Adaptive Catheter Navigation via Dynamic 3D Model Registration

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Solution Overview

Problem

Current navigation systems for catheter tips in tortuous channels, such as pulmonary airways, face accuracy issues due to the rigidity of CT digital maps and the flexibility of lung structures, leading to inaccuracies as the distance from registration points increases, causing the locatable guide to appear outside the airways and providing inadequate guidance.

Innovation Solution

A method is developed to generate a three-dimensional virtual bronchial tree skeleton using automatic seed point detection, Region Growing Algorithm, and adaptive threshold detection, which creates an anatomically valid virtual model of airways, and continuously adapts the locatable guide's path to this skeleton for improved navigation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Stability of the object's composition

If a rigid CT digital map is used as the navigation reference, then the digital map structure is stable and easy to process, but the map accuracy deteriorates as distance from registration points increases due to lung flexibility

Engineering Contradiction:
Improvedigital map stabilityVSAvoidnavigation accuracy
Core Design Contradiction:
Stability of the object's compositionVSMeasurement precision

Solution Approach 1:

The patent transforms the static rigid CT map into a dynamic adaptive model by continuously adjusting the digital map to match the actual locatable guide path in real-time. The system recalculates and realigns the digital representation of airways based on observed LG positions, allowing the map to adapt to lung flexibility and movement during the procedure, thereby maintaining navigation accuracy throughout the entire airway tree.

Inventive Principle:
Principle #15Dynamics

2Ease of operation

If registration points are placed only in central lung areas, then the registration process is simple and quick, but navigation accuracy deteriorates in peripheral airways where it is most needed

Engineering Contradiction:
Improveregistration simplicityVSAvoidperipheral navigation accuracy
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent implements a feedback mechanism where the actual locatable guide path is continuously monitored and used to correct and refine the digital map representation. The system compares the observed LG positions with the predicted positions from the digital map, identifies deviations, and automatically adjusts the map to reduce errors. This feedback loop progressively improves navigation accuracy throughout the airway tree, including peripheral regions, without requiring additional manual registration points.

Inventive Principle:
Principle #23Feedback

3Ease of operation

If the locatable guide is manually advanced without adaptive path adjustment, then the operation is simple, but the LG appears to drift outside airways and guidance becomes inadequate

Engineering Contradiction:
Improvemanual operation simplicityVSAvoidguidance reliability
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent enables the navigation system to self-correct and self-adjust by automatically detecting deviations of the locatable guide from the expected path and dynamically updating the digital map accordingly. The system performs self-validation by checking whether the LG remains within airway boundaries and self-corrects by adjusting the digital representation to match actual anatomical conditions, thereby maintaining reliable guidance throughout the procedure without requiring constant manual intervention.

Inventive Principle:
Principle #25Self-service

Data Source

PatentUS11631174B2Adaptive navigation technique for navigating a catheter through a body channel or cavity
Publication Date: 2023.04.18 COVIDIEN LP
  • US11631174B2 patent drawing
  • US11631174B2 patent drawing
  • US11631174B2 patent drawing

AI summary

A method for using an assembled three-dimensional image to construct a three-dimensional model for determining a path through a lumen network to a target. The three-dimensional model is automatically registered to an actual location of a probe by tracking and recording the positions of the probe and continually adjusting the registration between the model and a display of the probe position. The registration algorithm becomes dynamic (elastic) as the probe approaches smaller lumens in the periphery of the network where movement has a bigger impact on the registration between the model and the probe display.