Monitoring distance to selected anatomical structures during a procedure

Patent metadata

Field	Value
Publication number	US-11116420-B2
Application number	US-201715854472-A
Country	US
Kind code	B2
Filing date	Dec 26, 2017
Priority date	Dec 26, 2017
Publication date	Sep 14, 2021
Grant date	Sep 14, 2021

Abstract

Physicians performing invasive procedures utilize instruments inserted into a human body to perform the procedures. Such procedures typically involve actions to be performed on specific targeted anatomical structures. During the procedure, nearby anatomical structures unrelated to the procedure should generally be avoided. A system and techniques are provided herein for monitoring the position of such unrelated nearby anatomical structures relative to one or more surgical instruments. The system emits a warning to a human operator such as a surgeon if one of the instruments is too close to a monitored anatomical structure.

First claim

What is claimed is:

1. A method for monitoring proximity of an instrument to a monitored anatomical structure of a subject, the method comprising:
determining, by a workstation including a processor, a location of the instrument in model space by correlating a location of one or more sensors in real space to a location of the instrument in model space;
determining, by the workstation, a distance of the instrument to the monitored anatomical structure, the determining including:
representing the monitored anatomical structure as a collection of one or more geometric primitives of a three-dimensional model in model space, at least one of the one or more geometric primitives represented as a two-dimensional shape rotated around an axis, the one or more geometric primitives including one or more of a cylinder, a line-swept sphere, a cone, and a cone-sphere, and
calculating a distance between the location of the instrument in model space and one or more locations of the one or more geometric primitives, by analyzing a point associated with the instrument in model space within a space defined by the two-dimensional shape associated with one of the one or more geometric primitives represented as a two-dimensional shape rotated around an axis;

determining, by the workstation, whether the distance of the instrument relative to the monitored anatomical structure is below one or more thresholds; and
outputting, to an output device, a user interface indication indicating whether the distance is below or above the one or more thresholds.

2. The method of claim 1 , wherein determining location of the instrument comprises:
detecting aspects of signals detected by one or more sensors coupled to the instrument.

3. The method of claim 2 , wherein determining location of the instrument comprises:
determining one or more locations of the one or more sensors based on signals detected by the one or more sensors.

4. The method of claim 2 , wherein detecting aspects of signals comprises:
causing one or more field generators of a location pad to emit the signals for detection by the one or more sensors coupled to the instrument.

5. The method of claim 1 , wherein determining location of the instrument comprises:
detecting aspects of signals detected by the one or more sensors in known relative location to each other, the sensors configured to sense one or more signals generated by one or more transmitters coupled to the instrument.

6. The method of claim 5 , wherein determining location of the instrument further comprises:
determining one or more locations of the one or more transmitters based on signals detected by the one or more sensors.

7. The method of claim 1 , wherein determining distance of the instrument to the monitored anatomical structure comprises:
identifying one or more portions of a three-dimensional model including the monitored anatomical structure; and
determining distance of the determined location of the sensor to the one or more portions of the three-dimensional model including the monitored anatomical structure.

8. The method of claim 7 , wherein:
the three-dimensional model is registered to locations defined relative to field generators of a location pad and thus to the subject.

9. The method of claim 1 , wherein:
generating the user interface indication comprises varying one or more aspects of the user interface indication based on the determined distance of the instrument to the monitored anatomical structure.

10. A system for monitoring proximity of an instrument to a monitored anatomical structure of a subject, the system comprising:
an output device;
an instrument; and
a workstation configured to:
determine location of the instrument in model space by correlating a location of a sensor in real space to a location of the instrument in model space;
determine distance of the instrument to the monitored anatomical structure, the determining including:
representing the monitored anatomical structure as a collection of one or more geometric primitives of a three-dimensional model in model space, at least one of the one or more geometric primitives represented as a two-dimensional shape rotated around an axis, the one or more geometric primitives including one or more of a cylinder, a line-swept sphere, a cone, and a cone-sphere, and, and
calculating a distance between the location of the instrument in model space and one or more locations of the one or more geometric primitives, by analyzing a point associated with the instrument in model space within a space defined by the two-dimensional shape associated with one of the one or more geometric primitives represented as a two-dimensional shape rotated around an axis;

determine whether the distance of the instrument relative to the monitored anatomical structure is below one or more thresholds; and
provide a user interface indication indicating whether the distance is below or above the one or more thresholds.

11. The system of claim 10 , wherein the workstation is configured to determine location of the instrument by:
detecting aspects of signals detected by one or more sensors coupled to the instrument.

12. The system of claim 11 , wherein the workstation is configured to determine location of the instrument by:
determining one or more locations of the one or more sensors based on signals detected by the one or more sensors.

13. The system of claim 11 , wherein the workstation is configured to detect aspects of signals by:
causing one or more field generators of a location pad to emit the signals for detection by the one or more sensors coupled to the instrument.

14. The system of claim 10 , wherein the workstation is configured to determine location of the instrument by:
detecting aspects of signals detected by one or more sensors in known relative location to each other, the sensors configured to sense one or more signals generated by one or more transmitter coupled to the instrument.

15. The system of claim 10 , wherein the workstation is configured to determine distance of the instrument to the monitored anatomical structure by:
identifying one or more portions of a three-dimensional model including the monitored anatomical structure; and
determining distance of the determined location of the sensor to the one or more portions of the three-dimensional model including the monitored anatomical structure.

16. The system of claim 14 , wherein:
the three-dimensional model is registered to locations defined relative to field generators of a location pad and thus to the subject.

17. The system of claim 10 , wherein:
the workstation is configured to vary one or more aspects of the user interface indication based on the determined distance of the instrument to the monitored anatomical structure.

18. A non-transitory computer-readable medium storing instructions that, when executed by a processor, cause the processor to monitor proximity of an instrument to a monitored anatomical structure of a subject by:
determining a location of the instrument in model space by correlating a location of one or more sensors in real space to a location of the instrument in model space;
determining distance of the instrument to the monitored anatomical structure, the determining including:
representing the monitored anatomical structure as a collection of one or more geometric primitives of a three-dimensional model in model space, at least one of the one or more geometric primitives represented as a two-dimensional shape rotated around an axis, the one or more geometric pri

Assignees

• Biosense Webster Israel Ltd
• Acclarent Inc

Inventors

• Fang Itzhak
• Rachli Noam
• Pinsky Yoav
• Bustan Itamar
• Palushi Jetmir
• Dekel Zvi

Classifications

• A61B34/20 Primary

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B1/233

  for the nose, i.e. nasoscopes {, e.g. testing of patency of Eustachian tubes} · CPC title

• A61B5/065 Primary

  Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe · CPC title

• A61B8/0841

  for locating instruments · CPC title

• A61B2034/105

  Modelling of the patient, e.g. for ligaments or bones · CPC title