Guidewire navigation for sinuplasty

Patent metadata

Field	Value
Publication number	US-10772489-B2
Application number	US-201514792823-A
Country	US
Kind code	B2
Filing date	Jul 7, 2015
Priority date	Jul 9, 2014
Publication date	Sep 15, 2020
Grant date	Sep 15, 2020

Abstract

Apparatus, including a guidewire having a distal end, that is configured to be inserted into proximity with a nasal sinus of a patient, the guidewire having a lumen. The apparatus also includes an optic fiber, traversing the lumen, configured to illuminate the distal end, and a coil, wound around the optic fiber and located within the lumen at the distal end, configured to generate a signal in response to a magnetic field interacting with the coil. A processor is configured to receive the signal and to evaluate a location of the distal end in response to the signal.

First claim

What is claimed is:

1. Apparatus, comprising,
a guidewire having a distal end, configured to be inserted into proximity with a nasal sinus of a patient, the guidewire having a lumen;
an optic fiber, traversing the lumen, configured to illuminate the distal end;
a sensing coil, wound around the optic fiber and located within the lumen at the distal end, configured to generate a signal in response to a magnetic field interacting with the sensing coil; and
a processor, configured to receive the signal and to evaluate a location of the distal end in response to the signal, wherein the sensing coil has an internal diameter corresponding to the external diameter of the optic fiber and further comprising a gap of approximately 25 microns between the internal circumference of the sensing coil and the external circumference of the optic fiber.

2. The apparatus according to claim 1 , and comprising one or more magnetic field generators fixedly positioned in proximity to the nasal sinus, configured to generate the magnetic field.

3. The apparatus according to claim 2 , wherein the processor is configured to register a location of the one or more magnetic field generators with the patient.

4. The apparatus according to claim 1 , and comprising a core-wire, traversing the lumen, configured to stabilize the guidewire.

5. The apparatus according to claim 1 , wherein the processor is configured to incorporate an indication of the location of the distal end into a displayed image of the patient.

6. The apparatus according to claim 5 , wherein the processor is configured to recognize the nasal sinus in a received image of the patient, and to indicate the recognized nasal sinus in the displayed image.

7. A method, comprising,
providing a guidewire having a distal end, the guidewire having a lumen;
inserting an optic fiber, configured to illuminate the distal end, to traverse the lumen;
winding a sensing coil, configured to generate a signal in response to a magnetic field interacting with the sensing coil, around the optic fiber;
locating the sensing coil within the lumen at the distal end;
inserting the distal end of the guidewire into proximity with a nasal sinus of a patient; and
receiving the signal and evaluating a location of the distal end in response to the received signal, wherein the sensing coil has an internal diameter corresponding to the external diameter of the optic fiber and further comprising a gap of approximately 25 microns between the internal circumference of the sensing coil and the external circumference of the optic fiber.

8. The method according to claim 7 , and comprising fixedly positioning one or more magnetic field generators, configured to generate the magnetic field, in proximity to the nasal sinus.

9. The method according to claim 8 , and comprising registering a location of the one or more magnetic field generators with the patient.

10. The method according to claim 7 , and comprising inserting a core-wire to traverse the lumen, the core-wire being configured to stabilize the guidewire.

11. The method according to claim 7 , and comprising incorporating an indication of the location of the distal end into a displayed image of the patient.

12. The method according to claim 11 , and comprising recognizing, by a processor, the nasal sinus in a received image of the patient, and indicating the recognized nasal sinus in the displayed image.

Assignees

• Acclarent Inc
• Biosense Webster Israel Ltd

Inventors

• Govari Assaf
• Kesten Randy J
• Altmann Andres C
• Jenkins Thomas R
• Gliner Vadim

Classifications

• A61M2025/09083

  having a coil around a core · CPC title

• A61M25/09

  Guide wires · CPC title

• A61B2090/3614

  using optical fibre · CPC title

• A61B2034/2072

  Reference field transducer attached to an instrument or patient · CPC title

• A61B2034/2065

  Tracking using image or pattern recognition · CPC title