Historical ultrasound data for display of live location data

Patent metadata

Field	Value
Publication number	US-12263033-B2
Application number	US-201916681408-A
Country	US
Kind code	B2
Filing date	Nov 12, 2019
Priority date	Nov 12, 2019
Publication date	Apr 1, 2025
Grant date	Apr 1, 2025

Abstract

Methods, apparatus, and systems for medical procedures include receiving a first ultrasound slice from an ultrasound transducer, the first ultrasound slice corresponding to a first ultrasound position. A second ultrasound slice is received from the ultrasound transducer, the second ultrasound slice corresponding to a second ultrasound position. The first ultrasound slice and the second ultrasound slice are stored in memory. A first catheter position of a catheter is received. The first catheter position is determined to correspond to the first ultrasound position and the first ultrasound slice is provided based on the determination. The determination that the first catheter position corresponds to the first ultrasound position may be made based on locations, orientations, or may be based on the number of voxels that overlap between the first catheter position and ultrasound positions.

First claim

The invention claimed is:

1. A method for displaying information to a surgeon at a time a catheter is inserted into a patient, the method comprising:
sending first electromagnetic signals to an ultrasound transducer;
receiving, based on the first electromagnetic signals, a first ultrasound slice from the ultrasound transducer during a first time period, the first ultrasound slice corresponding to a first ultrasound position including at least first coordinates of the ultrasound transducer, wherein the first coordinates are a first location on an x-axis, a y-axis and a z-axis relative to a first reference point;
sending second electromagnetic signals to the ultrasound transducer;
receiving, based on the second electromagnetic signals, a second ultrasound slice from the ultrasound transducer during a second time period, the second ultrasound slice corresponding to a second ultrasound position including at least second coordinates of the ultrasound transducer, wherein the second coordinates are a second location on the x-axis, the y-axis and the z-axis relative to the first reference point;
storing the first ultrasound slice and the second ultrasound slice;
determining, a first catheter position of the catheter in first catheter coordinates at a third time period, wherein the first catheter coordinates are relative to a second reference point and the third time period is subsequent to the first time period and the second time period;
selecting either the first ultrasound slice or the second ultrasound slice as a selected slice by comparing the first catheter position, the first ultrasound position, and the second ultrasound position, wherein the first ultrasound slice is selected as the selected slice when the comparing indicates that the first catheter position is closer to the first ultrasound position and the second ultrasound slice is selected as the selected slice when the comparing indicates that the first catheter position is closer to the second ultrasound position;
determining a live location of the catheter relative to the selected slice; and
displaying the live location of the catheter and the selected slice as the information to the surgeon.

2. The method of claim 1 , wherein the first ultrasound position is one of an ultrasound transducer position or an ultrasound slice position and the first catheter position comprises at least one of a catheter orientation, or a catheter slice.

3. The method of claim 2 , wherein determining that the first catheter position is closer to the first ultrasound position than the second ultrasound position comprises determining that the catheter slice intersects with the first ultrasound slice more than the catheter slice intersects with the second ultrasound slice.

4. The method of claim 2 , wherein determining that the first catheter position corresponds to the first ultrasound position further comprises:
determining a first set of voxels that intersect the catheter slice;
determining a first number of voxels, from the first set of voxels, that intersect with the first ultrasound slice;
determining a second number of voxels, from the first set of voxels, that intersect with the second ultrasound slice; and
determining that the first number of voxels is greater than the second number of voxels.

5. The method of claim 1 , wherein the first ultrasound position and/or the second ultrasound position comprises at least one of an ultrasound transducer location or an ultrasound transducer orientation.

6. The method of claim 1 , further comprising
moving the catheter from the first catheter position to a second catheter position, wherein the second catheter position is closer to the second ultrasound position than the first ultrasound position; and
selecting the second ultrasound slice as the selected slice after moving the catheter.

7. The method of claim 1 , further comprising replacing the first ultrasound slice stored with an updated first ultrasound slice.

8. The method of claim 7 , wherein the updated first ultrasound slice is received after receiving the first ultrasound slice.

9. A system for displaying information to a surgeon at a time a catheter is inserted into a patient, the system comprising:
an ultrasound transducer configured to:
receive first electromagnetic signals,
capture, based on the first electromagnetic signals, a first ultrasound slice during a first time period, the first ultrasound slice corresponding to a first ultrasound position including at least first coordinates of the ultrasound transducer, wherein the first coordinates are a first location on an x-axis, a y-axis and a z-axis relative to a reference point,
receive second electromagnetic signals, and
capture, based on the second electromagnetic signals, a second ultrasound slice during a second time period, the second ultrasound slice corresponding to a second ultrasound position including at least second coordinates of the ultrasound transducer, wherein the second coordinates are a second location on the x-axis, the y-axis and the z-axis relative to the reference point;
a memory, wherein the memory is configured to store the first ultrasound slice and the second ultrasound slice;
and
one or more processors that are communicatively coupled to the memory, and the ultrasound transducer, wherein the one or more processors are collectively configured to:
determine a first catheter position of the catheter in first catheter coordinates at a third time period, wherein the first catheter coordinates are relative to a second reference point and the third time period is subsequent to the first time period and the second time period,
select either the first ultrasound slice or the second ultrasound slice as a selected slice by comparing the first catheter position, the first ultrasound position, and the second ultrasound position, wherein the first ultrasound slice is selected as the selected slice when the comparing indicates that the first catheter position is closer to the first ultrasound position and the second ultrasound slice is selected as the selected slice when the comparing indicates that the first catheter position is closer to the second ultrasound position,
determine a live location of the catheter relative to the selected slice, and
display the live location of the catheter and the selected slice as the information to the surgeon.

10. The system of claim 9 , wherein determining that the first catheter position is closer to the first ultrasound position than the second ultrasound position comprises determining that a catheter slice corresponding to the first catheter position intersects with the first ultrasound slice more than the catheter slice intersects with the second ultrasound slice.

11. The system of claim 9 , wherein the first ultrasound position comprises at least one of an ultrasound transducer location and an ultrasound transducer orientation.

12. The system of claim 9 , further comprising a location pad and determining at least one of the first ultrasound position, the second ultrasound position, and the first catheter position based on the location pad.

13. The system of claim 9 , wherein determining that the first catheter position corresponds to the first ultrasound position comprises:
determining a first set of voxels that intersect a catheter slice corresponding to the first catheter position;
determining a first number of voxels, from the first set of voxels, that intersect with the first ultrasound slice;
determining a second number of voxels, from the first set of voxels, that intersect with the second ultrasound slice; and
determining that the first number of voxels is greater than th

Assignees

• Biosense Webster Israel Ltd

Inventors

• Yellin Tamir Avraham
• Katz Natan Sharon
• Cohen Benjamin
• Zar Lior

Classifications

• A61B8/5207

  involving processing of raw data to produce diagnostic data, e.g. for generating an image · CPC title

• A61B8/4263

  using sensors not mounted on the probe, e.g. mounted on an external reference frame · CPC title

• A61B8/13

  Tomography (A61B8/10, A61B8/12 take precedence) · CPC title

• A61B8/12 Primary

  in body cavities or body tracts, e.g. by using catheters · CPC title

• A61B8/4245

  involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient · CPC title