WO2005072637B1 - System and method for using sensors to identify an anatomical position - Google Patents

System and method for using sensors to identify an anatomical position

Info

Publication number
WO2005072637B1
WO2005072637B1 PCT/US2005/002495 US2005002495W WO2005072637B1 WO 2005072637 B1 WO2005072637 B1 WO 2005072637B1 US 2005002495 W US2005002495 W US 2005002495W WO 2005072637 B1 WO2005072637 B1 WO 2005072637B1
Authority
WO
WIPO (PCT)
Prior art keywords
lead
temperature values
atrial chamber
coronary sinus
temperature
Prior art date
Application number
PCT/US2005/002495
Other languages
French (fr)
Other versions
WO2005072637A1 (en
Inventor
Rogier Receveur
Vincent Larik
Der Kruck Ron Van
Victor Duysens
Richard P M Houben
Nicolaas M Lokhoff
John C M J Feron
Original Assignee
Medtronic Inc
Rogier Receveur
Vincent Larik
Der Kruck Ron Van
Victor Duysens
Richard P M Houben
Nicolaas M Lokhoff
John C M J Feron
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc, Rogier Receveur, Vincent Larik, Der Kruck Ron Van, Victor Duysens, Richard P M Houben, Nicolaas M Lokhoff, John C M J Feron filed Critical Medtronic Inc
Publication of WO2005072637A1 publication Critical patent/WO2005072637A1/en
Publication of WO2005072637B1 publication Critical patent/WO2005072637B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00088—Temperature using thermistors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00101—Temperature using an array of thermosensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A61B5/0265—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter
    • A61B5/027—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/03—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs
    • A61B5/036—Detecting, measuring or recording fluid pressure within the body other than blood pressure, e.g. cerebral pressure; Measuring pressure in body tissues or organs by means introduced into body tracts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/1459—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters invasive, e.g. introduced into the body by a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for

Abstract

A sensor is provided on a lead and senses various physical parameters that are indicative of a desired anatomical target, such as the coronary sinus. The data from the sensor is used to navigate to the anatomical target and/or confirm that the anatomical target has been reached. In one embodiment, the sensor is a temperature sensor and increased temperature values in and around the coronary sinus are used for navigational purposes.

Claims

AMENDED CLAIMS [received by the International Bureau on 11 August 2005 (11.08.2005); original claim 21 acncelled; remaining claims unchanged (1 page)]
sensing temperature values within the right atrial chamber to determine an averaged value; sensing temperature values within the coronary sinus; comparing the temperature values within the coronary sinus to the averaged temperature value and determining that the lead is within the coronary sinus based upon the comparison.
17. A method of navigating a lead within cardiac anatomy, the method comprising: directing a lead having a temperature sensor into aright atrial chamber; determining an average temperature value for the right atrial chamber; moving the lead about the right atrial chamber to obtain temperature values; and moving the lead towards a targeted area of the right atrial chamber based upon increased temperature values.
18. The method of claim 17, further comprising confirming that the lead has reached the targeted area based upon the increased temperature values.
19. The method of claim 18, wherein data from the temperature sensor is processed to provide audible navigation information.
20. The method of claim 18, wherein data from the temperature sensor is processed to provide graphical navigation information.
PCT/US2005/002495 2004-01-26 2005-01-26 System and method for using sensors to identify an anatomical position WO2005072637A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US53920204P 2004-01-26 2004-01-26
US60/539,202 2004-01-26
US10/781,111 2004-02-18
US10/781,111 US20050165324A1 (en) 2004-01-26 2004-02-18 System and method for using sensors to identify an anatomical position

Publications (2)

Publication Number Publication Date
WO2005072637A1 WO2005072637A1 (en) 2005-08-11
WO2005072637B1 true WO2005072637B1 (en) 2005-10-13

Family

ID=34798923

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/002495 WO2005072637A1 (en) 2004-01-26 2005-01-26 System and method for using sensors to identify an anatomical position

Country Status (2)

Country Link
US (1) US20050165324A1 (en)
WO (1) WO2005072637A1 (en)

Families Citing this family (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7769451B2 (en) * 2005-04-28 2010-08-03 Medtronic, Inc. Method and apparatus for optimizing cardiac resynchronization therapy
US8494608B2 (en) 2008-04-18 2013-07-23 Medtronic, Inc. Method and apparatus for mapping a structure
US8457371B2 (en) 2008-04-18 2013-06-04 Regents Of The University Of Minnesota Method and apparatus for mapping a structure
WO2011053766A1 (en) * 2009-10-30 2011-05-05 Advanced Bionics, Llc Steerable stylet
EP2640457A1 (en) * 2010-11-18 2013-09-25 Cardiac Pacemakers, Inc. Guidewire and signal analyzer for pacing site optimization
DE112014002205T5 (en) * 2013-05-24 2016-02-25 Medyria Ag Flow sensor assembly and method of using a flow sensor assembly
EP4218910A3 (en) 2014-09-04 2023-08-16 Atacor Medical, Inc. Cardiac pacing system
US10328268B2 (en) 2014-09-04 2019-06-25 AtaCor Medical, Inc. Cardiac pacing
US9636505B2 (en) 2014-11-24 2017-05-02 AtaCor Medical, Inc. Cardiac pacing sensing and control
US10743960B2 (en) 2014-09-04 2020-08-18 AtaCor Medical, Inc. Cardiac arrhythmia treatment devices and delivery
US11097109B2 (en) 2014-11-24 2021-08-24 AtaCor Medical, Inc. Cardiac pacing sensing and control
EP3416551B1 (en) * 2016-02-19 2022-10-12 Aegea Medical Inc. Apparatus for determining the integrity of a bodily cavity
WO2019072412A1 (en) * 2017-10-12 2019-04-18 Christoph Miethke Gmbh & Co Kg Pericardium gripper and method for implanting a temporary ventricular assist device
US11471217B2 (en) 2017-12-11 2022-10-18 Covidien Lp Systems, methods, and computer-readable media for improved predictive modeling and navigation
WO2020243534A1 (en) 2019-05-29 2020-12-03 AtaCor Medical, Inc. Implantable electrical leads and associated delivery systems
US11666771B2 (en) 2020-05-29 2023-06-06 AtaCor Medical, Inc. Implantable electrical leads and associated delivery systems

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5385148A (en) * 1993-07-30 1995-01-31 The Regents Of The University Of California Cardiac imaging and ablation catheter
JP3949729B2 (en) * 1997-01-03 2007-07-25 バイオセンス・インコーポレイテッド Shape adaptive catheter
US6024703A (en) * 1997-05-07 2000-02-15 Eclipse Surgical Technologies, Inc. Ultrasound device for axial ranging
US6474341B1 (en) * 1999-10-28 2002-11-05 Surgical Navigation Technologies, Inc. Surgical communication and power system
US6480111B2 (en) * 2000-01-10 2002-11-12 Southwest Research Institute Motion detection for physiological applications
US20020115931A1 (en) * 2001-02-21 2002-08-22 Strauss H. William Localizing intravascular lesions on anatomic images
US6591144B2 (en) * 2001-10-23 2003-07-08 The Administrators Of The Tulane Educational Fund Steerable catheter and method for locating coronary sinus
US20030092995A1 (en) * 2001-11-13 2003-05-15 Medtronic, Inc. System and method of positioning implantable medical devices
EP1319366A1 (en) * 2001-12-14 2003-06-18 BrainLAB AG Magnetic navigation for a catheter
US6741883B2 (en) * 2002-02-28 2004-05-25 Houston Stereotactic Concepts, Inc. Audible feedback from positional guidance systems
US20030236443A1 (en) * 2002-04-19 2003-12-25 Cespedes Eduardo Ignacio Methods and apparatus for the identification and stabilization of vulnerable plaque
US7599730B2 (en) * 2002-11-19 2009-10-06 Medtronic Navigation, Inc. Navigation system for cardiac therapies
US8000771B2 (en) * 2003-09-02 2011-08-16 Cardiac Pacemakers, Inc. Method and apparatus for catheterization by detecting signals indicating proximity to anatomical features

Also Published As

Publication number Publication date
WO2005072637A1 (en) 2005-08-11
US20050165324A1 (en) 2005-07-28

Similar Documents

Publication Publication Date Title
WO2005072637B1 (en) System and method for using sensors to identify an anatomical position
WO2002082375A3 (en) Cardiological mapping and navigation system
EP1439393A3 (en) Detection methods using TIMP 1 for colon cancer diagnosis
WO2009070712A3 (en) Method and system for locating and navigating a target
WO2006003665A3 (en) Methods for localized intra-body treatment of tissue
WO1997014933A3 (en) Electronic compass
CN105452995B (en) The method of wearable bio signal interface and the wearable bio signal interface of operation
CA2398704A1 (en) Attitude estimation in tiltable body using modified quaternion data representation
WO2005046802A3 (en) Improved topography linked golf aid
JP4978099B2 (en) Self-position estimation device
CA2469652A1 (en) Driverless vehicle guidance system and method
WO2009053838A3 (en) Legged robot and control method of legged robot
WO2007134190A3 (en) Methods and apparatus of three dimensional cardiac electrophysiological imaging
EP3545878A3 (en) System and method for identifying a landmark
EP0393935A3 (en) Vehicle location detecting system
SE0201741D0 (en) Automatic device on wheels
AU2002244572A1 (en) Method of detecting amyloid-containing lesions by autofluorescence
WO2008045829A3 (en) Robotic surgical system and method for diagnostic data mapping
WO2020161703A3 (en) Radar location system and method
EP1426269A3 (en) Method and apparatus for vehicle stability enhancement system
AU2003235199A1 (en) Nucleic acid probes for detection of non-viral organisms
TW200609805A (en) A hand-held device for content navigation by a user
WO2001096606A3 (en) Identification of genes and compounds for treatment of cancer
WO2005019967A3 (en) Mapping assessment program
JP2009025956A (en) Pedestrian detection device

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BW BY BZ CA CH CN CO CR CU CZ DE DK DM DZ EC EE EG ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NA NI NO NZ OM PG PH PL PT RO RU SC SD SE SG SK SL SY TJ TM TN TR TT TZ UA UG US UZ VC VN YU ZA ZM ZW

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): BW GH GM KE LS MW MZ NA SD SL SZ TZ UG ZM ZW AM AZ BY KG KZ MD RU TJ TM AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LT LU MC NL PL PT RO SE SI SK TR BF BJ CF CG CI CM GA GN GQ GW ML MR NE SN TD TG

121 Ep: the epo has been informed by wipo that ep was designated in this application
B Later publication of amended claims

Effective date: 20050811

NENP Non-entry into the national phase

Ref country code: DE

WWW Wipo information: withdrawn in national office

Country of ref document: DE

122 Ep: pct application non-entry in european phase