A61B2034/2053

Hybrid approach to distortion detection

A system for differentiating between magnetic field distortion and physical movement in a hybrid magnetic and impedance tracking system can comprise a first drive patch and a second drive patch configured to generate an electrical field within the body for locating an electrode on the medical device, a magnetic localization system configured to generate a magnetic field, a magnetic sensor configured to receive signals from the magnetic localization system, and an electronic control unit configured to receive location data from the impedance localization system and magnetic sensor location data from the magnetic localization system. The electronic control circuit can be configured to detect a location change of the magnetic sensor and use the drive patch location data and magnetic sensor location data to determine whether the detected location change of the magnetic sensor is caused by a magnetic field distortion or a physical movement of the magnetic sensor.

Optical And Non-Optical Sensor Tracking of a Robotically Controlled Instrument
20230056674 · 2023-02-23 · ·

Surgical systems, navigation systems, and methods involving a robotic manipulator configured to control movement of an instrument to facilitate a surgical procedure. The navigation system includes a camera unit configured to optically track a pose of the instrument and a non-optical sensor coupled to the instrument. The navigation system includes a computing system coupled to the camera unit and being configured to obtain readings from the non-optical sensor. The computing system detects a condition whereby the camera unit is blocked from optically tracking the pose of the instrument. In response to detection of the condition, the computing system tracks the pose of the instrument with the readings from the non-optical sensor.

VISUAL GUIDANCE FOR POSITIONING A DISTAL END OF A MEDICAL PROBE
20230055089 · 2023-02-23 ·

A method, including receiving, from electrodes positioned within a heart, first signals from at least three of the electrodes indicating electrical activity in tissue with which the at least three of the electrodes engage, and second signals indicating locations of the at least three electrodes. The second signals are processed to compute the locations of the at least three electrodes and to determine a geometric center of the locations. Based on the signals, an electroanatomical map is generated for an area of the tissue including the geometric center, and an arrhythmia focus is determined in the map. A circle is presented, and within the circle, a region of the map is presented including the geometric center and the focus so that the geometric center on the map aligns with a center of the circle, the region within the circle indicating a spatial relationship between the geometric center and the focus.

SYSTEMS AND METHODS FOR TREATING TISSUE BASED ON NAVIGATION INFORMATION

A tissue ablation system may be configured to receive location information indicating locations of at least part of a transducer-based device in a bodily cavity; cause delivery of first tissue-ablative energy during a duration of a first particular time period in accordance with a first energy waveform parameter set at least in response to a first state in which at least part of the location information indicates at least a first rate of movement of the part of the transducer-based device in the bodily cavity; and cause delivery of second tissue-ablative energy during a duration of a second particular time period in accordance with a second energy waveform parameter set at least in response to a second state in which the at least part of the location information indicates at least a second rate of movement of the part of the transducer-based device in the bodily cavity.

PLANAR END EFFECTOR WITH IRRIGATION

Planar end effector designs having irrigation are presented. The example end effectors are configured to be affixed to a distal end of a catheter and delivered through vasculature in a collapsed configuration and expand at an intracardiac treatment site to a deployed configuration. In some instances, the end effector can have an electrode array with sufficient density to perform mapping and irrigation for mapping. The end effector can include dedicated irrigation tubes and/or irrigating electrode-carrying spines to irrigate within the electrode array. Flow rate at positions within the electrode array can be controlled in a predetermined manner by varying pore/port size, flow direction, and/or flow path cross-section throughout an irrigation flow path in the end effector.

Cochlear implant localization system

A navigation system or combination of navigation systems can be used to provide one or more navigation modalities to track a position and 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. The two navigation systems may be used separately to selectively individually navigate the single instrument in the volume. Disclosed are also systems and processes to determine a shape of the single instrument either alone or in combination with the position of the instrument. The instrument may be navigated with the addition of tracking devices or with native or inherent portions of the instrument.

Device and method of determining location of sheath using electromagnetic sensors on sheath

A medical tool for use with an electromagnetic navigation system includes a catheter configured to be navigated within patient anatomy and at least one electromagnetic sensor, disposed at the catheter, configured to generate electrical signals indicative of a location of the catheter in response to receiving at least one magnetic field. The medical tool also includes a sheath configured to receive the catheter, a first electromagnetic sensor and a second electromagnetic sensor, disposed at a first region of the sheath, each configured to generate electrical signals indicative of a location of the sheath in response to receiving the at least one magnetic field and a third electromagnetic sensor, disposed at a second region of the sheath spaced from the first region, configured to generate electrical signals indicative of a location of the sheath in response to receiving the at least one magnetic field.

ABLATING A REGION OF PATIENT ORGAN USING SELECTED ABLATION ELECTRODES OF AN EXPANDABLE CATHETER
20230088042 · 2023-03-23 ·

A method includes receiving: (i) a position of a target tissue intended to be ablated in an organ of a patient and having a predefined pattern, and (ii) an energy level of an ablation signal intended to be applied to the target tissue. One or more selected ablation electrodes that, when applying the ablation signal, produce together a lesion having a shape that covers the predefined pattern, are selected in a catheter that is inserted into the organ and has an array of ablation electrodes. In response to verifying that: (i) the one or more selected ablation electrodes are positioned on the target tissue, and (ii) a contact force between the one or more selected ablation electrode and the target tissue is larger than a force threshold, the ablation signal is applied to the target tissue using the one or more selected ablation electrodes.

SYSTEM AND METHOD TO DETERMINE THE LOCATION OF A CATHETER
20220338939 · 2022-10-27 ·

Systems, devices, and techniques are disclosed for automatically generating CPM matrices. The system includes a processor configured to receive a plurality of historical, sparse CPM matrices and a plurality of historical, supplemented CPM matrices, wherein each sparse CPM matrix is associated with a respective supplemented CPM matrix; train a learning system based on the plurality of historical, sparse CPM matrices and the plurality of historical, supplemented CPM matrices, wherein the learning system is trained so as to generate a supplemented CPM matrix given a sparse CPM matrix; receive, by the trained learning system, a new, sparse CPM matrix; and generate, with the trained learning system, a new supplemented CPM matrix.

Identifying pulmonary vein occlusion by dimension deformations of balloon catheter
11633228 · 2023-04-25 · ·

A method includes receiving position signals that are indicative of positions of multiple electrodes disposed on an expandable balloon that is fitted at a distal end of a shaft for engaging a lumen of an organ to occlude the lumen. Based on the received position signals, a change is calculated in one or more dimensions of the balloon between (i) a first configuration in which the balloon is inflated but not engaged in the lumen, and (ii) a second configuration in which the balloon is inflated and engaged in the lumen. Using the calculated change, a degree is estimated to which the balloon occludes the lumen. The estimated degree of occlusion is presented to a user.