Surgery – Diagnostic testing – Detecting nuclear – electromagnetic – or ultrasonic radiation
Reexamination Certificate
2001-06-04
2003-10-21
Paschall, Mark (Department: 3742)
Surgery
Diagnostic testing
Detecting nuclear, electromagnetic, or ultrasonic radiation
C600S423000, C324S207150, C324S207110, C324S207130
Reexamination Certificate
active
06636757
ABSTRACT:
FIELD OF THE INVENTION
This invention relates generally to navigation of a probe and, more particularly, to a method and apparatus for electromagnetic navigation of a surgical probe near a metal object.
BACKGROUND OF THE INVENTION
Various systems currently exist, which assist in guiding and navigating a surgical probe through a patient undergoing a surgical procedure. These systems include, for example, fluoroscopic, ultrasonic, conductive, optical and electromagnetic type navigation systems.
Various electromagnetic type navigation systems have already been proposed, such as that disclosed in U.S. Pat. No. 4,821,731 to Martinelli, et al., U.S. Pat. No. 5,592,939 to Martinelli and U.S. Pat. No. 5,913,820 to Bladen, et al., which are each hereby incorporated by reference. Advantages of such electromagnetic tracking navigation systems are significant over existing navigation systems. For example, low-frequency electromagnetic waves are not attenuated by the body and therefore, there are no “line-of-sight” issues as with existing optical systems. The transmitter coil array may also be placed underneath or above the patient and the navigated surgical instrument or probe may be used above or below the transmitter coil array. The receiver coils utilized in the surgical instrument or probe are also generally much smaller than existing type navigation systems, which may enable surgical procedures that were previously impossible due to instrument size. The small size of the receiver coils also enable the receiver coils to be placed near the tip of the instrument providing further accuracy and the ability to navigate non-rigid instruments.
However, electromagnetic type navigation systems do have the disadvantage that the electromagnetic field may be distorted by metal objects, sometimes referred to as metallic distortions. In this regard, metal objects that are generally large in size cause the magnetic field to bend, thereby possibly causing inaccuracy in the reported probe position. The other effect of positioning a metal object near the electromagnetic field being navigated is conduction effects. For example, a metal object positioned near or in the electromagnetic field, such as a fluoroscope (C-arm) or an OR table, may create a virtual coil along the metal surface that creates an interference back into the magnetic field. Again, this may create an inaccuracy in the reported probe position because the exact field strengths in the previously known electromagnetic fields have been altered due to the metal object.
In order to reduce or eliminate the effects of distortion due to metal objects, known mathematical models of the electromagnetic fields produced by the transmitter coil array may be utilized. If these mathematical models are accurate, they can be used to represent a set of “known” fields used during the navigation process. However, the disadvantage with using mathematical models for the transmitted fields is that there are inherent inaccuracies in the manufacturing process of the transmitting coils in the transmitting coil array, which can lead to incorrect field values, which are mathematically modeled. These incorrect field values may lead to inaccuracy in the overall navigation process. The mathematical models are also generally very mathematically complex, and may, therefore, take an unreasonable amount of time for a computer to calculate and process.
What is needed then is a method and apparatus for electromagnetic navigation of a surgical probe near a metal object, which does not suffer from the above-mentioned disadvantages. This will, in turn, provide electromagnetic navigation of a surgical probe near a metal object that has greater accuracy, provide a shield to reduce or eliminate the effects of the metal object, provide a universal connection to connect the shield to the metal object, provide a calibration process that takes into effect either the shield or the metal object, provide a set of transmitting coils, which may be attached to the shield, integrated into the shield or integrated into the metal object itself, and provide wireless communications in the electromagnetic navigation system for ease of assembly into existing hardware. It is, therefore, an object of the present invention to provide such a method and apparatus for electromagnetic navigation of a surgical probe near a metal object.
SUMMARY OF THE INVENTION
In accordance with the teachings of the present invention, a method and apparatus for electromagnetic navigation of a surgical probe near a metal object is provided.
In one embodiment, an electromagnetic navigation system for use in navigating a probe through an electromagnetic field positioned near a metal object includes a transmitter coil array and a shield. The transmitter coil array has a plurality of transmitter coils and is operable to generate the electromagnetic field to navigate the probe. The shield is positioned adjacent the metal object and is operable to shield the metal object from the electromagnetic field generated by the transmitter coil array, wherein the shield substantially reduces distortion of the electromagnetic field by the metal object.
In another embodiment, an electromagnetic navigation system for use in navigating a probe through an electromagnetic field during a surgical procedure includes a metal instrument and a transmitter coil array. The metal instrument is used during a surgical procedure and is formed at least in part by metallic material. The transmitter coil array has a plurality of transmit coils and is operable to generate the electromagnetic field used to navigate the probe. The transmitter coil array is integrated into the metal instrument, wherein the effects of metallic distortion on the electromagnetic field by the metal instrument is characterized during a calibration process to provide substantially accurate navigation of the probe during the surgical procedure.
In another embodiment, a method for calibrating an electromagnetic navigation system having a transmitter coil array that generates an electromagnetic field is provided. This method includes positioning the electromagnetic navigation system in a working environment to account for metallic distortion caused by a metallic object adjacent to the electromagnetic field, positioning a calibration sensor at a first calibration point, energizing a first coil in the transmitter coil array to generate a first field, sensing the first field strength in the first field with the calibration sensor, and repeating the positioning, energizing and sensing at a second calibration point, wherein effects of metallic distortion caused by the metallic object is taken into account during the calibration process.
Use of the present invention provides a method and apparatus for electromagnetic navigation of a probe through an electromagnetic field near a metal object. As a result, the aforementioned disadvantages associated with the currently available techniques have been substantially reduced or eliminated. Further areas of applicability of the present invention will become apparent from the detailed description provided hereinafter. It should be understood that the detailed description and specific examples, while indicating the preferred embodiment of the invention, are intended for purposes of illustration only and are not intended to limit the scope of the invention.
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Jascob Bradley
Kessman Paul
Simon David
Smith Aaron
Harness & Dickey & Pierce P.L.C.
Paschall Mark
Surgical Navigation Technologies Inc.
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