114 may have smaller outside diameters than 2.5 mils or larger outside diameters than 400 mils. In at least one case, non-ferrous core 116 has an outside diameter of about 5 mils. In at least one other case, non-ferrous core 116 has an outside diameter of about 200 mils.
Coil 114 is realized by winding a conductive medium 120 around a physical core. They physical core may be substantially cylindrical. The physical core may have a circular cross-section, square cross-section, hexagonal cross-section, octagonal cross-section, or a cross-section having any other desirable shape. Even in cases where the physical core has a non-circular cross-section, the physical core may be referred to as substantially cylindrical.
The conductive medium 120 is a ferrous material such as piano wire (e.g., steel wire, copper wire, or the like) encapsulated by an insulating medium. The diameter of conductive medium 120 may be about one mil (i.e., 0.0010 inches) to about 100 mils (i.e., 0.1000 inches). In some embodiments, conductive medium 120 used in coils formed along the lines of coil 114 may have smaller outside diameters than one mil or a larger outside diameter than 100 mils. In at least one case, conductive medium 120 has an outside diameter of about 2 mils. In at least one other case, conductive medium 120 has an outside diameter of about 50 mils. The conductive medium 120 may have a circular cross-section, square cross-section, hexagonal cross-section, octagonal cross-section, rectangular cross-section, or a cross-section having any other desirable shape.
The insulating medium of conductive medium 120 may be selected based on any one or more of its resistance to high heat (e.g., greater than 400 degrees Fahrenheit), electrical resistance, dimensional stability, dielectric strength, flexural capability, and durability. Other reasons for selecting a particular insulating medium for conductive medium 120 are also contemplated. The insulating medium may be a nylon resin, a polymer such as a fluoropolymer or polyimide, a polyvinyl chloride, polyethylene, cross linked polyethylene, or any suitable material.
Each of the reasons for selecting a particular insulating medium may be considered in respect to an associated breakdown condition. One breakdown condition, for example, may be exceeding a particular temperature. If the insulating material is subjected to a temperature that exceeds the insulating medium's resistance to heat, then a breakdown condition occurs, which will cause the insulating medium to fail (e.g., melt, separate, fragment, burn, or the like). Another exemplary breakdown condition may be exceeding a flexural capability. If the insulating material is wound into a too small diameter, then a breakdown condition occurs, which will cause the insulating medium to fail in a different way (e.g., crack, tear, fragment, or the like). Still another breakdown condition is a chemical composition that permits separation of the insulating medium from the conductive medium via a chemical reaction. And yet one more breakdown condition is a tensile composition that permits separation of the insulating medium from the conductive medium via ultrasound or some other like means.
In at least some cases, both the insulating medium and the non-ferrous core 116 may have a set of corresponding breakdown characteristics that occur under different breakdown conditions. For example, the insulating medium and the non-ferrous core 116 may both be selected at least in part based on a resistance to heat. The insulating medium may have a breakdown condition at a first temperature and the non-ferrous core 116 may have a breakdown condition at a second temperature that is higher than the first temperature. Then, when a first breakdown condition (e.g., a soldering temperature) is arranged, the insulating medium breaks down, but because the second breakdown condition (e.g., a temperature higher than the soldering temperature) is avoided, the integrity of the non-ferrous core is maintained without breaking down.
In
Considering embodiments of the structures represented in
When the end of the coil 114 is dipped (e.g., immersed, sunk, submerged, soaked, or the like) in the solder, the high temperature is sufficient to exceed a breakdown condition of the insulating medium of coil windings that are subject to the dipping process and thereby fuse (e.g., electrically short) those coil windings into a large conductor region (e.g., electrical contact area) for that particular end of the coil 114. When these acts are completed for both ends of coil 114, the electromagnetic coil structure 104 is achieved.
In some embodiments, as an alternative or in addition to dipping both ends of the coil 114 into a vessel of molten solder, the flexible circuit device 100 is formed when coil 114 is placed in physical contact with the flexible circuit substrate 102 having the first and second conductor regions 110A, 110B. In these cases, the first portion 106A is heated to a point that creates a breakdown condition (i.e., melting or otherwise breaking down an insulating medium (e.g., encapsulation layer) of the conducting medium (e.g., wire)) and applying an electrically conductive solder to the first portion 106A. When the heat is removed, the solder will harden and thereby fuse the subject coil windings into a permanent electromechanical bond with the first conductive region 110A. Along these lines, the second portion 106B is also formed. That is, the second end of coil 114 is heated to a point that creates the breakdown condition, an electrically conductive solder is applied, and when the heat is removed, the solder will harden and thereby fuse the second portion of coil windings into a permanent electromechanical bond with the second conductive region 110B.
The electromagnetic coil structure 104A is formed by providing a non-ferrous core (e.g., a polyimide tube) having a substantially cylindrical shape, and winding an insulated conductive medium (e.g., magnet wire) around the non-ferrous core a plurality of times. The insulated conductive medium includes a conductive medium encased within an insulating medium, and the winding creates a first portion of windings and a second portion of windings separated by a third portion of windings, which portions will become, respectively, the first portion 106A of windings of electromagnetic coil structure 104, the second portion 106B of windings of electromagnetic coil structure 104, and the third portion 108 of windings of electromagnetic coil structure 104. A first breakdown condition (e.g., a solder-tinning temperature) is created to exceed a breakdown characteristic (e.g., melting point) of the insulating medium, which causes individual conductors of the conductive medium in the first portion of windings to short together thereby creating a first conductor region 106B. And a second breakdown condition is created to exceed the breakdown characteristic (e.g., melting point) of the insulating medium that shorts together individual conductors of the conductive medium in the second portion of windings thereby creating a second conductor region 106B
In at least one embodiment of the electromagnetic coil structure 104A of
In
In
To carry out the medical procedure, the medical practitioner passes a distal end of the flexible circuit device 100 into the body of the patient while the proximal end of the flexible circuit device 100 remains outside of the patient's body. As represented in the figures and description herein, the flexible circuit device 100 includes a non-ferrous core having a substantially cylindrical shape and an insulated conductive medium arranged as a plurality of windings coiled around the non-ferrous core, wherein the insulated conductive medium includes a conductive medium encased within an insulating medium. The plurality of windings includes a first portion of windings and a second portion of windings separated by a third portion of windings. The insulating medium has at least one breakdown characteristic (e.g., a particular temperature threshold) that permits shorting between individual conductors of the conductive medium in the first and second portions of windings when the breakdown characteristic is crossed (e.g., exceeding a melting point of the insulating medium). Crossing the breakdown characteristic at particular ends of the coil windings (i.e., in the first and second portions) creates a first conductor region and a second conductor region electrically separated by the third portion of windings.
The non-ferrous core, together with the plurality of coiled windings, forms an electromagnetic coil structure 104 that is electromechanically coupled to a flexible circuit substrate 102. The flexible substrate has a first conductor region 110A electrically coupled to a first end of a first conductive trace 112A and a second conductor region 110B is electrically coupled to a first end of a second conductive trace 112B.
The medical practitioner may advance the flexible circuit device 100 into the patient's body by passing the device inside the lumen 128 of a catheter 126. As the medical practitioner passes at least a portion of the flexible circuit device 100 into the body of the patient, the medical practitioner causes an electromagnetic field (EMF) generator to generate one or more electromagnetic fields in proximity to the patient. Concurrently, ancillary circuitry arranged at the proximal end of the medical device to be operated and thereby detect an excitation signal through the third portion of windings arranged at the distal end of the flexible circuit device 100. The excitation signal is passed via first and second conductive traces running substantially along the length of the flexible printed circuit. Based at least in part on the detected magnetic field and induced excitation signal, a representation of the distal end of the flexible circuit device 100 in the body of the patient is generated and communicated to a presentation system. In this way, as the distal end of the flexible circuit device 100 is advanced further into the body of the patient, the distal end can be tracked.
A center-line representing a rotational axis of the electromagnetic coil structure 134 is shown in
In
A center-line representing a central axis of the electromagnetic coil structure 144 is shown in
In
The multi-layer coil structure in
In
In
Flexible circuit 102A includes an optional assembly feature, which in
First conductor 110A and second conductor 110B are formed on a first, top surface of the flexible circuit 102A, and third conductor 110C, and fourth conductor 110D, which are represented in dashed lines in
In
The alignment tracks illustrated in
In any of several cases, the first electromagnetic coil structure 174A and the second electromagnetic coil structure 174B are joined to the flexible substrate 102A concurrently, sequentially, consecutively, temporally, or in any desirable way. In some cases, a single one of the electromagnetic coils structures 174A, 174B is affixed to the flexible substrate 102A only, and no other electromagnetic coil structures are attached. In other cases, three or more electromagnetic coil structures are affixed to the flexible substrate 102A.
Also in
A front-side view of the partially formed flexible circuit device shown in
The non-ferrous core 186 of
The flexible circuit 102B of
In
Having now set forth various embodiments, it may further be helpful to an understanding of the invention to set forth some additional definitions of certain terms used herein.
“Medical instrument” refers to a device, instrument, apparatus, constructed element or composition, machine, implement, or similar or related article that can be utilized to diagnose, prevent, treat or manage a disease or other condition(s). For example, medical instruments are used on patients in surgery, preventive care, diagnosis of disease or other condition, treatment, and a wide range of other physiological processes. A medical instrument is a device used in a procedure on the body of a subject (e.g., a patient). Medical instruments include needles, probes, stylets, catheters (e.g., a Peripherally Inserted Central Catheter (PICC)), cannulas, medical tubes, tracheal tubes, rigid tubes, and other such apparatus. Some medical instruments have passages to pass light, fluid, or other therapies. Other medical instruments are solid and pass electricity or mechanical force (e.g., a probe used by a medical practitioner to move or sample a biological mass). Accordingly, in some cases, the medical instrument is a hollow tube-like device. In some cases, the medical instrument is an elongated solid member. In some cases, the medical instrument takes another form.
The medical instrument may be placed through the mouth of the subject or through another of the subject's orifices. Alternatively, the medical instrument may be placed through a surgical incision made by a medical practitioner at some location on the body of the subject. The medical instrument may be placed and moved in other ways. The placement of the medical instrument or a device placed by the medical instrument may be permanent, semi-permanent, or temporary.
The medical instruments provided herein may, depending on the device and the embodiment, be implanted within a subject, utilized to deliver a device to a subject, or utilized externally on a subject. In many embodiments the medical instruments provided herein are sterile and subject to regulatory requirements relating to their sale and use. Representative examples of medical instruments are used in cardio-vascular procedures to implant, for example, cardiovascular devices, implantable cardioverter defibrillators, pacemakers, stents, stent grafts, bypass grafts, catheters and heart valves; they are used in orthopedic procedures to implant, for example, hip and knee prostheses, and spinal implants and hardware (spinal cages, screws, plates, pins, rods and artificial discs); and they are used in a wide variety of procedures that place medical tubes, cosmetic and/or aesthetic implants (e.g., breast implants, fillers). Other representative examples of medical instruments are used to deliver a wide variety of polymers, bone cements, bone fillers, scaffolds, and naturally occurring materials (e.g., heart valves, and grafts from other naturally occurring sources); intrauterine devices; orthopedic hardware (e.g., casts, braces, tensor bandages, external fixation devices, tensors, slings and supports) and internal hardware (e.g., K-wires, pins, screws, plates, and intramedullary devices (e.g., rods and nails)); cochlear implants; dental implants; medical polymers; a wide variety of neurological devices; and artificial intraocular eye lenses. Other uses are also contemplated.
An “electromagnet coil structure” or “electromagnetic coil structure” is a structure that includes one or more devices operable to detect an electromagnetic field. In cases where two or more electromagnet coil structures are formed, some or all of the electromagnet coil structures may be arranged in a determined orientation relative to one or more other electromagnet coil structures. Each electromagnet coil structure is created having a wire-like conductor wound into a coil and a core structure centrally located within the center of the coil. In some cases, two or more electromagnet coil structures may share a core structure. The core structure may be a physical material (e.g., plastic, paper, or the like), or the core structure may be an absence of physical material (e.g., air). For example, a first electromagnet coil structure may be formed by winding a copper-based wire around a ferrous or non-ferrous rod core structure at a first location of the ferrous or non-ferrous rod core structure. In some cases, a second coil of copper-based wire is wound around the ferrous or non-ferrous rod core structure at a second location of the ferrous or non-ferrous rod core structure different from the first location of the ferrous or non-ferrous rod core structure. In some cases, such as cases where the rod core structure is a ferrous rod core structure, the rod core structure is removed prior to deploying the coil or coils that remain.
The “conductive medium” and the “wire-like conductor” of a coil in an electromagnet coil structure may be a wire, a trace manufactured with any type of electronic process (e.g., a semiconductor process, a printed circuit process, and the like), or some other such structure. The conductive medium and the wire-like conductor may have a cross-reference shape that is circumferential, substantially circular, substantially square, octagonal, hexagonal, or having some other cross-section. The conductive medium and the wire-like conductor may be arranged in a coil structure by winding the conductive medium or the wire-like conductor around the core structure. Alternatively, the conductive medium and the wire-like conductor may be arranged in a coil by another process, and the core structure may be later placed centrally in the inner void of the coil. The conductive medium and the wire-like conductor may be formed from copper, a copper alloy, gold, tin, steel, or some other electrically conductive material.
“Contain” in all of its forms refers to one structure being integrated or otherwise located inside another structure. Contain includes encase, enclose, encapsulate, surround, envelop, confine, and other like terms. When a first structure contains a second structure, the containment may be total or partial. For example, a housing may contain an electronic circuit. The housing may have holes, slots, open sides, or other features the allow the some or all of the electronic circuit to be seen without opening or otherwise manipulating the housing. As another example, an insulating jacket may contain a wire, a lumen may contain an electromagnet coil structure, and a conductive coil may contain a non-ferrous-based core structure.
In the present disclosure and the claims appended hereto, a structure described as “substantially cylindrical” includes a cylinder who's volume is defined by Formula 1.
V=πr
2
h (1)
wherein “V” is volume, “r” is radius, and “h” is height.
In addition, objects in the present disclosure that are substantially cylindrical have a length at least twice as long as the diameter, and the cross section of a substantially cylindrical object may be circular, ovular, octagonal, hexagonal, square, triangular, or even a non-symmetrical shape.
In other contexts, where the terms “substantial” or “about” in any grammatical form are used as modifiers in the present disclosure and any appended claims (e.g., to modify a structure, a dimension, a measurement, or some other characteristic), it is understood that the characteristic may vary by up to 30 percent. For example, where a conductive trace extends substantially along the length of a flexible circuit, the conductive trace is at least 30 percent of the length of the flexible circuit. As another example, an electromagnetic coil structure that is about two inches long includes a structure that is exactly two inches long. Different from the exact precision of the term, “two inches,” the use of “about” to modify the characteristic permits a variance of the “two inches” characteristic by up to 30 percent. Accordingly, an electromagnetic coil structure that is “about two inches” long includes devices that are between 1.6 inches long and 2.4 inches long. An electromagnetic coil structure that is 1.5 inches long or less, and an electromagnetic coil structure that is 2.5 inches long or more, however, is not “about two inches” long.
In the present disclosure, conjunctive lists make use of a comma, which may be known as an Oxford comma, a Harvard comma, a serial comma, or another like term. Such lists are intended to connect words, clauses or sentences such that the thing following the comma is also included in the list.
Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise, between the upper and lower limit of that range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.
Unless defined otherwise, the technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention, a limited number of the exemplary methods and materials are described herein.
In the foregoing description, certain specific details are set forth in order to provide a thorough understanding of various disclosed embodiments. However, one skilled in the relevant art will recognize that embodiments may be practiced without one or more of these specific details, or with other methods, components, materials, etc. In other instances, well-known structures associated with electronic and computing systems including client and server computing systems, as well as networks, have not been shown or described in detail to avoid unnecessarily obscuring descriptions of the embodiments.
Unless the context requires otherwise, throughout the specification and claims which follow, the word “comprise” and variations thereof, such as “comprises” and “comprising,” are to be construed in an open, inclusive sense, e.g., “including, but not limited to.”
Reference throughout this specification to “one embodiment” or “an embodiment” and variations thereof means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. Thus, the appearances of the phrases “in one embodiment” or “in an embodiment” in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments.
As used in this specification and the appended claims, the singular forms “a,” “an,” and “the” include plural referents unless the content clearly dictates otherwise. It should also be noted that the term “or” is generally employed in its broadest sense including “and/or” unless the content clearly dictates otherwise.
The headings and Abstract of the Disclosure provided herein are for convenience only and do not interpret the scope or meaning of the embodiments.
The various embodiments described above can be combined to provide further embodiments. These and other changes can be made to the embodiments in light of the above-detailed description. In general, in the following claims, the terms used should not be construed to limit the claims to the specific embodiments disclosed in the specification and the claims, but should be construed to include all possible embodiments along with the full scope of equivalents to which such claims are entitled. Accordingly, the claims are not limited by the disclosure.
Number | Date | Country | |
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62698766 | Jul 2018 | US |