Systems and methods for navigating a surgical device

1. A system for navigating a surgical device toward a target in a heart, the system comprising:

a needle assembly including a surgical needle configured to be inserted through a tissue;

a guide wire configured to be inserted through a lumen of the surgical needle;

a fastening device operatively associated with the needle assembly to hold the guide wire within the lumen of the surgical needle during insertion of the surgical needle through the tissue; and

a medical positioning system (MPS) sensor coupled to the guide wire, the MPS sensor producing an output in two modes, the output in a first mode corresponding to the position of the surgical needle and the output in a second mode corresponding to a position of the guide wire for navigating the surgical needle and the guide wire toward the target.

2. The system according to claim 1 , further comprising a medical positioning system (MPS) configured to receive the output from the MPS sensor and generate visual feedback showing a position of the surgical device in a pre-recorded image.

3. The system according to claim 1 , wherein the MPS sensor produces output in a first mode corresponding to a position of the surgical needle as the surgical needle is inserted, and the MPS sensor produces output in a second mode corresponding to positioning of the guide wire.

4. The system according to claim 1 , wherein the MPS sensor produces output substantially in real-time to show dynamic positioning of the guide wire.

5. The system according to claim 1 , further comprising a plurality of MPS sensors on the guide wire, the plurality of MPS sensors corresponding to separate portions of the guide wire.

6. The system according to claim 1 , wherein the output of the MPS sensor is generated using an electromagnetic field and superimposed on a static fluoroscopy image.

7. The system according to claim 6 , wherein the static fluoroscopy image is prerecorded.

8. The system according to claim 1 , wherein the fastening device is a clip assembly.

9. The system according to claim 8 , wherein the clip assembly pinches the guide wire.

10. The system according to claim 8 , wherein the clip assembly maintains the guide wire in a substantially constant position along a central axis of the lumen of the surgical needle when the MPS sensor produces output in a first mode.

11. The system according to claim 10 , wherein the clip assembly releases the guide wire for movement along the central axis of the needle assembly when the MPS sensor produces output in a second mode.

12. The system according to claim 1 , wherein the surgical needle is configured to be inserted into a heart chamber for transapical valve implantation.

13. The system according to claim 1 , wherein the surgical needle is configured to be inserted as a subclavian puncture for a cardiac rhythm implantable device, wherein leads are configured to be inserted through the needle assembly and navigated into the heart through the subclavian vein.

14. A navigation system for a medical device, comprising:

a surgical needle having an outside diameter and an inside diameter, the surgical needle configured to be inserted into a vein or a heart during a medical procedure;

a guide wire configured to be inserted through the inside diameter of the surgical needle;

a fastener configured to hold the guide wire in the surgical needle when the surgical needle is inserted into the vein or the heart; and

at least one medical positioning system (MPS) sensor coupled to the guide wire, the at least one MPS sensor for generating output in two modes, the output in a first mode corresponding to a position of the surgical needle and the output in a second mode corresponding to a position of the guide wire for navigating the surgical needle and the guide wire toward a target in the vein or the heart.

15. The system according to claim 14 , wherein the first mode indicates a position of the surgical needle, and the second mode indicates a position of the guide wire.

16. The system according to claim 14 , wherein both a static position of the surgical needle is shown along with a dynamic position of the guide wire, both positions generated from the at least one MPS sensor.

17. The system according to claim 14 , wherein the position of the guide wire is generated real time using an electromagnetic field and superimposed on a prerecorded fluoroscopy image including an overlaid static image of the surgical needle.

18. A method for navigating a surgical device toward a target organ in the body of a patient, the method comprising:

a surgical needle and a guide wire, the surgical needle configured for insertion into a vein or a beating heart;

holding the guide wire within the surgical needle while the surgical needle is inserted into the vein or the beating heart; and

generating output in two modes, the output based on at least one medical positioning system (MPS) sensor on the guide wire, the output in a first mode corresponding to a position of the surgical needle and the output in a second mode corresponding to a position of the guide wire for navigating the surgical needle and the guide wire toward a target in the vein or the heart.

19. The method according to claim 18 , further comprising indicating a position of the surgical needle in a first mode, and indicating a position of the guide wire in a second mode.

20. The method according to claim 19 , further comprising superimposing the position of the surgical needle and the position of the guide wire over a static image.