System and methods for tracking robotically controlled medical instruments

Patent metadata

Field	Value
Publication number	US-9710921-B2
Application number	US-201514663021-A
Country	US
Kind code	B2
Filing date	Mar 19, 2015
Priority date	Mar 15, 2013
Publication date	Jul 18, 2017
Grant date	Jul 18, 2017

Abstract

Systems and methods are described herein for tracking an elongate instrument or other medical instrument in an image.

First claim

The invention claimed is:

1. A method of registering an elongate instrument of a robotic drive system to a fluoroscopy image of an anatomy of a patient, the method comprising:
mounting a splayer to a robotic manipulator of a robotic drive system, the splayer operatively connected to a proximal end of an elongate instrument;
tracking a location of the splayer of the robotic drive system using one or more splayer sensors coupled to the splayer, wherein a location of the elongate instrument with respect to the splayer is known;
tracking a position of a patient;
comparing a splayer reference frame to a patient reference frame to generate a registration of the splayer to the patient;
comparing the patient reference frame to a fluoroscopy reference frame to generate a registration of the patient to the fluoroscopy image; and
determining a location of the elongate instrument in the fluoroscopy image of the anatomy, based on the registration of the patient to the fluoroscopy image, the registration of the splayer to the patient, and the known location of the elongate instrument with respect to the splayer.

2. The method of claim 1 , wherein at least one of the one or more splayer sensors comprises an electromagnetic sensor.

3. The method of claim 1 , wherein at least one of the one or more splayer sensors comprises a fiber sensor.

4. The method of claim 1 , further comprising displaying the location of the tool in the fluoroscopy image of the patient's anatomy.

5. The method of claim 4 , wherein displaying the location comprises overlaying localization data related to the tool on the fluoroscopy image.

6. The method of claim 1 , further comprising:
receiving a user input via a input device coupled to a controller, wherein the input device and the controller are part of the robotic drive system; and
using the location of the tool in the fluoroscopy image to permit intuitive driving of the tool using the robotic drive system.

7. The method of claim 1 , wherein the tool includes at least one optical fiber, and wherein a registration of a shape sensor to the tool is fixed.

8. The method of claim 7 , further comprising matching a curved shape of the tool determined by the fiber with a corresponding shape in the fluoroscopic image.

9. The method of claim 8 , wherein the matching step comprises using an algorithm that is one of an automated geometric search or a mathematical optimization technique.

10. The method of claim 1 , wherein the fluoroscopic image is one of a pre-operative anatomical image or an intra-operative image.

11. The method of claim 1 , wherein the tool includes at least one electro-magnetic sensor, and wherein a registration of a shape sensor to the tool is fixed.

12. The method of claim 1 , wherein the fluoroscopic image comprises a fluoroscopic model of a blood vessel, comprising multiple fluoroscopic images.

13. The method of claim 1 , further comprising comparing a robotic drive system reference frame to a fluoroscopic imaging device reference frame to generate a registration of the robotic drive system to the fluoroscopic imaging device.

14. A method of registering a tool of a robotic drive system to a fluoroscopy image of an anatomy of a patient, the method comprising:
tracking a location of a splayer of the robotic drive system using one or more splayer sensors coupled to the splayer, wherein a location of the tool with respect to the splayer is known;
tracking a position of a patient;
comparing a splayer reference frame to a patient reference frame to generate a registration of the splayer to the patient;
comparing the patient reference frame to a fluoroscopy reference frame to generate a registration of the patient to the fluoroscopy image; and
displaying a location of the tool in the fluoroscopy image of the anatomy, based on the registration of the table to the fluoroscopy image, the registration of the splayer to the patient, and the known location of the tool with respect to the splayer,
wherein the splayer is mounted to a robotic manipulator of a robotic drive system, the splayer operatively connected to a proximal end of an elongate instrument.

15. The method of claim 14 , wherein at least one of the one or more splayer sensors comprises an electromagnetic sensor.

16. The method of claim 14 , wherein at least one of the one or more splayer sensors comprises a fiber sensor.

17. The method of claim 14 , wherein the fluoroscopic image is one of a pre-operative anatomical image or an intra-operative image.

18. The method of claim 14 , wherein the tool includes at least one electro-magnetic sensor, and wherein a registration of a shape sensor to the tool is fixed.

19. The method of claim 14 , wherein the fluoroscopic image comprises a fluoroscopic model of a blood vessel, comprising multiple fluoroscopic images.

20. The method of claim 14 , further comprising comparing a robotic drive system reference frame to a fluoroscopic imaging device reference frame to generate a registration of the robotic drive system to the fluoroscopic imaging device.

Assignees

• Hansen Medical Inc

Inventors

• Wong Serena
• Walker Sean
• Hsu Jason
• Park June
• Tanner Neal
• Murthy Kiran

Classifications

• A61B2034/2059

  Mechanical position encoders · CPC title

• A61B2090/3782

  transmitter or receiver in catheter or minimal invasive instrument · CPC title

• A61B34/25

  User interfaces for surgical systems · CPC title

• A61B2034/105

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

• A61B2034/301

  for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes · CPC title