Navigational reference dislodgement detection method and system

Patent metadata

Field	Value
Publication number	US-11766205-B2
Application number	US-202016874344-A
Country	US
Kind code	B2
Filing date	May 14, 2020
Priority date	Dec 29, 2006
Publication date	Sep 26, 2023
Grant date	Sep 26, 2023

Abstract

A method of tracking a position of a catheter within a patient includes securing a navigational reference at a reference location within the patient, defining the reference location as the origin of a coordinate system, determining a location of an electrode moving within the patient relative to that coordinate system, monitoring for a dislodgement of the navigational reference from the initial reference location, for example by measuring the navigational reference relative to a far field reference outside the patient's body, and generating a signal indicating that the navigational reference has dislodged from the reference location. Upon dislodgement, a user may be provided with guidance to help reposition and secure the navigational reference to the initial reference location, or the navigational reference may be automatically repositioned and secured to the initial reference location. Alternatively, a reference adjustment may be calculated to compensate for the changed reference point/origin.

First claim

What is claimed is:

1. A method of measuring electrophysiology information using multiple electrodes, comprising:
providing a localization system that determines locations of objects within a 3-D space and generates location information data comprising position information;
securing a local reference at an internal reference location within a patient's body, said local reference comprising a first measurement electrode;
providing a second measurement electrode within the patient's body;
using the localization system to determine a location of the second measurement electrode and providing location information data for the second measurement electrode, said location information data comprising position information determined relative to the internal reference location as a reference point;
taking electrophysiology measurements using each of the first and second measurement electrodes and adjusting the output of the second measurement electrode by compensating for at least one signal that is common to each of the first and second measurement electrodes;
monitoring for a dislodgement of the local reference from the internal reference location; and
generating a signal indicating that the local reference has dislodged from the internal reference location.

2. The method of claim 1 , wherein the electrophysiology measurements are simultaneously taken using each of the first and second measurement electrodes.

3. The method of claim 1 , further comprising:
determining a dislodged location of the local reference after it has dislodged from the internal reference location; and
calculating an adjustment to compensate for a change in locations between the internal reference location and the dislodged location.

4. The method of claim 3 , further comprising:
determining a location of the second measurement electrode and generating location information data for the second measurement electrode, said location information data comprising position information determined relative to the internal reference location as a reference point, said position information being generated based on the local reference having changed positions from the internal reference location to the dislodged location of the local reference.

5. The method of claim 1 , further comprising:
providing guidance to a user to help re-position and secure the first measurement electrode to the internal reference location.

6. The method of claim 1 , wherein the step of monitoring for a dislodgement comprises:
providing a far field reference outside the patient's body at an external reference location;
coupling the local reference and the far field reference to a circuit to generate an output signal;
filtering the output signal with a high pass filter and a low pass filter to create a filtered output signal; and
monitoring the filtered output signal for a signal that is indicative of the local reference having dislodged from the internal reference location.

7. The method of claim 6 , wherein the high pass filter blocks signal components with frequencies below about 0.001 Hz and the low pass filter blocks signal components with frequencies above about 0.15 Hz, and wherein the step of monitoring the filtered output signal comprises:
monitoring the filtered output signal for a signal with an absolute amplitude that is above a dislodgement threshold.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Hauck John A

Classifications

• A61B34/20 Primary

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

• A61B5/283 Primary

  Invasive · CPC title

• A61B5/06

  Devices, other than using radiation, for detecting or locating foreign bodies {; Determining position of diagnostic devices within or on the body of the patient} · CPC title

• A61B5/063

  using impedance measurements · CPC title

• A61B5/7221

  Determining signal validity, reliability or quality (preventing, reducing or removing noise induced by motion artefacts A61B5/7207; noise originating from a therapeutic or surgical apparatus A61B5/7217) · CPC title