Mapping of nasal passages before and after a procedure

Patent metadata

Field	Value
Publication number	US-10799256-B2
Application number	US-201815940539-A
Country	US
Kind code	B2
Filing date	Mar 29, 2018
Priority date	Apr 24, 2017
Publication date	Oct 13, 2020
Grant date	Oct 13, 2020

Abstract

Apparatus, including a probe having a distal end insertable into a nasal sinus of a human patient, and a location sensor positioned within the distal end. A sinuplasty balloon is positioned on the distal end at a selected opening of the nasal sinus. A processor receives first signals from the location sensor while the distal end is inserted into the nasal sinus and prior to positioning of the balloon at the selected opening, and generates a first map of the sinus. The processor inflates the balloon when it is at the selected opening, so as to enlarge the selected opening, and subsequently deflates the balloon. The processor then receives second signals from the location sensor and generates therefrom a second map of the sinus. The processor registers the first map with the second map and generates from the registered maps a numerical increase in size of the selected opening.

First claim

What is claimed is:

1. A method, comprising:
configuring a probe having a distal end to be inserted into a nasal sinus of a human patient;
positioning a location sensor within the distal end;
configuring a sinuplasty balloon to be positioned on the distal end at a selected opening of the nasal sinus;
receiving first signals from the location sensor while the distal end is inserted into the nasal sinus of the patient and prior to positioning of the sinuplasty balloon at the selected opening, and generating from the first signals a first map of the sinus;
inflating the sinuplasty balloon when the balloon is positioned at the selected opening, so as to enlarge the selected opening, and subsequently deflating the balloon;
receiving, subsequent to deflation of the balloon, second signals from the location sensor while the distal end is inserted into the sinus, and generating therefrom a second map of the sinus;
registering the first map with the second map, wherein the registration comprises assigning a high weight to parts of the map before and after the selected opening, and a low or zero weight to parts of the map corresponding to the selected opening; and
generating from the registered maps a numerical increase in size of the selected opening.

2. The method according to claim 1 , and comprising receiving an image of the nasal sinus prior to insertion of the distal end into the nasal sinus, and identifying from the image the selected opening within the sinus.

3. The method according to claim 1 , wherein the distal end is configured to be inserted beyond the selected opening.

4. The method according to claim 1 , wherein the sinuplasty balloon is configured to slide over the distal end.

5. The method according to claim 1 , wherein registering the first map with the second map comprises performing a registration process between the two maps while excluding the selected opening from the registration process.

6. The method according to claim 1 , and comprising fixedly positioning magnetic field generators in proximity to the nasal sinus, and configuring the location sensor to generate the first and second signals in response to magnetic fields from the generators traversing the sensor.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Dekel Zvi
• Zoabi Akram
• Pinsky Yoav
• Racheli Noam
• Bustan Itamar

Classifications

• A61B5/6851

  Guide wires · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B2034/2072

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

• A61M25/10184

  Means for controlling or monitoring inflation or deflation · CPC title

• A61B5/066

  Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging · CPC title