# Patent

## Title
Surgical communication and power system

## Abstract

A system operable to assist in a surgical procedure. The system can include a surgical navigation system that can be used to assist in determining a position of the surgical instrument, an information of an anatomical body, information regarding an anatomical structure, or combinations thereof. The system can further display the positional information or the anatomical or physiological information on a display.

## Background
CROSS-REFERENCE TO RELATED APPLICATIONS
This application is a continuation of U.S. patent application Ser. No. 10/245,843 filed on Sep. 16, 2002; which is a continuation of U.S. patent application Ser. No. 09/428,722 filed on Oct. 28, 1999, now U.S. Pat. No. 6,474,341, issued on Nov. 5, 2002. The disclosures of the above applications are incorporated herein by reference.


FIELD
The present invention relates to wireless remote medical devices. The invention has particular application when used with a method and system for determining the position of a wireless catheter probe being used during a surgical procedure.
BACKGROUND
Various locating systems have been used in the past to determine the position of an object such as the tip of an endoscope or a catheter within the human body
Systems and methods are known for determining the location of a catheter or endoscopic probe inserted into a selected body cavity of a patient undergoing a surgical procedure. For example, there exist systems that may use acoustics, optics, conductance and electromagnetics to locate or “localize” a medical instrument in an anatomical body. In an electromagnetic system, location data may be obtained from electrical measurements of voltage signals that are induced within a sensing coil affixed to the distal end of the catheter prove. A voltage is induced in the sensing coil in response to pre-specified electromagnetic fields that project into the anatomical region of interest which contains all prospective locations of the catheter probe. The electrical measurements of the induced signals may provide sufficient information to compute the angular orientation and the positional coordinates of a coil in a sensor, and hence the catheter probe, which collectively define the location of the coil.
Regardless of the technical particulars of a surgical localization system, each system typically includes a component internal to the patient associated with a medical device and a component external to the patient for calculating the position of the medical instrument.
SUMMARY
The present invention is directed to improving communication links between internal and external surgical navigation components and to providing wireless power to internal components.
The invention in its broadest sense may include one or more of the following aspects alone or in combination with one or more elements:
an apparatus and method for locating a wireless sensor/transmitter within an anatomical body,
at least one signal generator for sending reference signals through the anatomical body to be received by the sensor/transmitter and to be wirelessly re-transmitted by the sensor/transmitter as positional signals indicative of a current location of the sensor/transmitter in the anatomical body,
a receiver for receiving positional signals from the wireless sensor/transmitter,
a processor for computing a position of a wireless sensor/transmitter as a function of the positional signals transmitted to a receiver, and a circuit associated with the processor for outputting position image information to a display device,
a wireless sensor/transmitter for use in surgical procedures to track the movement of structures within an anatomical body having a portion for receiving a reference signal from a reference signal generator, and a portion for wirelessly transmitting the reference signal as a positional signal indicative of a current position of the sensor and hence the probe,
a sensor having a coil adapted to have a voltage induced therein by a signal generator separated from the coil by a distance,
a sensor having a circuit for powering the transmitter using an induced voltage.
It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the invention, as claimed.
The accompanying drawings, which are incorporated into and constitute a part of this specification, illustrate several embodiments of the invention and together with the description, serve to explain the principles of the invention.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a schematic diagram of the system environment in which the features of the present invention may be implemented;
FIG. 2 is a second schematic diagram of the system environment in which the features of the present invention may be implemented;
FIGS. 3-5 are schematic views of various embodiments of wireless sensor/transmitters in accordance with the invention; and
FIG. 6 is a schematic view of one embodiment of a transmitter in a wireless sensor/transmitter.



DESCRIPTION OF THE VARIOUS EMBODIMENTS
The present invention may be used in connection with any wireless surgical navigation system for determining a position of a medical instrument during surgery including the method and apparatus disclosed in U.S. Pat. No. 5,592,939 to Martinelli, hereby incorporated by reference. For brevity, the details of this system, including the assembly of the coils for generating a magnetic field within an anatomical body sufficient to describe the position of a medical instrument and the algorithm for determining the position of the medical instrument, are not enclosed herein.
One aspect of the present invention relates to locating a wireless sensor/transmitter associated with a probe, such as a catheter, inside an anatomical body. FIG. 1 illustrates an example of the invention, where the anatomical body 10 is that of a human patient undergoing a surgical or diagnostic procedure. While a human is used in this example, the invention may be used on others such as animals. In accordance with the present invention, there is provided an apparatus for locating the position of a wireless sensor/transmitter within an anatomical body, which apparatus includes at least one signal generator for transmitting reference signals through the anatomical body to be received by the sensor/transmitter and to be wirelessly re-transmitted by the sensor/transmitter as positional signals indicative of a location of the sensor/transmitter in the anatomical body at a given instant of time.
As embodied herein, the signal generator of the invention may include one or more signal generators 14A-14N which include a coil capable of generating an electromagnetic field, described more fully hereinafter. As used herein, a coil refers to an electrically conductive, magnetically sensitive element of the sensor/transmitter that is responsive to time-varying magnetic fields for generating induced voltage signals as a function of, and representative of, the applied time-varying magnetic field. Preferably, signal generator 14 includes multiple coils. Each coil of the signal generator 14 may be activated in succession, each producing a magnetic field within the anatomical body 10 inducing a corresponding voltage signal in a sensing coil 22 of the sensor/transmitter 12.
In the preferred embodiment of the invention, signal generator 14 employs a distinct magnetic assembly so that the voltages induced in a sensing coil 22 corresponding to a transmitted time-dependent magnetic field produce sufficient information to describe the location, i.e. position and orientation, of the sensor/transmitter. The signals produced by the signal generator containing sufficient information to describe the position of the sensor/transmitter are referred to hereinafter as reference signals. Preferably, the reference signals are in the range of 2 KHz to 10 KHz.
In the preferred embodiment of the invention, the signal generator 14 is also configured to induce a voltage in the sensing coil of the sensor/transmitter sufficient to power a transmitting portion of the sensor/transmitter. In the preferred embodiment, the signals transmitted by the signal generator for powering the device, hereinafter referred to as powering signals, are frequency multiplexed with the reference signals as illustrated in FIG. 2. In the technique of frequency multiplexing, the frequency ranges of the reference signal and powering signal are modulated so as to occupy mutually exclusive frequency intervals. This technique allows the signals to be transmitted simultaneously over a common channel, such as a wireless channel, while keeping the signals apart so that they do not interfere with each other. The reference and positional signals are preferably frequency modulated (FM) for a better utilization of both power and bandwidth and an increased threshold to noise. However, amplitude modulation (AM) may also be used within the scope of the invention.
Alternatively, the powering signals may be transmitted by separate signal generators, each at a differing frequencies. Preferably, the powering signals are transmitted at higher frequencies than the reference signals. The preferred range of frequencies for the powering signals is 20 KHz to 200 KHz. Utilizing a higher modulation frequency than the reference signals enables the powering signals to couple better with the wireless sensor/transmitter, thereby enabling a greater transfer of power to the device. Using the preferred, mutually exclusive, frequency ranges for the transmission of the reference and powering signals, enables a single coil in the wireless sensor/transmitter to simultaneously receive both signals without interference of the signals.
Also in accordance with the present invention, there is provided an apparatus for locating a wireless sensor/transmitter within an anatomical body including a receiver for receiving positional signals from the wireless sensor/transmitter. As embodied herein, the receiver may include a receiver 16 that is adapted to receive radio-frequency (RF) mode positional signals or magnetic field mode positional signals.
In the preferred embodiment, the receiver 16 is adapted to receive RF signals. The RF signals may be amplitude modulated or frequency modulated signals in the frequency range of 1 MHz to 1 GHz. In the RF embodiment, there is no need to time multiplex the reference signals transmitted by the signal generator with the positional signals re-transmitted by the wireless sensor/transmitter since the signal types, magnetic and radio-frequency, are different. In other words, there is no concern with interference between the reference signal and the positional signal in the RF embodiment since the receiver 16 does not have difficulty in separating the reference signal from the positional signal.
However, a concern with interference between the reference signal and the positional signal may exist if the reference signal and the positional signal are both transmitted as a magnetic field without mutually exclusive frequency intervals. Therefore, in another embodiment in which the receiver is adapted to receive magnetic field mode positional signals, the transmission of the reference signals from the signal generator 14 and the re-transmission of the positional signals from the wireless sensor/transmitter 12 may be time multiplexed. That is, each signal may engage a wireless communication channel for only a fraction of an interval on a periodic basis, so that they may jointly utilize the common channel on a time-shared basis. In so doing, the signals are kept apart so that they do not interfere with each other.
However, in the preferred embodiment of the receiver adapted to receive magnetic field mode positional signals, the frequency range of the positional signal is differed from the reference signal by a voltage-to-frequency converter within the sensor/transmitter so that time multiplexing is unnecessary, thereby avoiding loss of cycles of each signal and an accompanying reduced data rate. In this case, the device may receive continuous powering signals and reference signals from the signal generator.
Also in accordance with the present invention, there is provided an apparatus for locating a wireless sensor/transmitter within an anatomical body including a processor for computing a position of the wireless sensor/transmitter as a function of the positional signals transmitted to the receiver. The processor may determine the position of the sensor/transmitter by solving equations representing signals induced in the sensing coil in response to a sequence of magnetic fields generated successively within the anatomical body. In the preferred embodiment of the present invention, the processor begins determining the position of the sensor/transmitter by first determining the angular orientation of the sensing coil and then using the orientation of the coil to further determine the position of the coil. However, as previously mentioned, the present invention is not limited to any specific method of determining the position of the wireless sensor/transmitter.
Another function of the processor may be to electrically activate the coil(s) of signal generator 14 to generate the desired electromagnetic fields. Yet another function of the processor may be to regulate the timing of the apparatus so that the processor may later recall which induced voltage corresponds to a given coil set within signal generator 14 when determining a position of the sensor/transmitter.
Also in accordance with the present invention, there is provided an apparatus for locating a wireless sensor/transmitter within an anatomical body including a circuit associated with the processor for outputting position image information to a display device. As embodied herein, the display device may include a display device 20, such as, for example, a CRT, LCD or other display suitable for displaying position image information for surgical procedures. The examples given are illustrative only. Display device 20 is not limited to any particular display.
FIG. 2 provides another example of a system environment wherein receiver 16, processor 18, and display device 20 are combined into an electromagnetic control unit 32. FIG. 2 illustrates how the electromagnetic control unit, or localizer, includes critical elements in determining the position of a wireless sensor/transmitter.
Also in accordance with the present invention, there is provided a wireless sensor/transmitter for use in surgical procedures to track the movement of structures within an anatomical body, such as organs and tissues, including a portion for receiving a reference signal from a reference signal generator. The portion for receiving a reference signal includes a coil adapted to have a voltage induced by the signal generator. For example, FIG. 4 illustrates a sensing coil 34 on which the reference signal may induce voltage corresponding to a positional signal indicative of a current position.
In a preferred embodiment of the invention, a sensing coil is not limited to receiving reference signals to induce voltage corresponding to positional signals. Instead, the sensing coil may also receive powering signals which induce sufficient voltage to power the transmitter. In the preferred embodiment of the device illustrated in FIGS. 2 and 3, sensing coil/power coil 22 induces voltage corresponding to both reference and positional signals from signal generator 14.
As embodied herein, the portion for receiving a reference signal further includes a sensing unit and a powering circuit, such as sensing unit 24 and power circuit 26 shown in FIGS. 2 and 3. Sensing unit 24 and power circuit 26 of the preferred embodiment each may receive an induced voltage signal due to a frequency multiplexed reference signal and powering signal on sensing/powering coil 22. Sensing unit 24 and powering circuit 26 both may separate the voltage signals induced by the multiplexed magnetic signals into positional and powering signals. Standard frequency demodulating techniques are used for separating the signals.
Upon separation of the positional and powering signals, sensing unit 24 may measure the induced voltage signal portion corresponding to a reference signal as a positional signal indicative of a current position of a wireless sensor/transmitter 12. The positional signal is retained for further processing and re-transmission by a transmitting portion of the sensor/transmitter. Similarly, power circuit 26 may retain the induced voltage signal portion corresponding to a powering signal for use by the power circuit in producing power. Powering circuit 26 may rectify the induced voltage generated on a coil by the powering signals to produce DC power. Powering circuit 28 may store the DC power using a capacitor, small battery, or other storage means for later use by one or more components of the wireless sensor/transmitter. In a preferred embodiment, the DC power is produced continuously by powering circuit 26 and storage is not necessary.
In another embodiment shown in FIG. 4, separate coils are used for receiving, respectively, the reference signals and the powering signals. The processing performed by sensing unit 26 and power circuit 26 on the induced voltage signals corresponding to a frequency multiplexed reference signal and powering signal remain unchanged. Due to space constraints of the wireless sensor/transmitter, the aforementioned embodiment which utilizes a single coil in the system for powering the transmitter is preferred.
Also in accordance with the present invention, there is provided a wireless sensor/transmitter for use in surgical procedures to track the movement of structures within an anatomical body including a portion for wirelessly transmitting the reference signal as a positional signal indicative of a current position of the sensor. As illustrated in FIG. 2, the transmitting portion may include a transmission processing unit 27 that processes positional signals for transmission and then transmits the positional signals to a receiver.
Transmission processing unit 27 may include a voltage-to-frequency converter, embodied herein as voltage-to-frequency converter 28. Voltage-to-frequency converter converts the induced voltage signal corresponding to the position of a wireless sensor/transmitter to a corresponding signal with a transmission frequency which is proportional to the measured voltage. The frequencies produced by the converter may be made to vary within a given range. Preferably, voltage-to-frequency converter 28 is powered by the rectifier circuit of power circuit 26. In other embodiments, however, a battery or other power source may power voltage-to-frequency converter 28.
Transmission processing unit 27 also may include a transmitter, embodied herein as transmitter 30. Transmitter 30, and hence transmission processing unit 27, may be configured for RF transmission or magnetic field transmission.
If RF transmission is employed, transmitter 30 may include an antenna to retransmit the positional signal to a receiver. The positional signal is preferably transmitted by the sensor/transmitter in the frequency range of 1 MHz to 1 GHz, where voltage-to-frequency converter 28 is adapted to produce the positional signal in the given frequency range according to the measured induced voltage. In the RF embodiment, as previously mentioned, transmitter 30 does not need to time-multiplex the re-transmission of positional signals with the transmission of reference signals since no interference between the signals occurs.
If magnetic field transmission is employed, transmitter 30 may include a coil arrangement to transmit the positional signal to the receiver. Transmitter 30 may have its own magnetic coil or it may share the coil of the sensing unit. As shown in FIG. 5, the transmitter may share a coil 38 that is used by both sensing unit 24 and power circuit 26. The positional signal is preferably transmitted by the sensor/transmitter in the frequency range of 50 KHz to 200 KHz. Using voltage-to-frequency converter 28 to produce the positional signal in the preferred frequency range according to the measured induced voltage, the system may multiplex the transmitted reference signal and re-transmitted positional signal in frequency, rather than in time. While another embodiment may be to time multiplex the reference and positional signals during magnetic field transmission, frequency multiplexing is preferred as it allows both signals to be transmitted simultaneously.
Alternatively, the transmitting portion of the wireless sensor/transmitter may include an inductor-capacitor (LC) tank circuit 31 instead of a coil to transmit the positional signal via a magnetic field mode to the receiver. If an LC tank circuit 31 is used instead of a coil for magnetic transmission of the positional signal, the LC tank circuit 31 is tuned to a resonant frequency to receive the magnetic field and transmit it to the wireless magnetic receiver. As stated above, the position signal may have its frequencies changed from those of the reference signal to avoid time multiplexing during transmission, or it may use time multiplexing for simplification of the processing and transmission of the positional signal upon receiving the same.
The transmitting portion may also transmit the positional signal via digital RF transmission. If digital RF transmission is chosen, the transmission processing unit 27 may include an analog-to-digital (A/ND) converter for converting the analog signal to digital. The A/D converter may include an A/D converter 40 shown in FIG. 6. The A/D converter 40 may be interfaced to a signal transmission module for direct transmission after conversion, or it may be interfaced to a digital signal processor (DSP) system for further processing.
In a preferred embodiment illustrated in FIG. 6, the transmission processing unit further includes a DSP system 42. A DSP system allows for more effective use of the transmission bandwidth by processing the positional signal using conventional coding and compression techniques. The DSP system may be interfaced to a signal transmission module 44. Signal transmission module 44 of the present invention uses techniques similar to wireless modems or digital RF techniques to transmit the signal to the wireless receiver. In another embodiment, the DSP may be integrated with the A/D converter to conserve space. The A/D converter, DSP, and signal transmission module are preferably powered by power circuit 26. However, one or more of the above devices may be powered by a battery or other power source.
Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. For example, instead of using the induced voltage on the sensing coil to find the position of a wireless sensor/transmitter, one could induce voltage on a sensing coil of a probe to power any sensor or battery in the anatomical body. One sensor receiving power, for example, may be a thermometer 25 for measuring temperature within the chamber of the heart 13.
Another embodiment of the invention may derive power in a wireless sensor/transmitter through an optical means. For example, the power coil of the present invention could be substituted with a photocell or solar cell to obtain optical power from an optical transmitter, such as infrared or a light-emitting diode (LED), and convert it to electrical power for use by the device. Moreover, any transmitter in the system may be substituted with an optical transmission means. Optical transmission means may be combined with other transmission means, such as magnetic or RF transmissions. For example, the sensing coil may receive electromagnetic signals for powering transmitter 30, while transmitter 30 may generate optical signals to receiver 16. The present invention allows various types of transmission.

## Claims

1. A surgical navigation system for use during a surgical procedure on an anatomical body, the surgical navigation system comprising:
a signal generator configured to wirelessly transmit signals from a site remote from the anatomical body, the signals including reference signals and powering signals that are frequency multiplexed;
a first wireless sensor/transmitter adapted to be positioned relative to the anatomical body, the wireless sensor/transmitter configured to: (i) receive the signals from the signal generator, (ii) wirelessly transmit information signals, (iii) utilize the powering signals to power the first wireless sensor/transmitter, and (iv) utilize the reference signals to generate the information signals; and
a processor configured to determine an angular orientation and a position of the first wireless sensor/transmitter based on the information signals.

2. The surgical navigation system of claim 1, further comprising:
a display to display position information.

3. The surgical navigation system of claim 2, wherein said information signals are sensed signals from the anatomical body.

4. The surgical navigation system of claim 3, wherein the information signals are a temperature measured of the anatomical body.

5. The surgical navigation system of claim 3, wherein the information signals are displayed on the display with position information of the first wireless sensor/transmitter.

6. The surgical navigation system of claim 2, wherein said signal generator includes an electromagnetic field generator coil.

7. The surgical navigation system of claim 6, wherein the first wireless sensor/transmitter includes a sensing coil and a power coil.

8. The surgical navigation system of claim 7, wherein the signal generator includes a plurality of coils configured to produce an electromagnetic field each in succession to induce a signal in the first wireless sensor/transmitter.

9. The surgical navigation system of claim 7, wherein the sensing coil and the power coil are configured to separate the signals to both power the wireless sensor/transmitter and determine position information of the wireless sensor/transmitter.

10. The surgical navigation system of claim 9, wherein the power coil is configured to rectify an induced voltage from the multiplex signal to create DC power.

11. The surgical navigation system of claim 10, wherein the first wireless sensor/transmitter further includes at least one of a capacitor, a battery, a power storage system or combinations thereof.

12. The surgical navigation system of claim 7, wherein the sensing coil and the power coil are a single coil.

13. The surgical navigation system of claim 1, wherein said first wireless sensor/transmitter is formed as a component internal to the anatomical body.

14. The surgical navigation system of claim 1, further comprising a second wireless sensor/transmitter.

15. The surgical navigation system of claim 1, wherein the first wireless sensor/transmitter includes an inductor-capacitor tank circuit configured to transmit via a magnetic field mode the information signal.

16. The surgical navigation system of claim 15, wherein the information signal is a positional signal.

17. The surgical navigation system of claim 1, further comprising a receiver coupled to the processor, the receiver configured to wirelessly receive the information signals from the first wireless sensor/transmitter.

18. A surgical navigation apparatus for use during a surgical procedure on an anatomical body, the surgical navigation apparatus comprising:
a signal generator configured to wirelessly transmit signals from a site remote from the anatomical body, the signal generator including an electromagnetic field generator coil and the signals including reference signals and powering signals that are frequency multiplexed;
a first wireless sensor/transmitter including a sensing coil and a power coil, the first wireless sensor/transmitter:
adapted to be positioned relative to the anatomical body,
configured to receive the signals from the signal generator,
configured to wirelessly transmit information signals indicative of information regarding the surgical procedure, wherein the information signals include sensed signals from the anatomical body,
configured to utilize the powering signals to power the first wireless sensor/transmitter, and
configured to utilize the reference signals to generate the information signals;

a processor configured to determine an angular orientation and a position of the first wireless sensor/transmitter based at least in part on the information signals; and
a display operably connected to the processor and configured to display the angular orientation and position of the first wireless sensor/transmitter.

19. The surgical navigational apparatus of claim 18, wherein the signal generator includes a plurality of signal generators.

20. The surgical navigational apparatus of claim 19, wherein the plurality of signal generators include a plurality of coils configured to be energized in succession.

21. The surgical navigational apparatus of claim 20, wherein the first wireless sensor/transmitter is configured to receive a magnetic field signal in succession from each of the plurality of signal generators.

22. The surgical navigation apparatus of claim 21, wherein the first wireless sensor/transmitter includes a coil in which a voltage is induced by the magnetic field signal.

23. The surgical navigation apparatus of claim 18, wherein the first wireless sensor/transmitter includes an inductor-capacitor tank circuit.

24. The surgical navigation apparatus of claim 18, wherein the first wireless sensor/transmitter includes a thermometer.

25. The surgical navigation apparatus of claim 18, wherein the anatomical body includes a heart.

26. The surgical navigation apparatus of claim 18, wherein the first wireless sensor/transmitter includes a plurality of coils to receive the signal transmitted from the signal generator.

27. The surgical navigation apparatus of claim 18, wherein the information signal is a temperature measured of the anatomical body.

28. The surgical navigation apparatus of claim 27, wherein the temperature is a temperature within a chamber of a heart of the anatomical body.

29. The surgical navigation apparatus of claim 18, wherein the sensed signals from the anatomical body include physiological information of the anatomical body.

30. The surgical navigation apparatus of claim 18, wherein said first wireless sensor/transmitter is formed as a component internal to the anatomical body.

31. The surgical navigation apparatus of claim 18, wherein the signal generator includes a coil operable to generate an electromagnetic field.

32. The surgical navigation apparatus of claim 31, wherein the signal generator includes a plurality of coils configured to produce an electromagnetic field each in succession to induce a signal in the first wireless sensor/transmitter.

33. The surgical navigation apparatus of claim 18, wherein the first wireless sensor/transmitter includes a single coil configured to receive the signal transmitted from the signal generator.

34. The surgical navigation apparatus of claim 18, further comprising a receiver coupled to the processor, the receiver configured to wirelessly receive the information signals from the first wireless sensor/transmitter.