WO2011026077A2 - Combination localization system - Google Patents
Combination localization system Download PDFInfo
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- WO2011026077A2 WO2011026077A2 PCT/US2010/047241 US2010047241W WO2011026077A2 WO 2011026077 A2 WO2011026077 A2 WO 2011026077A2 US 2010047241 W US2010047241 W US 2010047241W WO 2011026077 A2 WO2011026077 A2 WO 2011026077A2
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- position data
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00725—Calibration or performance testing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B2034/2046—Tracking techniques
- A61B2034/2051—Electromagnetic tracking systems
- A61B2034/2053—Tracking an applied voltage gradient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0818—Redundant systems, e.g. using two independent measuring systems and comparing the signals
Abstract
A navigation system or combination of navigation systems can be used to provide two or more navigation modalities to navigate a single instrument in a volume. For example, both an Electromagnetic (EM) and Electropotential (EP) navigation system can be used to navigate an instrument within the volume. Image data can also be illustrated relative to a tracked position of the instrument in the volume for navigation.
Description
COMBINATION LOCALIZATION SYSTEM
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This Application claims priority to U.S. Utility Application No. 12/844,065, filed on July 27, 2010 and U.S. Provisional Application No. 61/238,623, filed on August 31 , 2009.
[0002] This application also includes subject matter similar to that disclosed in U.S. Pat. App. Serial No. 12/844,061 , filed on July 27 2010 (Attorney Docket No. 5074D-000060), titled "COMBINATION LOCALIZATION SYSTEM."
[0003] The entire disclosures of the above applications are incorporated herein by reference.
FIELD
[0004] The present disclosure relates generally to a system for localizing a tracked instrument, and particularly to a localization system using two or more modalities for localizing the instrument within a volume.
BACKGROUND
[0005] This section provides background information related to the present disclosure which is not necessarily prior art.
[0006] A navigation system can be used to track and navigate an instrument within a volume. For example, a navigation system can be used to track an instrument during a procedure, such as a surgical procedure. Various systems can be used to track instruments including electromagnetic systems, optical systems, acoustic systems, and other appropriate systems.
[0007] Tracking an instrument can allow for determination of a position of the instrument relative to the patient without directly viewing the instrument within the patient. Various methods can be used to achieve this result, such as directly tracking a particular portion of the instrument exterior to the patient or tracking a distal point of the instrument within the patient.
[0008] Differing navigation systems can be used to track different instruments within a patient. For example, a long substantially rigid instrument can be tracked with an optical navigation system that can track a proximal and/or end of the instrument that is external to the patient. Based on determinations, a position of a distal tip or an end of the instrument within the patient can be made. Additionally, navigation systems can use fields, such as electromagnetic fields, to track and navigate a distal portion of an instrument that is within a patient.
SUMMARY
[0009] This section provides a general summary of the disclosure, and is not a comprehensive disclosure of its full scope or all of its features.
[0010] A navigation system or combination of navigation systems can be used to provide two or more types of navigation or modalities of navigation to navigate a single instrument. The single instrument can be positioned within the patient and tracked. For example, both an Electromagnetic (EM) and Electropotential (EP) tracking systems can be used to navigate an instrument within a patient.
[0011] A navigation system can generally include a localizer and a tracking sensor. One skilled in the art will understand that the localizer can either transmit or receive a signal and the tracking sensor can also transmit or receive a signal to allow for a determination of a location of the tracking sensor associated with the surgical instrument. A surgical instrument can have associated therewith two or more tracking sensors that can be used in two or more modalities of navigation. For example, a surgical instrument may include an electrode that can be used with an EP tracking system and can also be associated or moved relative to a tracking sensor that includes an EM coil to be used with an EM tracking system.
[0012] An instrument can include one or more tracking sensors to be used with two or more navigation systems during a single procedure. In addition, a method can be used to register the two navigation systems during a single procedure. The registration of the two navigation systems can allow all or a determination of a selected number of points within one navigational domain to
coordinate or correspond to all or a selected number of points in a second navigational domain. For example, a surgical instrument can include a single tracking sensor that can be tracked within two navigation modalities. Also, a surgical instrument with a single tracking sensor can be moved relative to a second tracking sensor, where each of the tracking sensors are tracked in different navigation modalities. According to various embodiments, when a first tracking sensor is positioned at a known location relative to a second tracking sensor, a navigation volume or domain of the first navigation system can be registered to a navigation volume or domain of a second navigation system. In this way, a first and second navigation system can be registered for navigating a tracking sensor or a surgical instrument within the two navigation modalities.
[0013] Further areas of applicability will become apparent from the description provided herein. The description and specific examples in this summary are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.
DRAWINGS
[0014] The drawings described herein are for illustrative purposes only of selected embodiments and not all possible implementations, and are not intended to limit the scope of the present disclosure.
[0015] Fig. 1 is an environmental view of a navigation system;
[0016] Fig. 2A is a detailed cross-section view of an instrument, according to various embodiments;
[0017] Fig. 2B is a detailed cross-section and environmental view of an instrument, according to various embodiments;
[0018] Fig. 3 is a detailed cross-section view of an instrument, according to various embodiments;
[0019] Fig. 4 is an environmental view of a navigation system, according to various embodiments;
[0020] Fig. 5 is a flow chart of a method of registering two navigation systems;
[0021] Fig. 6 is a view of image data and icons displayed relative to the image data, according to various embodiments;
[0022] Fig. 7A-7C are detailed flowcharts of registration of two tracking systems, according to various embodiments;
[0023] Fig. 8 is a flowchart illustrating an exemplary method of navigating a registered instrument;
[0024] Fig. 9 is a flowchart illustrating a registration or corresponding method for two tracking systems, according to various embodiments;
[0025] Fig. 9A is an illustration of placement of position data points;
[0026] Fig. 10 is an illustration of an instrument for tracking with two tracking systems, according to various embodiments;
[0027] Fig. 1 1 is an illustration of an instrument for tracking with two tracking systems, according to various embodiments;
[0028] Fig. 12 is a schematic illustration of an instrument for tracking with two tracking systems, according to various embodiments;
[0029] Fig. 13 is an illustration of a display device illustrating two types of image data;
[0030] Fig. 14 is an illustration of image data with icons illustrating a location of an instrument with two tracking systems;
[0031] Fig. 15A is a plan view of a calibration jig with one instrument associated therewith,
[0032] Fig. 15A' is a plan view of an alternative calibration jig system with one instrument associated therewith; and
[0033] Fig. 15B is a plan view of a calibration jig with two instruments associated therewith.
[0034] Corresponding reference numerals indicate corresponding parts throughout the several views of the drawings.
DETAILED DESCRIPTION
[0035] Example embodiments will now be described more fully with reference to the accompanying drawings.
[0036] A surgical navigation system 20 is illustrated in Fig. 1. A first tracking system can include an electropotential (EP) tracking system 22. A second tracking system can include an electromagnetic (EM) tracking system 24. Appropriate tracking systems can include those disclosed in U.S. Patent App. No. 12/1 17,537, filed on May 8, 2008 and U.S. Patent Publication No. 2004/0097805, published on May 20, 2004, both incorporated herein by reference. The first and second tracking systems 22, 24 can be used to track a surgical instrument 26. The surgical instrument 26 can be any appropriate instrument, including a lead used as a part of an implantable medical device (IMD) for heart rhythm treatment, neurological treatment, ablation, or other appropriate purposes.
[0037] In certain procedures having two tracking systems can be useful. Exemplary procedures using a lead can include left heart applications. In the left heart application an electrode on a lead might not be exposed to blood for position determination with the EP tracking system 24. Accordingly, a position element or tracking sensor associated with the EM tracking system 24 can be used to determine a position of the instrument within the patient 36. Also, the registration of the EM tracking system 24 to image data can be used to assist in illustrating vasculature relative to the heart of the patient 36.
[0038] Certain right heart applications also may be more easily tracked with the EP tracking system 22 as opposed to the EM tracking system 24. For example, a stylet including an EM tracking device can be positioned through a lead. In various procedures, however, the stylet can be removed from a portion of the lead to allow the lead to be substantially less rigid and more flexible. Once the stylet is removed from the lead the exact position of the lead may not be trackable with the EM tracking system 24. When the stylet is removed, the lead electrode can be tracked with the EP tracking system 22.
[0039] Further, various procedures, such as ablation procedures, use RF energy. RF energy can affect or interfere with the EM tracking system 24. Accordingly, the EP tracking system 22 can be used during or subsequent to RF ablation to continue or maintain tracking of a device.
[0040] The surgical navigation system 20 used in the various procedure discussed above or herein, can also include various components in addition to the tracking systems 22, 24, such as an imaging system 30. The imaging system 30 can be any appropriate imaging system and is exemplary illustrated as a fluoroscopic C-arm system 32. Other imaging systems can include computed tomography (CT) imaging systems, magnetic resonance imaging (MRI) systems, and positron emission tomography (PET) imaging systems. The imaging systems 30 can be used by a surgeon 34 to image a patient 36 prior to (preoperative^), during (intraoperative^), or after (postoperatively) a procedure. Imaging the patient 36 can create image data that can be viewed on a display device 38 or a display device 40. The display device 38, 40 can be provided alone, such as on a stand 42 or with a processing system as a part of a workstation or processing system 44. The image data can be transferred from the imaging system 30 through a data transmission system 46, such as a wired or wireless transmission system, to the display devices 38, 40.
[0041] The navigation system 20, also including the tracking systems 22, 24 can be incorporated or connected to the processor system 44. The processor system 44 can include human input devices such as a keyboard 48, a joystick or mouse 50, a foot pedal 52 or any other appropriate human input device. Each of the human input devices 48-52 can be connected with the processor system 44 or other systems, such as the imaging system 30, for control or actuation thereof.
[0042] The EP tracking system 22 can include components to generate a current in the patient 36. The EP tracking system can include or be based on the Localisa™ intracardiac tracking system sold by Medtronic, Inc. having a place of business in Minneapolis, Minn. The EP tracking system 22 can also include portions disclosed in U.S. Patent Numbers 5,697,377 or 5,983,126 to Wittkampf, incorporated herein by reference
[0043] Briefly, the EP tracking system 22 can include a pair of axis electrodes, which can also be referred to as a localizer, operable to generate a current within a volume, such as the patient 36. The axis electrodes can include
three pairs of axis electrodes to generate three substantially orthogonal axes of current within the patient 26 (also see Fig. 4). The axis electrodes can include a first pair 60a, 60b, a second pair 62a, 62b, and a third pair 64a, 64b. The axis can be defined between selected patch pairs, as discussed below, by an alternating current that is generated between any pair of the axis electrodes. For example, the first pair of axis electrodes 60a and 60b can be positioned on a left and right side of the patient 36 to define an X-axis when a current is generated between the two axis electrodes 60a and 60b.
[0044] The substantially orthogonal axis of current, defined by the plurality of patches discussed above, can be used to determine or calculate a location of a tracking device 70. The tracking device 70 can include a first or EP tracking device 70a and a second or EM tracking device 70b. The EP tracking system 22 can be used to track the EP tracking device 70a. The first tracking device 70a can sense voltages in the patient 36 based upon the induced currents between any pair of the axis electrodes 60a-64b. The voltages can be related to a position of the first tracking device 70a in the patient 36.
[0045] The pairs of axis electrodes 60a-64b can be driven with a generator in a controller 72 that is connected via wires or wirelessly with the axis electrodes 60a-64b. The generator can provide the power to generate the alternating currents in the patient 36 between the respective the axis electrodes 60a-64b. The controller 72 can also include a connection for the instrument 26 to communicate a signal from the tracking device 70 to the controller. The connection with the instrument 26 can be wired or wireless, according to various embodiments. In addition, the controller 72 can include a processor portion or simply be a transmitter to transmit signals from the tracking device 70. Signals can be transmitted from the controller 72 to the processor system 44 with a transmission system 74. The transmission system 74 can be a wired or wireless transmission system.
[0046] The EM tracking system 24 can also be associated with the controller 72 or can be provided with a separate controller system. It will be understood that various separate circuitry portions may be provided in the
controller 72 to generate or operate the EP tracking system 22 or the EM tracking system 24.
[0047] The EM tracking system 24 includes an EM localizer 76 that can be positioned relative to the patient 36. The EM tracking system can include the AxiEM™ electromagnetic tracking system sold by Medtronic Navigation, Inc. having a place of business in Colorado, USA. The localizer 76 can generate an electromagnetic field that is sensed by the EM tracking device 70b. Alternatively, the EM tracking device 70b can generate a field that is sensed by the localizer 76.
[0048] A localizer can be used as a part of a tracking system to determine the location of the tracking device 70. For example, the localizer 76 can be interconnected with the controller 72 to transmit a signal to the processor system 44 regarding the position of the EM tracking device 70b. The axis electrodes 60a-64b can be a localizer that induces axes of current in the patient 36 to localize the EP tracking device 70a. Accordingly, the localizer can refer to a portion of the tracking system which can be exterior to the volume, such as the patient 36, that is used to determine a position of the tracking device 70.
[0049] According to various embodiments, the localizer devices, including the EM localizer 76 and the axis electrodes 60a-64b, can be used to define a navigation domain in a patient space of the patient 36. Patient space can be the physical space that is being operated on during the operative procedure. The patient space can also include the navigated space through which the surgical instrument 26 is being navigated. Image space can be defined by image data 80 that is displayed on the display devices 38, 40. Image data 80 can include any appropriate image data, such as image data of a heart 84 (Fig. 4) of the patient 36. The image data 80 displayed on the display devices 38, 40 can also include atlas data. Atlas data can include statistical or historical data. The atlas data can be registered or morphed to the patient image data or patient space. It will be understood that atlas data may be used in an imageless navigation system. For example, an imageless navigation system may not require the acquisition of image data of the patient 36.
[0050] The patient space can be registered to the image space of the image data 80 according to any appropriate technique, including those discussed herein. Generally, however, the patient space is registered to the image data 80 to allow for displaying or a super imposing an icon or representation of a tracked device, for example the surgical instrument 26, over the image data 80 on the display device 38, 40. Registration generally allows for a transformation of the image data to the patient space. Various registration techniques can include contour matching, fiducial or point matching, automatic registration, or any other appropriate registration. For example, various landmarks or fiducials can be identified in the image data 80 and the same fiducials or landmarks can be identified in the patient 36, such as within the heart 84. The image data 80 can then be transformed to the patient space of the patient 36 so that a proper location of a superimposed icon 26i can be shown relative to the image data 80 of the heart 84. Registration techniques can include those discussed in the U.S. Patent Applications incorporated above. In addition, as discussed herein, the EP tracking system 22 can be registered to the EM tracking system 24. The registration of the EP tracking system 22 to the EM tracking system 24 can allow navigation of the EP tracking device 70a with the image data 80.
[0051] Turning to Figs. 2A and 2B, the tracking device 70 can include the two tracking devices 70a and 70b. The first tracking device 70a can be a single electrode or a tip electrode 90 or ring electrode (not illustrated) of a lead assembly 92. The lead assembly 92 can be a lead for any appropriate device, such as a pacing or defibrillator system. The lead assembly 92 can be positioned or delivered within a sheath 94 according to generally known lead assemblies, such as the such as the Attain family of catheters sold by Medtronic Inc., having a place of business in Minneapolis, MN.
[0052] The lead assembly 92 can be positioned within the patient 36, such as relative to the heart 84, with a catheter assembly 100. The catheter assembly 100 can be any appropriate configuration. The catheter 100 can include a body molded to substantially define a cannula. The catheter assembly 100 can include the second tracking device 70b. The second tracking device
70b can include a first coil 102 and a second coil 104, or any appropriate number of coils, as part of the EM tracking device 70b. The coils can be coiled with any appropriate configuration, such as around substantially orthogonal axes to one another. The second tracking device 70b, however, can sense an electromagnetic field generated with the localizer 76 or generate an electromagnetic field that is sensed by the localizer 76.
[0053] The two tracking devices 70a, 70b can be used with respective tracking systems 22, 24. The first tracking device 70a can sense a voltage or determine bioimpedance (such as an impedance of a tissue of the patient 36) because of the induced currents from the axis electrodes 60a-64b. The currents generate voltages that can be sensed with the EP tracking device 70a. The voltages sensed by the EP tracking device 70a can be transmitted to the controller 72 with an appropriate communication line, such as a conductor 106. The conductor 106 can be conductively coupled to the EP tracking device 70a. It will be understood that although the EP tracking device 70a is illustrated as the tip electrode 90 of the lead assembly 92, that the EP tracking device 70a can also include an alternative EP tracking device 70a' formed as a part of the sheath 94. Regardless of the position of the EP tracking device 70a, its contact (e.g. by removal of a portion of insulation around the electrode) with a conductive medium or electrolyte of the patient 36 can increase and provide efficiency of detecting an appropriate voltage. The voltage sensed by the EP tracking device 70a can be used to determine the position of the EP tracking device 70a as discussed further herein and also described in the above incorporated U.S. Patent Applications and Patents.
[0054] The second tracking device 70b, according to various embodiments, can sense an electromagnetic field generated by the localizer 76. For example, a current can be induced in one or more of the coils 102, 104 that is dependent upon the position of the coils 102, 104 in a portion of the electromagnetic field. The generated current can be sent as a signal along a transmission line 108 to the controller 72.
[0055] As discussed further herein, and illustrated in Fig. 2B, the lead assembly 92 can be moved relative to tissue of the heart 84 to position the distal
tip electrode 90 into the heart 84. When positioning the distal tip electrode 90 into the heart 84, the sheath 94 and the tip 90, which can include the first tracking device 70a, can move relative to the catheter assembly 100. Moving the first tracking device 70a relative to the catheter assembly 100 moves the first tracking device 70a relative to the second tracking device 70b. As discussed herein, this can be used to determine the location of the first tracking device 70a relative to the second tracking device 70b for registration of the EP tracking system 22 and the EM tracking system 24. This determination can be used to track the first tracking device 70a relative to the patient 36 and with the registered image data 80.
[0056] In addition, the tracking devices 70a and 70b could be the same coil of wire or conductive material provided with different insulation characteristics. For example, the loops or turns of the tracking device 70a can be electrically separated from the loops or turns of wire for the second tracking device 70b. Both sets of loops can be of the same length of wire over top one another. The conductive media or loops of the first tracking device 70a can be external and exposed to the patient to sense or measure the voltage in the patient. The second portion of the loops can be isolated from the patient and insulated, but they can, along with the first portion, sense the field of the EM tracking system 24.
[0057] Turning to Fig. 3, an instrument 120, according to various embodiments, is illustrated. The instrument 120 can include a lead assembly 121 substantially similar to the lead assembly 92 discussed above, including a tip electrode 90 and a sheath 94. The instrument 120 can also include a catheter assembly 122. The lead assembly 121 , including the distal tip 90 and the sheath 94 can be moved relative to the catheter assembly 122.
[0058] The catheter assembly 122 can include the tracking device 70' as a single unit or device including an EP tracking device 70a' and one or more windings of an EM tracking device 70b'. The EM tracking device 70b' can be positioned substantially over or around the EP tracking device 70a'. The EP tracking device 70a' can include an annular ring that is molded into or formed with the catheter assembly 122. The EP tracking device 70a' can be used with
the EP tracking system 22 similar to the distal tip electrode 90 of the lead assembly 92. The EM tracking device 70b' can be used with the EM tracking system 24 similar to the windings 102, 104 of the EM tracking device 70b. Nevertheless, the EP tracking device 70a' and the EM tracking device 70b' can be positioned substantially atop one another. This allows for the tracked position of the EP tracking device 70a' and the tracked position of the EM tracking device 70b' to be substantially coincident throughout a tracked procedure. A signal from either of the EP tracking device 70a' or the EM tracking device 70b' can be transmitted along or with a communication system 124. For example, the EM tracking device 70b' can include a wired or wireless transmission system.
[0059] Again, it will be understood, that the tracking device 70' can be tracked with the two tracking systems 22, 24. As discussed above, the electrode of the EP tracking device 70a' can sense the voltages within the patient 36. The EM tracking device 70b' can sense a magnetic field or electromagnetic field or transmit a magnetic field or electromagnetic field. Accordingly, the single tracking device 70' can be used with two or more tracking systems 22, 24 to determine a location of the tracking device 70' and the catheter and lead assembly 120. It will be further understood that the tip electrode 90 of the lead assembly 121 can also be used as the EP tracking device with the EP tracking system 22.
[0060] With reference to Fig. 4, a tracking device 70" can include an EP tracking device 70a" and an EM tracking device 70b". The EP tracking device 70a" can be positioned on a first instrument portion 26a and the EM tracking device 70b" can be positioned on a second instrument portion 26b. The two instrument portions 26a, 26b can be positioned within the patient 36. Alternately, one of the two instrument portions 26 can be positioned relative to the patient 36 in any appropriate manner. For example, the second instrument portion 26b including the EM tracking device 70b" can be positioned on an exterior surface of the patient 36 or be implanted as a fiducial or dynamic reference frame in the patient 36, such as fixed relative to the heart 84.
[0061] The two tracking devices 70a" and 70b" can be moved relative to one another during an operative procedure. For example, if both of the
tracking devices 70a" and 70b" are positioned on two separate and moveable instruments 26a, 26b they can be moved to a known position relative to one another within the patient 36 during an operative procedure. Alternatively, if the second instrument 26b is positioned at a fixed location relative to the patient 36, the first instrument portion 26a can be moved to a known position relative to the second instrument portion 26b during an operative procedure. For example, fluoroscopic or ultrasound imaging, such as with the imaging system 30, can be used to confirm or determine the known position of the first surgical instrument 26a and the second instrument 26b. Accordingly, during a second procedure, a position of the EP tracking device 70a" and the EM tracking device 70b" can be determined.
[0062] A location of the EP tracking device 70a" can be determined with the EP tracking system 22. The EM tracking system 24 can be used to determine the location of the EM tracking device 70b". As discussed further herein, the determined location of the two tracking devices 70a", 70b" can be used to register the EP tracking system 22 and the EM tracking system 24. The tracked position of the two instruments 26a, 26b can be used for illustration of an icon representing one or both of the instruments 26a, 26b on the display devices 38, 40 relative to the image data 80.
[0063] Turning reference to Fig. 5, a flow chart or navigation method for registering or coordinating a dual tracking system 130 is illustrated. The navigation method 130 is illustrated briefly in Fig. 5 and further detailed in Figs. 7A-7C and 8. The method of using a two tracking system navigation system will be discussed in an exemplary embodiment herein. It will be understood, however, that a navigation system including two or more tracking systems can be used according to various embodiments, including those discussed above. The assembly 92, however, is discussed as an exemplary embodiment.
[0064] The navigation method 130, as discussed in detail herein, allows for registration of the EP tracking system 22 to the EM tracking system 24 and further to the image data 80. The EM tracking system 24 can be registered to the image data 80, as discussed herein, including registering the navigation domain of the EM tracking system 24 with the image space. The EP tracking
system 22, including the navigation domain of the EP tracking system 22, can be registered to the EM tracking system 24, including the EM navigation domain, according to various embodiments, such as using the devices discussed above. The registration of the EP tracking system 22 to the EM tracking system 24 can allow the EP tracking system 22 to be registered to the image data 80.
[0065] The navigation method 130 can include starting in start block 132. The image data 80 can then be acquired in block 134. In addition, with reference to Fig. 6, the image data 80 can be displayed on the display device 40. As discussed above, an icon 92i can be superimposed on the image data 80 to represent a location of an appropriate instrument, such as the surgical instrument 26. The image data 80 can include three dimensional or two dimensional image data that is acquired for representation or illustration of a portion of the patient 36. It will be further understood that the image data 80 acquired in block 134 can be image data that is acquired preoperatively, intraoperatively, or at any appropriate time. It may also include a combination of preoperative and intraoperative image data. For example, preoperative image data can be merged or registered with intraoperative image data according to any appropriate technique. For example, 2D to 3D image registration can occur as described in U.S. Patent Application 10/644,680 filed August 20, 2003, incorporated herein by reference.
[0066] The acquired image data can be stored or transferred to the processor system 44 which is a part of the navigation system 20 for use in illustrating a tracked location of the surgical instrument 26 relative to the patient 36. To assist in illustrating the correct location of the surgical instrument 26 relative to the patient 36, the patient space generally defined by the tracking system 22, 24, can be registered to the image data 80 or image space in block 136. The registration of the image data 80 to the patient space can be with any appropriate method, as discussed above.
[0067] The registration of the image data 80 to the patient space can be performed with the EM tracking system 24. The EM tracking system 24, including the localizer 76, can generate a field and navigation space which can be substantially known and is definable in Euclidean coordinates. The known
navigation space can be efficiently and directly registered to Euclidean coordinates of the image data 80. The known field of the EM localizer 76 allows a detected change in the field sensed with the EM localizer 76 to be directly related to a distinct position or movement in the field at substantially all points in the field. In other words, a detected movement of the EM tracking device 70b generally results in the same signal change regardless of the position of the EM tracking device 70b within the field generated by the EM localizer 76. Also, every space in the EM navigation domain is known due to the uniform electromagnetic field. Accordingly, a coordinate system identified or defined by the EM tracking system 24 can be substantially known and efficiently applied to the coordinate system of the image data 80.
[0068] The registration of the image data 80 to the patient space identified with the EM tracking system 24 can be performed in any appropriate manner. As discussed above, point, contour, or any other appropriate registration processes can be used. For example, the EM tracking device 70b can be positioned relative to known fiducials or landmarks within the patient 36 and similar or related landmarks or fiducials can be identified in the image data 80. The processor system 44, or any appropriate processor system, can then be used to register the points in the image data 80 to the points of the patient space. Once the registration has occurred, the image data 80 is registered to the patient space identified or within the navigation space defined by the EM tracking system 24.
[0069] The EM tracking system 24 can be registered to the EP tracking system 22 in block 138. The registration or coordination between the EM tracking system 24 and the EP tracking system 22 can occur at any appropriate time, such as before or after the EM tracking system 24 is registered to the image data in block 136. The EP tracking system 22 can be registered to the EM tracking system 24 in block 138 in any appropriate manner. As discussed further herein, exemplary registration systems 138a, 138b, and 138c are illustrated and described in greater detail in relation to Figs. 7A-7C. Once the EP tracking system 22 is registered with the EM tracking system 24, navigation of the instrument 26 with only the EP tracking device 70a can be done in block 140.
The navigation with the EP tracking device 70a can be done and a position of the instrument 26 including the tracking device 70a can be navigated relative to the image data 80 due to the registration of the EP tracking system 22 and the EM tracking system 24 in block 138. Accordingly, navigation using only the EP tracking system 22 can occur in block 140.
[0070] With continuing reference to Figs. 5 and 6 and additional reference to Fig. 7A, registration of the EM tracking system and the EP tracking system, according to various embodiments, is illustrated in block 138a. As discussed above, the lead assembly 92 can include the EP tracking device 70a that can be defined by the tip electrode 90 of the lead 92. The catheter 100 can include one or more coils 102, 104 of the EM tracking device 70b. As illustrated in Fig. 6, the EM tracking device 70b can be used to register the image data 80 to the patient space of the patient 36.
[0071] Once the registration has occurred in block 136, then the EP tracking system 22 can be registered with the EM tracking system 24 in block 138a, illustrated in Fig. 7A. A lead or instrument including an EP electrode can be provided in block 152. The EP electrode can be a distal tip electrode of the lead or can be provided in any other portion, such as in the sheath 94. For example, as illustrated in Fig. 2A, the alternative EP tracking device 70a' can be provided in the sheath 94. Regardless of the position of the electrode it can be used as the EP tracking device 70a and it can be positioned relative to the EM tracking device 70b that is positioned within the catheter 100. In addition, as illustrated in Fig. 2B, the lead including the EP tracking device 70a can be moved relative to the catheter 100 in block 154.
[0072] When moving the lead relative to the catheter 100, it can be determined when the EP tracking device 70a moves past or is near the coils 102, 104 of the EM tracking device 70b in block 156. Various mechanisms can be used to determine when the EP electrode 70a moves past the EM tracking device 70b. For example, a change in impedance, measured voltage, or other determinations can be measured with the EL electrode 70a and used to determine when the EP electrode is next to or immediately past the EM tracking device 70b.
[0073] When the determination is made that the EP tracking device 70a has been positioned relative to the EM tracking device 70b, such as substantially in the same position, a registration of the EM tracking system 24 and the EP tracking system 22 can occur in block 158. The registration can occur by substantially coordinating or registering the EP tracking system 22 and the EM tracking system 24. In other words, because the EP tracking system 22 can be used to determine the position of the EP tracking device 70a and the EM tracking system 24 can be used to determine the position of the EM tracking device 70b these two positions or points in patient space can be identified as the same. Accordingly, the navigation space of the EP tracking system 22 can be overlaid or registered with the navigation space of the EM tracking system 24.
[0074] The coordination or registration between the EP tracking system 22 and the EM tracking system 24 can be performed by acquiring a selected number of points that are identical or at known locations relative to one another, as discussed above, with both of the tracking systems. For example, at least three corresponding points may be acquired though more points may be used to actually model or characterize the non-orthogonal or known navigation space defined by the EP tracking system 22. Less information may be necessary in a local or small region than would be needed for a larger space, such as an entire navigation space. Once points with both of the tracking systems have been acquired a curvature model, such as a spline model, can be used to model the EP tracking system 22 coordinate system or navigation space. Other appropriate modeling calculations could also be used to computationally coordinate the EP tracking system 22 and the EM tracking system 24.
[0075] Once the EM tracking system 24 and the EP tracking system 22 have been registered, movement of the EP tracking device 70a within the patient space of the patient 36 can be illustrated superimposed on the image data 80. As illustrated in Fig. 6, icons illustrating the first tracking device 70ai and second tracking device 70bi can be illustrated and superimposed on the image data 80. Once registration has occurred, however, the EP tracking device icon 70ai, illustrating the position of the EP tracking device 70a, can be illustrated separate from the EM tracking device icon 70bi, representing the position of the EM
tracking device 70b, but correctly related to the image data 80. It will be understood that an icon 92i can represent generally the surgical instrument 26, or any portion thereof, and not only the tracking devices. The position of the surgical instrument, however, can be identified or determined based upon the tracked position of the tracking device 70.
[0076] Registration of the EP tracking system 22 with of the second navigation space, such as that of the EM tracking system 24, can allow for image navigation of the instrument 26 tracked with only the EP tracking system 22. The navigation space of the EP tracking system 22 may not be substantially uniform or strictly aligned with the coordinates that were used to acquire the image data 80. For example, the tissue of the patient 36 may not be substantially uniform impedance. For example, the impedance of muscle tissue may be substantially different from the impedance of blood or other electrolyte. Accordingly, a particular change in voltage may not always be related to a single physical quantity of movement amount of the EP tracking device 70a. Movement of the EP tracking device 70a within the patient 36, however, can be measured using the EP tracking system 22 once it is registered with a tracking system, such as the EM tracking system 24, which can be registered to the image data 80. A registered position of the EP tracking device 70a can be superimposed on the image data 80. Therefore, a position of the EP tracking device 70a can be superimposed on the image data 80 even if a non-uniform navigation space is generated with the EP tracking system 22.
[0077] Returning reference to Fig. 7B, registering the EP tracking system 22 and the EM tracking system 24 can be achieved with registration method 138b. According to the registration method 138b, a catheter can be provided with an EP electrode as the EP tracking device 70a in block 170. A lead assembly can be provided with the EM tracking device 70b in block 172. The lead can then be moved relative to the catheter in block 174. A determination can be made when the EM tracking device 70b is aligned with or at a selected and known position relative to the EP tracking device 70a in block 176. A registration of the EM tracking system 24 and the EP tracking system 22 can then occur in block 178. The registration method 138b can be substantially
similar to the registration method 138a (illustrated in Fig. 7A) save that the EP electrode is positioned in the catheter 100 and the EM tracking device 70b is positioned on the lead. Therefore, registration can occur in substantially the same way and tracking of the EP tracking device 70a can occur and superimposition of a position of the EP tracking device 70a can be illustrated relative to the image data 80.
[0078] Turning to Fig. 7C, a registration method 138c is illustrated. The registration method 138c can include positioning the EM tracking device 70b at a known location in the patient 36 or other navigable space in block 184. The EM tracking device 70b can be any appropriate device, for example the second tracked instrument 26b illustrated in Fig. 4. The second tracked device 26b can be a second instrument moved relative to the patient 36, a dynamic reference frame (DRF) fixed relative to the patient 36, or any appropriate device including the EM tracking device 70b. For example, the DRF 26b' can be positioned relative to the patient 36 at a fixed and known location. The known location of the DRF 26b' can be determined in any appropriate manner. For example, a registration probe (not illustrated) can be moved relative to the DRF 26b' to determine the location of the DRF 26b'. In addition, the DRF 26b' can be positioned or include a fiducial that is identified in the image data 80 to allow for identification and registration to the image data 80. Alternatively, if the second instrument 26b is a moveable instrument, it can be moved to a landmark that can also be identified within the image data 80.
[0079] When the second tracked device 26b, 26b' is identified relative to the image data 80 and the EM tracking system 24 is registered to the image data 80, the first tracked instrument 26a including the EP tracking device 70a can be moved relative to the second tracked device 26b, 26b'. For example, the first instrument 26a, illustrated in Fig. 4, can move to the location of the DRF 26b' in block 186. Once the first tracked instrument 26a is at the same position as the DRF 26b', registration of the EM tracking system 24 and the EP tracking system 22 can occur in block 188. As discussed above, the location of the two tracking devices 70a, 70b can be determined to be substantially identical when they are
positioned next to each other to allow for registration of the two tracking systems 22, 24.
[0080] It will be further understood that when two tracked instruments 26a, 26b are provided, they can be positioned at a known position and orientation relative to one another to allow for registration to occur in block 188. For example, the first tracked instrument 26a can be positioned at a known position and orientation relative to the DRF 26b'. The DRF 26b' can be tracked with one of the two tracking systems and the first tracked instrument 26a with the other tracking system and registration can occur. In other words, knowing a position and orientation of the DRF 26b' and position and orientation of the EP tracking device 70a relative to the DRF 26b' can allow for registration of the two tracking systems 22, 24 even if the two tracking devices 70a, 70b are not in substantially identical locations. As discussed above, imaging systems can be used to determine or identify the known locations of the two tracking devices 70a, 70b.
[0081] Registration of the EP tracking system 22 and the EM tracking system 24 can also occur by providing the EP tracking device 70a and the EM tracking device 70b substantially at the same position on the tracked instrument 26, as illustrated with the instrument 120 in Fig. 3. When the tracking device 70 has substantially only one location for both the EP tracking system 22 and the EM tracking system 24 a complex determination of registration is not otherwise required, including positioning the EP tracking device 70a relative to the EM tracking device 70b. Because the two tracking devices are at substantially the same or corresponding point, the tracked position of the EM tracking device 70b with the EM tracking system 24 can be used to correspond the position of the EP tracking device 70a inherently since all positions determined with the EM tracking device 70b are inherently registered with the EP tracking device 70a. Therefore, the coordinate system of the EM tracking system 24 can be used to illustrate a position of the EP tracking device 70a on the image data 80 at all times. This can allow or be used to acquire more than one point that is the same position with both of the tracking devices 70a and 70b. This can assist in registration of the EP tracking system 22 and the EM tracking system 24. It will
be understood, however, that the two tracking devices 70a and 70b need not be the same device to acquire more than one point that is at the same position with both of the tracking devices 70a and 70b.
[0082] Even when the two tracking devices 70a, 70b are the same device or formed to be at the same or fixed relative positions, a third tracking device can be provided. For example, the tip electrode 92 can also be interconnected with the controller 72. Thus, the position of the tip electrode 92 can be tracked once it has exited the catheter 122.
[0083] In addition, or alternatively, it will be understood that the EP tracking device 70a and the EM tracking device 70b need not be positioned on top of one another, but can be positioned substantially at a known fixed location relative to one another or next to each other with a selected assembly. For example, an electrode of the EP tracking device 70a can be positioned substantially abutting coils of wire defining the EM tracking device 70b. They can also be positioned a distance from one another at a substantially known location, at least when a device is at a known configuration. The known relationship or relative positions of the EP tracking device 70a and the EM tracking device 70b can be used to register the EP tracking system 22 and the EM tracking system 24 even if the EP tracking device 70a and the EM tracking device 70b are not at the same location.
[0084] Turning to Fig. 8, navigating the EP tracking device 70a in block 140 is described in further detail. Movement of the EP tracking device 70a can be determined in block 200. The movements of the EP tracking device 70a can then be registered to the coordinates of the EM tracking system 24 in block 202. As discussed above, registration of the EP tracking system 22 and the EM tracking system 24 allow for a registration of a coordinate in the EM tracking system 24 with a determined position of the EP tracking device 70a in the EP tracking system 22.
[0085] Because of the registration of the EP tracking system 22 and the EM tracking system 24, a position of the EP tracking device 70a can be illustrated or displayed on the display device 38, 40 in block 204. As discussed above regarding Fig. 6, a tracked position of just the EP tracking device 70a with
the EP tracking system 22 can be displayed on the display device 40 relative to the image data 80. For example, the icon 70ai representing a position of the instrument tracked with the EP tracking device 70a can be displayed on the image data 80.
[0086] Merging preoperative acquired image data, such as the image data 80, can be done to intraoperative acquired image data in block 206. The merging of the image data can occur in any appropriate manner. One appropriate method can include contour merging, which matches contours in the preoperative acquired image data and intraoperative acquired image data. For example, if image data of a vertebra is acquired preoperative^ and contours of a vertebra is acquired intraoperative^ they can be matched. The contours can be manually or automatically determined in the image data and matched between image data sets.
[0087] Additionally, tracking the EP tracking device 70a can be used to create point clouds for various organs. For example, a point cloud or point cloud map can be generated for a portion of the heart 84. The point cloud can then be matched, such as with contour matching or landmark matching, with preoperative acquired image data. Point cloud matching or generation includes identifying one or more points with the tracking device 70, such as with the EP tracking device 70a to generate a surface of a volume. Appropriate cloud mapping techniques include those described in U.S. Patent Application No. 12/117,537, filed on May 8, 2008, incorporated herein by reference. It will be understood, however, that the generation of the point cloud can be made with either the EP tracking device 70a or the EM tracking device 70b. However, the EP tracking device 70a, which can include an electrode, can be provided at a selected size, such as one that will easily maneuver within the heart 84 to allow for an efficient generation of the cloud map by identifying a plurality of points. Accordingly, a selected one of the tracking devices 70a, 70b can be efficiently used to generate a selected type of data, such as a landmark or cloud map, for merging of intraoperative and preoperative image data.
[0088] In addition, the electrode 92 of the lead 90 can be used as the EP tracking device 70a. The tip electrode 92 can be implanted in the heart 84.
Accordingly, image data 80, which can be pre- or intra-operatively acquired, can be used to identify or suggest a selected location of the lead tip 92. By registering the EM tracking system 24 and the EP tracking system 22 a selected location identified relative to the image data 80 can be used to guide the electrode 92 to an appropriate or selected location for implantation. An additional tracking device, such as the EM tracking device 70b, is not required to track the electrode 92 to a selected location within the heart 84 with the image data 80 because of the registration of the EM tracking system 24 and the EP tracking system 22. Suggesting a placement of a lead tip can be based on any appropriate information, such as historical data, statistical data, or atlas models. Exemplary suggestion systems include those disclosed in U.S. Patent Application Publication No. 2002/0097806, published on May 20, 2004, incorporated herein by reference.
[0089] As discussed above, the EM tracking system 24 and the EP tracking system 22 can be used for different tracking purposes or in different locations. In addition, the EP tracking system 22 may not generate an appropriate signal in various portions of the patient 36. For example, if the EP tracking device 70a is not positioned within a portion of the patient 36 that includes an electrolyte or appropriately conducted material, a voltage may not be generated relative to the EP tracking device 70a when a current is induced in the patient 36. Therefore, the EM tracking device 70b can be used to track the position of the instrument 26 relative to the patient 36.
[0090] According to various embodiments, the EP tracking device 70a can be substantially smaller than the EM tracking device 70b. For example, the EP tracking device 70a may only include a single wire or small conductive member to act as an electrode, and, thus have small dimensions. The small dimensions of the electrode of the EP tracking device 70a can allow it to move to selected locations, such as within the heart 84, which may not be accessible with a larger tracking device, such as the EM tracking device 70b. Therefore, providing the EP Tracking system 22 and the EM tracking system 24 can allow for tracking the surgical device 26, or any appropriate device, with more than one modality.
[0091] The EP tracking system 22 can be used to track the lead electrode 90 as the EP tracking device 70a. Accordingly, the EP tracking system 22 can be used to track the location of the lead electrode 90 to its intended implantation site or location with the EP tracking device 70a. The tracked position can then be displayed on the display devices 38, 40 for viewing by the surgeon 34.
[0092] The EP tracking system 22, however, may not be directly registerable to the image data 80. As discussed above, varying impedances of tissue of the patient 36 may inhibit registration of the EP tracking system 22 with the image data 80. Lack of registration with the image data 80 can reduce effectiveness of image navigation.
[0093] The EM tracking system 24, however, can be registered with the image data 80. The EM tracking system 24, including the more uniform navigation domain, can be registered to the image data 80. In determining one or more points, also referred to as identity points, in both the EP tracking system 22 navigation domain and the EM tracking system 24 navigation domain the two tracking systems can be registered. This can allow the EP tracking system 22 to be registered to the image data 80. Registration can also allow the use of pre- acquired image data that can be registered to intraoperative image data or other appropriate image data for navigation of the instrument 26 with the EP tracking device 70a.
[0094] In addition, the two tracking systems 22, 24 can be used for complementary purposes. For example, the EM tracking system 24 may have a higher accuracy than the EP tracking system 22. Therefore the EM tracking system 24 can be used to determine locations of various landmarks for registration, while the EP tracking system 22 is used for navigation of the instrument 26 for implantation. Also, if location and size permits, the EM tracking system 24 can be used to confirm a location of the instrument 26 after implantation.
[0095] Further, the EM tracking system 24 can track the tracking device 70b in the absence of a conductive material. Thus, the EP tracking device 70a can be used to track the instrument when a conductive medium and
current is present (e.g. within the heart 84) and the EM tracking device 70b can be used to track the instrument 26 when the conductive medium is not present. For example, if a catheter were placed in or made to traverse a volume surrounded by air, such as the windpipe or puncture a lung and get in an air sac, the EP tracking system 22 may not be able to track the EP tracking device 70a.
[0096] The flow chart 130 illustrating the method for registering or coordinating dual or two tracking system types illustrates a general overview of a registration, also referred to as a corresponding, method. It will be understood, however, that the registration of two tracking systems can be performed according to any appropriate method. For example, as illustrated in Fig. 9, a flow chart 250 illustrates a method of registering the coordinates of the EP tracking system 22 and the EM tracking system 24. The EP tracking system 22 can generate a navigational domain by injecting a current into the patient 36 to define patient space with injection or axis electrodes. The EM tracking system 24 can generate a navigational domain in patient space with an EM localizer that generates EM fields. Registering the two tracking systems 22, 24 is understood to allow a position determined with one of the tracking systems to be corresponded or registered to or known in the coordinates of the other tracking system. This can further allow illustration of a position of a tracked instrument on registered image data.
[0097] The method according to the flowchart 250 can start in block
251 and then proceed through three main phases. In the first phase, in block
252 the EP tracking system 22 and the EM tracking system 24 are registered to one another. In the second phase, in block 270 the displacement of the EP determined physical (patient space) position relative to the EM determined physical (patient space) position of the tracked instrument is determined and saved or stored. In the third phase, in block 280 the EP position data is corrected or interpolated to illustrate or output the registered or corresponding position of the EM tracking system 24 based on the registration and the determined displacement in the first and second phases.
[0098] Phase I: Register EM tracking system coordinates and EP tracking system coordinates in block 252.
[0099] 1. Synchronize time or data position collection in two tracking systems in block 258, e.g. the EM tracking system 24 and the EP tracking system 22. (Step 1.1.)
[00100] The EM tracking system 24 and the EP tracking system 22 should be synchronized during simultaneous position acquisition, as discussed herein. The purpose of the registration is to allow registration or correspondence between positions determined by each of the two tracking systems 22, 24. Accordingly, to properly compare simultaneous positions, the two tracking systems 22, 24 should allow for synchronous position acquisition and determination. It will be understood, however, that synchronous position acquisition need not only require the same physical position acquisition at the same instant, rather it can also include determining a time when a position is determined with one of the two tracking systems and a time when a similar, same, or related position is determined with the other tracking system.
[00101] One method for synchronization can include identifying a first pedal press of the foot pedal 54 in each position data set for each of the two tracking systems 22, 24. The pedal press can be, however, any appropriate physical input by the user 34 to each of the tracking systems to identify an initial position determination or point acquisition. The pedal press in each data set can be used to compute the time offset between the two position data sets.
[00102] In addition or alternatively to using a pedal press, other information can be used to synchronize a timestamp for the data collected. For example, the two tracking systems 22, 24 can be interconnected with a network system and the network time protocol (NTP) can be used to synchronize timestamps for the position data collection. Alternatively, or in addition thereto, any other data transmission system, such as a USB cable, can be used to synchronize or send a synchronization signal to synchronize the two tracking systems 22, 24.
[00103] In addition, a position sampling signal can be sent from one of the tracking systems, such as the EM tracking system 24, to the other of the tracking systems, such as the EP tracking system 22. The signal is to allow the acquisition of a position determination simultaneously with both tracking systems
22, 24. The position collection command can allow for inherent registration between the two tracking systems 22, 24. It will be understood, however, that latency may exist between the issuance of the command to collect the position data and the actual collection of the position data. Once the latency between the provision of the command and the collection of the position data is accounted for, the two tracking systems 22, 24 can be synchronized. It will be understood, however, that the position determination instruction can be issued from either of the tracking systems, such as from the EP tracking system 22 to the EM tracking system 24 or vice versa.
[00104] A single signal, whether a pedal press or otherwise can synchronize the timing of the two tracking systems. Position data can be acquired and time stamped. The time stamped data can then be compared, beginning at the synchronous event, for the registration of the multiple tracking systems.
[00105] Additional synchronization techniques can include motion detection and analysis. For example, the position data collected with both of the tracking systems 22, 24 can be used to determine motion of the respective tracking devices in each of the tracking systems 22, 24. The position data can be used to determine the motion of the respective tracking devices. The respective sensors are moved within the volume of the subject, such as the patient 36. When the respective tracking devices or position elements are positioned within the patient 36, such as within the heart 80, motion can be induced and position can be changed in the respective tracking devices due to respiration, blood flow, movement of the heart, or movement of the catheter. Particularly if motion is quite vigorous, for example, when the position elements are positioned near the right ventricle or apex, a great deal of motion can be determined. The same or similar determined motion can be used to relate or determine similar positions of two tracking devices.
[00106] The sampling rate for the tracking systems 22, 24 can be relatively high compared to the motion within the patient 36. For example, a heart beat can be on the order of one half to one second while a sampling rate can be at least about ten per second. Accordingly, a plurality of samples can be
collected for each heart beat. Thus, a relatively great deal of motion data can be collected and analyzed or compared between the two tracking systems 22, 24 to achieve an accurate synchronization signal.
[00107] Regardless, a plurality of position samples can be analyzed for determining motion of the respective position elements. It will be understood that the analysis can be used to synchronize all of the data or certain portions of the data using an analysis over time of the motion. The data can be synchronized by determining when in time the motion is substantially identical to synchronize the collected position data.
[00108] Once the data is synchronized, a coordination or registration between the two tracking systems 22, 24 can be completed as discussed herein. The registration can be based upon the acquisition of the position data with one or both of the tracking systems and determining a look up table for a relationship between the EM and EP tracking systems 22, 24. Once an appropriate transformation is determined, as discussed further herein, and a look up table or other appropriate system is defined, a translation can be made between a position determined with either of the tracking systems 22, 24 and translated to the coordinate system of the other of the two tracking systems 22, 24.
[00109] Part 2. Collect Position Data with Both the EP Tracking system 22 and the EM Tracking System 24 in block 260. (Step 1.2.)
[00110] Once the position collection is synchronized between the EM tracking system 24 and the EP tracking system 22, a plurality of position data samples can be collected. For example, 10, 50, 200, or any appropriate number of position data samples can be collected. It will be understood, that the position data samples collected, starting with the first synchronized data sample, can be collected with synchronization, such as with one of the two tracking systems providing a data collection signal, or synchronizing the two data sets, such as with motion analysis. Accordingly, it will be understood that the data sample used for the translation or coordination between the two tracking systems 22, 24 can be data that is collected after synchronization has occurred between the two tracking systems 22, 24 or after a plurality of data from both of the two tracking systems 22, 24 have been synchronized. However, the position
data can be collected and analyzed with the synchronous information as opposed to both tracking systems synchronously collecting position data.
[00111] It will be further understood that any appropriate number of substantially synchronized data points can be collected or used for translation between the two tracking systems 22, 24. A linear interpolation can be made between the two nearest points in both of the EM tracking system position data and the EP tracking system position data to generate pairs of synchronized or substantially synchronized position data. As a further example, if the position data are collected after a synchronization, such that the data is not previously collected and a synchronization is determined after the collection, an interpolation can be made between the two nearest points generated in each of the two tracking systems 22, 24. Accordingly, any appropriate number of synchronized position data points can be collected or used between the two tracking systems 22, 24.
[00112] Part 3. Determining a Transformation between the EM tracking system 24 and the EP tracking system 22 in block 262. (Step 1.3.)
[00113] A transformation can be made between the EM tracking system 24 and the EP tracking system 22, as discussed herein. The transformation can be between the EM tracking system 24 and the EP tracking system 22 based upon the pairs of synchronized points obtained, as discussed above. It will be understood that position data points from the EP tracking system 22 can be translated into the EM tracking system 24 coordinate position data and vice versa. The discussion herein regarding transforming the EM position data to the EP tracking system 22 coordinate system is merely exemplary.
[00114] A non-linear optimization procedure can be used to find an Affine transformation between each of the pairs of points from the two tracking systems 22, 24. For the following discussion a position data point from the EP tracking system 22 can be referred to as 22p and a position data point from the EM tracking system 24 can be referred to as 24p, as illustrated in Fig. 9A. The transformation can minimize the sum of the square of distances between the EP points 22p and the EM points 24p that are related in time to each other. That is,
that points that are compared were collected at the same time or at the same physical location due to the synchronization. Appropriate optimization methods can include the Nelder-Mead method, such as that described in Nelder, J. A. and Mead, R. "A Simplex Method for Function Minimization." Comput. J. 7, 308-313, 1965. With two tracking systems 22, 24 operating independently, position data points may not be collected at the same time. Therefore, the navigation system 20 can interpolate position and time samples. The interpolation can include determine a difference in time or the time when a position data point in each of the two tracking systems was collected at different times for the same physical location.
[00115] The two points should be at the same physical position when an appropriate and calibrated instrument is used, as discussed herein. Briefly, according to various embodiments, a single instrument can have a first tracking device tracked with the first tracking system 22 and a second tracking device tracked by the second tracking system 24 at substantially the same physical (e.g. patient space) position.
[00116] The affine transformation can include several parameters for the transformation of the EP position data to the EM position data, for example 10 parameters. The parameters can include translating each of the EM points 24p to center on the origin. Translating the EM points to center on the origin can include three parameters, at least, because the position points exist in three dimensional space along three axes, as discussed above. Accordingly, each of the EM points will have three dimensions each relating to one of the three parameters to translate the EM points to center on the origin.
[00117] The EM points 24p can also be uniformly scaled with at least one parameter to enlarge the cloud or volume of the EM points. As discussed above, the EM and EP tracking systems 22, 24 can be used to generate a plurality of points to identify a surface, such as an internal surface of a heart of the patient 36. Accordingly, both the EM and EP tracking systems 22, 24 generate a plurality of points that are used to identify or generate a surface.
[00118] Three parameters further are to rotate the EM points 24p around each of the three axis. Rotation around each of the axis can relate to
one of the three parameters. The EM tracking system 24 is not aligned to the patient, unlike the EP tracking system 22, due to the placement of the axes patches on the patient 36. The axes patches on the patient 36 do the alignment of the EP tracking system 22 to the patient 36. Registration includes not only distance but coordinate alignment of the EM tracking system 24 coordinates to the EP tracking system 22 coordinates, thus rotation is necessary.
[00119] Finally, three parameters can include translating the EM points 24p to the center of the EP points 22p from the origin. The center of the EP points can be determined by identifying an outer most extent of the EP position points and determining a center related to all of the outer most points. It will be understood that any other appropriate center or identification of a position within the EP points 22p can be determined and translating the EM points 24p to the center or other determined point can be made along each of the three axis to determine or generate the three final parameters. The ten parameters, as discussed above, can be optimized using the appropriate optimization algorithm or method, such as the Nelder-Mead optimization method.
[00120] Part 4. Transform the EM points 24p in block 264 with the Determined (e.g. Affine) Transformation optimized in block 262 (Step 1.4.)
[00121] Once the affine transformation has been optimized, it can be applied to the EM points 24p. In transforming the EM points 24p, the EM points 24p and the EP points 22p should include substantially identical positions in generated space. In other words, when displayed on the display device, the surface or cloud of position data points collected with both of the EM tracking system 24 and the EP tracking system 22 should appear to be substantially identical. The transformation, therefore, can be used to coordinate or register the coordinate systems of the EP tracking system 22 and the EM tracking system 24. Once registered a position data point determined with one of the tracking systems can be registered to the other tracking system. As discussed above, this can allow for the EP position data point 22p to be superimposed on image data based on a registration of the EM tracking system 24 to appropriate image data (such as external image data including magnetic resonance image data).
[00122] In addition, it will be understood, that the transformation can also be to transform the EP position data points 22p to the EM coordinate system. As discussed above, the EM coordinate system is substantially uniform and generally can be related more strictly to three dimensional coordinates of the patient 36.
[00123] Phase II: Determine Local Displacements between the EM tracking system and the EP taking system in block 270
[00124] Part 1. Sample or collect additional positions to generate additional position data points in block 272. (Step 11.1 )
[00125] After the transformation has been determined between the
EM data points 24p and the EP data points 22p, as discussed above, additional position data points can be collected with the EP tracking system 22 and/or the EM tracking system 24. Generally, position data points can be collected at any appropriate rate or frequency for generation of a map of a volume, which can be rendered as a surface or a plurality of points or managed points, as discussed above. The frequency of data collection can be any appropriate frequency, such as about a position data point every one second or about twelve times per second.
[00126] Because the transformation has been determined, as discussed above in Step I.4., each of the data points collected in either of the two tracking systems 22, 24 can be substantially instantaneously or continuously transformed to the coordinate system of the other tracking system. For example, if the EP tracking system 22 is used to collect additional position data points, then the navigation system 20, or a processor thereof executing instructions, can transform the additional EP position data points to the EM coordinate system.
[00127] Any appropriate amount of position data can be collected and used to generate a map, as discussed above. Further, the transformation can be between any two appropriate navigation or tracking systems rather than just between an EM and EP tracking system.
[00128] Part 2. Determine and Store a vector from each EP point
22p to a synchronized and corresponding EM point 24p of the two tracking systems 22, 24 in block 274. (Step II.2.)
[00129] As each position data point is collected, for example with the EP tracking system 22, a vector 22v (Fig. 9A) can be computed between each of the actually collected EP position data points 22p and the corresponding EM position data point 24p. The vector from the EP position data point 22p to the corresponding EM data point 24p can be based upon the transformation discussed above. The vector 22v between the EP and EM points 22p, 24p can be stored and saved in an octree for each of the EP position points 22p collected.
[00130] As is understood by one skilled in the art, an octree is a spatial data structure that can be used to map points and space to data. In this instance, the data can include the vector 22v from each of the EP points 22p to the EM points 24p and the spatial information can be related to the spatial position of the EP point 22p and the position data relating to that point. Accordingly, for each of the position data points that are collected including the EP position data points 22p, a vector 22v can be determined to a corresponding EM data point 24p and stored in an appropriate data structure for later access.
[00131] Part 3. Create a three dimensional (3D) look-up table in block 276. (Step II.3.)
[00132] Once the vector has been determined and stored, as discussed above in Step II.2. a three dimensional or appropriate look-up table (3D-LUT) can be generated or created. The three dimensional look up table can include a plurality of grid points in three dimensional space. For each of the points in the look up table, an average of each of the vectors between the EP and EM points can be determined within a given radius from the respective grid points. The vectors that are stored in the octree, discussed above, can be efficiently accessed within the given radius from the selected grid point to generate the look up table.
[00133] The grid points within the three dimensional space can be related to the information in the 3D-LUT. Accordingly, information regarding each of the points within a respective grid can be stored in the 3D-LUT. It will be further understood that the grid points can be positioned at any appropriate density or spacing for use in 3D-LUT.
[00134] Phase III: Correct The EP Position Data in Sub-Routine Block 280.
[00135] Part 1. Linearly Interpolate EP position data points in block 282. (Step III.1.)
[00136] Once the 3D-LUT has been created in Step II.3. the data can be interpolated or corrected in Phase III. In particular, according to the example discussed in particular here, each of the EP position data points can be corrected or interpolated to the EM coordinate system of the EM tracking system 24. Initially, the EP position data points can be a linearly interpolated to relate to the EM coordinate system. The 3D LUT generated in Step II.3. can include the EP position data points collected or determined with the EP tracking system 22.
[00137] The linear interpolation can be any appropriate linear interpolation and can generally include averaging the eight cells nearest the selected cell in the 3D LUT. The linear interpolation can interpolate each of the EP position data points based upon the closest eight cells in the 3D LUT generated in Step II.3. The linear interpolation will result in the determination of an interpolated displacement of each of the EP position points because the 3D LUT includes data relating to the vectors between each of the EP and the corresponding EM data points. The eight nearest cells can be the cells touching the related EP position data point cell in the 3D LUT.
[00138] Part 2. Add the interpolated displacement to the determined EP position data point to determine an interpolated EP position data point in block 284. (Step III.2.)
[00139] Following the linear interpolation of the respective cells in Step 111.1., the interpolated displacement can be added to the EP position data 22p to generate an EP interpolated position data point. The EP position data point can be the data point that is collected or determined solely with the information collected with the EP tracking system 22. According to various examples, the EP tracking system 22 collects or determines the EP data point 22p with an electrode positioned within the patient 36. When only the map generated with the EP tracking system 22 is selected, the relative relation of the EP position data points to any other coordinate system is generally unimportant.
When additional coordinates are selected to be viewed, however, the interpolated EP position data point can be used to relate each of the collected EP position data points to the coordinate system of the EM tracking system 24. This can allow the interpolation to be used to view a map or display of EP position points relative to other acquired image data or other fixed coordinate systems relative to the patient 36 based on the regular coordinates of the EM tracking system 24.
[00140] The interpolated EP position data point can be used to, optionally, relate to an external or a uniform coordinate system in block 290. For example, as discussed above, the EM tracking system 24 can be registered to image data of the patient 36. Accordingly, the interpolated EP position data generated or determined in Step 111.2. can also be registered or related to the image data of the patient 36. Accordingly, even if the coordinate system of the EP tracking system 22 is not strictly uniform or inherently registerable to any external coordinate system, interpolation of the EP position data to the coordinate system of the EM tracking system 24 can allow for an interpolation of the coordinate system of the EP tracking system 22 to a more uniform coordinate system.
[00141] The method 250 can then end in block 292. The method in flowchart 250 can generate EP position data 22p that relates to a fixed or Euclidean coordinate system. This can allow EP position 22p data to be registered to other acquired image data through registration with the EM tracking system 24 that is registered to the other image data.
[00142] Further, the method in flowchart 250 can be used to register the coordinate system of any two tracking systems for use in any appropriate volume. Also, the tracking systems 22, 24 can be used to track any appropriate device relative to any appropriate volume. Positioning a device within an enclosed volume may be selected for building, manufacturing, or repairing various workpieces in selected workspaces. For example, a device can be moved relative to an enclosed volume, such as within an airplane, robot, or other enclosed areas, without requiring open visualization or access within the volume. The enclosed volume of the workpiece or workspace, may also include more
than one type of environment. Accordingly, having multiple tracking systems using differing tracking modalities can be used to track a single instrument or two parts of the single instrument within any appropriate volume.
[00143] Instruments
[00144] According to various embodiments, a single instrument 300 for use with both the EM and EP tracking systems 22, 24 is illustrated in Fig. 10, The single instrument 300 can be based on known appropriate instruments, such as the pacemaker lead model 4074 sold by Medtronic, Inc., having a place of business in Minneapolis, MN. The model 4074 can include a passive mounting system or tines that can be removed to allow for a substantially smooth exterior. The instrument 300 can have an exterior diameter of about 0.075 inches and have an external distal electrode 302 that can be used as the EP tracking device. Therefore, the external electrode or EP tracking device 302 can be used with the EP tracking system 22, as discussed above.
[00145] Positioned proximally, or nearer an origination point of the instrument 300 can be a coil, such as a coil of wires 304 that can be used as an EM tracking device. The EM tracking device 304 can include one or more coils of single or individual wires. For example, two coils of wires can be positioned to have axes at an angle relative to one another to obtain multiple degrees of freedom information regarding location.
[00146] A center 304c of the EM tracking device or coil of wires 304 can be positioned at a selected distance 306 from a center 302c of the EP tracking device 302. Generally, the distance 306 can be the distance between the center points of the two tracking devices 303, 304. The distance 306 between the EP tracking device 302 and the EM tracking device 304 can be known and used in the interpolation of the EM position data and EM position data, as discussed above.
[00147] The EM tracking device 304 can be fixed at the distance 306 from the EP tracking device 302 by any appropriate mechanism. For example, the EM tracking device 304 can be positioned on a tube 308 that is fixed to an exterior of the instrument 300 at the fixed distance 306 from the EP tracking device 302. The fixation of the tube 308 can be with adhesives, welding, or any
appropriate fixation mechanism. Further, it will be understood, that the EM tracking device 304 can be formed as a coil of wire that is directly on the exterior of the instrument 300 as long as the EM tracking device 304 and its conductors and are insulated from other conductors of the instrument 300. If modifying an existing instrument wires or conductors 310 can be used to interconnect the EM tracking device 304 with the EM tracking system 24. An appropriate shrink wrap or insulation 312 can be provided to hold the conductors 310 and insulate the conductors 310 from the patient 36.
[00148] Accordingly, the instrument 300 that has the EP tracking device 302 and the EM tracking device 304 at the fixed distance 306 from one another can be used for acquiring EP position points and EM position points. Further, the EP positions determined with the EP tracking device 302 and the EM positions determined with the EM tracking device 304 can be determined substantially simultaneously with the single instrument 300. The navigation system 20 can use the simultaneous or substantially simultaneous measurements of position of both the EM and EP tracking devices 304, 302 to determine a registration between the two tracking systems, as discussed above and herein. Thus, the instrument 300 can be used with the two tracking systems 22, 24 to register the two tracking systems or can be used with only one of the tracking systems for determining a position of the instrument 300 within the patient 36.
[00149] As discussed above, the orientation of the EM tracking device, can be determined. The orientation of the instrument 300 can be determined with the EP tracking system 24 by determining the location of two EP tracking devices on the same instrument 300. For example, returning reference to Fig. 10, a second EP tracking device 303 can be included near the first EP tracking device 302.
[00150] The first EP tracking device 302 and the second EP tracking device 303 can both be tracked simultaneously to determine an orientation of the distal end of the instrument 300. For example, during a detection or navigating cycle, the position of both the first EP tracking device 302 and the second EP tracking device 303 can be determined. By determining the position of both the
EP tracking devices 302, 303 an orientation of the instrument 300 can be determined. A line or vector can be determined between the position of the second tracking device 303 and the first EP tracking device 302. The vector can be determined by the navigation system 20, the EP tracking system 22, or by a user viewing the display 40 that can include an icon illustrating the position of both of the EP tracking devices 302, 303. According to various embodiments, the tracking system 22 can be used to determine a vector between the two EP tracking devices 302, 303. Accordingly, an orientation of the instrument 300 can be determined with the EP tracking system 22.
[00151] With reference to Fig. 1 1 , an instrument 340 is illustrated. The instrument 340 can be any appropriate cannulated instrument that forms an internal cannula or bore 342 within an internal structure 344. Positioned through the cannula 342 is a guide wire or stylet 346. The stylet 346 can be formed of a conductive material, such as a biocompatible metal or metal alloy or other conductive material. The stylet 346 can extend from an end 350 of the internal structure 344 to be used as an electrode or EP tracking device 348.
[00152] The stylet 346 can be a non-rigid structure such that it is able to move or deflect due to blood flow, encounters with the anatomy of the patient 36 or other solid structures. Accordingly, the EP tracking device 348 can deflect or move to deflected positions 348' relative to the end 350 of the instrument 340. The EP tracking device 348 can be moved relative to the internal structure 344 to limit or increase the amount of deflection of the EP tracking device portion 348 of the guide wire or stylet 346. Nevertheless, the EP tracking device 348 can be at a substantially fixed position relative to a coil or EM tracking device 360.
[00153] The EM tracking device 360 can be a coil, such as a coil discussed above, for use with the EM tracking system 24. The EM tracking device 360 can be formed around the stylet 346, such as a stylet provided with implantable leads sold by Medtronic Inc., having a place of business in Minnesota, USA. The EM tracking device 360 can be fixed on the stylet 346 relative to the EP tracking device 348. The EM tracking device 360 can be used to determine positions with the EM tracking system 24 substantially simultaneously with the EP tracking device 348, as discussed above.
[00154] The instrument 340 can further include a balloon or inflatable portion 366. The inflatable portion or balloon 366 can be similar to the balloon or inflatable portion of the Medtronic Attain 6215 venogram balloon instrument sold by Medtronic, Inc., having a place of business in Minnesota, USA. The instrument 340 can include the balloon to assist in movement of the instrument 340 relative to the patient 36 and assist in minimizing the possibility of a perforation. The balloon 366 can also limit the amount or depth of the EP tracking device 348 can enter into a tissue structure. The balloon 366 can also assist in moving the instrument 340 through the patient 36 by allowing or causing drag on the balloon 366 through the patient 36.
[00155] With reference to Fig. 12, schematic illustrations of instruments 370 and 380 illustrate information that can be collected or known by the navigation system 20 for determining the simultaneous or corresponding positions within the EM and EP tracking systems 24, 22. With reference to the schematic instrument 370, an EP tracking device 372 having a center 372c is positioned at a known or measured position or distance 374 from an EM tracking device 376 having a center 376c. The measured position of the EP tracking device 372 and the EM tracking device 376 can generally be the center of the respective tracking devices 372c, 376c. The distance 374 between the EM tracking device 376 and the EP tracking device 372 can be fixed and known prior to the use of the instrument schematically illustrated at 370 or it can be measured within the navigation system 20. Nevertheless, the distance 374 between the two tracking devices 372, 376 can be used in the registration between the EP and EM tracking systems 22, 24.
[00156] With reference to the schematic illustration 380, the EP tracking device 372 can be used to substantially define a single three dimensional point within the navigation volume of the EP tracking system 22. The EM tracking device 376 can also be used to define a three dimensional position and an orientation within the navigation domain or volume of the EM tracking system 24. An angle 382 can be defined between the point determined with the EP tracking device 372 and the EM tracking device 376. The angle 382 can also be inputted into the navigational system 20 or measured within the navigation system 20 to
increase accuracy when determining the position of the EM tracking device 376 relative to the EP tracking device 372. The angle 382 can change depending upon the configuration of the tracking instruments or mapping instruments. For example, the EM tracking device 360 on the stylet 346 may move relative to the EP tracking device 348. Accordingly, the orientation or angle 382 between the EM tracking device 376 and the EM tracking device 372 can be determined while making measurements or determining positions of both the EP and EM tracking devices 372, 376. The orientation of the EM tracking device can also be used to confirm location of the instrument when the orientation is known relative to the EP tracking device.
[00157] Procedures
[00158] Various instruments that can be used to map or track within the tracking systems 22, 24 can also be used for various procedures. For example, the instrument 300 can also be used for ablation. The EP tracking device 302 can be configured to also provide an ablation to selected portions of the anatomy. Instruments used for ablation or lead placement can include an electrode which can be connected with the EP tracking system 22. The EP tracking system can be used to track the ablation or the implantable lead electrode. The EP tracking system 24, therefore, can be used to precisely illustrate and determine the location of the ablation electrode or the electrode for implantation.
[00159] With reference to Fig. 13, the display 40 can display an image that can include preacquired image data, such as from a CT or fluoroscopic scanner, in a first screen portion 400 and map image data in a second screen portion 402. As discussed above, the acquired image data can include image data, such as a CT scan image data 404. The CT image data 404 can be image data that is acquired of the patient 36 either during or prior to a surgical procedure. The map data can include EP or EM map data 406. As also discussed above, a translation between the map data 406 and the acquired image data 404 can be made based on the interpolation of the EP tracking system 22 and the EM tracking system 24. Accordingly, when an instrument is tracked with the EP tracking system 22, after the translation, a position on the
instrument can be illustrated relative to the acquired image data 404 by using the EP tracking system 22 and the translation made, as discussed above in flowchart 250.
[00160] An instrument that includes an electrode, such as an ablation catheter can be tracked with the EP tracking system 22 without requiring additional tracking instrumentation associated with the tracked instrument. A first icon 408a can be illustrated on the EP map data and the second icon 408b can be illustrated on the acquired data 404 to illustrate a location of an ablation instrument relative to an anatomy of the patient 36, such as the heart 80 of the patient. In addition, the tracked location of the ablation instrument can be used to illustrate the ablation location on the patient 36 or in the heart 80.
[00161] Illustrating ablated tissue can be done by tracking the electrode used for ablation with the EP tracking system 22. Either with a manual triggering or with an automatic triggering, the navigation system 20 can be used for identifying one or a plurality of locations of ablation. For example, the ablation instrument can be tracked with the EP tracking system 22 and a location can be illustrated on the EP map data as an ablation or ablated location 410a. Due to the registration with the acquired image data 404, an ablation location 410b can also be illustrated relative to the acquired image data 404. Illustrating an ablation location relative to the image data 404 can be useful in ensuring that an appropriate ablation has occurred relative to the heart 80 or any other appropriate location. It will be understood that according to various embodiments, different ablation instruments can ablate a portion of the heart 80, or any other appropriate anatomical portion, in a point manner, linear manner, or any other type of ablation configuration. Nevertheless, due to the ability to track the location of the electrode performing the ablation, the position of the ablated tissue can be illustrated on the image data 404 acquired of the patient 36.
[00162] By illustrating the location of the ablation relative to the anatomy of the patient 36, a determination can be made as to whether further ablation may be useful in a selected patient or if an appropriate ablation has occurred. For example, it can be selected to view an ablated region to ensure an appropriate annular ablation has occurred to limit electrical pathways through the
heart 80 of the patient 36. Again, by tracking the position of the electrode performing the ablation additional tracking elements may not be necessary. Thus, the EP tracking device, according to various embodiments, can also be used for ablation or other appropriate purposes.
[00163] Similarly, the two tracking systems 22, 24 can be used simultaneously or serially for different procedures. As discussed above, after registration between the two tracking systems 22, 24, the acquired image data 404 of the patient 36 can be illustrated and a tracked position of the instrument using the EP tracking system 22 alone can be illustrated relative to the acquired image data 404. Accordingly, with reference to Fig .14, the acquired image data 404 can be illustrated on the display 40 alone or with the position of an instrument that is tracked solely with the EP tracking system 22. An instrument, such as any appropriate instrument illustrated above, can then be navigated in the heart 80 of the patient 36 and the position of the instrument can be illustrated on the display 40, such as with an icon 420.
[00164] A portion of the instrument can then be tracked into the tissue of the patient 36, such as a wall of the heart 80 with the EP tracking system 22 alone. For example, a needle that is conductive can be tracked into a wall 422 of the heart 80. A position of the needle can be illustrated as a second icon 424 pushed into the wall 422. An infarct in the heart 80 can be treated with selected treatment, such as the injection of proteins or growth factors. Knowing the position of the needle within the heart wall 422 can assist in ensuring an appropriate positioning of the needle during injection of the selected treatment. Accordingly, as the needle is pushed into the wall 422 of the heart 80 it can be tracked with the EP tracking system 22 and its position illustrated relative to the acquired image data 404 of the patient 36 due to the translation between the EP tracking system 22 and the EM tracking system 24. The EM tracking system 24 can be registered to the image data 404 and the EP tracking system 24 can also be also be registered to the image data, or co-registered to the image data, due to the registration with the EM tracking system 24.
[00165] As illustrated here, and discussed above, the registration between the EM tracking system 24 and the EP tracking system 22 allows the
position of the EP tracking device, according to various embodiments, to be illustrated as if it is being tracked with the EM tracking system 24. The registration of the EP tracking system 22 with the EM tracking system 24 allows for the tracked position of the EP tracking device to be illustrated relative to the acquired image data 404 as if it were being tracked with the EM tracking system 24.
[00166] TRACKING SYSTEM VARIATIONS
[00167] According to various embodiments, the EP tracking system 22 is used to inject a current into the patient 36 through the various axis patch pairs 60a-64b. The axis patch pairs can each inject a current into the patient 36 at a different frequency. The frequency injected into the patient 36, however, is generally within a range that is safe for injection into the patient 36. Accordingly, other systems may inject a current or use a current of a frequency that is similar to that which can be used by the EP tracking system 22. Accordingly, the EP tracking system 22 can include a system to monitor and switch frequencies within the patient 36. The circuitry within the EP tracking system 22 can detect or measure currents from other instruments connected to or within the patient 36, at selected times. If a current is found to be within a frequency range used by the EP tracking system 22, a different frequency can be selected and switched to for injection between a selected pair of the axis patches. Such a frequency hopping or frequency agility system can include that disclosed in U.S. Patent Application Serial No. 12/421 ,364, Filed on April 09, 2009, and entitled METHOD AND APPARATUS FOR MAPPING A STRUCTURE, incorporated herein by reference.
[00168] The two tracking systems, including the EP tracking system 22 and the EM tracking system 24, can include different or alternative localizing systems. As discussed above, the axis patches 60a-64b can be used to inject axis currents within the patient 36. An EM localizer, such as the selected EM coil set, can be used to generate a navigation domain relative to the patient 36 or within the patient 36. It can be selected to position the EM localizer 76 relative to the patient 36 to substantially align the navigational domains of the EM tracking system and the EP tracking system.
[00169] For example, with reference to Fig. 4, the EM localizer 76 can be positioned over the heart 84, as illustrated in phantom 76'. Minimizing or lessening the translation between the EM tracking system 24 and the EP tracking system 22 can be achieved by positioning the EM localizer 76' over the patient 36 to substantially align an EM navigational domain axis with an axis of the EP tracking system 22. Thus, the alignment of the EP tracking system 22 and the EM tracking system 24 can be used to assist in determining the location of the tracked devices within the respective tracking system navigational domains and can assist in aligning or determining an orientation of the instruments within both of the tracking system navigational domains.
[00170] The orientation of the instrument 300 can then be translated relative to the orientation of the EM tracking device 304. Thus, when the instrument 300 is tracked with the EP tracking system 22 alone, an orientation of the instrument 300 can also be illustrated relative to the coordinate system of the EM tracking system 24. It will be understood that any appropriate instrument can be used to include two or more EP tracking devices and the instrument 300 is merely exemplary.
[00171] The EP tracking system 22 can include reference patches that are connected to the patient 36 for referencing the tracked devices or the EP points relative to reference portions of the patient 36. The reference patches can be positioned on the patient 36 at appropriate positions such as over the xiphoid of the patient 36 and substantially opposite the xyphoid on a dorsal or back of the patient 36. The reference patches can provide a rough anatomical orientation relative to the patient 36 and can also be used to re-orient the EP data if an error occurs, but at least one of the reference patches is maintained connected to the patient 36. The use of the reference patches can be used to describe in U.S. Patent Application Serial No. 12/421 ,364, Filed on April 09, 2009, and entitled METHOD AND APPARATUS FOR MAPPING A STRUCTURE, incorporated herein by reference. In addition, it will be understood that reference patches used with the EM tracking system 24 can also be used with the EP tracking system 22 and vice versa. That being, the reference patches can be used with the EM tracking system 24 as well.
[00172] CALIBRATION TECHNIQUES
[00173] It can be selected to calibrate a location of an EM tracking device 452 relative to an EP tracking device 472. As illustrated in Figs. 15A15A', and 15B, an EM tracking device 452 is connected with a guide wire or stylet 454 that is connected or otherwise associated with a fixed base of a fixture or jig 456. The fixture 456 can be positioned within the navigation domain of the EM localizer 76. The EM localizer 76, in combination with the EM tracking system 24, can determine the location of the EM tracking device 452. An external indication system can provide an indication of a location of the EM tracking device 452 or indicate when the EM tracking device has reached a selected or targeted location.
[00174] The external indication system, for example, can be a laser module 458 this is automatically powered to emit a laser light 460 at a target. It will be understood that the external indication source can emit a selected emission, such as a visible emission. The target can be the location of the EM tracking device 452. The target can be determined relative to the fixture 456 and the laser module 458 can be activated to emit the beam 460 to indicate the target when the tracking device 452 is determined to be aligned with the target. The external indication system, including the laser module 458, can move relative to the fixture base 456 to point the laser emission 460 at the target. The laser module 458 can rotate around an axis or translate linearly along an axis.
[00175] As illustrated in Fig 15A', the laser module 458 can be automatically or mechanically moved relative to the fixture 456 to align with the target. For example, a selected linear or axial actuator can be associated with the laser module 458. Also, a laser EM tracking device 458a can be associated with the laser module 458 to track the location of the laser module 458. As discussed above, the EM tracking device 452 can be fixed at a selected location on the fixture 456 and the laser emission 460 can be pointed at a target representing the location of the EM tracking device 452. The laser module 458 can be aligned by tracking the laser module 458 with the EM tracking system 24. This can allow the EM tracking device 452 and the laser module 458 to be
tracked with the same tracking system and aligned for determining the location of the EM tracking device 452 for calibration.
[00176] The laser module, or the portion of the laser module 458 that emits the laser light 460, can be mechanically moved relative to the fixture 456. By moving the laser module 458, the target to be illuminated or indicated with the laser module 458 need not be fixed relative to the fixture 456. The laser module 458 can be tracked with the EM tracking system 24 because it is also within the navigational domain generated by the EM localizer 76. Thus, the laser module 458 and the EM tracking device 452 can both be tracked at the same time with the same EM tracking system 24. Alternatively, multiple tracking systems can be used that are registered. Because both the laser module 458 and the tracking device 452 are tracked at the same time and the laser module 458 can be moved, the laser beam 460 can also be moved to illuminate or indicate the location of the target which is the EM tracking device 452.
[00177] As illustrated in Fig. 15A', the laser module 458 can be moved from a first position 458 to a second position 458'. This moves the laser light from a first position 460 to a second position 460'. The movement of the laser module 458 can be used to indicate the location of the EM tracking device 452 as it moves from a first position 452 to a second position 452'. As the laser emission 460 is pointed at the target of the EM tracking device 452 anything positioned over the EM tracking device will be illuminated by the laser emission 460.
[00178] According to various embodiments, as illustrated in Figs. 15A and 15A' the indication module, such as a laser module 458, can be used to indicate the location of the EM tracking device 452. The EM tracking device 452 can be indicated with the laser module by illuminating or indicating a target location which can be the location of the EM tracking device 452. The target can be a fixed location, as illustrated in Fig. 15A or can be a moveable location that is tracked, such as with the EM tracking system 24, as illustrated in Fig. 15A'.
[00179] A second instrument portion 470, which includes an EP tracking device 472 can then be positioned relative to the stylet 454 including the EM tracking device 452. As illustrated in Fig. 15A, a laser light beam 460 can be
directed at the location of the EM tracking device 452. The second instrument 470 need not be tracked, although it can be, because the alignment is done by viewing and confirming when the laser emission 460 illuminated the EP tracking device 472. When the EP tracking device 472 is illuminated alignment can be confirmed, as discussed below.
[00180] With reference to Fig. 15B, the second instrument portion 470 can be slid over the stylet 454 while held relative to the fixture 456. Once the EP tracking device 472 is aligned with the laser beam 460, the system can be calibrated or instructed to indicate that the EM tracking device 452 is aligned with the EP tracking device 472. Once the laser beam 460 is used to align the EP tracking device 472 with the EM tracking device 452, the stylet 454 can be physically marked at the end of the second device 470. For example, an ink marking or other marking 474 can be used to indicate the position of the stylet 454 relative to the second instrument 470.
[00181] The stylet 454 and the second instrument 470 can then be removed from the fixture 456. The two portions of the instrument can then be inserted together or sequentially into the patient 36 to be tracked with the two tracking systems 22, 24. The marking 474 can be used to determine when the EM tracking device 452 is aligned with the EP tracking device 472. Therefore, the alignment or co-positioning of the two tracking devices 452, 472 can be made without viewing the two tracking devices and internally within the patient 36.
[00182] Further, by tracking the EM tracking device 452 any appropriate signal can be emitted by the exterior indication source when the EM tracking device reaches a target. Exemplary signals include audible signals, visual signals, tactile signals, or combinations thereof. The signals can be generated based on the tracked location of the EM tracking device and a determined location of the lead or catheter being moved relative to the fixture 456. A similar or different signal can then be emitted when the EM tracking device is aligned with the EM tracking device 452 or when it is seen to reach a market target on the base fixture 456.
[00183] Cyclic features of the patient 36 can be used to calibrate or classify the positions of the tracking devices, including the EM tracking device 452 and the EP tracking device 472. For example, the position data for each of the tracking devices can be classified within a particular respiratory or cardiac cycle of the patient 36. The differently characterized positions can be used to generate maps of the patient 36 at different portions of the cycle. The different maps can then be played in sequence or otherwise illustrated or synchronized to the patient 36. In addition, the position data that is characterized can be displayed on the display 40 for viewing by the user based upon the appropriate and detected cycle of the patient 36. For example, positions that are collected during an inspiration of the patient 36 can be displayed on the display 40 when inspiration of the patient 36 occurs. This can assist in increasing clarity and accuracy of the illustrated positions on the display 40 by accounting for movement of the patient 36 relative to the instruments within the patient having the tracking devices. Classifying the position data is further discussed in U.S. Patent Application Serial No. 12/421 ,364, Filed on April 09, 2009, and entitled METHOD AND APPARATUS FOR MAPPING A STRUCTURE, incorporated herein by reference.
[00184] Further, the translation or distance between the respective EM tracking devices and the EP tracking devices can be determined using selected external or additional image modalities. For example, fluoroscopy can be used to determine a distance between two tracking devices if both of the tracking devices are radio opaque. Although it can be selected to eliminate or substantially reduce the use of ionizing radiation during a procedure, such as may be used in fluoroscopy, fluoroscopy can be minimally used to determine certain information.
[00185] Additional imaging systems can also be used to obtain information of the patient 36 or information regarding the mapping or trackable devices. Imaging systems can include ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), and other appropriate imaging techniques can be used. For example, an US system can be used to image or view the position of the selected tracking device within the patient 36. An US
transducer can be used to view the tracked device and determine its position in the patient 36. Accordingly, selected imaging systems can be used to image the location of the instrument within the patient 36. As discussed above, this can also be used to determine a distance between two tracked devices within the patient 36, such as for translation or registration purposes between the two tracking systems 22, 24.
[00186] The foregoing description of the embodiments has been provided for purposes of illustration and description. It is not intended to be exhaustive or to limit the invention. Individual elements or features of a particular embodiment are generally not limited to that particular embodiment, but, where applicable, are interchangeable and can be used in a selected embodiment, even if not specifically shown or described. The same may also be varied in many ways. Such variations are not to be regarded as a departure from the invention, and all such modifications are intended to be included within the scope of the invention.
Claims
1. A system to correlate a first coordinate system and a second coordinate system, comprising:
a first tracking system operable to generate a first navigation space and define the first coordinate system;
a second tracking system operable to generate a second navigation space and define the second coordinate system, wherein at least a portion of the first navigation space and the second navigation space overlap;
a processor system operable to execute instructions to:
determine a registration of the first coordinate system of the first tracking system and the second coordinate system of the second tracking system;
determine a displacement between a selected determined position of the first tracking system and the second tracking system; and
translate a first selected position of the first tracking system relative to a second selected position of the second tracking system based on the determined registration.
2. The system of Claim 1 , further comprising:
wherein the first tracking system includes axis injection electrodes positioned relative to a subject to inject a current between respective pairs of the axis electrodes into the subject to define the first coordinate system;
wherein the second tracking system includes an electromagnetic field generating system to generate an electromagnetic field relative to the subject to define the second coordinate system;
wherein the first tracking system and the second tracking system are operated substantially simultaneously to determine the selected determined position with both the first tracking system and the second tracking system.
3. The system of Claim 2,
wherein the first tracking system and the second tracking system are synchronized to determine positions in first coordinate system and the second coordinate system.
4. The system of Claim 3, further comprising:
a single instrument having a first tracking device trackable with a first tracking system and a second tracking device trackable with a second tracking system to determine the selected determined position.
5. The system of Claim 4,
wherein the first tracking device and the second tracking device are on the single instrument;
wherein the processor executes further instructions to determine a relative physical distance, direction, or both between the first tracking device and the second tracking device.
6. The system of Claim 5, wherein the selected determined position is a determined position of a single physical location that is determined with both the first tracking system and the second tracking system.
7. The system of Claim 4,
wherein the single instrument is operable to move to a plurality of the selected determined positions;
wherein each of the selected determined positions is a position determined with both a first tracking system and a second tracking system by tracking the respective tracking device;
wherein the processor is operable to execute further instructions to determine a transformation of at least a sub-plurality of the plurality of selected determined positions between the first tracking system and the second tracking system.
8. The system of Claim 7,
wherein an affine transformation is the determined transformation; and
wherein a first tracking system determined position is operable to be transformed to a second tracking system determined position.
9. The system of Claim 4,
wherein the selected determined position includes a first tracking system selected determined position displaced a known distance and orientation from a second tracking system selected determined position;
wherein the first tracking system selected determined position is determined with the first tracking device and the second tracking system selected determined position is determined with the second tracking device.
10. A system for correlating a first coordinate system and a second coordinate system, comprising:
a first tracking system operable to generate a first navigation space with a first modality and to track a first tracking device;
a second tracking system operable to generate a second navigation space with a second modality that is different from the first modality and to track a second tracking device;
wherein the first tracking device and the second tracking device are operated to synchronously collect a first registration position data with the first tracking system having the first coordinate system and a second registration position data with the second tracking system having the second coordinate system;
wherein the first tracking device is operable to be moved to collect a first set of position data with the first tracking system and the second tracking device is operable to be moved to collect a second set of position data with the second tracking system;
a processor system operable to execute instructions to: transform the first registration position data collected with the first tracking system relative to the second registration position data collected with the second tracking system;
determine a plurality of vectors, wherein one vector is determined between each synchronously related position data in the first set and the second set;
generate a look-up table of the determined vectors; and interpolate position data collected with the first tracking system to register the first coordinate system to the second coordinate system of the second tracking system; and
a memory device to store the generated look-up table of the determined vectors.
1 1. The system of Claim 10, further comprising:
an imaging system to obtain image data of a subject having an image data coordinate system; and
wherein the second coordinate system is operable to be registered to the image data coordinate system;
wherein interpolating the position data includes displaying the position data on a display device relative to the image data.
12. The system of Claim 1 1 , wherein a position of an instrument with the first tracking device is operable to be determined at least in part with the second tracking system.
13. The system of Claim 12, further comprising:
a display device to illustrate an icon super-imposed on the obtained image data of the subject based on the determined position of the instrument with the second tracking system and the registration of the second coordinate system to the image data coordinate system and the interpolated position data collected with the first tracking system.
14. The system of Claim 1 1 , wherein the processor executes further instructions to determine a transformation between the first registration position data and the second registration position data determined with the respective first and second tracking systems.
15. The system of Claim 14, wherein the instructions to determine the transformation includes optimizing an affine transformation including translating the first registration position data to center at an origin, scaling a first registration position data, rotating the first registration and position data around a selected axis, and translating the first registration position data from the origin to a center of the second registration position data.
16. The system, of Claim 15, further comprising:
wherein the first tracking device is physically displaced from the second tracking device;
wherein the processor is further operable to determine a relative position between the first tracking device by tracking the first tracking device with the first tracking system and the second tracking device by tracking the second tracking device with the second tracking system;
wherein the first registration position data is determined with the first tracking device and the second registration position data is determined with the second tracking device.
17. The system of Claim 16, wherein the first tracking device collects the first set of position data and the second tracking device collects the second set of position data;
wherein determining the plurality of vectors includes determining a vector based upon the known position of the first tracking device and the second tracking device.
18. The system of Claim 17, wherein generating a look-up table includes storing the plurality of vectors in an octree arrangement in the memory device.
19. The system of Claim 18,
wherein the second tracking system using the second tracking device is operable to collect a map set of position data with the second tracking system;
wherein interpolating position data includes accessing the octree to determine the eight (8) nearest cells of a selected position and interpolating the displacement of the map position data points in the map position data;
wherein the interpolation of the map position data determines the position of the map position data relative to the first coordinate system.
20. The system of Claim 18, wherein interpolating position data includes interpolating the collected second set of position data to determine an interpolated coordinate of at least a selected sub-plurality of the second set of position data;
wherein the interpolated coordinate is a coordinate of the interpolated second position data point in the first tracking system coordinate system.
21. A method of correlating a first coordinate system of a first tracking system and a second coordinate system of a second tracking system, comprising:
determining a registration of the first coordinate system of the first tracking system and the second coordinate system of the second tracking system;
determining a displacement between a selected determined position of the first tracking system and the second tracking system; and translating a first selected position of the first tracking system relative to a second selected position of the second tracking system based on the determined registration.
22. The method of Claim 21 , further comprising:
synchronizing a timing of a determination of a position with the first tracking system and the second tracking system including the selected determined position.
23. The method of Claim 22, further comprising:
determining the selected determined position with a single instrument having a first tracking device trackable with a first tracking system and a second tracking device trackable with a second tracking system.
24. The method of Claim 23, further comprising:
determining a physical distance, direction, or both between the first tracking device and the second tracking device relative to each other on the single instrument.
25. The method of Claim 24, wherein the selected determined position is a determined position of a single physical location that is determined with both the first tracking system and the second tracking system.
26. The method of Claim 25, further comprising:
determining a plurality of selected determined positions with the single instrument;
wherein each of the selected determined positions is a position determined with both a first tracking system and a second tracking system by tracking the respective tracking device.
27. The method of Claim 26, further comprising:
determining a transformation of at least a sub-plurality of the plurality of selected determined positions between the first tracking system and the second tracking system.
28. The method of Claim 27, further comprising:
determining an affine transformation as the determined transformation; and
transforming a first tracking system determined position to a second tracking system determined position.
29. The method of Claim 27, further comprising:
determining the first selected position with the first tracking system; wherein translating a first selected position to a second selected position of the second tracking system includes transforming the first selected position with the determined transformation.
30. The method of Claim 29, further comprising:
acquiring image data having an image data coordinate system; registering the second coordinate system of the second tracking system to the image data coordinate system of image data; and
illustrating the first selected position relative to the displayed image data based upon the translation of the first selected position with the determined transformation.
31. The method of Claim 30, further comprising:
displaying the acquired image data; and
displaying a position of an instrument superimposed on the displayed image data.
32. The method of Claim 30, further comprising:
generating an electromagnetic field to define the second coordinate system of the second tracking system;
positioning axis injection electrodes to inject a current between respective pairs of axis electrodes to define the first coordinate system of the first tracking system; and
operating the first tracking system and the second tracking system substantially simultaneously to determine the selected determined position with both the first tracking system and the second tracking system.
33. The method of Claim 21 , wherein the selected determined position includes a first tracking system selected determined position displaced a known distance and orientation from a second tracking system selected determined position.
34. A method of correlating a first coordinate system of a first tracking system and a second coordinate system of a second tracking system, comprising:
synchronously collecting a first registration position data with the first tracking system having a first coordinate system and a second registration position data with the second tracking system having a second coordinate system;
transforming the first registration position data collected with the first tracking system relative to the second registration position data collected with the second tracking system;
collecting a first set of position data with the first tracking system and a second set of position data with the second tracking system;
determining a plurality of vectors, wherein one vector is determined between each synchronously related position data in the first set and the second set;
generating a look-up table of the determined vectors; and interpolating position data collected with the first tracking system to register the first coordinate system to the second coordinate system of the second tracking system.
35. The method of Claim 34, further comprising:
obtaining image data having an image data coordinate system; and registering the second coordinate system to the image data coordinate system;
wherein interpolating the position data includes displaying the position data on a display device relative to the image data.
36. The method of Claim 35, further comprising:
determining a position of an instrument with only the second tracking system.
37. The method of Claim 36, further comprising:
illustrating an icon super-imposed on the obtained image data based on the determined position of the instrument with the second tracking system and the registration of the second coordinate system to the image data coordinate system and the interpolated position data collected with the first tracking system.
38. The method of Claim 35, further comprising:
determining a transformation between the first registration position data and the second registration position data determined with the respective first and second tracking systems.
39. The method of Claim 38, wherein determining the transformation includes optimizing an affine transformation including translating the first registration position data to center at an origin, scaling a first registration position data, rotating the first registration and position data around a selected axis, and translating the first registration position data from the origin to a center of the second registration position data.
40. The method of Claim 39, further comprising:
determining a relative position between a first tracking device trackable with the first tracking system and a second tracking device trackable with the second tracking system;
wherein the first registration position data is determined with the first tracking device and the second registration position data is determined with the second tracking device.
41. The method of Claim 40, wherein collecting the first set of position data and collecting the second set of position data is collected respectively with the first tracking device and the second tracking device;
wherein determining the plurality of vectors includes determining a vector based upon the known position of the first tracking device and the second tracking device;
wherein generating the look-up table includes storing the plurality of the vectors in a memory device.
42. The method of Claim 41 , wherein generating a look-up table includes storing the plurality of vectors in an octree arrangement.
43. The method of Claim 42, further comprising:
collecting a map set of position data with the second tracking system;
wherein interpolating position data includes accessing the octree to determine the eight (8) nearest cells of a selected position and interpolating the displacement of the map position data points in the map position data;
wherein the interpolation of the map position data determines the position of the map position data relative to the first coordinate system.
44. The method of Claim 42, wherein interpolating position data includes interpolating the collected second set of position data to determine an interpolated coordinate of at least a selected sub-plurality of the second set of position data;
wherein the interpolated coordinate is a coordinate of the interpolated second position data point in the first tracking system coordinate system.
45. A method of correlating a first coordinate system of a first tracking system and a second coordinate system of a second tracking system, comprising:
obtaining image data having an image data coordinate system; registering the image data coordinate system with the second coordinate system of the second tracking system, wherein the second coordinate system of the second tracking system is substantially Euclidean and generated by an electromagnetic localizer;
synchronously collecting a first position data with the first tracking system and a second position data with the second tracking system;
determining a transformation between the first position data and the second position data;
synchronously collecting a plurality of third position data with the first tracking system and a plurality of fourth position data with the second tracking system;
determining a plurality of vectors between synchronously related third position data and fourth position data;
generating a three-dimensional look-up table of the determined vectors;
collecting fifth position data with the first tracking system; and interpolating the fifth position data relative to the second coordinate system to relate the fifth position data to the registration of the second coordinate system and the image coordinate system.
46. The method of Claim 45, wherein registering the image data coordinate system with the second coordinate system includes locating positions in navigation space with the second tracking system and identifying the same related locations in an image space of the obtained image data;
wherein obtaining a location in navigation space includes tracking a second tracking device with the second tracking system.
47. The method of Claim 45, further comprising:
synchronizing the collection of the first position data with the second position data and the third position data with the fourth position data by at least one of inputting a signal into the first tracking system and the second tracking system substantially simultaneously, measuring a physical change with both the first tracking system and the second tracking system, transmitting a timing signal from one of the first tracking system and the second tracking system to the other of the first tracking system and the second tracking system, or combinations thereof;
wherein synchronously collecting a first position data and a second position data and synchronously collecting a plurality of third position data and plurality of fourth position data includes collecting position data with the first tracking system and the second tracking system substantially simultaneously.
48. The method of Claim 47, wherein the first position data and the plurality of third position data are collected with a first tracking device and the second position data and the plurality of fourth position data are collected with a second tracking device;
wherein the first tracking device and the second tracking device are substantially fixed relative to one another on a single instrument.
49. The method of Claim 48, further comprising:
determining the fixed relative position of the first tracking device to the second tracking device, the second tracking device to the first tracking device or combinations thereof.
50. The method of Claim 45, wherein determining the transformation between the first position data and the second position data includes,
determining a transformation between a plurality of first position data wherein each of the plurality of the first position data is collected synchronously with each of the plurality of second position data;
wherein the transformation of the plurality of first position data to the second position data includes determining a best fit transformation of each of the synchronously related first position data and second position data.
51. The method of Claim 50, wherein the synchronously collected the plurality of first position data, second position data, third position data, and fourth position data are all used to determine a plurality of vectors between the synchronously related plurality of first position data and third position data with the respective plurality of second position data and fourth position data;
wherein the determined plurality of vectors identifies a distance and orientation between the plurality of first position data and third position data and the respective plurality of second position data and plurality of fourth position data.
52. The method of Claim 51 , wherein interpolating the fifth position data includes accessing the generated three-dimensional look-up table of the determined vectors, determining a location of the fifth position data, determining the eight (8) nearest cells to the position of the fifth position data in the look-up table, and interpolating the fifth position data to the second coordinate system.
53. The method of Claim 52, further comprising:
displaying on a display device the obtained image data; and super-imposing on the displayed obtained image data a graphical representation of an instrument based on the interpolated position of the fifth position data; wherein collecting the fifth position data with the first tracking system includes determining the position of the instrument only with a first tracking device tracked with the first tracking system.
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Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8442625B2 (en) | 2008-04-18 | 2013-05-14 | Regents Of The University Of Minnesota | Determining and illustrating tracking system members |
US8457371B2 (en) | 2008-04-18 | 2013-06-04 | Regents Of The University Of Minnesota | Method and apparatus for mapping a structure |
US8494613B2 (en) | 2009-08-31 | 2013-07-23 | Medtronic, Inc. | Combination localization system |
US8494614B2 (en) | 2009-08-31 | 2013-07-23 | Regents Of The University Of Minnesota | Combination localization system |
US8560042B2 (en) | 2008-04-18 | 2013-10-15 | Medtronic, Inc. | Locating an indicator |
US8663120B2 (en) | 2008-04-18 | 2014-03-04 | Regents Of The University Of Minnesota | Method and apparatus for mapping a structure |
US8731641B2 (en) | 2008-12-16 | 2014-05-20 | Medtronic Navigation, Inc. | Combination of electromagnetic and electropotential localization |
US8839798B2 (en) | 2008-04-18 | 2014-09-23 | Medtronic, Inc. | System and method for determining sheath location |
US9008757B2 (en) | 2012-09-26 | 2015-04-14 | Stryker Corporation | Navigation system including optical and non-optical sensors |
CN108113750A (en) * | 2017-12-18 | 2018-06-05 | 中国科学院深圳先进技术研究院 | Flexibility operation instrument tracking method, apparatus, equipment and storage medium |
Families Citing this family (35)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7697972B2 (en) | 2002-11-19 | 2010-04-13 | Medtronic Navigation, Inc. | Navigation system for cardiac therapies |
US7599730B2 (en) | 2002-11-19 | 2009-10-06 | Medtronic Navigation, Inc. | Navigation system for cardiac therapies |
US10398393B2 (en) * | 2007-10-02 | 2019-09-03 | Stryker European Holdings I, Llc | Dynamic reference method and system for interventional procedures |
US9218687B2 (en) * | 2010-12-30 | 2015-12-22 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Display of medical device position information in a volumetric rendering |
EP2939599B1 (en) | 2011-09-06 | 2018-03-07 | eZono AG | Magnetic medical device and magnetizer |
US9510771B1 (en) | 2011-10-28 | 2016-12-06 | Nuvasive, Inc. | Systems and methods for performing spine surgery |
US9510772B2 (en) | 2012-04-10 | 2016-12-06 | Cardionxt, Inc. | System and method for localizing medical instruments during cardiovascular medical procedures |
US20140114381A1 (en) * | 2012-10-23 | 2014-04-24 | Medtronic, Inc. | Mr-compatible implantable medical lead |
US9257220B2 (en) | 2013-03-05 | 2016-02-09 | Ezono Ag | Magnetization device and method |
GB201303917D0 (en) | 2013-03-05 | 2013-04-17 | Ezono Ag | System for image guided procedure |
US9459087B2 (en) | 2013-03-05 | 2016-10-04 | Ezono Ag | Magnetic position detection system |
WO2015027191A1 (en) | 2013-08-22 | 2015-02-26 | Cardionxt, Inc. | Methods, systems, and apparatus for identification and characterization of rotors associated with atrial fibrillation |
US9848922B2 (en) | 2013-10-09 | 2017-12-26 | Nuvasive, Inc. | Systems and methods for performing spine surgery |
WO2015143136A1 (en) * | 2014-03-19 | 2015-09-24 | Cardionxt, Inc. | System and methods for using body surface cardiac electrogram information combined with internal information to deliver therapy |
JP2017532095A (en) * | 2014-09-05 | 2017-11-02 | プロセプト バイオロボティクス コーポレイション | Physician controlled tissue ablation integrated with target organ image processing mapping |
US9950194B2 (en) | 2014-09-09 | 2018-04-24 | Mevion Medical Systems, Inc. | Patient positioning system |
GB2532004A (en) * | 2014-10-31 | 2016-05-11 | Scopis Gmbh | Hybrid navigation system for surgical interventions |
EP3265009B1 (en) * | 2015-03-05 | 2023-03-29 | Atracsys Sàrl | Redundant reciprocal tracking system |
US9737223B2 (en) | 2015-05-13 | 2017-08-22 | Medtronic, Inc. | Determining onset of cardiac depolarization and repolarization waves for signal processing |
US9610045B2 (en) | 2015-07-31 | 2017-04-04 | Medtronic, Inc. | Detection of valid signals versus artifacts in a multichannel mapping system |
US9782094B2 (en) | 2015-07-31 | 2017-10-10 | Medtronic, Inc. | Identifying ambiguous cardiac signals for electrophysiologic mapping |
AU2017340607B2 (en) | 2016-10-05 | 2022-10-27 | Nuvasive, Inc. | Surgical navigation system and related methods |
US11419539B2 (en) | 2017-12-22 | 2022-08-23 | Regents Of The University Of Minnesota | QRS onset and offset times and cycle selection using anterior and posterior electrode signals |
US10806365B2 (en) | 2017-12-26 | 2020-10-20 | Biosense Webster (Israel) Ltd. | Impedance-based position tracking performance using principal component analysis |
WO2019157004A1 (en) | 2018-02-07 | 2019-08-15 | Medtronic Xomed, Inc. | Cochlear implant localization system |
US11185693B2 (en) | 2018-02-07 | 2021-11-30 | Medtronic Xomed, Inc. | Cochlear implant localization system |
US10751132B2 (en) | 2018-02-07 | 2020-08-25 | Medtronic Xomed, Inc. | Cochlear implant localization system |
US10773082B2 (en) | 2018-02-07 | 2020-09-15 | Medtronic Xomed, Inc. | Cochlear implant localization system |
US11191594B2 (en) | 2018-05-25 | 2021-12-07 | Mako Surgical Corp. | Versatile tracking arrays for a navigation system and methods of recovering registration using the same |
US11291507B2 (en) | 2018-07-16 | 2022-04-05 | Mako Surgical Corp. | System and method for image based registration and calibration |
US20200093397A1 (en) * | 2018-09-24 | 2020-03-26 | Apn Health, Llc | Determining catheter-tip 3d location and orientation using fluoroscopy and impedance measurements |
US11304623B2 (en) * | 2018-12-25 | 2022-04-19 | Biosense Webster (Israel) Ltd. | Integration of medical imaging and location tracking |
US11612440B2 (en) | 2019-09-05 | 2023-03-28 | Nuvasive, Inc. | Surgical instrument tracking devices and related methods |
US11730926B2 (en) | 2020-08-31 | 2023-08-22 | Avent, Inc. | System and method for detecting medical device location and orientation in relation to patient anatomy |
CN114587593B (en) * | 2022-03-18 | 2022-11-18 | 华科精准(北京)医疗科技有限公司 | Surgical navigation positioning system and use method thereof |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5697377A (en) | 1995-11-22 | 1997-12-16 | Medtronic, Inc. | Catheter mapping system and method |
US20040097805A1 (en) | 2002-11-19 | 2004-05-20 | Laurent Verard | Navigation system for cardiac therapies |
US9780602B2 (en) | 2012-06-13 | 2017-10-03 | Clear Blue Technologies Inc. | System for the monitoring and maintenance of remote autonomously powered lighting installations |
Family Cites Families (704)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1735726A (en) | 1929-11-12 | bornhardt | ||
US1576781A (en) * | 1924-04-22 | 1926-03-16 | Herman B Philips | Fluoroscopic fracture apparatus |
US2407845A (en) | 1943-01-16 | 1946-09-17 | California Inst Res Found | Aligning device for tools |
US2650588A (en) | 1950-12-29 | 1953-09-01 | Drew Harry Guy Radcliffe | Artificial femoral head having an x-ray marker |
US2697433A (en) | 1951-12-04 | 1954-12-21 | Max A Zehnder | Device for accurately positioning and guiding guide wires used in the nailing of thefemoral neck |
US3073310A (en) | 1957-08-05 | 1963-01-15 | Zenon R Mocarski | Surgical instrument positioning device |
US3016899A (en) | 1958-11-03 | 1962-01-16 | Carl B Stenvall | Surgical instrument |
BE576462A (en) | 1959-03-07 | 1900-01-01 | ||
US3017887A (en) | 1960-01-19 | 1962-01-23 | William T Heyer | Stereotaxy device |
US3109588A (en) | 1962-01-26 | 1963-11-05 | William L Polhemus | Celestial computers |
US3294083A (en) | 1963-08-26 | 1966-12-27 | Alderson Res Lab Inc | Dosimetry system for penetrating radiation |
US3367326A (en) | 1965-06-15 | 1968-02-06 | Calvin H. Frazier | Intra spinal fixation rod |
DE1238814B (en) | 1966-02-23 | 1967-04-13 | Merckle Flugzeugwerke G M B H | Inductive angle encoder based on the transformer principle |
US3577160A (en) | 1968-01-10 | 1971-05-04 | James E White | X-ray gauging apparatus with x-ray opaque markers in the x-ray path to indicate alignment of x-ray tube, subject and film |
GB1257034A (en) | 1968-03-25 | 1971-12-15 | ||
SE336642B (en) | 1969-10-28 | 1971-07-12 | Astra Meditec Ab | |
US3644825A (en) | 1969-12-31 | 1972-02-22 | Texas Instruments Inc | Magnetic detection system for detecting movement of an object utilizing signals derived from two orthogonal pickup coils |
US3704707A (en) | 1971-04-06 | 1972-12-05 | William X Halloran | Orthopedic drill guide apparatus |
US3702935A (en) | 1971-10-13 | 1972-11-14 | Litton Medical Products | Mobile fluoroscopic unit for bedside catheter placement |
US3837347A (en) | 1972-04-20 | 1974-09-24 | Electro Catheter Corp | Inflatable balloon-type pacing probe |
US3821469A (en) | 1972-05-15 | 1974-06-28 | Amperex Electronic Corp | Graphical data device |
US4017858A (en) | 1973-07-30 | 1977-04-12 | Polhemus Navigation Sciences, Inc. | Apparatus for generating a nutating electromagnetic field |
US3868565A (en) | 1973-07-30 | 1975-02-25 | Jack Kuipers | Object tracking and orientation determination means, system and process |
US3941127A (en) | 1974-10-03 | 1976-03-02 | Froning Edward C | Apparatus and method for stereotaxic lateral extradural disc puncture |
US3995623A (en) | 1974-12-23 | 1976-12-07 | American Hospital Supply Corporation | Multipurpose flow-directed catheter |
US3983474A (en) | 1975-02-21 | 1976-09-28 | Polhemus Navigation Sciences, Inc. | Tracking and determining orientation of object using coordinate transformation means, system and process |
US4052620A (en) | 1975-11-28 | 1977-10-04 | Picker Corporation | Method and apparatus for improved radiation detection in radiation scanning systems |
US4054881A (en) | 1976-04-26 | 1977-10-18 | The Austin Company | Remote object position locater |
US4037592A (en) | 1976-05-04 | 1977-07-26 | Kronner Richard F | Guide pin locating tool and method |
US5291199A (en) | 1977-01-06 | 1994-03-01 | Westinghouse Electric Corp. | Threat signal detection system |
US4298874A (en) | 1977-01-17 | 1981-11-03 | The Austin Company | Method and apparatus for tracking objects |
DE2718804C3 (en) | 1977-04-27 | 1979-10-31 | Karlheinz Prof. Dr. 3000 Hannover Renner | Device for positioning control of patients and / or radiation sources |
US4173228A (en) | 1977-05-16 | 1979-11-06 | Applied Medical Devices | Catheter locating device |
US4182312A (en) | 1977-05-20 | 1980-01-08 | Mushabac David R | Dental probe |
SU745505A1 (en) | 1977-09-28 | 1980-07-05 | Научно-Исследовательский Институт Экспериментальной Медицины Амн Ссср | Method of guiding stereotaxic tool on target point |
US4117337A (en) | 1977-11-03 | 1978-09-26 | General Electric Company | Patient positioning indication arrangement for a computed tomography system |
DE7805301U1 (en) | 1978-02-22 | 1978-07-06 | Howmedica International, Inc. Zweigniederlassung Kiel, 2300 Kiel | Distal aiming device for locking nailing |
US4202349A (en) | 1978-04-24 | 1980-05-13 | Jones James W | Radiopaque vessel markers |
USRE32619E (en) | 1978-11-20 | 1988-03-08 | Apparatus and method for nuclear magnetic resonance scanning and mapping | |
US4256112A (en) | 1979-02-12 | 1981-03-17 | David Kopf Instruments | Head positioner |
US4341220A (en) | 1979-04-13 | 1982-07-27 | Pfizer Inc. | Stereotactic surgery apparatus and method |
FR2458838A1 (en) | 1979-06-06 | 1981-01-02 | Thomson Csf | DEVICE FOR MEASURING THE RELATIVE ORIENTATION OF TWO BODIES AND CORRESPONDING STEERING SYSTEM |
US4314251A (en) | 1979-07-30 | 1982-02-02 | The Austin Company | Remote object position and orientation locater |
US4287809A (en) | 1979-08-20 | 1981-09-08 | Honeywell Inc. | Helmet-mounted sighting system |
US4608977A (en) | 1979-08-29 | 1986-09-02 | Brown Russell A | System using computed tomography as for selective body treatment |
US4419012A (en) | 1979-09-11 | 1983-12-06 | Elliott Brothers (London) Limited | Position measuring system |
US4317078A (en) | 1979-10-15 | 1982-02-23 | Ohio State University Research Foundation | Remote position and orientation detection employing magnetic flux linkage |
US4319136A (en) | 1979-11-09 | 1982-03-09 | Jinkins J Randolph | Computerized tomography radiograph data transfer cap |
DE2950819A1 (en) | 1979-12-17 | 1981-06-25 | Siemens AG, 1000 Berlin und 8000 München | RADIATION DIAGNOSTICS DEVICE FOR THE PRODUCTION OF LAYER IMAGES |
US4346384A (en) | 1980-06-30 | 1982-08-24 | The Austin Company | Remote object position and orientation locator |
US4328548A (en) | 1980-04-04 | 1982-05-04 | The Austin Company | Locator for source of electromagnetic radiation having unknown structure or orientation |
EP0039206B1 (en) | 1980-04-23 | 1984-10-10 | Inoue-Japax Research Incorporated | Magnetic treatment device |
DE3022497A1 (en) | 1980-06-14 | 1981-12-24 | Philips Patentverwaltung Gmbh, 2000 Hamburg | COUPLE AREA |
US4688037A (en) | 1980-08-18 | 1987-08-18 | Mcdonnell Douglas Corporation | Electromagnetic communications and switching system |
US4339953A (en) | 1980-08-29 | 1982-07-20 | Aisin Seiki Company, Ltd. | Position sensor |
US4638798A (en) * | 1980-09-10 | 1987-01-27 | Shelden C Hunter | Stereotactic method and apparatus for locating and treating or removing lesions |
US4328813A (en) | 1980-10-20 | 1982-05-11 | Medtronic, Inc. | Brain lead anchoring system |
US4358856A (en) | 1980-10-31 | 1982-11-09 | General Electric Company | Multiaxial x-ray apparatus |
DE3042343A1 (en) | 1980-11-10 | 1982-06-09 | Philips Patentverwaltung Gmbh, 2000 Hamburg | Synthetic formation of defect-free images - by superimposed blurring images of defect on reconstituted multiple perspective images |
AU7986682A (en) | 1981-02-12 | 1982-08-19 | New York University | Apparatus for stereotactic surgery |
NL8101722A (en) | 1981-04-08 | 1982-11-01 | Philips Nv | CONTOUR METER. |
US4710708A (en) | 1981-04-27 | 1987-12-01 | Develco | Method and apparatus employing received independent magnetic field components of a transmitted alternating magnetic field for determining location |
US4431005A (en) | 1981-05-07 | 1984-02-14 | Mccormick Laboratories, Inc. | Method of and apparatus for determining very accurately the position of a device inside biological tissue |
FI64282C (en) | 1981-06-04 | 1983-11-10 | Instrumentarium Oy | DIAGNOSISPARATUR FOER BESTAEMMANDE AV VAEVNADERNAS STRUKTUR OC SAMMANSAETTNING |
US4422041A (en) | 1981-07-30 | 1983-12-20 | The United States Of America As Represented By The Secretary Of The Army | Magnet position sensing system |
US4396945A (en) | 1981-08-19 | 1983-08-02 | Solid Photography Inc. | Method of sensing the position and orientation of elements in space |
US4645343A (en) * | 1981-11-11 | 1987-02-24 | U.S. Philips Corporation | Atomic resonance line source lamps and spectrophotometers for use with such lamps |
US4485815A (en) | 1982-08-30 | 1984-12-04 | Kurt Amplatz | Device and method for fluoroscope-monitored percutaneous puncture treatment |
US4506676A (en) | 1982-09-10 | 1985-03-26 | Duska Alois A | Radiographic localization technique |
US4584577A (en) | 1982-10-20 | 1986-04-22 | Brookes & Gatehouse Limited | Angular position sensor |
US4961422A (en) | 1983-01-21 | 1990-10-09 | Marchosky J Alexander | Method and apparatus for volumetric interstitial conductive hyperthermia |
US4506680A (en) | 1983-03-17 | 1985-03-26 | Medtronic, Inc. | Drug dispensing body implantable lead |
US4651732A (en) * | 1983-03-17 | 1987-03-24 | Frederick Philip R | Three-dimensional light guidance system for invasive procedures |
NL8300965A (en) | 1983-03-17 | 1984-10-16 | Nicolaas Roelof Snijder | SYSTEM FOR EXAMINATION OF SKELETON PARTS OF THE BODY OF A LIVING ORIGIN, IN PARTICULAR THE SPIRIT OF THE HUMAN BODY. |
US4613866A (en) | 1983-05-13 | 1986-09-23 | Mcdonnell Douglas Corporation | Three dimensional digitizer with electromagnetic coupling |
NL8302228A (en) | 1983-06-22 | 1985-01-16 | Optische Ind De Oude Delft Nv | MEASURING SYSTEM FOR USING A TRIANGULAR PRINCIPLE, CONTACT-FREE MEASURING A DISTANCE GIVEN BY A SURFACE CONTOUR TO AN OBJECTIVE LEVEL. |
DE3332642A1 (en) | 1983-09-09 | 1985-04-04 | Ortopedia Gmbh, 2300 Kiel | DEVICE FOR DETECTING CROSS HOLES INTRAMEDULLA IMPLANTS |
US4618978A (en) | 1983-10-21 | 1986-10-21 | Cosman Eric R | Means for localizing target coordinates in a body relative to a guidance system reference frame in any arbitrary plane as viewed by a tomographic image through the body |
SE8306243L (en) * | 1983-11-14 | 1985-05-15 | Cytex Medicinteknik Ab | LOCATION METHODOLOGY |
DE3342675A1 (en) | 1983-11-25 | 1985-06-05 | Fa. Carl Zeiss, 7920 Heidenheim | METHOD AND DEVICE FOR CONTACTLESS MEASUREMENT OF OBJECTS |
US4753528A (en) | 1983-12-13 | 1988-06-28 | Quantime, Inc. | Laser archery distance device |
US4549555A (en) | 1984-02-17 | 1985-10-29 | Orthothronics Limited Partnership | Knee laxity evaluator and motion module/digitizer arrangement |
US4841967A (en) | 1984-01-30 | 1989-06-27 | Chang Ming Z | Positioning device for percutaneous needle insertion |
US4571834A (en) * | 1984-02-17 | 1986-02-25 | Orthotronics Limited Partnership | Knee laxity evaluator and motion module/digitizer arrangement |
US4583538A (en) | 1984-05-04 | 1986-04-22 | Onik Gary M | Method and apparatus for stereotaxic placement of probes in the body utilizing CT scanner localization |
US4649504A (en) * | 1984-05-22 | 1987-03-10 | Cae Electronics, Ltd. | Optical position and orientation measurement techniques |
DK151404C (en) | 1984-05-23 | 1988-07-18 | Cook Europ Aps William | FULLY FILTER FOR IMPLANTATION IN A PATIENT'S BLOOD |
US4642786A (en) | 1984-05-25 | 1987-02-10 | Position Orientation Systems, Ltd. | Method and apparatus for position and orientation measurement using a magnetic field and retransmission |
US4801297A (en) * | 1984-06-01 | 1989-01-31 | Edward Weck Incorporated | Catheter having slit tip |
DE8417428U1 (en) | 1984-06-08 | 1984-09-13 | Howmedica International, Inc. Zweigniederlassung Kiel, 2300 Kiel | Target device |
US4572198A (en) * | 1984-06-18 | 1986-02-25 | Varian Associates, Inc. | Catheter for use with NMR imaging systems |
US4548208A (en) | 1984-06-27 | 1985-10-22 | Medtronic, Inc. | Automatic adjusting induction coil treatment device |
US4649924A (en) * | 1984-08-14 | 1987-03-17 | Consiglio Nazionale Delle Ricerche | Method for the detection of intracardiac electrical potential fields |
JPS6149205A (en) | 1984-08-16 | 1986-03-11 | Seiko Instr & Electronics Ltd | Robot control system |
US4889526A (en) | 1984-08-27 | 1989-12-26 | Magtech Laboratories, Inc. | Non-invasive method and apparatus for modulating brain signals through an external magnetic or electric field to reduce pain |
US4696304A (en) | 1984-09-10 | 1987-09-29 | Thomas J. Fogarty | Thermodilution flow-directed catheter assembly and method |
US4617925A (en) | 1984-10-01 | 1986-10-21 | Laitinen Lauri V | Adapter for definition of the position of brain structures |
US4705395A (en) | 1984-10-03 | 1987-11-10 | Diffracto Ltd. | Triangulation data integrity |
US4821206A (en) | 1984-11-27 | 1989-04-11 | Photo Acoustic Technology, Inc. | Ultrasonic apparatus for positioning a robot hand |
US4706665A (en) | 1984-12-17 | 1987-11-17 | Gouda Kasim I | Frame for stereotactic surgery |
DE3500605A1 (en) | 1985-01-10 | 1986-07-10 | Markus Dr. 5300 Bonn Hansen | DEVICE FOR MEASURING THE POSITIONS AND MOVEMENTS OF THE LOWER JAW RELATIVE TO THE UPPER JAW |
US4722336A (en) * | 1985-01-25 | 1988-02-02 | Michael Kim | Placement guide |
DE3508730A1 (en) | 1985-03-12 | 1986-09-18 | Siemens AG, 1000 Berlin und 8000 München | Measuring device for medical purposes |
US4782239A (en) | 1985-04-05 | 1988-11-01 | Nippon Kogaku K. K. | Optical position measuring apparatus |
CH671873A5 (en) * | 1985-10-03 | 1989-10-13 | Synthes Ag | |
US4838265A (en) | 1985-05-24 | 1989-06-13 | Cosman Eric R | Localization device for probe placement under CT scanner imaging |
US4737921A (en) | 1985-06-03 | 1988-04-12 | Dynamic Digital Displays, Inc. | Three dimensional medical image display system |
SE447848B (en) | 1985-06-14 | 1986-12-15 | Anders Bengtsson | INSTRUMENTS FOR SEATING SURFACE TOPOGRAPHY |
US4743771A (en) | 1985-06-17 | 1988-05-10 | View Engineering, Inc. | Z-axis height measurement system |
US4805615A (en) * | 1985-07-02 | 1989-02-21 | Carol Mark P | Method and apparatus for performing stereotactic surgery |
US4653509A (en) * | 1985-07-03 | 1987-03-31 | The United States Of America As Represented By The Secretary Of The Air Force | Guided trephine samples for skeletal bone studies |
US4719419A (en) * | 1985-07-15 | 1988-01-12 | Harris Graphics Corporation | Apparatus for detecting a rotary position of a shaft |
US4737032A (en) | 1985-08-26 | 1988-04-12 | Cyberware Laboratory, Inc. | Surface mensuration sensor |
US4705401A (en) | 1985-08-12 | 1987-11-10 | Cyberware Laboratory Inc. | Rapid three-dimensional surface digitizer |
IL76517A (en) | 1985-09-27 | 1989-02-28 | Nessim Igal Levy | Distance measuring device |
US4709156A (en) | 1985-11-27 | 1987-11-24 | Ex-Cell-O Corporation | Method and apparatus for inspecting a surface |
US4794262A (en) | 1985-12-03 | 1988-12-27 | Yukio Sato | Method and apparatus for measuring profile of three-dimensional object |
US4737794A (en) | 1985-12-09 | 1988-04-12 | Mcdonnell Douglas Corporation | Method and apparatus for determining remote object orientation and position |
US4742356A (en) | 1985-12-09 | 1988-05-03 | Mcdonnell Douglas Corporation | Method and apparatus for determining remote object orientation and position |
DE3543867C3 (en) | 1985-12-12 | 1994-10-06 | Wolf Gmbh Richard | Device for the spatial location and destruction of concrements in body cavities |
US4742815A (en) | 1986-01-02 | 1988-05-10 | Ninan Champil A | Computer monitoring of endoscope |
US4722056A (en) * | 1986-02-18 | 1988-01-26 | Trustees Of Dartmouth College | Reference display systems for superimposing a tomagraphic image onto the focal plane of an operating microscope |
JP2685071B2 (en) | 1986-03-10 | 1997-12-03 | 三菱電機株式会社 | Numerical control unit |
SE469321B (en) | 1986-04-14 | 1993-06-21 | Joenkoepings Laens Landsting | SET AND DEVICE TO MAKE A MODIFIED THREE-DIMENSIONAL IMAGE OF AN ELASTIC DEFORMABLE PURPOSE |
US4821731A (en) | 1986-04-25 | 1989-04-18 | Intra-Sonix, Inc. | Acoustic image system and method |
US4862893A (en) | 1987-12-08 | 1989-09-05 | Intra-Sonix, Inc. | Ultrasonic transducer |
US4977655A (en) | 1986-04-25 | 1990-12-18 | Intra-Sonix, Inc. | Method of making a transducer |
US5002058A (en) * | 1986-04-25 | 1991-03-26 | Intra-Sonix, Inc. | Ultrasonic transducer |
US5078140A (en) * | 1986-05-08 | 1992-01-07 | Kwoh Yik S | Imaging device - aided robotic stereotaxis system |
US4822163A (en) | 1986-06-26 | 1989-04-18 | Robotic Vision Systems, Inc. | Tracking vision sensor |
US4723544A (en) * | 1986-07-09 | 1988-02-09 | Moore Robert R | Hemispherical vectoring needle guide for discolysis |
US4791934A (en) | 1986-08-07 | 1988-12-20 | Picker International, Inc. | Computer tomography assisted stereotactic surgery system and method |
US4733969A (en) * | 1986-09-08 | 1988-03-29 | Cyberoptics Corporation | Laser probe for determining distance |
US4852580A (en) | 1986-09-17 | 1989-08-01 | Axiom Medical, Inc. | Catheter for measuring bioimpedance |
US4743770A (en) | 1986-09-22 | 1988-05-10 | Mitutoyo Mfg. Co., Ltd. | Profile-measuring light probe using a change in reflection factor in the proximity of a critical angle of light |
US4761072A (en) | 1986-09-30 | 1988-08-02 | Diffracto Ltd. | Electro-optical sensors for manual control |
US4945305A (en) | 1986-10-09 | 1990-07-31 | Ascension Technology Corporation | Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields |
US4849692A (en) | 1986-10-09 | 1989-07-18 | Ascension Technology Corporation | Device for quantitatively measuring the relative position and orientation of two bodies in the presence of metals utilizing direct current magnetic fields |
US4750487A (en) | 1986-11-24 | 1988-06-14 | Zanetti Paul H | Stereotactic frame |
DE3703422A1 (en) | 1987-02-05 | 1988-08-18 | Zeiss Carl Fa | OPTOELECTRONIC DISTANCE SENSOR |
US4745290A (en) | 1987-03-19 | 1988-05-17 | David Frankel | Method and apparatus for use in making custom shoes |
US4804261A (en) * | 1987-03-27 | 1989-02-14 | Kirschen David G | Anti-claustrophobic glasses |
US4875478A (en) | 1987-04-10 | 1989-10-24 | Chen Harry H | Portable compression grid & needle holder |
US4793355A (en) | 1987-04-17 | 1988-12-27 | Biomagnetic Technologies, Inc. | Apparatus for process for making biomagnetic measurements |
US4809694A (en) * | 1987-05-19 | 1989-03-07 | Ferrara Vincent L | Biopsy guide |
DE3717871C3 (en) * | 1987-05-27 | 1995-05-04 | Georg Prof Dr Schloendorff | Method and device for reproducible visual representation of a surgical intervention |
US4836778A (en) | 1987-05-26 | 1989-06-06 | Vexcel Corporation | Mandibular motion monitoring system |
DE3884800D1 (en) * | 1987-05-27 | 1993-11-11 | Schloendorff Georg Prof Dr | METHOD AND DEVICE FOR REPRODUCIBLE OPTICAL PRESENTATION OF A SURGICAL OPERATION. |
US4845771A (en) | 1987-06-29 | 1989-07-04 | Picker International, Inc. | Exposure monitoring in radiation imaging |
NL8701536A (en) | 1987-06-30 | 1989-01-16 | Joannes Hendricus Aloys Heuvel | METHOD FOR PERFORMING HAEMODYNAMIC MEASUREMENTS IN A PATIENT AND FLOW-GUIDED BALLOON CATHETER USED THEREFOR |
US4989608A (en) * | 1987-07-02 | 1991-02-05 | Ratner Adam V | Device construction and method facilitating magnetic resonance imaging of foreign objects in a body |
FR2618211B1 (en) | 1987-07-15 | 1991-11-15 | Chardon Bernard | FRONTAL LIGHTING DEVICE FOR OBSERVING NARROW AND DEEP CAVITIES. |
US4829373A (en) | 1987-08-03 | 1989-05-09 | Vexcel Corporation | Stereo mensuration apparatus |
US4797907A (en) * | 1987-08-07 | 1989-01-10 | Diasonics Inc. | Battery enhanced power generation for mobile X-ray machine |
US4931056A (en) | 1987-09-04 | 1990-06-05 | Neurodynamics, Inc. | Catheter guide apparatus for perpendicular insertion into a cranium orifice |
JPS6472736A (en) | 1987-09-14 | 1989-03-17 | Toshiba Corp | Mri apparatus |
US4991579A (en) * | 1987-11-10 | 1991-02-12 | Allen George S | Method and apparatus for providing related images over time of a portion of the anatomy using fiducial implants |
US4875165A (en) | 1987-11-27 | 1989-10-17 | University Of Chicago | Method for determination of 3-D structure in biplane angiography |
US5079699A (en) * | 1987-11-27 | 1992-01-07 | Picker International, Inc. | Quick three-dimensional display |
US5027818A (en) | 1987-12-03 | 1991-07-02 | University Of Florida | Dosimetric technique for stereotactic radiosurgery same |
US4869255A (en) | 1987-12-04 | 1989-09-26 | Ad-Tech Medical Instrument Corp. | Electrical connection device |
US5251127A (en) | 1988-02-01 | 1993-10-05 | Faro Medical Technologies Inc. | Computer-aided surgery apparatus |
EP0326768A3 (en) | 1988-02-01 | 1991-01-23 | Faro Medical Technologies Inc. | Computer-aided surgery apparatus |
US4951653A (en) | 1988-03-02 | 1990-08-28 | Laboratory Equipment, Corp. | Ultrasound brain lesioning system |
US4869247A (en) | 1988-03-11 | 1989-09-26 | The University Of Virginia Alumni Patents Foundation | Video tumor fighting system |
US4884566A (en) | 1988-04-15 | 1989-12-05 | The University Of Michigan | System and method for determining orientation of planes of imaging |
NL8801750A (en) | 1988-07-11 | 1990-02-01 | Philips Nv | ROENTGEN RESEARCH DEVICE WITH A BALANCED TRIPOD. |
US5050608A (en) | 1988-07-12 | 1991-09-24 | Medirand, Inc. | System for indicating a position to be operated in a patient's body |
US4896673A (en) * | 1988-07-15 | 1990-01-30 | Medstone International, Inc. | Method and apparatus for stone localization using ultrasound imaging |
US4860331A (en) | 1988-09-12 | 1989-08-22 | Williams John F | Image marker device |
US4905698A (en) * | 1988-09-13 | 1990-03-06 | Pharmacia Deltec Inc. | Method and apparatus for catheter location determination |
US5265611A (en) | 1988-09-23 | 1993-11-30 | Siemens Aktiengellschaft | Apparatus for measuring weak, location-dependent and time-dependent magnetic field |
EP0359864B1 (en) | 1988-09-23 | 1993-12-01 | Siemens Aktiengesellschaft | Apparatus and method for the measurement of weak magnetic fields dependent upon position and time |
US5143076A (en) | 1988-12-23 | 1992-09-01 | Tyrone L. Hardy | Three-dimensional beam localization microscope apparatus for stereotactic diagnoses or surgery |
US5099846A (en) * | 1988-12-23 | 1992-03-31 | Hardy Tyrone L | Method and apparatus for video presentation from a variety of scanner imaging sources |
US5098426A (en) * | 1989-02-06 | 1992-03-24 | Phoenix Laser Systems, Inc. | Method and apparatus for precision laser surgery |
US5197476A (en) * | 1989-03-16 | 1993-03-30 | Christopher Nowacki | Locating target in human body |
CN1049287A (en) * | 1989-05-24 | 1991-02-20 | 住友电气工业株式会社 | The treatment conduit |
US5024226A (en) | 1989-08-17 | 1991-06-18 | Critikon, Inc. | Epidural oxygen sensor |
US5285787A (en) * | 1989-09-12 | 1994-02-15 | Kabushiki Kaisha Toshiba | Apparatus for calculating coordinate data of desired point in subject to be examined |
US5257998A (en) | 1989-09-20 | 1993-11-02 | Mitaka Kohki Co., Ltd. | Medical three-dimensional locating apparatus |
US5681260A (en) | 1989-09-22 | 1997-10-28 | Olympus Optical Co., Ltd. | Guiding apparatus for guiding an insertable body within an inspected object |
IL91805A (en) * | 1989-09-27 | 1996-12-05 | Elscint Ltd | Quadrature surface coil |
EP0419729A1 (en) | 1989-09-29 | 1991-04-03 | Siemens Aktiengesellschaft | Position finding of a catheter by means of non-ionising fields |
FR2652928B1 (en) * | 1989-10-05 | 1994-07-29 | Diadix Sa | INTERACTIVE LOCAL INTERVENTION SYSTEM WITHIN A AREA OF A NON-HOMOGENEOUS STRUCTURE. |
US5005592A (en) | 1989-10-27 | 1991-04-09 | Becton Dickinson And Company | Method and apparatus for tracking catheters |
ES2085885T3 (en) | 1989-11-08 | 1996-06-16 | George S Allen | MECHANICAL ARM FOR INTERACTIVE SURGERY SYSTEM DIRECTED BY IMAGES. |
US5222499A (en) | 1989-11-15 | 1993-06-29 | Allen George S | Method and apparatus for imaging the anatomy |
US5057095A (en) | 1989-11-16 | 1991-10-15 | Fabian Carl E | Surgical implement detector utilizing a resonant marker |
US5107862A (en) | 1991-05-06 | 1992-04-28 | Fabian Carl E | Surgical implement detector utilizing a powered marker |
US5188126A (en) * | 1989-11-16 | 1993-02-23 | Fabian Carl E | Surgical implement detector utilizing capacitive coupling |
US5190059A (en) * | 1989-11-16 | 1993-03-02 | Fabian Carl E | Surgical implement detector utilizing a powered marker |
US5105829A (en) | 1989-11-16 | 1992-04-21 | Fabian Carl E | Surgical implement detector utilizing capacitive coupling |
US5329944A (en) | 1989-11-16 | 1994-07-19 | Fabian Carl E | Surgical implement detector utilizing an acoustic marker |
US5047036A (en) | 1989-11-17 | 1991-09-10 | Koutrouvelis Panos G | Stereotactic device |
US5308352A (en) | 1989-11-17 | 1994-05-03 | Koutrouvelis Panos G | Stereotactic device |
WO1991007913A1 (en) | 1989-11-24 | 1991-06-13 | Technomed International | A method and apparatus for determining the position of a target relative to known co-ordinates |
FR2655415B1 (en) | 1989-12-01 | 1992-02-21 | Sextant Avionique | ELECTROMAGNETIC POSITION AND ORIENTATION DETECTOR. |
US5013317A (en) | 1990-02-07 | 1991-05-07 | Smith & Nephew Richards Inc. | Medical drill assembly transparent to X-rays and targeting drill bit |
US5031203A (en) | 1990-02-09 | 1991-07-09 | Trecha Randal R | Coaxial laser targeting device for use with x-ray equipment and surgical drill equipment during surgical procedures |
US5214615A (en) | 1990-02-26 | 1993-05-25 | Will Bauer | Three-dimensional displacement of a body with computer interface |
US5078714A (en) * | 1990-03-02 | 1992-01-07 | Jefferson Katims | Method and apparatus for placement of a probe in the body and the medical procedure for guiding and locating a catheter or probe in the body |
US5076285A (en) | 1990-03-30 | 1991-12-31 | Medtronic, Inc. | Screw-in lead |
FI89132C (en) | 1990-04-06 | 1993-08-25 | Orion Yhtymae Oy | Method for fine-needle biopsy or for performing a tissue marker in conjunction with mammography and arrangements for performing the procedure |
US5224049A (en) | 1990-04-10 | 1993-06-29 | Mushabac David R | Method, system and mold assembly for use in preparing a dental prosthesis |
US5253647A (en) | 1990-04-13 | 1993-10-19 | Olympus Optical Co., Ltd. | Insertion position and orientation state pickup for endoscope |
JP2750201B2 (en) | 1990-04-13 | 1998-05-13 | オリンパス光学工業株式会社 | Endoscope insertion state detection device |
DE9004824U1 (en) * | 1990-04-27 | 1990-08-02 | Hewlett-Packard Gmbh, 7030 Boeblingen, De | |
US5107839A (en) | 1990-05-04 | 1992-04-28 | Pavel V. Houdek | Computer controlled stereotaxic radiotherapy system and method |
US5030222A (en) | 1990-05-09 | 1991-07-09 | James Calandruccio | Radiolucent orthopedic chuck |
US5295483A (en) | 1990-05-11 | 1994-03-22 | Christopher Nowacki | Locating target in human body |
US5086401A (en) | 1990-05-11 | 1992-02-04 | International Business Machines Corporation | Image-directed robotic system for precise robotic surgery including redundant consistency checking |
US5457641A (en) | 1990-06-29 | 1995-10-10 | Sextant Avionique | Method and apparatus for determining an orientation associated with a mobile system, especially a line of sight inside a helmet visor |
US5017139A (en) | 1990-07-05 | 1991-05-21 | Mushabac David R | Mechanical support for hand-held dental/medical instrument |
GB9018660D0 (en) | 1990-08-24 | 1990-10-10 | Imperial College | Probe system |
US5193106A (en) * | 1990-08-28 | 1993-03-09 | Desena Danforth | X-ray identification marker |
US5160337A (en) | 1990-09-24 | 1992-11-03 | Cosman Eric R | Curved-shaped floor stand for use with a linear accelerator in radiosurgery |
US5198877A (en) | 1990-10-15 | 1993-03-30 | Pixsys, Inc. | Method and apparatus for three-dimensional non-contact shape sensing |
US6347240B1 (en) | 1990-10-19 | 2002-02-12 | St. Louis University | System and method for use in displaying images of a body part |
EP1690511B1 (en) * | 1990-10-19 | 2010-07-14 | St. Louis University | Surgical probe locating system for head use |
US5059789A (en) | 1990-10-22 | 1991-10-22 | International Business Machines Corp. | Optical position and orientation sensor |
FR2668359B1 (en) | 1990-10-24 | 1998-02-20 | Gen Electric Cgr | MAMMOGRAPH PROVIDED WITH A PERFECTED NEEDLE HOLDER. |
US5265622A (en) | 1990-10-25 | 1993-11-30 | C. R. Bard, Inc. | Guidewire having radially expandable member and method for guiding and advancing a catheter using the same |
US5823958A (en) | 1990-11-26 | 1998-10-20 | Truppe; Michael | System and method for displaying a structural data image in real-time correlation with moveable body |
JP2715762B2 (en) | 1990-11-30 | 1998-02-18 | 富士写真光機株式会社 | Ultrasonic inspection equipment |
US5054492A (en) | 1990-12-17 | 1991-10-08 | Cardiovascular Imaging Systems, Inc. | Ultrasonic imaging catheter having rotational image correlation |
US6006126A (en) | 1991-01-28 | 1999-12-21 | Cosman; Eric R. | System and method for stereotactic registration of image scan data |
US5947981A (en) | 1995-01-31 | 1999-09-07 | Cosman; Eric R. | Head and neck localizer |
US5662111A (en) | 1991-01-28 | 1997-09-02 | Cosman; Eric R. | Process of stereotactic optical navigation |
US5480439A (en) * | 1991-02-13 | 1996-01-02 | Lunar Corporation | Method for periprosthetic bone mineral density measurement |
US5228442A (en) | 1991-02-15 | 1993-07-20 | Cardiac Pathways Corporation | Method for mapping, ablation, and stimulation using an endocardial catheter |
US5161536A (en) | 1991-03-22 | 1992-11-10 | Catheter Technology | Ultrasonic position indicating apparatus and methods |
US5257636A (en) | 1991-04-02 | 1993-11-02 | Steven J. White | Apparatus for determining position of an endothracheal tube |
US5339799A (en) | 1991-04-23 | 1994-08-23 | Olympus Optical Co., Ltd. | Medical system for reproducing a state of contact of the treatment section in the operation unit |
US5291889A (en) | 1991-05-23 | 1994-03-08 | Vanguard Imaging Ltd. | Apparatus and method for spatially positioning images |
FI93607C (en) | 1991-05-24 | 1995-05-10 | John Koivukangas | Cutting Remedy |
US5167239A (en) | 1991-05-30 | 1992-12-01 | Endomedix Corporation | Anchorable guidewire |
US5187475A (en) * | 1991-06-10 | 1993-02-16 | Honeywell Inc. | Apparatus for determining the position of an object |
DE9107298U1 (en) | 1991-06-13 | 1991-07-25 | Howmedica Gmbh, 2314 Schoenkirchen, De | |
US5279309A (en) | 1991-06-13 | 1994-01-18 | International Business Machines Corporation | Signaling device and method for monitoring positions in a surgical operation |
US5417210A (en) | 1992-05-27 | 1995-05-23 | International Business Machines Corporation | System and method for augmentation of endoscopic surgery |
US5261404A (en) | 1991-07-08 | 1993-11-16 | Mick Peter R | Three-dimensional mammal anatomy imaging system and method |
US5249581A (en) | 1991-07-15 | 1993-10-05 | Horbal Mark T | Precision bone alignment |
US5265610A (en) | 1991-09-03 | 1993-11-30 | General Electric Company | Multi-planar X-ray fluoroscopy system using radiofrequency fields |
US5211165A (en) | 1991-09-03 | 1993-05-18 | General Electric Company | Tracking system to follow the position and orientation of a device with radiofrequency field gradients |
US5255680A (en) | 1991-09-03 | 1993-10-26 | General Electric Company | Automatic gantry positioning for imaging systems |
US5251635A (en) | 1991-09-03 | 1993-10-12 | General Electric Company | Stereoscopic X-ray fluoroscopy system using radiofrequency fields |
EP0531081A1 (en) * | 1991-09-03 | 1993-03-10 | General Electric Company | Tracking system to follow the position and orientation of a device with radiofrequency fields |
US5425367A (en) | 1991-09-04 | 1995-06-20 | Navion Biomedical Corporation | Catheter depth, position and orientation location system |
US5645065A (en) | 1991-09-04 | 1997-07-08 | Navion Biomedical Corporation | Catheter depth, position and orientation location system |
DE4134481C2 (en) | 1991-10-18 | 1998-04-09 | Zeiss Carl Fa | Surgical microscope for computer-aided, stereotactic microsurgery |
US5207688A (en) | 1991-10-31 | 1993-05-04 | Medco, Inc. | Noninvasive head fixation method and apparatus |
US5330485A (en) | 1991-11-01 | 1994-07-19 | Clayman David A | Cerebral instrument guide frame and procedures utilizing it |
US5300080A (en) | 1991-11-01 | 1994-04-05 | David Clayman | Stereotactic instrument guided placement |
US5437277A (en) | 1991-11-18 | 1995-08-01 | General Electric Company | Inductively coupled RF tracking system for use in invasive imaging of a living body |
US5445150A (en) | 1991-11-18 | 1995-08-29 | General Electric Company | Invasive system employing a radiofrequency tracking system |
US5371778A (en) | 1991-11-29 | 1994-12-06 | Picker International, Inc. | Concurrent display and adjustment of 3D projection, coronal slice, sagittal slice, and transverse slice images |
US5274551A (en) | 1991-11-29 | 1993-12-28 | General Electric Company | Method and apparatus for real-time navigation assist in interventional radiological procedures |
US5178621A (en) * | 1991-12-10 | 1993-01-12 | Zimmer, Inc. | Two-piece radio-transparent proximal targeting device for a locking intramedullary nail |
US5230623A (en) | 1991-12-10 | 1993-07-27 | Radionics, Inc. | Operating pointer with interactive computergraphics |
US5478341A (en) | 1991-12-23 | 1995-12-26 | Zimmer, Inc. | Ratchet lock for an intramedullary nail locking bolt |
ATE177612T1 (en) * | 1991-12-23 | 1999-04-15 | Sims Deltec Inc | GUIDE WIRE DEVICE WITH LOCATING LINK |
US5233990A (en) | 1992-01-13 | 1993-08-10 | Gideon Barnea | Method and apparatus for diagnostic imaging in radiation therapy |
US5212720A (en) | 1992-01-29 | 1993-05-18 | Research Foundation-State University Of N.Y. | Dual radiation targeting system |
US5320111A (en) | 1992-02-07 | 1994-06-14 | Livingston Products, Inc. | Light beam locator and guide for a biopsy needle |
US5237996A (en) | 1992-02-11 | 1993-08-24 | Waldman Lewis K | Endocardial electrical mapping catheter |
US5306271A (en) | 1992-03-09 | 1994-04-26 | Izi Corporation | Radiation therapy skin markers |
DE4207632C2 (en) | 1992-03-11 | 1995-07-20 | Bodenseewerk Geraetetech | Device and method for positioning a body part for treatment purposes |
DE4207901C3 (en) | 1992-03-12 | 1999-10-07 | Aesculap Ag & Co Kg | Method and device for displaying a work area in a three-dimensional structure |
US5271400A (en) | 1992-04-01 | 1993-12-21 | General Electric Company | Tracking system to monitor the position and orientation of a device using magnetic resonance detection of a sample contained within the device |
US5318025A (en) | 1992-04-01 | 1994-06-07 | General Electric Company | Tracking system to monitor the position and orientation of a device using multiplexed magnetic resonance detection |
US5299253A (en) | 1992-04-10 | 1994-03-29 | Akzo N.V. | Alignment system to overlay abdominal computer aided tomography and magnetic resonance anatomy with single photon emission tomography |
US5573533A (en) | 1992-04-10 | 1996-11-12 | Medtronic Cardiorhythm | Method and system for radiofrequency ablation of cardiac tissue |
US5389101A (en) * | 1992-04-21 | 1995-02-14 | University Of Utah | Apparatus and method for photogrammetric surgical localization |
US5603318A (en) * | 1992-04-21 | 1997-02-18 | University Of Utah Research Foundation | Apparatus and method for photogrammetric surgical localization |
IL102218A (en) | 1992-06-16 | 2003-06-24 | Elbit Systems Ltd | Tracker employing a rotating electromagnetic field |
GB2280343A (en) | 1993-07-08 | 1995-01-25 | Innovative Care Ltd | A laser targeting device for use with image intensifiers |
US5307072A (en) | 1992-07-09 | 1994-04-26 | Polhemus Incorporated | Non-concentricity compensation in position and orientation measurement systems |
US5325873A (en) | 1992-07-23 | 1994-07-05 | Abbott Laboratories | Tube placement verifier system |
US5269759A (en) | 1992-07-28 | 1993-12-14 | Cordis Corporation | Magnetic guidewire coupling for vascular dilatation apparatus |
US5197965A (en) * | 1992-07-29 | 1993-03-30 | Codman & Shurtleff, Inc. | Skull clamp pin assembly |
DE4225112C1 (en) | 1992-07-30 | 1993-12-09 | Bodenseewerk Geraetetech | Instrument position relative to processing object measuring apparatus - has measuring device for measuring position of instrument including inertia sensor unit |
FR2694881B1 (en) | 1992-07-31 | 1996-09-06 | Univ Joseph Fourier | METHOD FOR DETERMINING THE POSITION OF AN ORGAN. |
EP0655138B1 (en) | 1992-08-14 | 1998-04-29 | BRITISH TELECOMMUNICATIONS public limited company | Position location system |
DE69318304T2 (en) | 1992-08-14 | 1998-08-20 | British Telecomm | LOCATION SYSTEM |
US5469847A (en) | 1992-09-09 | 1995-11-28 | Izi Corporation | Radiographic multi-modality skin markers |
US5368030A (en) | 1992-09-09 | 1994-11-29 | Izi Corporation | Non-invasive multi-modality radiographic surface markers |
USRE41334E1 (en) | 1992-09-23 | 2010-05-11 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Endocardial mapping system |
US7189208B1 (en) | 1992-09-23 | 2007-03-13 | Endocardial Solutions, Inc. | Method for measuring heart electrophysiology |
US5297549A (en) | 1992-09-23 | 1994-03-29 | Endocardial Therapeutics, Inc. | Endocardial mapping system |
US5662108A (en) | 1992-09-23 | 1997-09-02 | Endocardial Solutions, Inc. | Electrophysiology mapping system |
US5647361A (en) | 1992-09-28 | 1997-07-15 | Fonar Corporation | Magnetic resonance imaging method and apparatus for guiding invasive therapy |
US5375596A (en) | 1992-09-29 | 1994-12-27 | Hdc Corporation | Method and apparatus for determining the position of catheters, tubes, placement guidewires and implantable ports within biological tissue |
DE4233978C1 (en) * | 1992-10-08 | 1994-04-21 | Leibinger Gmbh | Body marking device for medical examinations |
US5568384A (en) | 1992-10-13 | 1996-10-22 | Mayo Foundation For Medical Education And Research | Biomedical imaging and analysis |
US5456718A (en) | 1992-11-17 | 1995-10-10 | Szymaitis; Dennis W. | Apparatus for detecting surgical objects within the human body |
US5517990A (en) | 1992-11-30 | 1996-05-21 | The Cleveland Clinic Foundation | Stereotaxy wand and tool guide |
US5732703A (en) | 1992-11-30 | 1998-03-31 | The Cleveland Clinic Foundation | Stereotaxy wand and tool guide |
US5309913A (en) | 1992-11-30 | 1994-05-10 | The Cleveland Clinic Foundation | Frameless stereotaxy system |
US5305091A (en) | 1992-12-07 | 1994-04-19 | Oreo Products Inc. | Optical coordinate measuring system for large objects |
US5353807A (en) | 1992-12-07 | 1994-10-11 | Demarco Thomas J | Magnetically guidable intubation device |
US5353795A (en) | 1992-12-10 | 1994-10-11 | General Electric Company | Tracking system to monitor the position of a device using multiplexed magnetic resonance detection |
US5427097A (en) | 1992-12-10 | 1995-06-27 | Accuray, Inc. | Apparatus for and method of carrying out stereotaxic radiosurgery and radiotherapy |
US5353800A (en) | 1992-12-11 | 1994-10-11 | Medtronic, Inc. | Implantable pressure sensor lead |
US5385146A (en) * | 1993-01-08 | 1995-01-31 | Goldreyer; Bruce N. | Orthogonal sensing for use in clinical electrophysiology |
US5333168A (en) | 1993-01-29 | 1994-07-26 | Oec Medical Systems, Inc. | Time-based attenuation compensation |
US5423334A (en) | 1993-02-01 | 1995-06-13 | C. R. Bard, Inc. | Implantable medical device characterization system |
US5448610A (en) | 1993-02-09 | 1995-09-05 | Hitachi Medical Corporation | Digital X-ray photography device |
US5730130A (en) | 1993-02-12 | 1998-03-24 | Johnson & Johnson Professional, Inc. | Localization cap for fiducial markers |
US5575794A (en) * | 1993-02-12 | 1996-11-19 | Walus; Richard L. | Tool for implanting a fiducial marker |
US5799099A (en) | 1993-02-12 | 1998-08-25 | George S. Allen | Automatic technique for localizing externally attached fiducial markers in volume images of the head |
DE4304571A1 (en) * | 1993-02-16 | 1994-08-18 | Mdc Med Diagnostic Computing | Procedures for planning and controlling a surgical procedure |
US5433198A (en) | 1993-03-11 | 1995-07-18 | Desai; Jawahar M. | Apparatus and method for cardiac ablation |
EP0615833B1 (en) | 1993-03-19 | 1997-05-28 | Vip Industries Limited | A heat sealing method and luggage case |
US5787886A (en) | 1993-03-19 | 1998-08-04 | Compass International Incorporated | Magnetic field digitizer for stereotatic surgery |
US5483961A (en) * | 1993-03-19 | 1996-01-16 | Kelly; Patrick J. | Magnetic field digitizer for stereotactic surgery |
DE4310993A1 (en) | 1993-04-03 | 1994-10-06 | Philips Patentverwaltung | MR imaging method and arrangement for carrying out the method |
US5453686A (en) | 1993-04-08 | 1995-09-26 | Polhemus Incorporated | Pulsed-DC position and orientation measurement system |
WO1994024631A1 (en) | 1993-04-20 | 1994-10-27 | General Electric Company | Computer graphic and live video system for enhancing visualisation of body structures during surgery |
ZA942812B (en) | 1993-04-22 | 1995-11-22 | Pixsys Inc | System for locating the relative positions of objects in three dimensional space |
AU6818694A (en) | 1993-04-26 | 1994-11-21 | St. Louis University | Indicating the position of a surgical probe |
US5325728A (en) | 1993-06-22 | 1994-07-05 | Medtronic, Inc. | Electromagnetic flow meter |
CA2165829A1 (en) | 1993-07-01 | 1995-01-19 | John E. Abele | Imaging, electrical potential sensing, and ablation catheters |
US6983179B2 (en) | 1993-07-20 | 2006-01-03 | Biosense, Inc. | Method for mapping a heart using catheters having ultrasonic position sensors |
US5738096A (en) | 1993-07-20 | 1998-04-14 | Biosense, Inc. | Cardiac electromechanics |
US5391199A (en) | 1993-07-20 | 1995-02-21 | Biosense, Inc. | Apparatus and method for treating cardiac arrhythmias |
US5487757A (en) * | 1993-07-20 | 1996-01-30 | Medtronic Cardiorhythm | Multicurve deflectable catheter |
US5385148A (en) * | 1993-07-30 | 1995-01-31 | The Regents Of The University Of California | Cardiac imaging and ablation catheter |
FR2709656B1 (en) | 1993-09-07 | 1995-12-01 | Deemed Int Sa | Installation for computer-assisted microsurgery operation and methods implemented by said installation. |
US5425382A (en) | 1993-09-14 | 1995-06-20 | University Of Washington | Apparatus and method for locating a medical tube in the body of a patient |
DE9314075U1 (en) | 1993-09-17 | 1994-01-20 | Dwl Elektron Systeme Gmbh | Device for receiving at least one sonographic probe |
US5342295A (en) | 1993-09-24 | 1994-08-30 | Cardiac Pathways Corporation | Catheter assembly, catheter and multi-port introducer for use therewith |
US5908446A (en) | 1994-07-07 | 1999-06-01 | Cardiac Pathways Corporation | Catheter assembly, catheter and multi-port introducer for use therewith |
DK110193A (en) | 1993-09-30 | 1995-03-31 | Per Baunsgaard | Terminal device |
US5558091A (en) | 1993-10-06 | 1996-09-24 | Biosense, Inc. | Magnetic determination of position and orientation |
US5446548A (en) | 1993-10-08 | 1995-08-29 | Siemens Medical Systems, Inc. | Patient positioning and monitoring system |
US5464446A (en) | 1993-10-12 | 1995-11-07 | Medtronic, Inc. | Brain lead anchoring system |
EP0649117A3 (en) | 1993-10-15 | 1996-01-31 | George S Allen | Method for providing medical images. |
US5840024A (en) | 1993-10-18 | 1998-11-24 | Olympus Optical Co., Ltd. | Endoscope form detecting apparatus in which coil is fixedly mounted by insulating member so that form is not deformed within endoscope |
US6059718A (en) | 1993-10-18 | 2000-05-09 | Olympus Optical Co., Ltd. | Endoscope form detecting apparatus in which coil is fixedly mounted by insulating member so that form is not deformed within endoscope |
US5394875A (en) | 1993-10-21 | 1995-03-07 | Lewis; Judith T. | Automatic ultrasonic localization of targets implanted in a portion of the anatomy |
WO1995013111A1 (en) | 1993-11-10 | 1995-05-18 | Medtronic Cadiorhythm | Electrode array catheter |
US6009349A (en) | 1993-11-16 | 1999-12-28 | Pacesetter, Inc. | System and method for deriving hemodynamic signals from a cardiac wall motion sensor |
US5399146A (en) | 1993-12-13 | 1995-03-21 | Nowacki; Christopher | Isocentric lithotripter |
US5445144A (en) | 1993-12-16 | 1995-08-29 | Purdue Research Foundation | Apparatus and method for acoustically guiding, positioning, and monitoring a tube within a body |
JP3400835B2 (en) | 1993-12-20 | 2003-04-28 | テルモ株式会社 | Secondary conduction path detector |
DE59506365D1 (en) | 1994-01-28 | 1999-08-12 | Cfb Gmbh | DEVICE AND METHOD FOR PRODUCING AN IMAGE SEQUENCE |
US5485849A (en) * | 1994-01-31 | 1996-01-23 | Ep Technologies, Inc. | System and methods for matching electrical characteristics and propagation velocities in cardiac tissue |
US5531227A (en) | 1994-01-28 | 1996-07-02 | Schneider Medical Technologies, Inc. | Imaging device and method |
US5487391A (en) * | 1994-01-28 | 1996-01-30 | Ep Technologies, Inc. | Systems and methods for deriving and displaying the propagation velocities of electrical events in the heart |
WO1995020348A1 (en) | 1994-01-28 | 1995-08-03 | Ep Technologies, Inc. | Matching electrical characteristics and propagation velocities to locate ablation sites |
US5444756A (en) | 1994-02-09 | 1995-08-22 | Minnesota Mining And Manufacturing Company | X-ray machine, solid state radiation detector and method for reading radiation detection information |
US5800535A (en) | 1994-02-09 | 1998-09-01 | The University Of Iowa Research Foundation | Wireless prosthetic electrode for the brain |
US5571083A (en) | 1994-02-18 | 1996-11-05 | Lemelson; Jerome H. | Method and system for cell transplantation |
US5503416A (en) | 1994-03-10 | 1996-04-02 | Oec Medical Systems, Inc. | Undercarriage for X-ray diagnostic equipment |
US5596228A (en) * | 1994-03-10 | 1997-01-21 | Oec Medical Systems, Inc. | Apparatus for cooling charge coupled device imaging systems |
US5426683A (en) | 1994-03-14 | 1995-06-20 | Oec Medical Systems, Inc. | One piece C-arm for X-ray diagnostic equipment |
ATE180937T1 (en) | 1994-03-15 | 1999-06-15 | Siemens Ag | METHOD FOR THE RECEIVING SIDE CLOCK SUPPLY FOR VIDEO SIGNALS TRANSMITTED DIGITALLY BY ATM IN FIBER/COAXIAL SUBSCRIBE NETWORKS |
DE69408826T2 (en) | 1994-03-18 | 1998-07-23 | Schneider Europ Ag | Magnetic resonance imaging system for tracking a medical device |
US5490196A (en) * | 1994-03-18 | 1996-02-06 | Metorex International Oy | Multi energy system for x-ray imaging applications |
US5546949A (en) | 1994-04-26 | 1996-08-20 | Frazin; Leon | Method and apparatus of logicalizing and determining orientation of an insertion end of a probe within a biotic structure |
DE4417944A1 (en) | 1994-05-21 | 1995-11-23 | Zeiss Carl Fa | Process for correlating different coordinate systems in computer-assisted, stereotactic surgery |
JP3267054B2 (en) | 1994-06-13 | 2002-03-18 | トヨタ自動車株式会社 | Power storage device for solar power |
US5419325A (en) | 1994-06-23 | 1995-05-30 | General Electric Company | Magnetic resonance (MR) angiography using a faraday catheter |
US5643286A (en) * | 1994-06-24 | 1997-07-01 | Cytotherapeutics, Inc. | Microdrive for use in stereotactic surgery |
US5600330A (en) * | 1994-07-12 | 1997-02-04 | Ascension Technology Corporation | Device for measuring position and orientation using non-dipole magnet IC fields |
US5619261A (en) | 1994-07-25 | 1997-04-08 | Oec Medical Systems, Inc. | Pixel artifact/blemish filter for use in CCD video camera |
US5522874A (en) | 1994-07-28 | 1996-06-04 | Gates; James T. | Medical lead having segmented electrode |
US5512920A (en) | 1994-08-17 | 1996-04-30 | Mitsubishi Electric Research Laboratories, Inc. | Locator device for control of graphical objects |
ES2144123T3 (en) | 1994-08-19 | 2000-06-01 | Biosense Inc | MEDICAL DIAGNOSIS, TREATMENT AND IMAGE SYSTEMS. |
US5531520A (en) | 1994-09-01 | 1996-07-02 | Massachusetts Institute Of Technology | System and method of registration of three-dimensional data sets including anatomical body data |
US5999840A (en) | 1994-09-01 | 1999-12-07 | Massachusetts Institute Of Technology | System and method of registration of three-dimensional data sets |
AU3371595A (en) | 1994-09-06 | 1996-03-27 | Sims Deltec, Inc. | Method and apparatus for location of a catheter tip |
DE4432890B4 (en) | 1994-09-15 | 2004-02-19 | Brainlab Ag | Device for detecting the position of irradiation target points |
DE4432891C2 (en) | 1994-09-15 | 2003-11-06 | Brainlab Ag | Device and mask part set for non-invasive stereotactic immobilization in a reproducible position |
US5803089A (en) | 1994-09-15 | 1998-09-08 | Visualization Technology, Inc. | Position tracking and imaging system for use in medical applications |
US5829444A (en) | 1994-09-15 | 1998-11-03 | Visualization Technology, Inc. | Position tracking and imaging system for use in medical applications |
US5639276A (en) | 1994-09-23 | 1997-06-17 | Rapid Development Systems, Inc. | Device for use in right ventricular placement and method for using same |
DE4434519A1 (en) | 1994-09-27 | 1996-03-28 | Brainlab Med Computersyst Gmbh | Fixing pin for fixing reference system in bone structure, esp. for head ring for neurosurgery |
US5695501A (en) | 1994-09-30 | 1997-12-09 | Ohio Medical Instrument Company, Inc. | Apparatus for neurosurgical stereotactic procedures |
US5891157A (en) | 1994-09-30 | 1999-04-06 | Ohio Medical Instrument Company, Inc. | Apparatus for surgical stereotactic procedures |
DE29521895U1 (en) | 1994-10-07 | 1998-09-10 | Univ St Louis | Surgical navigation system comprising reference and localization frames |
US5740808A (en) | 1996-10-28 | 1998-04-21 | Ep Technologies, Inc | Systems and methods for guilding diagnostic or therapeutic devices in interior tissue regions |
US5674296A (en) | 1994-11-14 | 1997-10-07 | Spinal Dynamics Corporation | Human spinal disc prosthesis |
US5611025A (en) | 1994-11-23 | 1997-03-11 | General Electric Company | Virtual internal cavity inspection system |
EP0714636B1 (en) | 1994-11-28 | 2003-04-16 | The Ohio State University | Interventional medicine apparatus |
US5583909C1 (en) | 1994-12-20 | 2001-03-27 | Oec Medical Systems Inc | C-arm mounting structure for mobile x-ray imaging system |
US5762064A (en) | 1995-01-23 | 1998-06-09 | Northrop Grumman Corporation | Medical magnetic positioning system and method for determining the position of a magnetic probe |
SE9500274D0 (en) | 1995-01-26 | 1995-01-26 | Siemens Elema Ab | Device for locating port on medical implant |
US5682890A (en) | 1995-01-26 | 1997-11-04 | Picker International, Inc. | Magnetic resonance stereotactic surgery with exoskeleton tissue stabilization |
US5971997A (en) | 1995-02-03 | 1999-10-26 | Radionics, Inc. | Intraoperative recalibration apparatus for stereotactic navigators |
US5588430A (en) | 1995-02-14 | 1996-12-31 | University Of Florida Research Foundation, Inc. | Repeat fixation for frameless stereotactic procedure |
DE19506197A1 (en) | 1995-02-23 | 1996-09-05 | Aesculap Ag | Method and device for determining the location of a body part |
JP3121353B2 (en) | 1995-02-27 | 2000-12-25 | メドトロニック・インコーポレーテッド | External patient reference sensor |
US5636644A (en) | 1995-03-17 | 1997-06-10 | Applied Medical Resources Corporation | Method and apparatus for endoconduit targeting |
JP3307519B2 (en) | 1995-03-24 | 2002-07-24 | 株式会社モリタ製作所 | Medical X-ray equipment |
US5797849A (en) | 1995-03-28 | 1998-08-25 | Sonometrics Corporation | Method for carrying out a medical procedure using a three-dimensional tracking and imaging system |
DE69626105T2 (en) | 1995-03-30 | 2003-10-23 | Heartport Inc | ENDOVASCULAR CATHETER FOR LEADING FROM THE HEART |
US5730129A (en) | 1995-04-03 | 1998-03-24 | General Electric Company | Imaging of interventional devices in a non-stationary subject |
US5566681A (en) | 1995-05-02 | 1996-10-22 | Manwaring; Kim H. | Apparatus and method for stabilizing a body part |
US6122541A (en) | 1995-05-04 | 2000-09-19 | Radionics, Inc. | Head band for frameless stereotactic registration |
US5640170A (en) | 1995-06-05 | 1997-06-17 | Polhemus Incorporated | Position and orientation measuring system having anti-distortion source configuration |
US5617857A (en) | 1995-06-06 | 1997-04-08 | Image Guided Technologies, Inc. | Imaging system having interactive medical instruments and methods |
US5718241A (en) | 1995-06-07 | 1998-02-17 | Biosense, Inc. | Apparatus and method for treating cardiac arrhythmias with no discrete target |
US5752513A (en) | 1995-06-07 | 1998-05-19 | Biosense, Inc. | Method and apparatus for determining position of object |
US5729129A (en) | 1995-06-07 | 1998-03-17 | Biosense, Inc. | Magnetic location system with feedback adjustment of magnetic field generator |
JP3782113B2 (en) | 1995-06-12 | 2006-06-07 | コーディス ウェブスター,インコーポレイティド | Catheter with electromagnetic guidance sensor |
US5592939A (en) * | 1995-06-14 | 1997-01-14 | Martinelli; Michael A. | Method and system for navigating a catheter probe |
US5627873B1 (en) | 1995-08-04 | 2000-03-14 | Oec Medical Systems | Mini c-arm assembly for mobile x-ray imaging system |
US5617462A (en) | 1995-08-07 | 1997-04-01 | Oec Medical Systems, Inc. | Automatic X-ray exposure control system and method of use |
US5642395A (en) | 1995-08-07 | 1997-06-24 | Oec Medical Systems, Inc. | Imaging chain with miniaturized C-arm assembly for mobile X-ray imaging system |
US6090105A (en) | 1995-08-15 | 2000-07-18 | Rita Medical Systems, Inc. | Multiple electrode ablation apparatus and method |
US5696500A (en) | 1995-08-18 | 1997-12-09 | Motorola, Inc. | Multi-media receiver and system therefor |
US5638819A (en) | 1995-08-29 | 1997-06-17 | Manwaring; Kim H. | Method and apparatus for guiding an instrument to a target |
US5769861A (en) | 1995-09-28 | 1998-06-23 | Brainlab Med. Computersysteme Gmbh | Method and devices for localizing an instrument |
US6351659B1 (en) | 1995-09-28 | 2002-02-26 | Brainlab Med. Computersysteme Gmbh | Neuro-navigation system |
US5889834A (en) | 1995-09-28 | 1999-03-30 | Brainlab Med. Computersysteme Gmbh | Blade collimator for radiation therapy |
US5715822A (en) * | 1995-09-28 | 1998-02-10 | General Electric Company | Magnetic resonance devices suitable for both tracking and imaging |
US5772594A (en) | 1995-10-17 | 1998-06-30 | Barrick; Earl F. | Fluoroscopic image guided orthopaedic surgery system with intraoperative registration |
WO1997019362A1 (en) * | 1995-11-24 | 1997-05-29 | Philips Electronics N.V. | Mri-system and catheter for interventional procedures |
DE19547977A1 (en) | 1995-12-21 | 1997-06-26 | Zeiss Carl Fa | Touch probe for coordinate measuring machines |
US5800407A (en) | 1995-12-21 | 1998-09-01 | Eldor; Joseph | Multiple hole epidural catheter |
US5682886A (en) | 1995-12-26 | 1997-11-04 | Musculographics Inc | Computer-assisted surgical system |
US5727552A (en) | 1996-01-11 | 1998-03-17 | Medtronic, Inc. | Catheter and electrical lead location system |
US5711299A (en) * | 1996-01-26 | 1998-01-27 | Manwaring; Kim H. | Surgical guidance method and system for approaching a target within a body |
DE69733249T8 (en) | 1996-02-15 | 2006-04-27 | Biosense Webster, Inc., Diamond Bar | DETERMINATION OF THE EXACT POSITION OF ENDOSCOPES |
CA2246284C (en) | 1996-02-15 | 2008-01-29 | Biosense, Inc. | Catheter with lumen |
AU709081B2 (en) | 1996-02-15 | 1999-08-19 | Biosense, Inc. | Medical procedures and apparatus using intrabody probes |
US5828770A (en) | 1996-02-20 | 1998-10-27 | Northern Digital Inc. | System for determining the spatial position and angular orientation of an object |
US5769843A (en) | 1996-02-20 | 1998-06-23 | Cormedica | Percutaneous endomyocardial revascularization |
EP0886757B1 (en) | 1996-02-27 | 2005-05-25 | Biosense Webster, Inc. | Location system with field actuation sequences |
US5735278A (en) | 1996-03-15 | 1998-04-07 | National Research Council Of Canada | Surgical procedure with magnetic resonance imaging |
US5727553A (en) | 1996-03-25 | 1998-03-17 | Saad; Saad A. | Catheter with integral electromagnetic location identification device |
US5868749A (en) | 1996-04-05 | 1999-02-09 | Reed; Thomas M. | Fixation devices |
US5988862A (en) | 1996-04-24 | 1999-11-23 | Cyra Technologies, Inc. | Integrated system for quickly and accurately imaging and modeling three dimensional objects |
US5782765A (en) | 1996-04-25 | 1998-07-21 | Medtronic, Inc. | Medical positioning system |
JPH09294720A (en) * | 1996-04-30 | 1997-11-18 | Nikon Corp | Ophthalmologic instrument |
AUPN958296A0 (en) | 1996-05-01 | 1996-05-23 | Golden Circle Limited | Novel acc synthase genes from pineapple |
US5799055A (en) | 1996-05-15 | 1998-08-25 | Northwestern University | Apparatus and method for planning a stereotactic surgical procedure using coordinated fluoroscopy |
US5767699A (en) | 1996-05-28 | 1998-06-16 | Sun Microsystems, Inc. | Fully complementary differential output driver for high speed digital communications |
US6013087A (en) * | 1996-05-29 | 2000-01-11 | U.S. Philips Corporation | Image-guided surgery system |
US5767960A (en) | 1996-06-14 | 1998-06-16 | Ascension Technology Corporation | Optical 6D measurement system with three fan-shaped beams rotating around one axis |
US5767669A (en) | 1996-06-14 | 1998-06-16 | Ascension Technology Corporation | Magnetic field position and orientation measurement system with dynamic eddy current rejection |
US5742394A (en) | 1996-06-14 | 1998-04-21 | Ascension Technology Corporation | Optical 6D measurement system with two fan shaped beams rotating around one axis |
US5775322A (en) | 1996-06-27 | 1998-07-07 | Lucent Medical Systems, Inc. | Tracheal tube and methods related thereto |
US6167296A (en) | 1996-06-28 | 2000-12-26 | The Board Of Trustees Of The Leland Stanford Junior University | Method for volumetric image navigation |
IL118784A (en) | 1996-07-03 | 1999-04-11 | Eliav Medical Imaging Systems | Method and apparatus for processing images for removal of artifacts |
US5823192A (en) | 1996-07-31 | 1998-10-20 | University Of Pittsburgh Of The Commonwealth System Of Higher Education | Apparatus for automatically positioning a patient for treatment/diagnoses |
US5820553A (en) | 1996-08-16 | 1998-10-13 | Siemens Medical Systems, Inc. | Identification system and method for radiation therapy |
US5744953A (en) | 1996-08-29 | 1998-04-28 | Ascension Technology Corporation | Magnetic motion tracker with transmitter placed on tracked object |
US5831260A (en) | 1996-09-10 | 1998-11-03 | Ascension Technology Corporation | Hybrid motion tracker |
US7194117B2 (en) | 1999-06-29 | 2007-03-20 | The Research Foundation Of State University Of New York | System and method for performing a three-dimensional virtual examination of objects, such as internal organs |
US5951571A (en) | 1996-09-19 | 1999-09-14 | Surgical Navigation Specialist Inc. | Method and apparatus for correlating a body with an image of the body |
DE19639924C1 (en) | 1996-09-27 | 1998-04-30 | Siemens Ag | Thermally insulating material transparent to high-frequency signals for magnetic resonance diagnosis |
US5980535A (en) | 1996-09-30 | 1999-11-09 | Picker International, Inc. | Apparatus for anatomical tracking |
US6016439A (en) * | 1996-10-15 | 2000-01-18 | Biosense, Inc. | Method and apparatus for synthetic viewpoint imaging |
AU5112698A (en) | 1996-11-29 | 1998-06-22 | Life Imaging Systems Inc. | Apparatus for guiding medical instruments during ultrasonographic imaging |
US5810008A (en) | 1996-12-03 | 1998-09-22 | Isg Technologies Inc. | Apparatus and method for visualizing ultrasonic images |
RU2127075C1 (en) | 1996-12-11 | 1999-03-10 | Корженевский Александр Владимирович | Method for producing tomographic image of body and electrical-impedance tomographic scanner |
ES2216180T3 (en) | 1997-01-03 | 2004-10-16 | Biosense, Inc. | CONFORMATIONAL CATHETER. |
US6122538A (en) | 1997-01-16 | 2000-09-19 | Acuson Corporation | Motion--Monitoring method and system for medical devices |
US5935160A (en) | 1997-01-24 | 1999-08-10 | Cardiac Pacemakers, Inc. | Left ventricular access lead for heart failure pacing |
DE19703556A1 (en) | 1997-01-31 | 1998-08-06 | Philips Patentverwaltung | Method and arrangement for determining the position in X-ray imaging |
US5954796A (en) | 1997-02-11 | 1999-09-21 | Compaq Computer Corporation | System and method for automatically and dynamically changing an address associated with a device disposed in a fire channel environment |
US6314310B1 (en) | 1997-02-14 | 2001-11-06 | Biosense, Inc. | X-ray guided surgical location system with extended mapping volume |
US5928248A (en) | 1997-02-14 | 1999-07-27 | Biosense, Inc. | Guided deployment of stents |
US6006127A (en) | 1997-02-28 | 1999-12-21 | U.S. Philips Corporation | Image-guided surgery system |
US6152946A (en) | 1998-03-05 | 2000-11-28 | Scimed Life Systems, Inc. | Distal protection device and method |
US6019725A (en) * | 1997-03-07 | 2000-02-01 | Sonometrics Corporation | Three-dimensional tracking and imaging system |
DE19715202B4 (en) | 1997-04-11 | 2006-02-02 | Brainlab Ag | Referencing device with a mouthpiece |
DE19751761B4 (en) | 1997-04-11 | 2006-06-22 | Brainlab Ag | System and method for currently accurate detection of treatment targets |
US5921992A (en) | 1997-04-11 | 1999-07-13 | Radionics, Inc. | Method and system for frameless tool calibration |
US6050267A (en) | 1997-04-28 | 2000-04-18 | American Cardiac Ablation Co. Inc. | Catheter positioning system |
US5944022A (en) | 1997-04-28 | 1999-08-31 | American Cardiac Ablation Co. Inc. | Catheter positioning system |
US5834759A (en) | 1997-05-22 | 1998-11-10 | Glossop; Neil David | Tracking device having emitter groups with different emitting directions |
US5907395A (en) | 1997-06-06 | 1999-05-25 | Image Guided Technologies, Inc. | Optical fiber probe for position measurement |
GB9713018D0 (en) | 1997-06-20 | 1997-08-27 | Secr Defence | Optical fibre bend sensor |
CA2240776C (en) | 1997-07-18 | 2006-01-10 | Image Guided Technologies, Inc. | Improved optical tracking system |
WO1999006112A1 (en) | 1997-07-31 | 1999-02-11 | Case Western Reserve University | Electrolphysiological cardiac mapping system based on a non-contact non-expandable miniature multi-electrode catheter and method therefor |
US6490474B1 (en) | 1997-08-01 | 2002-12-03 | Cardiac Pathways Corporation | System and method for electrode localization using ultrasound |
DE69837826T2 (en) | 1997-09-05 | 2008-01-31 | Biosense Webster, Inc., Diamond Bar | Controllable catheter for detection and revascularization of myocardial ischemic tissues |
US6096050A (en) | 1997-09-19 | 2000-08-01 | Surgical Navigation Specialist Inc. | Method and apparatus for correlating a body with an image of the body |
US6183444B1 (en) | 1998-05-16 | 2001-02-06 | Microheart, Inc. | Drug delivery module |
US5951475A (en) | 1997-09-25 | 1999-09-14 | International Business Machines Corporation | Methods and apparatus for registering CT-scan data to multiple fluoroscopic images |
US5999837A (en) | 1997-09-26 | 1999-12-07 | Picker International, Inc. | Localizing and orienting probe for view devices |
US5987960A (en) | 1997-09-26 | 1999-11-23 | Picker International, Inc. | Tool calibrator |
EP0904733B1 (en) | 1997-09-27 | 2007-09-19 | BrainLAB AG | A method and apparatus for recording a three-dimensional image of a body part |
US5923727A (en) | 1997-09-30 | 1999-07-13 | Siemens Corporate Research, Inc. | Method and apparatus for calibrating an intra-operative X-ray system |
US5978696A (en) | 1997-10-06 | 1999-11-02 | General Electric Company | Real-time image-guided placement of anchor devices |
US6201387B1 (en) | 1997-10-07 | 2001-03-13 | Biosense, Inc. | Miniaturized position sensor having photolithographic coils for tracking a medical probe |
DE19746092C2 (en) | 1997-10-17 | 2002-09-05 | Siemens Ag | X-ray imaging device for 3D imaging |
US6147480A (en) | 1997-10-23 | 2000-11-14 | Biosense, Inc. | Detection of metal disturbance |
US5882304A (en) | 1997-10-27 | 1999-03-16 | Picker Nordstar Corporation | Method and apparatus for determining probe location |
DE19747427C2 (en) | 1997-10-28 | 1999-12-09 | Zeiss Carl Fa | Device for bone segment navigation |
US6014580A (en) * | 1997-11-12 | 2000-01-11 | Stereotaxis, Inc. | Device and method for specifying magnetic field for surgical applications |
GB2331807B (en) | 1997-11-15 | 2002-05-29 | Roke Manor Research | Catheter tracking system |
US6104944A (en) | 1997-11-17 | 2000-08-15 | Martinelli; Michael A. | System and method for navigating a multiple electrode catheter |
US6149592A (en) | 1997-11-26 | 2000-11-21 | Picker International, Inc. | Integrated fluoroscopic projection image data, volumetric image data, and surgical device position data |
US5938603A (en) | 1997-12-01 | 1999-08-17 | Cordis Webster, Inc. | Steerable catheter with electromagnetic sensor |
US5967982A (en) | 1997-12-09 | 1999-10-19 | The Cleveland Clinic Foundation | Non-invasive spine and bone registration for frameless stereotaxy |
US6073043A (en) | 1997-12-22 | 2000-06-06 | Cormedica Corporation | Measuring position and orientation using magnetic fields |
US6207111B1 (en) | 1997-12-31 | 2001-03-27 | Pem Technologies, Inc. | System for describing the physical distribution of an agent in a patient |
DE69835422T2 (en) | 1998-01-22 | 2006-12-21 | Biosense Webster, Inc., Diamond Bar | MEASUREMENT IN THE BODY'S INSIDE |
US7749215B1 (en) | 1998-02-05 | 2010-07-06 | Biosense, Inc. | Intracardiac cell delivery and cell transplantation |
US6106460A (en) * | 1998-03-26 | 2000-08-22 | Scimed Life Systems, Inc. | Interface for controlling the display of images of diagnostic or therapeutic instruments in interior body regions and related data |
AU3197699A (en) | 1998-03-30 | 1999-10-18 | Biosense, Inc. | Three-axis coil sensor |
US6301498B1 (en) | 1998-04-17 | 2001-10-09 | Cornell Research Foundation, Inc. | Method of determining carotid artery stenosis using X-ray imagery |
US6298262B1 (en) | 1998-04-21 | 2001-10-02 | Neutar, Llc | Instrument guidance for stereotactic surgery |
US6273896B1 (en) | 1998-04-21 | 2001-08-14 | Neutar, Llc | Removable frames for stereotactic localization |
US6493575B1 (en) | 1998-06-04 | 2002-12-10 | Randy J. Kesten | Fluoroscopic tracking enhanced intraventricular catheter system |
US6118845A (en) | 1998-06-29 | 2000-09-12 | Surgical Navigation Technologies, Inc. | System and methods for the reduction and elimination of image artifacts in the calibration of X-ray imagers |
DE19829230A1 (en) | 1998-06-30 | 2000-03-23 | Brainlab Med Computersyst Gmbh | Method for detecting external contour of objects being treated; prepares flat image for section of area being treated while specifying external contour spots in image surface of section |
DE19829224B4 (en) | 1998-06-30 | 2005-12-15 | Brainlab Ag | Method for localizing treatment goals in the area of soft body parts |
US7263397B2 (en) | 1998-06-30 | 2007-08-28 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Method and apparatus for catheter navigation and location and mapping in the heart |
US6447504B1 (en) | 1998-07-02 | 2002-09-10 | Biosense, Inc. | System for treatment of heart tissue using viability map |
JP2003524443A (en) | 1998-08-02 | 2003-08-19 | スーパー ディメンション リミテッド | Medical guidance device |
US6950689B1 (en) | 1998-08-03 | 2005-09-27 | Boston Scientific Scimed, Inc. | Dynamically alterable three-dimensional graphical model of a body region |
US6196230B1 (en) | 1998-09-10 | 2001-03-06 | Percardia, Inc. | Stent delivery system and method of use |
IL126333A0 (en) | 1998-09-24 | 1999-05-09 | Super Dimension Ltd | System and method of recording and displaying in context of an image a location of at least one point-of-interest in body during an intra-body medical procedure |
US20030074011A1 (en) | 1998-09-24 | 2003-04-17 | Super Dimension Ltd. | System and method of recording and displaying in context of an image a location of at least one point-of-interest in a body during an intra-body medical procedure |
EP1115328A4 (en) | 1998-09-24 | 2004-11-10 | Super Dimension Ltd | System and method for determining the location of a catheter during an intra-body medical procedure |
US6701176B1 (en) | 1998-11-04 | 2004-03-02 | Johns Hopkins University School Of Medicine | Magnetic-resonance-guided imaging, electrophysiology, and ablation |
JP4612194B2 (en) | 1998-12-23 | 2011-01-12 | イメージ・ガイディッド・テクノロジーズ・インコーポレイテッド | Hybrid 3D probe tracked by multiple sensors |
US6285902B1 (en) | 1999-02-10 | 2001-09-04 | Surgical Insights, Inc. | Computer assisted targeting device for use in orthopaedic surgery |
US6122552A (en) | 1999-03-03 | 2000-09-19 | Cardiac Pacemakers, Inc. | Insertion apparatus for left ventricular access lead |
US6470207B1 (en) | 1999-03-23 | 2002-10-22 | Surgical Navigation Technologies, Inc. | Navigational guidance via computer-assisted fluoroscopic imaging |
DE19917867B4 (en) | 1999-04-20 | 2005-04-21 | Brainlab Ag | Method and device for image support in the treatment of treatment objectives with integration of X-ray detection and navigation system |
ATE353001T1 (en) | 1999-05-11 | 2007-02-15 | Atrionix Inc | BALLOON ANCHORING WIRE |
US7343195B2 (en) | 1999-05-18 | 2008-03-11 | Mediguide Ltd. | Method and apparatus for real time quantitative three-dimensional image reconstruction of a moving organ and intra-body navigation |
US6233476B1 (en) | 1999-05-18 | 2001-05-15 | Mediguide Ltd. | Medical positioning system |
US6898302B1 (en) | 1999-05-21 | 2005-05-24 | Emory University | Systems, methods and computer program products for the display and visually driven definition of tomographic image planes in three-dimensional space |
US6192280B1 (en) | 1999-06-02 | 2001-02-20 | Medtronic, Inc. | Guidewire placed implantable lead with tip seal |
AU6953300A (en) | 1999-07-07 | 2001-01-22 | Cardiac Pacemakers, Inc. | Endocardial electrode assembly having conductive fixation features |
AU1607600A (en) | 1999-07-26 | 2001-02-13 | Super Dimension Ltd. | Linking of an intra-body tracking system to external reference coordinates |
US6246231B1 (en) | 1999-07-29 | 2001-06-12 | Ascension Technology Corporation | Magnetic field permeable barrier for magnetic position measurement system |
US6213995B1 (en) | 1999-08-31 | 2001-04-10 | Phelps Dodge High Performance Conductors Of Sc And Ga, Inc. | Flexible tubing with braided signal transmission elements |
SE9903205D0 (en) | 1999-09-09 | 1999-09-09 | Pacesetter Ab | Pacemaker |
US6330356B1 (en) | 1999-09-29 | 2001-12-11 | Rockwell Science Center Llc | Dynamic visual registration of a 3-D object with a graphical model |
US6256121B1 (en) | 1999-10-08 | 2001-07-03 | Nanovia, Lp | Apparatus for ablating high-density array of vias or indentation in surface of object |
US6701179B1 (en) | 1999-10-28 | 2004-03-02 | Michael A. Martinelli | Coil structures and methods for generating magnetic fields |
US6379302B1 (en) | 1999-10-28 | 2002-04-30 | Surgical Navigation Technologies Inc. | Navigation information overlay onto ultrasound imagery |
US6493573B1 (en) | 1999-10-28 | 2002-12-10 | Winchester Development Associates | Method and system for navigating a catheter probe in the presence of field-influencing objects |
US6474341B1 (en) | 1999-10-28 | 2002-11-05 | Surgical Navigation Technologies, Inc. | Surgical communication and power system |
US6235038B1 (en) * | 1999-10-28 | 2001-05-22 | Medtronic Surgical Navigation Technologies | System for translation of electromagnetic and optical localization systems |
US6381485B1 (en) | 1999-10-28 | 2002-04-30 | Surgical Navigation Technologies, Inc. | Registration of human anatomy integrated for electromagnetic localization |
US6499488B1 (en) | 1999-10-28 | 2002-12-31 | Winchester Development Associates | Surgical sensor |
US6172499B1 (en) * | 1999-10-29 | 2001-01-09 | Ascension Technology Corporation | Eddy current error-reduced AC magnetic position measurement system |
DE19953177A1 (en) * | 1999-11-04 | 2001-06-21 | Brainlab Ag | Method to position patient exactly for radiation therapy or surgery; involves comparing positions in landmarks in X-ray image and reconstructed image date, to determine positioning errors |
DE19956814B4 (en) | 1999-11-25 | 2004-07-15 | Brainlab Ag | Shape detection of treatment devices |
US6437567B1 (en) | 1999-12-06 | 2002-08-20 | General Electric Company | Radio frequency coil for open magnetic resonance imaging system |
US6611700B1 (en) | 1999-12-30 | 2003-08-26 | Brainlab Ag | Method and apparatus for positioning a body for radiation using a position sensor |
AU2001224721A1 (en) | 2000-01-10 | 2001-08-07 | Super Dimension Ltd. | Methods and systems for performing medical procedures with reference to projective images and with respect to pre-stored images |
DE10000937B4 (en) | 2000-01-12 | 2006-02-23 | Brainlab Ag | Intraoperative navigation update |
US8221402B2 (en) | 2000-01-19 | 2012-07-17 | Medtronic, Inc. | Method for guiding a medical device |
US6892091B1 (en) | 2000-02-18 | 2005-05-10 | Biosense, Inc. | Catheter, method and apparatus for generating an electrical map of a chamber of the heart |
WO2001064124A1 (en) | 2000-03-01 | 2001-09-07 | Surgical Navigation Technologies, Inc. | Multiple cannula image guided tool for image guided procedures |
DE10011790B4 (en) | 2000-03-13 | 2005-07-14 | Siemens Ag | Medical instrument for insertion into an examination subject, and medical examination or treatment device |
US7047753B2 (en) | 2000-03-14 | 2006-05-23 | Hussmann Corporation | Refrigeration system and method of operating the same |
US6484049B1 (en) | 2000-04-28 | 2002-11-19 | Ge Medical Systems Global Technology Company, Llc | Fluoroscopic tracking and visualization system |
AU2001260559A1 (en) | 2000-05-19 | 2001-11-26 | Simbionics Ltd. | Endoscopic tutorial system for the pancreatic system |
US6602271B2 (en) | 2000-05-24 | 2003-08-05 | Medtronic Ave, Inc. | Collapsible blood filter with optimal braid geometry |
US6527782B2 (en) | 2000-06-07 | 2003-03-04 | Sterotaxis, Inc. | Guide for medical devices |
US6478802B2 (en) | 2000-06-09 | 2002-11-12 | Ge Medical Systems Global Technology Company, Llc | Method and apparatus for display of an image guided drill bit |
US6546270B1 (en) | 2000-07-07 | 2003-04-08 | Biosense, Inc. | Multi-electrode catheter, system and method |
US6569160B1 (en) | 2000-07-07 | 2003-05-27 | Biosense, Inc. | System and method for detecting electrode-tissue contact |
US6714806B2 (en) | 2000-09-20 | 2004-03-30 | Medtronic, Inc. | System and method for determining tissue contact of an implantable medical device within a body |
WO2002024051A2 (en) | 2000-09-23 | 2002-03-28 | The Board Of Trustees Of The Leland Stanford Junior University | Endoscopic targeting method and system |
EP1190676B1 (en) | 2000-09-26 | 2003-08-13 | BrainLAB AG | Device for determining the position of a cutting guide |
SE0004240D0 (en) | 2000-11-17 | 2000-11-17 | St Jude Medical | A cardiac stimulating device |
US20020077568A1 (en) | 2000-11-22 | 2002-06-20 | Haddock Thomas F. | Biological vessel volume measurement method and apparatus utilizing micro accelerometer |
US7212867B2 (en) | 2000-12-07 | 2007-05-01 | Medtronic, Inc. | Directional brain stimulation and recording leads |
DE50002672D1 (en) | 2000-12-19 | 2003-07-31 | Brainlab Ag | Method and device for navigation-assisted dental treatment |
US20020111662A1 (en) | 2001-02-09 | 2002-08-15 | Iaizzo Paul A. | System and method for placing an implantable medical device within a body |
US6766203B2 (en) | 2001-04-05 | 2004-07-20 | Pacesetter, Inc. | Body implantable lead with improved tip electrode assembly |
AU2002307150A1 (en) * | 2001-04-06 | 2002-10-21 | Steven Solomon | Cardiological mapping and navigation system |
ATE235187T1 (en) | 2001-05-22 | 2003-04-15 | Brainlab Ag | X-RAY IMAGE REGISTRATION DEVICE WITH A MEDICAL NAVIGATION SYSTEM |
US6771996B2 (en) | 2001-05-24 | 2004-08-03 | Cardiac Pacemakers, Inc. | Ablation and high-resolution mapping catheter system for pulmonary vein foci elimination |
US20020198520A1 (en) | 2001-06-20 | 2002-12-26 | Scimed Life Systems, Inc. | Irrigation sheath |
IL145445A (en) | 2001-09-13 | 2006-12-31 | Conmed Corp | Signal processing method and device for signal-to-noise improvement |
ES2219470T3 (en) * | 2001-10-24 | 2004-12-01 | Brainlab Ag | MICROSONDA WITH NAVIGATION SYSTEM. |
US6895267B2 (en) | 2001-10-24 | 2005-05-17 | Scimed Life Systems, Inc. | Systems and methods for guiding and locating functional elements on medical devices positioned in a body |
US20040019318A1 (en) * | 2001-11-07 | 2004-01-29 | Wilson Richard R. | Ultrasound assembly for use with a catheter |
EP1458292A2 (en) * | 2001-12-14 | 2004-09-22 | Koninklijke Philips Electronics N.V. | Method, system and computer program of visualizing the surface texture of the wall of an internal hollow organ of a subject based on a volumetric scan thereof |
DE10162508A1 (en) | 2001-12-19 | 2003-07-03 | Biotronik Mess & Therapieg | Epicardial lead, insertion catheter for such and electrode implantation set |
US6892095B2 (en) | 2001-12-31 | 2005-05-10 | Cardiac Pacemakers, Inc. | Method and apparatus for monitoring left ventricular work or power |
US7138997B2 (en) * | 2002-06-28 | 2006-11-21 | Autodesk, Inc. | System for physical rotation of volumetric display enclosures to facilitate viewing |
EP1487333B1 (en) | 2002-03-14 | 2020-07-01 | Netkisr Inc. | System and method for analyzing and displaying computed tomography data |
US20030225434A1 (en) | 2002-05-30 | 2003-12-04 | Jerald Glantz | Microcatheter |
US7477763B2 (en) | 2002-06-18 | 2009-01-13 | Boston Scientific Scimed, Inc. | Computer generated representation of the imaging pattern of an imaging device |
US7993351B2 (en) * | 2002-07-24 | 2011-08-09 | Pressure Products Medical Supplies, Inc. | Telescopic introducer with a compound curvature for inducing alignment and method of using the same |
US6892090B2 (en) | 2002-08-19 | 2005-05-10 | Surgical Navigation Technologies, Inc. | Method and apparatus for virtual endoscopy |
US20040044295A1 (en) | 2002-08-19 | 2004-03-04 | Orthosoft Inc. | Graphical user interface for computer-assisted surgery |
US7089045B2 (en) | 2002-08-30 | 2006-08-08 | Biosense Webster, Inc. | Catheter and method for mapping Purkinje fibers |
DE10240727A1 (en) | 2002-09-04 | 2004-03-18 | Philips Intellectual Property & Standards Gmbh | Imaging system and method for optimizing an x-ray image |
US7082335B2 (en) | 2002-09-30 | 2006-07-25 | Medtronic, Inc. | Multipolar pacing method and apparatus |
SE0202882D0 (en) | 2002-09-30 | 2002-09-30 | St Jude Medical | An Implantable Heart Stimulator |
US7103418B2 (en) | 2002-10-02 | 2006-09-05 | Medtronic, Inc. | Active fluid delivery catheter |
US6825838B2 (en) | 2002-10-11 | 2004-11-30 | Sonocine, Inc. | 3D modeling system |
US7130700B2 (en) | 2002-11-19 | 2006-10-31 | Medtronic, Inc. | Multilumen body for an implantable medical device |
US7599730B2 (en) | 2002-11-19 | 2009-10-06 | Medtronic Navigation, Inc. | Navigation system for cardiac therapies |
DE10256007A1 (en) | 2002-11-30 | 2004-06-09 | Philips Intellectual Property & Standards Gmbh | A catheter assembly |
US20040162599A1 (en) | 2003-02-13 | 2004-08-19 | Kurth Paul A. | Temporarily secured guidewire and catheter for use in the coronary venous system and method of using the same |
JP2004251779A (en) | 2003-02-20 | 2004-09-09 | Fuji Photo Optical Co Ltd | Three-dimensional shape detector for long flexible member |
US6888623B2 (en) | 2003-02-26 | 2005-05-03 | Dynamic Technology, Inc. | Fiber optic sensor for precision 3-D position measurement |
US7509172B2 (en) | 2003-04-23 | 2009-03-24 | Cardiac Pacemakers, Inc. | Stabilizing guide wire apparatus for use with implantable device |
US7570791B2 (en) | 2003-04-25 | 2009-08-04 | Medtronic Navigation, Inc. | Method and apparatus for performing 2D to 3D registration |
US7154985B2 (en) | 2003-05-13 | 2006-12-26 | Medical Insight A/S | Method and system for simulating X-ray images |
US20050004476A1 (en) * | 2003-05-28 | 2005-01-06 | Saeed Payvar | Method and apparatus for detecting ischemia |
US20040249430A1 (en) | 2003-06-03 | 2004-12-09 | Medtronic, Inc. | Implantable medical electrical lead |
US20040249281A1 (en) | 2003-06-09 | 2004-12-09 | Bjorn Olstad | Method and apparatus for extracting wall function information relative to ultrasound-located landmarks |
US7215810B2 (en) | 2003-07-23 | 2007-05-08 | Orametrix, Inc. | Method for creating single 3D surface model from a point cloud |
US20070016084A1 (en) | 2003-08-28 | 2007-01-18 | Andre Denault | Catherter for measuring an intraventricular pressure and method of using same |
US7207989B2 (en) | 2003-10-27 | 2007-04-24 | Biosense Webster, Inc. | Method for ablating with needle electrode |
WO2005043464A2 (en) | 2003-11-03 | 2005-05-12 | Bracco Imaging S.P.A. | Dynamic crop box determination for optimized display of a tube-like structure in endoscopic view (“crop box”) |
DE10355275B4 (en) * | 2003-11-26 | 2009-03-05 | Siemens Ag | catheter device |
US7369901B1 (en) | 2004-02-11 | 2008-05-06 | Pacesetter, Inc. | Myocardial lead and lead system |
US9615772B2 (en) | 2004-02-20 | 2017-04-11 | Karl Storz Imaging, Inc. | Global endoscopic viewing indicator |
WO2005112836A2 (en) | 2004-05-18 | 2005-12-01 | Johns Hopkins University | Interventional devices for chronic total occlusion recanalization under mri guidance |
US7850610B2 (en) | 2004-06-28 | 2010-12-14 | Medtronic, Inc. | Electrode location mapping system and method |
US20060013523A1 (en) | 2004-07-16 | 2006-01-19 | Luna Innovations Incorporated | Fiber optic position and shape sensing device and method relating thereto |
US7702379B2 (en) | 2004-08-25 | 2010-04-20 | General Electric Company | System and method for hybrid tracking in surgical navigation |
US7877149B2 (en) | 2004-09-02 | 2011-01-25 | Proteus Biomedical Inc. | Electrical angle gauge |
JP4560359B2 (en) | 2004-09-13 | 2010-10-13 | オリンパス株式会社 | Position detection apparatus, in-subject introduction system, and position detection method |
EP2398224B1 (en) | 2004-10-01 | 2016-01-13 | The Board of Trustees of The Leland Stanford Junior University | Imaging arrangements and methods therefor |
US20080058656A1 (en) | 2004-10-08 | 2008-03-06 | Costello Benedict J | Electric tomography |
EP1799113A4 (en) | 2004-10-08 | 2010-07-07 | Proteus Biomedical Inc | Continuous field tomography |
WO2006042077A2 (en) | 2004-10-09 | 2006-04-20 | Viatronix Incorporated | Sampling medical images for virtual histology |
WO2006049539A1 (en) | 2004-11-02 | 2006-05-11 | St. Jude Medical Ab | Device for evaluating positions of an implantable medical device |
US20060116576A1 (en) | 2004-12-01 | 2006-06-01 | Scimed Life Systems, Inc. | System and use thereof to provide indication of proximity between catheter and location of interest in 3-D space |
CN101128167B (en) | 2004-12-22 | 2011-05-18 | 奥瑟Hf公司 | Systems and methods for processing limb motion |
US20080243025A1 (en) | 2004-12-23 | 2008-10-02 | Nils Holmstrom | Medical Device |
US7715604B2 (en) | 2005-01-18 | 2010-05-11 | Siemens Medical Solutions Usa, Inc. | System and method for automatically registering three dimensional cardiac images with electro-anatomical cardiac mapping data |
US20060173268A1 (en) | 2005-01-28 | 2006-08-03 | General Electric Company | Methods and systems for controlling acquisition of images |
US8182433B2 (en) | 2005-03-04 | 2012-05-22 | Endosense Sa | Medical apparatus system having optical fiber load sensing capability |
WO2006099490A1 (en) | 2005-03-15 | 2006-09-21 | The University Of North Carolina At Chapel Hill | Methods, systems, and computer program products for processing three-dimensional image data to render an image from a viewpoint within or beyond an occluding region of the image data |
JP4653542B2 (en) | 2005-04-06 | 2011-03-16 | 株式会社東芝 | Image processing device |
US7706860B2 (en) | 2005-04-28 | 2010-04-27 | Boston Scientific Scimed, Inc. | Automated manipulation of imaging device field of view based on tracked medical device position |
EP1899007A1 (en) | 2005-05-03 | 2008-03-19 | Paieon Inc. | Method and apparatus for positioning a biventrivular pacemaker lead and electrode |
CA2607935C (en) | 2005-05-05 | 2014-07-08 | Boston Scientific Limited | Preshaped localization catheter and system for graphically reconstructing pulmonary vein ostia |
US7848787B2 (en) | 2005-07-08 | 2010-12-07 | Biosense Webster, Inc. | Relative impedance measurement |
US7844348B2 (en) | 2005-08-09 | 2010-11-30 | Greatbatch Ltd. | Fiber optic assisted medical lead |
US7765014B2 (en) | 2005-08-16 | 2010-07-27 | Medtronic, Inc. | Apparatus and methods for delivering transvenous leads |
US20070049817A1 (en) | 2005-08-30 | 2007-03-01 | Assaf Preiss | Segmentation and registration of multimodal images using physiological data |
US20070046661A1 (en) | 2005-08-31 | 2007-03-01 | Siemens Medical Solutions Usa, Inc. | Three or four-dimensional medical imaging navigation methods and systems |
JP2009507617A (en) | 2005-09-14 | 2009-02-26 | ネオガイド システムズ, インコーポレイテッド | Method and apparatus for performing transluminal and other operations |
DE102005045093A1 (en) | 2005-09-21 | 2007-04-05 | Siemens Ag | Method for localizing a medical instrument inserted into the body of a test object |
EP1928337B1 (en) | 2005-09-29 | 2012-11-21 | Corindus Inc. | Apparatus for treatment of hollow organs |
US7328071B1 (en) * | 2005-10-12 | 2008-02-05 | Pacesetter, Inc. | Lead placement device |
US7421300B2 (en) | 2005-10-31 | 2008-09-02 | Medtronic, Inc. | Implantation of medical device with measurement of body surface potential |
US8204586B2 (en) | 2005-11-22 | 2012-06-19 | Proteus Biomedical, Inc. | External continuous field tomography |
US8303505B2 (en) | 2005-12-02 | 2012-11-06 | Abbott Cardiovascular Systems Inc. | Methods and apparatuses for image guided medical procedures |
WO2007075018A1 (en) | 2005-12-29 | 2007-07-05 | Lg Chem, Ltd. | Apparatus for separating oil from blow-by gas of engine |
US7930065B2 (en) | 2005-12-30 | 2011-04-19 | Intuitive Surgical Operations, Inc. | Robotic surgery system including position sensors using fiber bragg gratings |
US7957789B2 (en) | 2005-12-30 | 2011-06-07 | Medtronic, Inc. | Therapy delivery system including a navigation element |
WO2007111542A1 (en) | 2006-03-27 | 2007-10-04 | St. Jude Medical Ab | Medical system for monitoring and localisation of electrode leads in the heart |
US20070232898A1 (en) | 2006-03-31 | 2007-10-04 | Medtronic Vascular, Inc. | Telescoping Catheter With Electromagnetic Coils for Imaging and Navigation During Cardiac Procedures |
US7988639B2 (en) | 2006-05-17 | 2011-08-02 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for complex geometry modeling of anatomy using multiple surface models |
US7570986B2 (en) | 2006-05-17 | 2009-08-04 | The United States Of America As Represented By The Secretary Of Health And Human Services | Teniae coli guided navigation and registration for virtual colonoscopy |
GB2452872B (en) | 2006-05-19 | 2011-02-02 | Exxonmobil Upstream Res Co | Determining orientatation for seafloor electromagnetic receive |
US7505810B2 (en) | 2006-06-13 | 2009-03-17 | Rhythmia Medical, Inc. | Non-contact cardiac mapping, including preprocessing |
US7729752B2 (en) | 2006-06-13 | 2010-06-01 | Rhythmia Medical, Inc. | Non-contact cardiac mapping, including resolution map |
US7515954B2 (en) | 2006-06-13 | 2009-04-07 | Rhythmia Medical, Inc. | Non-contact cardiac mapping, including moving catheter and multi-beat integration |
US9033896B2 (en) | 2006-07-13 | 2015-05-19 | Mayo Foundation For Medical Education And Research | Obtaining a tissue sample |
US7839404B2 (en) | 2006-07-25 | 2010-11-23 | Siemens Medical Solutions Usa, Inc. | Systems and methods of direct volume rendering |
DE102006037284B4 (en) | 2006-08-09 | 2015-11-26 | Siemens Aktiengesellschaft | Method and device for displaying myocardial tissues of different damage states |
US8248413B2 (en) | 2006-09-18 | 2012-08-21 | Stryker Corporation | Visual navigation system for endoscopic surgery |
US7824328B2 (en) | 2006-09-18 | 2010-11-02 | Stryker Corporation | Method and apparatus for tracking a surgical instrument during surgery |
US20080123910A1 (en) | 2006-09-19 | 2008-05-29 | Bracco Imaging Spa | Method and system for providing accuracy evaluation of image guided surgery |
WO2008038208A2 (en) | 2006-09-26 | 2008-04-03 | Koninklijke Philips Electronics, N.V. | Tissue stimulation method and apparatus |
US7853058B2 (en) | 2006-11-22 | 2010-12-14 | Toshiba Medical Visualization Systems Europe, Limited | Determining a viewpoint for navigating a virtual camera through a biological object with a lumen |
US7676268B2 (en) | 2006-11-30 | 2010-03-09 | Medtronic, Inc. | Medical methods and systems incorporating wireless monitoring |
US7941213B2 (en) | 2006-12-28 | 2011-05-10 | Medtronic, Inc. | System and method to evaluate electrode position and spacing |
WO2008108901A1 (en) | 2006-12-28 | 2008-09-12 | Medtronic, Inc | Chronically-implantable active fixation medical electrical leads and related methods for non-fluoroscopic implantation |
US8265745B2 (en) | 2006-12-29 | 2012-09-11 | St. Jude Medical, Atrial Fibillation Division, Inc. | Contact sensor and sheath exit sensor |
US8672836B2 (en) | 2007-01-31 | 2014-03-18 | The Penn State Research Foundation | Method and apparatus for continuous guidance of endoscopy |
US9549689B2 (en) | 2007-03-09 | 2017-01-24 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for correction of inhomogeneous fields |
US10433929B2 (en) | 2007-03-09 | 2019-10-08 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for local deformable registration of a catheter navigation system to image data or a model |
CN101711125B (en) | 2007-04-18 | 2016-03-16 | 美敦力公司 | For the active fixing medical electrical leads of long-term implantable that non-fluorescence mirror is implanted |
US20090017430A1 (en) | 2007-05-15 | 2009-01-15 | Stryker Trauma Gmbh | Virtual surgical training tool |
US8480653B2 (en) | 2007-05-23 | 2013-07-09 | Biosense Webster, Inc. | Magnetically guided catheter with concentric needle port |
US8311613B2 (en) | 2007-06-20 | 2012-11-13 | Siemens Aktiengesellschaft | Electrode catheter positioning system |
US8145306B2 (en) | 2007-10-15 | 2012-03-27 | Lessmeier Timothy J | Method for optimizing CRT therapy |
US8208533B2 (en) | 2007-11-15 | 2012-06-26 | Mediatek Inc. | Methods and apparatus for fast signal acquisition in a digital video receiver |
US7811623B2 (en) | 2007-12-21 | 2010-10-12 | Innovatech, Llc | Marked precoated medical device and method of manufacturing same |
US8180438B2 (en) | 2008-01-30 | 2012-05-15 | Greatbatch Ltd. | Minimally invasive physiologic parameter recorder and introducer system |
US8219179B2 (en) | 2008-03-06 | 2012-07-10 | Vida Diagnostics, Inc. | Systems and methods for navigation within a branched structure of a body |
US8538509B2 (en) | 2008-04-02 | 2013-09-17 | Rhythmia Medical, Inc. | Intracardiac tracking system |
US20090253985A1 (en) | 2008-04-07 | 2009-10-08 | Magnetecs, Inc. | Apparatus and method for lorentz-active sheath display and control of surgical tools |
WO2009129475A1 (en) | 2008-04-18 | 2009-10-22 | Medtronic, Inc. | Method and apparatus for mapping a structure |
US8839798B2 (en) | 2008-04-18 | 2014-09-23 | Medtronic, Inc. | System and method for determining sheath location |
US8340751B2 (en) | 2008-04-18 | 2012-12-25 | Medtronic, Inc. | Method and apparatus for determining tracking a virtual point defined relative to a tracked member |
US8494608B2 (en) | 2008-04-18 | 2013-07-23 | Medtronic, Inc. | Method and apparatus for mapping a structure |
US8532734B2 (en) | 2008-04-18 | 2013-09-10 | Regents Of The University Of Minnesota | Method and apparatus for mapping a structure |
US8663120B2 (en) | 2008-04-18 | 2014-03-04 | Regents Of The University Of Minnesota | Method and apparatus for mapping a structure |
US8457371B2 (en) | 2008-04-18 | 2013-06-04 | Regents Of The University Of Minnesota | Method and apparatus for mapping a structure |
EP2271253B1 (en) | 2008-04-18 | 2019-08-21 | Medtronic, Inc. | Apparatus for mapping a structure |
US9579161B2 (en) | 2008-05-06 | 2017-02-28 | Medtronic Navigation, Inc. | Method and apparatus for tracking a patient |
US8019409B2 (en) | 2008-06-09 | 2011-09-13 | Pacesetter, Inc. | Cardiac resynchronization therapy optimization using electromechanical delay from realtime electrode motion tracking |
US20100030061A1 (en) | 2008-07-31 | 2010-02-04 | Canfield Monte R | Navigation system for cardiac therapies using gating |
US20100030063A1 (en) | 2008-07-31 | 2010-02-04 | Medtronic, Inc. | System and method for tracking an instrument |
US8175681B2 (en) * | 2008-12-16 | 2012-05-08 | Medtronic Navigation Inc. | Combination of electromagnetic and electropotential localization |
US8494614B2 (en) | 2009-08-31 | 2013-07-23 | Regents Of The University Of Minnesota | Combination localization system |
US8494613B2 (en) | 2009-08-31 | 2013-07-23 | Medtronic, Inc. | Combination localization system |
US8355774B2 (en) | 2009-10-30 | 2013-01-15 | Medtronic, Inc. | System and method to evaluate electrode position and spacing |
-
2010
- 2010-07-27 US US12/844,065 patent/US8494614B2/en active Active
- 2010-08-31 WO PCT/US2010/047241 patent/WO2011026077A2/en active Application Filing
- 2010-08-31 EP EP10759757.7A patent/EP2473130B1/en active Active
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5697377A (en) | 1995-11-22 | 1997-12-16 | Medtronic, Inc. | Catheter mapping system and method |
US5983126A (en) | 1995-11-22 | 1999-11-09 | Medtronic, Inc. | Catheter location system and method |
US20040097805A1 (en) | 2002-11-19 | 2004-05-20 | Laurent Verard | Navigation system for cardiac therapies |
US9780602B2 (en) | 2012-06-13 | 2017-10-03 | Clear Blue Technologies Inc. | System for the monitoring and maintenance of remote autonomously powered lighting installations |
Non-Patent Citations (1)
Title |
---|
NELDER, J. A.; MEAD, R.: "A Simplex Method for Function Minimization", COMPUT. J., vol. 7, 1965, pages 308 - 313 |
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US8843189B2 (en) | 2008-04-18 | 2014-09-23 | Medtronic, Inc. | Interference blocking and frequency selection |
US9332928B2 (en) | 2008-04-18 | 2016-05-10 | Medtronic, Inc. | Method and apparatus to synchronize a location determination in a structure with a characteristic of the structure |
US8887736B2 (en) | 2008-04-18 | 2014-11-18 | Medtronic, Inc. | Tracking a guide member |
US8442625B2 (en) | 2008-04-18 | 2013-05-14 | Regents Of The University Of Minnesota | Determining and illustrating tracking system members |
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US8831701B2 (en) | 2008-04-18 | 2014-09-09 | Medtronic, Inc. | Uni-polar and bi-polar switchable tracking system between |
US8839798B2 (en) | 2008-04-18 | 2014-09-23 | Medtronic, Inc. | System and method for determining sheath location |
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US9101285B2 (en) | 2008-04-18 | 2015-08-11 | Medtronic, Inc. | Reference structure for a tracking system |
US9131872B2 (en) | 2008-04-18 | 2015-09-15 | Medtronic, Inc. | Multiple sensor input for structure identification |
US8731641B2 (en) | 2008-12-16 | 2014-05-20 | Medtronic Navigation, Inc. | Combination of electromagnetic and electropotential localization |
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WO2011026077A3 (en) | 2011-09-22 |
EP2473130B1 (en) | 2018-11-28 |
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