WO2006049787A2 - Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient - Google Patents

Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient Download PDF

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Publication number
WO2006049787A2
WO2006049787A2 PCT/US2005/035611 US2005035611W WO2006049787A2 WO 2006049787 A2 WO2006049787 A2 WO 2006049787A2 US 2005035611 W US2005035611 W US 2005035611W WO 2006049787 A2 WO2006049787 A2 WO 2006049787A2
Authority
WO
WIPO (PCT)
Prior art keywords
light
catheter
patient
emitting point
emitted
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2005/035611
Other languages
English (en)
Other versions
WO2006049787A3 (fr
Inventor
David F. Wilson
Gregory J. Schears
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
University of Pennsylvania Penn
Original Assignee
University of Pennsylvania Penn
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/482,190 external-priority patent/US7273056B2/en
Application filed by University of Pennsylvania Penn filed Critical University of Pennsylvania Penn
Priority to JP2007540311A priority Critical patent/JP4886698B2/ja
Priority to AU2005301172A priority patent/AU2005301172B2/en
Priority to EP05802549A priority patent/EP1811897A4/fr
Priority to CA002585858A priority patent/CA2585858A1/fr
Publication of WO2006049787A2 publication Critical patent/WO2006049787A2/fr
Publication of WO2006049787A3 publication Critical patent/WO2006049787A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • 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
    • A61B2034/2055—Optical tracking systems
    • 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
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937—Visible markers
    • A61B2090/3945—Active visible markers, e.g. light emitting diodes

Definitions

  • the optical fiber is an independent entity, preferably inserted through one lumen of a multi-lumen catheter.
  • Also provided are additional methods comprising observing a marked occlusion of emitted light from the distal end of the PICC when the PICC end is advanced within the vessel and enters into the patient's heart, observing return of the emitted light to its non-occluded state when the distal end of the PICC is withdrawn into the vessel from the heart muscle; and based upon observations of the qualitative changes in the emitted light in the optically-guided PICC in proximity to the heart, rapidly confirming placement of, or changing placement of, the optically-guided PICC in the patient.
  • catheters are known to have a wide range of characteristics, including many different dimensions and proportions. Some catheters are of fixed length; others like PICCs are cut to length. Moreover, the catheter may be constructed having one or more lumens. Such varied needs of the patient, as well as the range of physical characteristics and the selection of the catheter itself, are well within the scope of the practitioner of ordinary skill having experience in using catheters in the medical arts. Accordingly, a more detailed discussion of the physical characteristics of the catheter and the basis for its selection by the skilled practitioner is believed to be unnecessary for the practice of the present optically-guided catheter system.
  • Waveguides are known to have a wide range of characteristics, including many different dimensions and proportions. Some catheters are of fixed length; others like PICCs are cut to length. Moreover, the catheter may be constructed having one or more lumens. Such varied needs of the patient, as well as the range of physical characteristics and the selection of the catheter itself, are well within the scope of the practitioner of ordinary skill having experience in using catheters in the medical arts. Accordingly, a more detailed
  • the "interior" of the catheter refers to the lumen side of the catheter wall, or if there are multiple lumens in the catheter to the lumen side of the wall of at least one lumen within the catheter.
  • This lumen may be dedicated to just the optical fiber or it may reside in only part of the lumen, permitting the remainder of the lumen to remain available for other purposes.
  • the optical fiber is joined to or formed within the interior wall of the catheter during construction, or alternatively joined to or formed along an exterior wall (i.e., the outside surface) of the catheter during construction. Each of these means of attachment is intended to "couple" the optical fiber to the catheter.
  • LDs act as LEDs. Accordingly, it is intended that the present invention applies to any or all solid state light sources having sufficient power when coupled into the optical fiber, thereby providing light that is transmitted through the patient and viewed through the skin of the patient to provide precise placement of the attached device. This is intended to include light sources developed in the future that are capable of generating the proper light output. While the utility of the invention is demonstrated using a variety of light sources, further source enhancements can be made by one skilled in the art as guided by these teachings.
  • the LD or LED light emitting devices are mounted in a package that enables an optical fiber to be placed in very close proximity to the light emitting region in order to couple as much light as possible into the fiber.
  • the emitter is fitted with a tiny spherical lens to collect and focus all possible light onto the fiber.
  • a fiber is "pigtailed" directly onto the actual surface of the emitter.
  • a pigtail is a short length of fiber attached to a fiber optic component, such as a laser or coupler.
  • the amount of light that will enter the fiber is a function of several factors: the intensity of the LED or LD, the area of the light emitting surface, the acceptance angle of the fiber, and the losses due to reflections and scattering
  • photodetectors may be used, including photodiodes, photomultipliers, avalanche photodiodes, and microchannel plates.
  • a sensitive microchannel plate imager or similar device is used to place a mini-display directly in front of one eye of the operator, thereby allowing the operator to look at either the patient, or at the display, as desired.
  • photodiodes or other single site photodetectors they can be moved over the patient to detect the maximum point of the specific light emitted from the optical fiber.
  • the sensitivity of the measurement is maximized by modulating the light at a specific frequency (such as 1000 Hz) and detecting only the photosignal of that frequency.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Human Computer Interaction (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

L'invention concerne un système comprenant un cathéter à guidage optique pourvu d'une extrémité proximale, d'une extrémité distale et d'au moins une lumière. Un moyen émetteur de lumière est couplé au cathéter, lequel est inséré dans le patient, et de la lumière est émise sous la forme d'un point ou de points à partir d'un emplacement choisi, habituellement l'extrémité distale, du cathéter auquel il est couplé. Ce système comprend également un dispositif de détection extérieure qui détecte la lumière à projection transdermique émise par le point émetteur de lumière depuis l'intérieur du patient, indiquant ainsi le placement précis du cathéter à l'intérieur du patient.
PCT/US2005/035611 2001-06-19 2005-10-04 Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient Ceased WO2006049787A2 (fr)

Priority Applications (4)

Application Number Priority Date Filing Date Title
JP2007540311A JP4886698B2 (ja) 2004-11-02 2005-10-04 医学的カテーテルの患者内精密配置用の光学的にガイドされるシステム
AU2005301172A AU2005301172B2 (en) 2004-11-02 2005-10-04 Optically guided system for precise placement of a medical catheter in a patient
EP05802549A EP1811897A4 (fr) 2004-11-02 2005-10-04 Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient
CA002585858A CA2585858A1 (fr) 2004-11-02 2005-10-04 Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US29929901P 2001-06-19 2001-06-19
US10/482,190 US7273056B2 (en) 2001-06-19 2002-06-19 Optical guidance system for invasive catheter placement
US10/482,190 2004-11-02
US62500204P 2004-11-04 2004-11-04
US60/625,002 2004-11-04

Publications (2)

Publication Number Publication Date
WO2006049787A2 true WO2006049787A2 (fr) 2006-05-11
WO2006049787A3 WO2006049787A3 (fr) 2006-07-06

Family

ID=36568864

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/035611 Ceased WO2006049787A2 (fr) 2001-06-19 2005-10-04 Systeme a guidage optique pour le placement precis d'un catheter medical dans un patient

Country Status (1)

Country Link
WO (1) WO2006049787A2 (fr)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008113008A3 (fr) * 2007-03-14 2008-11-27 Kathryn A Mckenzie Waitzman Procédés et systèmes pour localiser un tube d'alimentation à l'intérieur d'un patient
US7558455B2 (en) 2007-06-29 2009-07-07 Ethicon Endo-Surgery, Inc Receiver aperture broadening for scanned beam imaging
JP2010525361A (ja) * 2007-04-26 2010-07-22 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 位置特定システム
US8485980B2 (en) 2007-09-28 2013-07-16 Maquet Critical Care Ab Electrode positioning
EP2029964A4 (fr) * 2006-06-02 2014-04-30 J William Futrell Systèmes et procédés pour des matériaux lumineux
US9011383B2 (en) 2011-01-14 2015-04-21 Loma Linda University Self-illuminating endogastric tubes and method of placing endogastric tubes
US9079762B2 (en) 2006-09-22 2015-07-14 Ethicon Endo-Surgery, Inc. Micro-electromechanical device
WO2016096675A1 (fr) * 2014-12-16 2016-06-23 Koninklijke Philips N.V. Dispositif marqueur à émission de lumière pulsée
CN110709047A (zh) * 2018-05-07 2020-01-17 神经元素股份有限公司 医疗用导管位置确认系统
CN111278405A (zh) * 2017-05-11 2020-06-12 间藤卓 导管装置
US11129679B2 (en) 2017-11-14 2021-09-28 Mako Surgical Corp. Fiber optic tracking system
WO2023159255A3 (fr) * 2022-02-18 2023-10-19 Simpson Interventions, Inc. Systèmes, dispositifs et procédés de dissection et de réentrée antérograde
US12310714B2 (en) 2018-12-27 2025-05-27 Takashi MATOU Catheter, guide wire, opening position identification device, opening position identification method, internal object presence determination assistance device, diagnostic assistance device, and treatment assistance device

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7561317B2 (en) 2006-11-03 2009-07-14 Ethicon Endo-Surgery, Inc. Resonant Fourier scanning
US7589316B2 (en) 2007-01-18 2009-09-15 Ethicon Endo-Surgery, Inc. Scanning beam imaging with adjustable detector sensitivity or gain
US9125552B2 (en) 2007-07-31 2015-09-08 Ethicon Endo-Surgery, Inc. Optical scanning module and means for attaching the module to medical instruments for introducing the module into the anatomy
US8050520B2 (en) 2008-03-27 2011-11-01 Ethicon Endo-Surgery, Inc. Method for creating a pixel image from sampled data of a scanned beam imager
US8332014B2 (en) 2008-04-25 2012-12-11 Ethicon Endo-Surgery, Inc. Scanned beam device and method using same which measures the reflectance of patient tissue

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US5005592A (en) * 1989-10-27 1991-04-09 Becton Dickinson And Company Method and apparatus for tracking catheters
US6572609B1 (en) * 1999-07-14 2003-06-03 Cardiofocus, Inc. Phototherapeutic waveguide apparatus
IL125757A (en) * 1996-02-15 2003-09-17 Biosense Inc Medical procedures and apparatus using intrabody probes
NL1005068C2 (nl) * 1997-01-23 1998-07-27 Ct Rrn Academisch Ziekenhuis U Cathetersysteem en een daarvan deel uitmakende catheter.
DE60206742T2 (de) * 2001-03-01 2006-04-27 Scimed Life Systems, Inc., Maple Grove Katheter mit fluoreszenztemperatursensoren
WO2002103409A2 (fr) * 2001-06-19 2002-12-27 The Trustees Of The University Of Pennsylvania Systeme de guidage optique pour placement de catheter invasif
AU2003258124A1 (en) * 2002-08-05 2004-02-23 Miravant Medical Technologies Light delivery catheter
US20040068178A1 (en) * 2002-09-17 2004-04-08 Assaf Govari High-gradient recursive locating system

Non-Patent Citations (1)

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Title
See references of EP1811897A4 *

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9596994B2 (en) 2006-06-02 2017-03-21 J. William J. Futrell System and methods for illuminating materials
EP2029964A4 (fr) * 2006-06-02 2014-04-30 J William Futrell Systèmes et procédés pour des matériaux lumineux
US9079762B2 (en) 2006-09-22 2015-07-14 Ethicon Endo-Surgery, Inc. Micro-electromechanical device
WO2008113008A3 (fr) * 2007-03-14 2008-11-27 Kathryn A Mckenzie Waitzman Procédés et systèmes pour localiser un tube d'alimentation à l'intérieur d'un patient
JP2010525361A (ja) * 2007-04-26 2010-07-22 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 位置特定システム
US7558455B2 (en) 2007-06-29 2009-07-07 Ethicon Endo-Surgery, Inc Receiver aperture broadening for scanned beam imaging
US8485980B2 (en) 2007-09-28 2013-07-16 Maquet Critical Care Ab Electrode positioning
US9474468B2 (en) 2007-09-28 2016-10-25 Maquet Critical Care Ab Method and device positioning a linear array of electrodes in a patient's respiratory airways
US9011383B2 (en) 2011-01-14 2015-04-21 Loma Linda University Self-illuminating endogastric tubes and method of placing endogastric tubes
CN107106253A (zh) * 2014-12-16 2017-08-29 皇家飞利浦有限公司 脉动光发射标记设备
WO2016096675A1 (fr) * 2014-12-16 2016-06-23 Koninklijke Philips N.V. Dispositif marqueur à émission de lumière pulsée
RU2709118C2 (ru) * 2014-12-16 2019-12-16 Конинклейке Филипс Н.В. Импульсное светоизлучающее маркерное устройство
CN107106253B (zh) * 2014-12-16 2020-04-03 皇家飞利浦有限公司 脉动光发射标记设备
US11129691B2 (en) 2014-12-16 2021-09-28 Koninklijke Philips N.V. Pulsed-light emitting marker device
CN111278405A (zh) * 2017-05-11 2020-06-12 间藤卓 导管装置
CN111278405B (zh) * 2017-05-11 2022-11-18 间藤卓 导管装置
US11129679B2 (en) 2017-11-14 2021-09-28 Mako Surgical Corp. Fiber optic tracking system
CN110709047A (zh) * 2018-05-07 2020-01-17 神经元素股份有限公司 医疗用导管位置确认系统
CN110709047B (zh) * 2018-05-07 2024-05-03 株式会社大塚制药工场 医疗用导管位置确认系统
US12310714B2 (en) 2018-12-27 2025-05-27 Takashi MATOU Catheter, guide wire, opening position identification device, opening position identification method, internal object presence determination assistance device, diagnostic assistance device, and treatment assistance device
WO2023159255A3 (fr) * 2022-02-18 2023-10-19 Simpson Interventions, Inc. Systèmes, dispositifs et procédés de dissection et de réentrée antérograde

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Publication number Publication date
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