The present disclosure relates to systems, methods, and devices for tracking items. More specifically, the disclosure relates to systems, methods, and devices for electro-magnetically tracking medical devices used in medical procedures.
A variety of systems, methods, and devices can be used to track medical devices. Tracking systems can use generated magnetic fields that are sensed by at least one tracking sensor in the tracked medical device. The generated magnetic fields provide a fixed frame of reference, and the tracking sensor senses the magnetic fields to determine the location and orientation of the sensor in relation to the fixed frame of reference.
In Example 1, a system includes a magnetic field transmitter assembly. The magnetic field transmitter assembly has a housing with a first layer comprising an electrically-conductive material, a second layer comprising an electrically-insulating material, and a third layer comprising an electrically-conductive material. The second layer is positioned between the first layer and the third layer. The magnetic field transmitter assembly also includes a plurality of magnetic field generator assemblies positioned within the housing.
In Example 2, the system of Example 1, wherein the plurality of magnetic field generator assemblies includes a coil and/or a permanent magnet.
In Example 3, the system of any of Examples 1 or 2, wherein each of the plurality of magnetic field generator assemblies includes first and second coil windings in an orthogonal arrangement.
In Example 4, the system of any of Examples 1-3, wherein each of the plurality of magnetic field generator assemblies includes first, second, and third coil windings in an orthogonal arrangement.
In Example 5, the system of any of Examples 1-4, wherein each of the plurality of magnetic field generator assemblies is positioned such that respective magnetic fields generated by the plurality of magnetic field generator assemblies overlap each other.
In Example 6, the system of any of Examples 1-5, wherein coil windings within the plurality of magnetic field generator assemblies are either energized at different periods of time or energized simultaneously at different frequencies from each other.
In Example 7, the system of any of Examples 1-6, wherein the housing includes a fourth layer comprising an electrically-insulating material and a fifth layer comprising an electrically-conductive material, and wherein the fourth layer is positioned between the third layer and the fifth layer.
In Example 8, the system of any of Examples 1-7, wherein the layers of the housing form a skin that substantially covers an exterior of the housing.
In Example 9, the system of any of Examples 1-8, wherein the electrically-conductive material comprises carbon fibers, and wherein the electrically-insulating material comprises para-aramid fibers.
In Example 10, the system of any of Examples 1-9, wherein the layers comprising an electrically-conductive material further comprise an electrically-insulating material.
In Example 11, the system of Example 10, wherein the layers comprising the electrically-conductive material and the electrically-insulating material are arranged such that the electrically-conductive material and the electrically-insulating material are woven together.
In Example 12, the system of any of Examples 1-11, wherein the electrically-conductive material comprises a plurality of fibers extending parallel to each other.
In Example 13, the system of any of Examples 1-12, further comprising a plurality of reference sensors each positioned adjacent to one of the plurality of magnetic field generator assemblies.
In Example 14, the system of any of Examples 1-13, further comprising a magnetic field controller configured to control current applied to the plurality of magnetic field generator assemblies.
In Example 15, the system of any of Examples 1-14, further comprising a signal processor and a receiver, which is coupled to a medical device. The receiver is configured to sense magnetic fields generated by the plurality of magnetic field generator assemblies and generate one or more sensed field signals. The signal processor is configured to receive the sensed field signals and to determine location of the receiver based on phase of the one or more sensed field signals.
In Example 16, a system includes a magnetic field transmitter assembly. The magnetic field transmitter assembly has a housing with a first layer comprising an electrically-conductive material, a second layer comprising an electrically-insulating material, and a third layer comprising an electrically-conductive material. The second layer is positioned between the first layer and the third layer. The magnetic field transmitter assembly further includes a plurality of magnetic field generator assemblies positioned within the housing and configured to generate a plurality of magnetic fields.
In Example 17, the system of Example 16, wherein the plurality of magnetic field generator assemblies includes a coil and/or a permanent magnet.
In Example 18, the system of Example 16, wherein each of the plurality of magnetic field generator assemblies includes first, second, and third coil windings in an orthogonal arrangement.
In Example 19, the system of Example 16, wherein each of the plurality of magnetic field generator assemblies is positioned within the housing such that respective magnetic fields generated by the plurality of magnetic field generator assemblies overlap each other.
In Example 20, the system of Example 16, wherein coil windings within the plurality of magnetic field generator assemblies are either energized at different periods of time or energized simultaneously at different frequencies from each other.
In Example 21, the system of Example 16, wherein the housing includes a fourth layer comprising an electrically-insulating material and a fifth layer comprising an electrically-conductive material, and wherein the fourth layer is positioned between the third layer and the fifth layer.
In Example 22, the system of Example 16, wherein the layers of the housing form a skin that substantially covers an exterior of the housing.
In Example 23, the system of Example 16, wherein the electrically-conductive material comprises carbon fiber, and wherein the electrically-insulating material comprises a para-aramid fiber.
In Example 24, the system of Example 16, wherein the layers comprising an electrically-conductive material further comprise an electrically-insulating material.
In Example 25, the system of Example 24, wherein the layers comprising the electrically-conductive material and the electrically-insulating material are arranged such that the electrically-conductive material and the electrically-insulating material are woven together.
In Example 26, the system of Example 16, wherein the electrically-conductive material comprises a plurality of fibers extending parallel to each other.
In Example 27, the system of Example 16, further comprising a plurality of reference sensors each positioned adjacent to one of the plurality of magnetic field generator assemblies.
In Example 28, the system of Example 16, further comprising a magnetic field controller configured to control current applied to the plurality of magnetic field generator assemblies.
In Example 29, the system of Example 28, further comprising a receiver coupled to a medical device. The receiver is configured to sense magnetic fields generated by the plurality of magnetic field generator assemblies and generate one or more sensed field signals. The system further comprises a signal processor configured to receive the sensed field signals and to determine location of the receiver based on phase of the one or more sensed field signals.
In Example 30, the system of Example 16, wherein the housing assembly comprises a fluorotranslucent material.
In Example 31, the system of Example 16, further comprising a mattress coupled to the housing.
In Example 32, the system of Example 31, wherein the mattress includes a plurality of sections foldable upon each other.
In Example 33, the system of Example 16, further comprising a plurality of adjustable clamp assemblies for coupling the magnetic field transmitter assembly to a table.
In Example 34, the system of Example 16, wherein the housing includes a plurality of protruding structures at or near an outer periphery of the housing.
In Example 35, a magnetic field transmitter assembly includes a housing including means for mitigating magnetic field distortion and a plurality of magnetic field generator assemblies positioned within the housing.
While multiple embodiments are disclosed, still other embodiments of the present invention will become apparent to those skilled in the art from the following detailed description, which shows and describes illustrative embodiments of the invention. Accordingly, the drawings and detailed description are to be regarded as illustrative in nature and not restrictive.
While the invention is amenable to various modifications and alternative forms, specific embodiments have been shown by way of example in the drawings and are described in detail below. The intention, however, is not to limit the invention to the particular embodiments described. On the contrary, the invention is intended to cover all modifications, equivalents, and alternatives falling within the scope of the invention as defined by the appended claims.
During medical procedures, medical devices such as probes (e.g., catheter, imaging probe, diagnostic probe) are inserted into a patient. To track the location and orientation of a probe within the patient, probes can be provisioned with magnetic field sensors that detect various magnetic fields generated by magnetic field generators near the patient. The amplitude and/or phase of the detected magnetic fields can be used to determine location and orientation of the probe. Certain embodiments of the present disclosure are accordingly directed to systems, methods, and devices including magnetic field transmitter assemblies that generate magnetic fields.
The magnetic field generator assemblies may be coil-based (e.g., includes one or more coil windings), and/or permanent-magnet-based—each of which is discussed in more detail below. According to embodiments, one or more magnetic field generator assemblies 106, 108, and 110, are configured to transmit (e.g., radiate) electromagnetic signals, which produce a magnetic field within which a subject 112 is disposed. In
As shown in
The receiver 102 (e.g., magnetic field sensor) (which may include one or more receivers/sensors) may be configured to produce an electrical response to the magnetic field(s) generated by the magnetic field generator assemblies 106, 108, and 110. For example, the receiver 102 may include a magnetic field sensor such as inductive sensing coils and/or various sensing elements such as magneto-resistive (MR) sensing elements (e.g., anisotropic magneto-resistive (AMR) sensing elements, giant magneto-resistive (GMR) sensing elements, tunneling magneto-resistive (TMR) sensing elements, Hall effect sensing elements, colossal magneto-resistive (CMR) sensing elements, extraordinary magneto-resistive (EMR) sensing elements, spin Hall sensing elements, and the like), giant magneto-impedance (GMI) sensing elements, and/or flux-gate sensing elements.
The sensed magnetic field signal may include multiple magnetic field signals, each of which may be processed to extract field components corresponding to one or more magnetic field generator assemblies. The sensed magnetic field signal is communicated to a signal processor 118, which is configured to analyze the sensed magnetic field signal to determine location information corresponding to the receiver 102 (and, thus, the medical device 104). Location information may include any type of information associated with a location and/or position of a medical device 104 such as, for example, location, relative location (e.g., location relative to another device and/or location), position, orientation, velocity, acceleration, and/or the like. As mentioned above, the tracking system 100 can utilize amplitude and/or phase (e.g., differences in phase) of the sensed magnetic field signal to determine location and orientation of the probe.
The tracking system 100 can also include at least one sensor that is configured and arranged to sense the magnetic fields generated by the magnetic field generator assemblies, 106-110. The sensor can be a magnetic sensor (e.g., dual-axis magnetic sensor, tri-axis magnetic sensor) and be positioned at a known reference point in proximity to the magnetic field generator assemblies, 106-110, to act as a reference sensor. For example, one or more sensors can be coupled to the subject's bed, an arm of an x-ray machine, or at other points a known distance from the magnetic field generator assemblies, 106-110. In some embodiments, the at least one sensor is mounted to one of the magnetic field generator assemblies, 106-110.
The medical device 104 may include, for example, a catheter (e.g., a mapping catheter, an ablation catheter, a diagnostic catheter, an introducer), an endoscopic probe or cannula, an implantable medical device (e.g., a control device, a monitoring device, a pacemaker, an implantable cardioverter defibrillator (ICD), a cardiac resynchronization therapy (CRT) device, a CRT-D), guidewire, endoscope, biopsy needle, ultrasound device, reference patch, robot and/or the like. For example, in embodiments, the medical device 104 may include a mapping catheter associated with an anatomical mapping system. The medical device 104 may include any other type of device configured to be at least temporarily disposed within a subject 112. The subject 112 may be a human, a dog, a pig, and/or any other animal having physiological parameters that can be recorded. For example, in embodiments, the subject 112 may be a human patient.
As shown in
The signal processor 118 further includes a location unit 122 configured to determine, based on the sensed field signal (e.g., the phase, amplitude, differences in phase and/or amplitude of the sensed field signal), location information corresponding to the medical device 104. The location unit 122 may be configured to determine location information according to any location-determination technique that uses magnetic navigation. According to various embodiments of the disclosed subject matter, any number of the components depicted in
In embodiments, the computing device 200 includes a bus 210 that, directly and/or indirectly, couples the following devices: a processor 220, a memory 230, an input/output (I/O) port 240, an I/O component 250, and a power supply 260. Any number of additional components, different components, and/or combinations of components may also be included in the computing device 200. The I/O component 250 may include a presentation component configured to present information to a user such as, for example, a display device, a speaker, a printing device, and/or the like, and/or an input component such as, for example, a microphone, a joystick, a satellite dish, a scanner, a printer, a wireless device, a keyboard, a pen, a voice input device, a touch input device, a touch-screen device, an interactive display device, a mouse, and/or the like.
The bus 210 represents what may be one or more busses (such as, for example, an address bus, data bus, or combination thereof). Similarly, in embodiments, the computing device 200 may include a number of processors 220, a number of memory components 230, a number of I/O ports 240, a number of I/O components 250, and/or a number of power supplies 260. Additionally, any number of these components, or combinations thereof, may be distributed and/or duplicated across a number of computing devices. As an example only, the processor 220 may include the signal processor 118, but other suitable configurations are also contemplated to suit different applications.
In embodiments, the memory 230 includes computer-readable media in the form of volatile and/or nonvolatile memory and may be removable, nonremovable, or a combination thereof. Media examples include Random Access Memory (RAM); Read Only Memory (ROM); Electronically Erasable Programmable Read Only Memory (EEPROM); flash memory; optical or holographic media; magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices; data transmissions; and/or any other medium that can be used to store information and can be accessed by a computing device such as, for example, quantum state memory, and/or the like. In embodiments, the memory 230 stores computer-executable instructions 290 for causing the processor 220 to implement aspects of embodiments of system components discussed herein and/or to perform aspects of embodiments of methods and procedures discussed herein.
The computer-executable instructions 290 may include, for example, computer code, machine-useable instructions, and the like such as, for example, program components capable of being executed by one or more processors 220 associated with the computing device 200. Program components may be programmed using any number of different programming environments, including various languages, development kits, frameworks, and/or the like. Some or all of the functionality contemplated herein may also, or alternatively, be implemented in hardware and/or firmware.
The illustrative computing device 200 shown in
As shown in
The magnetic field generator assemblies 304A-D can be electrically coupled to circuitry 318 (e.g., printed circuit boards and associated electrical components) positioned within the housing 302. The circuitry 318 can include memory for storing calibration data and circuitry that transmits electrical signals from a magnetic field controller (e.g., the magnetic field controller 114 of
In certain embodiments, the first coil windings 502A, the second coil windings 502B, and the third coil windings 502C are layered such that some coil windings overlap others. Although
As shown in
The first set of coils 558A, the second set of coils 558B, and the third set of coils 558C are wrapped around the enclosure 552, which houses the subassembly 554 and the magnet 556. Although the enclosure 552 is shown as being cube shaped, the enclosure 552 can be other shapes (e.g., cuboid, sphere, ellipsoid, cylindrical). For simplicity, only a few coil turns are shown as being included in the first, second and third set of coils 558A-C, but each set of coils can include many coils turns. In some embodiments, the sets of coils are wrapped such that the coils substantially cover the enclosure 552. In some embodiments, the sets of coils are wrapped orthogonally with respect to each other. In some embodiments, each set of coils is wrapped in a Helmholtz coil arrangement, which can be referred to as a 3-axis Helmholtz arrangement. For example, as shown in
The magnet 556 can comprise various magnetic materials such as Nd, Fe, Co, Sm, and the like. For example, the magnet 556 can comprise permanent magnetic materials such as NdFeB, SmCo, and the like. In some embodiments, the magnet 556 includes a coating that is coated around the permanent magnetic materials and that has a low coefficient of friction and/or high resistance to wear. For example, the coating can include metal plating (e.g., Ni) surrounding the permanent magnetic materials. In certain embodiments, the magnet 556 is coated with a low-friction plastic material such as polyoxymethylene or polytetrafluoroethylene. The magnet 556 can be a dipole, have a preferred magnetic orientation (represented by an arrow), and have a uniform magnetization throughout the permanent magnetic material within the magnet 556. In some embodiments, the magnet 366 is sphere shaped and has a diameter of 0.25″ to 2″. In some embodiments, the magnet 366 has a diameter of 0.25″ to 1″.
The magnet 556 can be positioned in the subassembly 554, which can form a clam-shell-like enclosure around the magnet 556. The subassembly 554 and the enclosure 552 can comprise non-magnetic materials with low coefficients of friction (e.g., polytetrafluoroethylenes, ceramics). In certain embodiments, the subassembly 554 comprises materials having a low coefficient of friction with respect to the coating of the magnet 556. A lubricant (e.g., oils, waxes, silicone, graphite, fluoropolymers) can be applied to internal surface of the subassembly 554 to reduce friction between the internal surfaces and the magnet 556. During operation, the magnetic field generator assembly 550 may be configured to generate a rotating magnetic field. The rotating magnetic field is generated by rotating the magnet 556. The magnet 556 is rotated by applying and controlling current applied to the coils surrounding the enclosure 552. The applied current generates a magnetic field that, when controlled, causes the magnet 556 to rotate via a controlled torque. The first magnetic field sensor 560A, the second magnetic field sensor 560B, and the third magnetic field sensor 560C can be coupled to the enclosure 552 and be configured to sense the rotating magnetic field generated by the magnet 556. The first, second, and third magnetic field sensor 560A-C can include inductive sensing coils and/or various sensing elements such as MR sensing elements, GMI sensing elements, and/or flux-gate sensing elements.
Referring back to
When energized (e.g., when current is passed through the coil windings of the magnetic field generator assembly), each magnetic field generator assembly 304A-D is configured to generate a magnetic field. The magnetic fields are generated by applying current at particular frequencies and/or at particular time intervals. Using the magnetic field generator assembly 500 of
In certain embodiments, each coil winding is energized sequential one at a time such that only one coil winding of all the windings in the magnetic field transmitter assembly 300 is energized at a given point in time. This sequential energizing can be considered to be a timing-based multiplexing approach. When using a timing-based multiplexing approach, each coil winding can be energized multiple times per second (e.g., 20 times/second, 40 times/second, 60 times/second). In certain embodiments, the current applied to each coil windings has a different frequency. The current frequencies can be 500 Hz to 10 kHz, 500 Hz to 30 kHz, for example, and can differ between magnetic field generator assemblies by approximately 25 Hz to 1 kHz (e.g., 50 Hz, 100 Hz, 500 Hz, and 1 kHz). For example, one coil winding may be energized by a current at a frequency of 800 Hz while another coil winding may be energized by current at 840 Hz while another coil winding may be energized by current at 880 Hz. In this example, the energizing currents differ in frequency by 40 Hz.
In certain embodiments, each coil winding of the magnetic field generator assemblies 304A-D is energized simultaneously but at different frequencies. For example, if each of the four magnetic field generator assemblies includes three sets of coil windings, then the magnetic field transmitter assembly would transmit magnetic fields at twelve different frequencies. Energizing the coil windings at different frequencies can be considered to be a frequency-based multiplexing approach. The current frequencies can be 500 Hz to 10 kHz, 500 Hz to 30 kHz, for example, and can differ between magnetic field transmitter assemblies by approximately 25 Hz to 1 kHz (e.g., 50 Hz, 100 Hz, 500 Hz, and 1 kHz). For example, one coil winding may be energized by a current at a frequency of 800 Hz while another coil winding may be energized by current at 840 Hz while another coil winding may be energized by current at 880 Hz. In this example, the energizing currents differ in frequency by 40 Hz.
The magnetic field generator assemblies 304A-D can be positioned such that their respective generated magnetic fields substantially fill and/or partially overlap each other in a shared magnetic field volume within and above the housing 302. In certain embodiments, the shared magnetic field volume is centrally located within the rectangular arrangement of the magnetic field generator assemblies 304A-D. The shared magnetic field volume should be positioned where the receiver/sensor (e.g., receiver 102 in
One concern with magnetic field transmitter assemblies is the structural rigidity of the magnetic field transmitter assemblies and their ability to maintain predefined dimensions between magnetic field generator assemblies, reference sensors, and other components. Another concern is the weight of magnetic field transmitter assemblies. Although materials such as carbon fiber can provide the type of structural rigidity and weight desired for magnetic field transmitter assemblies, carbon fiber can be electrically conductive. When subjected to a magnetic field (e.g., the magnetic fields generated by the magnetic field generator assemblies 304A-D), electrical conductors such as carbon fiber generate eddy currents, which, in turn, generate magnetic fields themselves. As such, carbon fiber can be a source of magnetic field distortion when used in magnetic field transmitter assemblies. Certain embodiments of the present disclosure accordingly are directed to housing materials and arrangements that help address the concerns listed above, including mitigating magnetic field distortion.
In certain embodiments, the first layer 600, the third layer 604, and the fifth layer 608 comprise an electrically-conductive material such as carbon fiber, which provides structural rigidity and which is lightweight. In certain embodiments, the first layer 600, the third layer 604, and the fifth layer 608 also comprise an electrically-insulating material such as para-aramid fibers. In such embodiments, the electrically-conductive material (e.g., carbon fibers) and the electrically-insulating material (e.g., para-aramid fibers) can be woven together to form individual layers.
In certain embodiments, the second layer 602 is positioned between the first layer 600 and the third layer 604, and the fourth layer 606 is positioned between the third layer 604 and the fifth layer 608. In certain embodiments, the second layer 602 and the fourth layer 606 comprise an electrically-insulating material such as para-aramid fibers.
A multi-layer structure with alternating layers of electrically-conductive and electrically-insulating materials has been found to permit the use of structurally-rigid, lightweight materials such as carbon fiber while mitigating the effects of eddy-current-based magnetic field distortion introduced by carbon fiber. For example, the electrically-insulating material reduces the overall “bulk” volume of the electrically-conductive material. Also, the electrically-insulating material helps interrupt loops of conductive electrically-conductive material that would otherwise exist which, in turn, mitigates the magnitude of generated eddy currents and magnetic fields.
Although five layers are shown in
In certain embodiments, the multi-layer skin 308 is formed by arranging and stacking the various layers (in their fabric state) as discussed above, applying an epoxy to the staked layers of fabric, and then letting the epoxy cure. In certain embodiments, the epoxy is applied to the layers before layers are arranged and stacked. The same epoxy can be used for all of the layers such that the layers are cross-linked. In some embodiments, the multi-layer skin 308 is first formed in sheets and then cut to desired dimensions. The various cut-out parts can be coupled together via non-metallic materials (e.g., epoxies) and/or fasteners to form the exterior shape of the housing 302. In some embodiments, the housing 302 is formed using one or more molds and coupled together using non-metallic materials and/or fasteners. Various components of the housing 302 can be assembled together using non-metallic materials and/or fasteners (e.g., plastic fasteners like clips and screws, epoxies).
The mattress 804 can be removable coupled to the housing 802 and able to transition between an extended state (see
As shown in
Various modifications and additions can be made to the exemplary embodiments discussed without departing from the scope of the present invention. For example, while the embodiments described above refer to particular features, the scope of this invention also includes embodiments having different combinations of features and embodiments that do not include all of the described features. Accordingly, the scope of the present invention is intended to embrace all such alternatives, modifications, and variations as fall within the scope of the claims, together with all equivalents thereof.
This application claims priority to Provisional Application No. 62/693,433, filed Jul. 2, 2018, which is herein incorporated by reference in its entirety.
Number | Date | Country | |
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62693433 | Jul 2018 | US |