Elongate Instrument Tip Localization Without Distal Sensors

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Solution Overview

Problem

Medical procedures such as PCNL require precise navigation and positioning of instruments within the body, which is challenging due to factors like physician skill and patient anatomy, often leading to potential damage and inefficiencies.

Innovation Solution

A system with a sensor on the proximal portion of an instrument, coupled with a controller, determines the position and orientation of the distal portion based on sensor data and known instrument length, enabling precise localization and navigation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If a sensor is placed on the distal portion of the instrument to directly measure position and orientation, then measurement precision is improved, but device complexity increases due to the need for additional sensors, wiring, and power sources in the distal segment

Engineering Contradiction:
Improveposition and orientation measurementVSAvoidsensor system complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent uses the proximal portion of the instrument as an intermediary to indirectly measure the position and orientation of the distal portion. Instead of placing sensors directly at the distal tip, the system uses sensors at the proximal end combined with a mathematical model of the instrument's geometry and transformation matrices to calculate the distal pose, thereby avoiding the complexity of distal sensor integration while maintaining measurement capability

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The patent replaces the mechanical/sensor-based direct measurement system with a computational approach. By using transformation matrices and mathematical models to calculate the distal position and orientation from proximal sensor data, the system substitutes physical sensing at the distal end with computational inference, reducing hardware complexity while preserving measurement functionality

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Manufacturing precision

If the instrument shaft is made more rigid to improve positioning accuracy, then manufacturing precision is improved, but ease of operation deteriorates due to reduced flexibility in navigating curved anatomical paths

Engineering Contradiction:
Improveinstrument positioning accuracyVSAvoidinstrument flexibility
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The patent employs a dynamic mathematical model that accounts for the instrument shaft's flexibility and deformation. The system uses transformation matrices that can adapt to changes in the shaft's configuration, allowing the instrument to navigate curved anatomical paths while maintaining positioning accuracy through real-time computational compensation rather than relying on rigid mechanical structures

Inventive Principle:
Principle #15Dynamics

3Productivity

If real-time pose sensing is implemented to improve procedural efficiency, then productivity is improved, but device complexity increases due to additional sensors, data processing requirements, and integration with existing medical systems

Engineering Contradiction:
Improveprocedural efficiencyVSAvoidsensing and processing system complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The patent performs preliminary actions by pre-calculating and storing transformation matrices and geometric models of the instrument during the manufacturing process. These pre-computed data structures enable rapid real-time pose calculation during procedures without requiring complex on-the-fly computations, thereby improving productivity while limiting the increase in device complexity to primarily data storage and processing rather than computational complexity

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS20250268665A1Elongate instrument with proximal pose and shape sensing
Publication Date: 2025.08.28 AURIS HEALTH INC
  • US20250268665A1 patent drawing
  • US20250268665A1 patent drawing
  • US20250268665A1 patent drawing

AI summary

This disclosure provides methods, devices, and systems for localizing medical instruments. The present implementations more specifically relate to techniques for localizing a distal tip of an elongate medical instrument based at least in part on first sensor data received from one or more first sensors disposed in a proximal hub of the instrument. For example, the first sensor data may indicate a position and/or orientation of the proximal hub, which can be used to determine a position and/or orientation of the distal tip based on a known length of the instrument. In some implementations, the controller may further determine a shape of the instrument based on second sensor data received from one or more second sensors disposed on a shaft and/or distal tip of the instrument. In such implementations, the position and/or orientation of the distal portion may be further determined based on the shape of the instrument.