Navigation using sensed physiological data as feedback

Abstract

A method for controlling a remote navigation system to navigate a medical device in an operating region in a subject is provided, comprising operating the remote navigation system to bring a sensor carried on a medical device successively into a plurality of locations in a predetermined pattern, and using the sensor to sense a physiological property of the subject in each location. At least once thereafter, the method operates the remote navigation system to bring a sensor carried on a medical device successively into a series of locations in a predetermined pattern relative to at least one location selected from the predetermined pattern in the immediately preceding step based upon the sensed physiological property value, and uses the sensor to sense the physiological property in each location. The method automatically determines the location of a local extreme value of the sensed physiological property, and may be selectively used to locate a maximum value of the sensed physiological property or a minimum of the sensed physiological property. The method may be utilized for sensing one or more physiological properties such as a magnitude of an electrical signal, a conductivity, a temperature, a fluid flow rate or a fluid velocity, or a range of motion of a surface.

1 . A method of controlling a remote navigation system to navigate a medical device in an operating region in a subject, the method comprising:
 operating the remote navigation system to bring a sensor carried on a medical device successively into a plurality of locations in a predetermined pattern, and using the sensor to sense a physiological property of the subject in each location;   at least once thereafter, operating the remote navigation system to bring a sensor carried on a medical device successively into a series of locations in a predetermined pattern relative to at least one location selected from the predetermined pattern in the immediately preceding step based upon the sensed physiological property, and using the sensor to sense the physiological property in each location.   
     
     
         2 . A method of controlling a remote navigation system to navigate a medical device in an operating region in a subject, the method comprising: automatically successively operating the navigation system to bring a sensor carried on a medical device to a position determined by an algorithm using at least one previously sensed physiological value and corresponding location as an input, and sensing the physiological property in the location. 
     
     
         3 . The method according to  claim 1  wherein the sensed physiological property is the magnitude of an electrical signal. 
     
     
         4 . The method according to  claim 1  wherein the sensed physiological property is the timing of an electrical signal. 
     
     
         5 . The method according to  claim 1  wherein the sensed physiological property is temperature. 
     
     
         6 . The method according to  claim 1  wherein the sensed physiological property is range of motion of a surface. 
     
     
         7 . The method according to  claim 1  wherein the sensed physiological property is conductivity. 
     
     
         8 . The method according to  claim 1  wherein the sensed physiological property is a flow rate. 
     
     
         9 . The method according to  claim 1  wherein the sensed physiological property is a fluid velocity. 
     
     
         10 . A method of automatically finding the location of a local extreme of a sensed physiological property, the method comprising:
 operating a remote navigation system to bring a sensor carried on a medical device successively into a plurality of locations in a predetermined pattern, and using the sensor to sense a physiological property of the subject in each location;   at least once thereafter, operating the remote navigation system to bring a sensor carried on a medical device successively into a series of locations in a predetermined pattern relative to at least one location selected from the predetermined pattern in the immediately preceding step based upon the sensed value physiological property, and using the sensor to sense the physiological property in each location to identify the local extreme of the sensed physiological property.   
     
     
         11 . The method according to  claim 10  wherein the local extreme of the sensed physiological property is a maximum of the sensed physiological property. 
     
     
         12 . The method according to  claim 10  wherein the local extreme of the sensed physiological property is a minimum of the sensed physiological property. 
     
     
         13 . A method of automatically finding the location of a local extreme of a sensed physiological property in an operating region in a subject, the method comprising: automatically successively operating a remote navigation system to bring a sensor carried on a medical device to a position determined by an algorithm using at least one previously sensed physiological value and corresponding location as an input, and sensing the physiological property in the location. 
     
     
         14 . The method according to  claim 13  wherein the local extreme of the sensed physiological property is a maximum of the sensed physiological property. 
     
     
         15 . The method according to  claim 13  wherein the local extreme of the sensed physiological property is a minimum of the sensed physiological property. 
     
     
         16 . A method of controlling a remote navigation system capable of remotely navigating the distal end of a medical device to a selected location.