Tracking system and marker device to be tracked by the tracking system for a medical procedure

Patent metadata

Field	Value
Publication number	US-2022257138-A1
Application number	US-202117555547-A
Country	US
Kind code	A1
Filing date	Dec 20, 2021
Priority date	Jun 20, 2018
Publication date	Aug 18, 2022
Grant date	—

Abstract

A tracking system for tracking a marker device for being attached to a medical device is provided, whereby the marker device includes a sensing unit comprising a magnetic object which may be excited by an external magnetic or electromagnetic excitation field into a mechanical oscillation of the magnetic object, and the tracking system comprises a field generator for generating a predetermined magnetic or electromagnetic excitation field for inducing mechanical oscillations of the magnetic object, a transducer for transducing a magnetic or electromagnetic field generated by the induced mechanical oscillations of the magnetic object into one or more electrical response signals, and a position determination unit for determining the position of the marker device on the basis of the one or more electrical response signals.

First claim

1 . A tracking system for tracking a corresponding position of a marker device for a medical procedure on a patient's body, wherein the marker device comprises a respective sensing unit comprising a magnetic object providing a permanent magnetic moment, wherein the sensing unit is configured to transduce an external magnetic or electromagnetic excitation field into a mechanical oscillation of the magnetic object, wherein the tracking system comprises
a plurality of coils, wherein the plurality of coils are configured to be provided in a workspace for the medical procedure, wherein the plurality of coils are configured to generate predetermined magnetic or electromagnetic excitation fields for inducing mechanical oscillations of the magnetic object of the sensing unit of the marker device, and to transduce a magnetic or electromagnetic field generated by the induced mechanical oscillations of the magnetic object into a plurality of electrical response signals; a plurality of transceivers, wherein a number of the transceivers is less than or equal to a number of the coils, and wherein the transceivers are configured to be selectively connected to selected ones of the plurality of coils to cause the selected coils to generate the predetermined magnetic or electromagnetic excitation fields and to receive the electrical response signals from the selected coils, and a processor, wherein the processor is configured to determine the corresponding position of the marker device based on the one or more electrical response signals.

2 . The tracking system of claim 1 , wherein the processor is adapted to determine, on the basis of the or more electrical response signals, at least five degrees of freedom for the marker device relative to a coordinate system provided by the tracking system, the at least five degrees of freedom including a position and at least two orientation angles of the marker device relative to the tracking system.

3 . The tracking system of claim 1 , comprising a plurality of tracking devices, and wherein the tracking system is adapted to determine the position of the plurality of marker devices,
wherein the magnetic objects of the respective sensing units are oscillatable with different resonance frequencies such as to generate a different magnetic or electromagnetic field to be transduced into associated ones of the plurality of electrical response signals specific to the respective marker device, wherein the processor is configured to determine the corresponding position of one or more of the plurality of marker devices based on the associated electrical response signals.

4 . The tracking system of claim 1 ,
wherein the electrical response signals are indicative of a characteristic mechanical oscillation of the magnetic object of the sensing unit induced by one of the plurality of coils, wherein the processor is configured to determine the corresponding position of the marker device at least partially based on the one or more electrical response signals being indicative of the characteristic mechanical oscillation.

5 . The tracking system of claim 1 , wherein the processor is adapted to determine, from the electrical response signals, an amplitude of the characteristic mechanical oscillations of the magnetic object for the selected coils.

6 . The tracking system of claim 1 , wherein the processor is further configured to select the selected coils and to control selective connection of the transceiver to the selected coils.

7 . The tracking system of claim 4 , wherein the selected coils are selected for a current time period and are selectively connected to the transceivers for the current time period, and wherein the processor is further configured to select subsequent coils for a subsequent time period and to select the subsequent coils based on the electrical response signals in the current time period.

8 . The tracking system of claim 1 , wherein the plurality of coils includes a set of coils which are disposed around a patient bed disposed in the work place.

9 . The tracking system of claim 8 , wherein the plurality of coils further includes at least a first coil and a second coil which are respectively disposed at corresponding instrument tables in a vicinity of the patient bed.

10 . The tracking system of claim 1 , wherein a plurality of marker devices is attached to tissue of a body, wherein the plurality of marker devices indicates an area of the tissue for the medical procedure.

11 . A method of tracking an area of tissue of a patient's body for a medical procedure, the method comprising:
attaching a plurality of marker devices to the tissue, wherein the plurality of marker devices identifies the area of the tissue for the medical procedure, wherein at least some of the marker devices comprise a corresponding casing and a corresponding sensing unit disposed within the casing, wherein the corresponding sensing unit comprises a corresponding magnetic object providing a permanent magnetic moment; generating a magnetic or electromagnetic excitation field; at least one of the sensing units of a corresponding at least one of the marker devices transducing the magnetic or electromagnetic excitation field into a mechanical oscillation of the corresponding magnetic object; transducing a magnetic or electromagnetic field generated by the induced mechanical oscillations of the corresponding magnetic object of the at least one sensing unit into at least one corresponding electrical response signal; and determining a position of the at least one marker device based on the at least one corresponding electrical response signal.

12 . The method of claim 11 , wherein the respective sensing units in the plurality of marker devices have different known resonance frequencies of their mechanical oscillations, and wherein the method further comprises detecting the different known resonance frequencies to distinguish individual marker devices.

13 . The method of claim 11 , comprising transducing the magnetic or electromagnetic field generated by the induced mechanical oscillations of the corresponding magnetic object of the corresponding sensing unit into a plurality of corresponding electrical response signals, and wherein determining the position of the at least one marker device comprises determining the position of the at least one marker device in six degrees of freedom based on the plurality of corresponding electrical signals.

14 . The method of claim 11 , further comprising visualizing with an endoscope at least a portion of the tissue to which at least one marker device is attached, to produce an endoscopic image.

15 . The method of claim 14 , further comprising:
registering a coordinate system for the at least one marker device with the endoscope; and displaying the position of the at least one marker device on the endoscopic image based on the corresponding electrical signal.

16 . The method of claim 14 , further comprising displaying in an overlay of the endoscopic image a distance from a distal end of the endoscope to the at least one marker device, based on the registration.

17 . The method of claim 14 , further comprising:
providing at least a second marker device on a medical instrument; moving the medical instrument into a field of vision of the endoscope in a vicinity of the region of the tissue for the medical procedure; and displaying a position of the medical instrument on the endoscopic image.

18 . The method of claim 11 , further comprising:
providing a coil at a distal end of a medical instrument, wherein

Assignees

• Koninklijke Philips Nv

Inventors

• Gleich Bernhard
• Rahmer Juergen Erwin
• Grass Michael
• Verstege Marco
• Schaefer Dirk
• Crooijmans Wim

Classifications

• A61B2034/2072

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

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B34/20

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

• A61B5/062 Primary

  using magnetic field · CPC title

• A61B2090/3958

  emitting a signal · CPC title