System and methods for tracking robotically controlled medical instruments

Patent metadata

Field	Value
Publication number	US-10130345-B2
Application number	US-201715649522-A
Country	US
Kind code	B2
Filing date	Jul 13, 2017
Priority date	Mar 15, 2013
Publication date	Nov 20, 2018
Grant date	Nov 20, 2018

Abstract

Systems and methods are described herein for tracking an elongate instrument or other medical instrument in an image.

First claim

The invention claimed is:

1. A robotic system configured to manipulate a tool within a patient's anatomy, the system comprising:
the tool comprising a shape sensor that senses a shape of at least a portion of the tool while within the patient's anatomy;
a robotic drive system comprising at least one actuator, the robotic drive system coupled to the tool and configured to articulate the tool within the patient's anatomy and
a controller configured to register a sensor reference frame and a 3-dimensional (3D) model, reference frame based on the shape of the tool and features of a 3D model of the patient's anatomy, the controller also being configured to direct the robotic drive system based on the registration.

2. The robotic system of claim 1 , wherein the controller is further configured to combine a plurality of discrete registrations to produce a combined registration between the sensor reference frame and the 3D model reference frame to produce a plurality of signals to direct the robotic drive system based on the combined registration.

3. The robotic system of claim 1 , wherein the shape sensor comprises at least one optical fiber.

4. The robotic system of claim 3 , wherein the controller is further configured with an algorithm to match a curved shape of the tool determined by the at least one optical fiber with a corresponding shape in the 3D model.

5. The robotic system of claim 3 , wherein the algorithm is one of an automated geometric search and a mathematical optimization technique.

6. The robotic system of claim 3 , wherein the image is one of a pre-operative anatomical image and an intra-operative image.

7. The robotic system of claim 3 , wherein the 3D model reference frame comprises a fluoroscopic model comprising a plurality of fluoroscopic images.

8. The robotic system of claim 3 , wherein the 3D model is derived from an imaging device.

9. The robotic system of claim 3 , wherein the 3D model is derived from Computed Tomography (CT).

10. The robotic system of claim 3 , wherein the controller is configured to register the sensor reference frame and 3D model reference frame at least manually, semi-automatically, or automatically.

11. A system configured to control a medical device within in a patient's anatomy for performing a procedure in the patient's anatomy, the system comprising:
a user input device;
an actuator configured to articulate the medical device with respect to the patient's anatomy, and
a controller configured to receive a signal from a shape sensor positioned on the medical device that can sense a shape of at least a portion of the medical device while in the patient's anatomy, the controller also configured to register a sensor reference frame and a 3-dimensional (3D) model reference frame based on the shape of the medical device and features of a 3D model of the patient's anatomy.

12. The system of claim 11 , wherein the shape sensor comprises at least one optical fiber.

13. The system of claim 12 , wherein the controller is further configured with an algorithm to match a curved shape of the medical device determined by the at least one optical fiber with a corresponding shape in the 3D model.

14. The system of claim 13 , wherein the algorithm is one of an automated geometric search and a mathematical optimization technique.

15. The system of claim 11 , wherein the 3D model is one of a pre-operative anatomical image and an intra-operative image.

16. The system of claim 11 , wherein the 3D model reference frame comprises a fluoroscopic model comprising a plurality of fluoroscopic images.

17. The system of claim 11 , wherein the 3D model is derived from an imaging device.

18. The system of claim 11 , wherein the 3D model is derived from Computed Tomography (CT).

19. The system of claim 11 , wherein the controller is configured to register the sensor reference frame and 3D model reference frame at least manually, semi-automatically, or automatically.

Assignees

• Auris Health Inc

Inventors

• Wong Serena
• Walker Sean
• Hsu Jason
• Park June
• Tanner Neal
• Murthy Kiran

Classifications

• A61B2090/3966

  Radiopaque markers visible in an X-ray image · CPC title

• A61B2090/3735

  Optical coherence tomography [OCT] · CPC title

• A61B2034/301

  for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes · CPC title

• A61B2034/2061

  using shape-sensors, e.g. fiber shape sensors with Bragg gratings · CPC title

• G06T2207/30004

  Biomedical image processing · CPC title