EM Guidance Device For A Device Enabled For Endovascular Navigation Placement Including A Remote Operator Capability And EM Endoluminal Imaging Technique

A method of accurate catheter placement, comprising:

• navigating a guidewire configured with an EM tracking device located on a leading end of the guidewire to a desired location, in the presence of an EM field established by an EM positioning field generator configured on a reference gantry, and actuating the guidewire via a servomotor actuator system mechanically coupled to the guidewire and to a catheter, while the catheter is parked;
• computing a length of the catheter to be generated, based on a distance navigated by the guidewire;
• advancing a trimming mechanism over the parked catheter;
• actuating the trimming mechanism to generate a catheter having the computed length;
• advancing the catheter with the computed length over the guidewire.

A physician operator workflow for placement of a PICC in patients, comprising:

• placing a valved vascular introducer sheath into a vein of a plurality of patients;
• mechanically linking an actuator of a system for accurate positioning of a PICC, wherein the system comprises:
• a PICC guidewire for navigating through a patient's vasculature, having an electromagnetic (EM) based tracking components at or near the a leading end of the guidewire;
• an EM positioning field generator configured on a reference gantry;
• a computer and display configured to output position information of the guidewire leading end;
• and
• a servomotor delivery system actuator, mechanically coupled to the guidewire and configured for controlling the position of the guidewire, to the vascular introducer sheath and to the reference gantry;
• displaying position information collected by the system for accurate positioning of a PICC, to a remote operator;
• navigating the guidewire to the desired position, from commends received from the remote operator;
• fixing the guidewire in place and advancing the PICC into position over the guidewire.