CN107920764B - 用于评估脉管的设备、系统和方法 - Google Patents

用于评估脉管的设备、系统和方法 Download PDF

Info

Publication number
CN107920764B
CN107920764B CN201680042037.8A CN201680042037A CN107920764B CN 107920764 B CN107920764 B CN 107920764B CN 201680042037 A CN201680042037 A CN 201680042037A CN 107920764 B CN107920764 B CN 107920764B
Authority
CN
China
Prior art keywords
pressure
slope
cardiac cycle
diagnostic window
vessel
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201680042037.8A
Other languages
English (en)
Chinese (zh)
Other versions
CN107920764A (zh
Inventor
P·金炯
F·梅里特
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of CN107920764A publication Critical patent/CN107920764A/zh
Application granted granted Critical
Publication of CN107920764B publication Critical patent/CN107920764B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A61B5/02158—Measuring pressure in heart or blood vessels by means inserted into the body provided with two or more sensor elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02007—Evaluating blood vessel condition, e.g. elasticity, compliance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851—Guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7239—Details of waveform analysis using differentiation including higher order derivatives
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/352—Detecting R peaks, e.g. for synchronising diagnostic apparatus; Estimating R-R interval

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Vascular Medicine (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
CN201680042037.8A 2015-07-17 2016-07-15 用于评估脉管的设备、系统和方法 Active CN107920764B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201562194066P 2015-07-17 2015-07-17
US62/194,066 2015-07-17
PCT/EP2016/066917 WO2017013020A1 (en) 2015-07-17 2016-07-15 Devices, systems, and methods for assessing a vessel

Publications (2)

Publication Number Publication Date
CN107920764A CN107920764A (zh) 2018-04-17
CN107920764B true CN107920764B (zh) 2021-09-21

Family

ID=56411665

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201680042037.8A Active CN107920764B (zh) 2015-07-17 2016-07-15 用于评估脉管的设备、系统和方法

Country Status (5)

Country Link
US (3) US10849512B2 (enExample)
EP (2) EP3324836B1 (enExample)
JP (2) JP6917976B2 (enExample)
CN (1) CN107920764B (enExample)
WO (1) WO2017013020A1 (enExample)

Families Citing this family (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BRPI0918563B8 (pt) 2008-09-11 2021-06-22 Acist Medical Sys Inc dispositivo distribuidor de sensor fisiológico e método
JP5866371B2 (ja) 2010-11-09 2016-02-17 オプセンス インコーポレイテッド 内部圧力センサを有するガイドワイヤ
US9339348B2 (en) 2011-08-20 2016-05-17 Imperial Colege of Science, Technology and Medicine Devices, systems, and methods for assessing a vessel
JP6850940B2 (ja) * 2017-08-03 2021-03-31 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 冠血流予備量比を評価するためのシステム
JP7024103B2 (ja) 2018-02-23 2022-02-22 ボストン サイエンティフィック サイムド，インコーポレイテッド 逐次生理学的測定による血管の評価方法
WO2019183432A1 (en) 2018-03-23 2019-09-26 Boston Scientific Scimed, Inc. Medical device with pressure sensor
CA3095596A1 (en) * 2018-04-03 2019-10-10 Opsens Inc. Pressure based blood vessel assessment systems and methods
JP7138189B2 (ja) 2018-04-06 2022-09-15 ボストン サイエンティフィック サイムド，インコーポレイテッド 圧力センサ付き医療装置
CN119564167A (zh) * 2018-04-18 2025-03-07 波士顿科学国际有限公司 用连续生理测量值评估脉管的系统
PL3781026T3 (pl) 2018-04-20 2022-07-11 Acist Medical Systems, Inc. Ocena naczynia
US10940321B2 (en) * 2018-06-01 2021-03-09 Medtronic, Inc. Systems, methods, and interfaces for use in cardiac evaluation
US11395597B2 (en) * 2018-06-26 2022-07-26 General Electric Company System and method for evaluating blood flow in a vessel
CN112533529A (zh) * 2018-08-09 2021-03-19 皇家飞利浦有限公司 具有电容性压力传感器的腔内设备
CN109770888A (zh) * 2019-03-19 2019-05-21 苏州润迈德医疗科技有限公司 基于压力传感器和造影图像计算瞬时无波形比率的方法
CN113286552B (zh) 2018-11-28 2025-05-02 希斯托索尼克斯公司 组织摧毁术系统及方法
CN109864762A (zh) * 2019-03-08 2019-06-11 北京工业大学 一种压力控制超声波的人体皮脂厚度测量仪
CN109805949B (zh) * 2019-03-19 2020-05-22 苏州润迈德医疗科技有限公司 基于压力传感器和造影图像计算血流储备分数的方法
CA3140416A1 (en) 2019-05-17 2020-11-26 Opsens Inc. Pressure based structural heart assessment systems and methods
USD926199S1 (en) 2019-05-17 2021-07-27 Opsens, Inc. Display screen or portion thereof with graphical user interface
KR102238991B1 (ko) * 2019-05-23 2021-04-12 울산대학교 산학협력단 가이드와이어 접촉상태 추정 장치 및 방법
EP4082428A4 (en) * 2019-12-31 2024-03-20 Insight Lifetech Co., Ltd. INTRAVASCULAR PRESSURE MEASUREMENT SYSTEM
JP2023513012A (ja) 2020-01-28 2023-03-30 ザ リージェンツ オブ ザ ユニバーシティー オブ ミシガン ヒストトリプシー免疫感作のためのシステムおよび方法
CN111466900B (zh) * 2020-05-08 2021-09-21 深圳北芯生命科技股份有限公司 使用血压来跟踪心脏循环事件的系统及方法
JP2023530477A (ja) 2020-06-18 2023-07-18 ヒストソニックス，インコーポレーテッド 組織破砕音響／患者結合システムおよび方法
CN116782843A (zh) 2020-08-27 2023-09-19 密歇根大学董事会 用于组织摧毁术的具有发射-接收能力的超声换能器
US12087000B2 (en) 2021-03-05 2024-09-10 Boston Scientific Scimed, Inc. Systems and methods for vascular image co-registration
US20240149078A1 (en) 2022-10-28 2024-05-09 Histosonics, Inc. Histotripsy systems and methods
KR20260003742A (ko) 2023-04-20 2026-01-07 히스토소닉스, 인크. 치료 계획 및 요법을 위한 사용자 인터페이스들 및 작업 흐름들을 포함하는 히스토트립시 시스템들 및 연관된 방법들

Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001013779A2 (en) * 1999-08-25 2001-03-01 Florence Medical Ltd. A method and system for stenosis identification, localization and characterization using pressure measurements
RU2382909C2 (ru) * 2008-05-15 2010-02-27 Открытое акционерное общество "Научно-производственное объединение "Сатурн" Способ диагностики помпажа компрессора
WO2012032553A1 (en) * 2010-09-06 2012-03-15 Salvatore Romano Automatic method for measuring and processing blood pressure
CN102387743A (zh) * 2009-02-09 2012-03-21 爱德华兹生命科学公司 计算心血管参数
CN102413760A (zh) * 2009-03-20 2012-04-11 爱德华兹生命科学公司 监控外周退耦
WO2013109815A1 (en) * 2012-01-19 2013-07-25 Volcano Corporation Interface devices, systems, and methods for use with intravascular pressure monitoring devices
CN103596493A (zh) * 2011-04-14 2014-02-19 皇家飞利浦有限公司 压力测量设备和方法
CN103796577A (zh) * 2011-01-06 2014-05-14 麦德索维有限公司 评估流体填充管中的断面收缩的设备和方法
WO2014053973A3 (en) * 2012-10-05 2014-07-10 Koninklijke Philips N.V. Medical imaging system and method for providing an enhanced x-ray image
WO2014151830A1 (en) * 2013-03-15 2014-09-25 Volcano Corporation Interface devices, systems, and methods for use with intravascular pressure monitoring devices
JP2014528774A (ja) * 2011-08-20 2014-10-30 ヴォルカノ コーポレイションＶｏｌｃａｎｏ Ｃｏｒｐｏｒａｔｉｏｎ 脈管を視覚的に描写し、処置オプションを評価するための装置、システム及び方法
CN104254290A (zh) * 2012-01-20 2014-12-31 伊奥吉恩公司 医疗装置和方法
CN104321009A (zh) * 2012-05-14 2015-01-28 皇家飞利浦有限公司 针对血管狭窄的血流储备分数(ffr)值的确定
CN104519791A (zh) * 2012-08-06 2015-04-15 慧灵医疗有限公司 压力传感器导管和相关联的方法
CN104736046A (zh) * 2012-10-19 2015-06-24 哈特弗罗公司 用于数字评估脉管系统的系统和方法
CN104768465A (zh) * 2012-11-06 2015-07-08 皇家飞利浦有限公司 血流储备分数(ffr)指标

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5178153A (en) 1984-03-08 1993-01-12 Einzig Robert E Fluid flow sensing apparatus for in vivo and industrial applications employing novel differential optical fiber pressure sensors
US5113868A (en) 1987-06-01 1992-05-19 The Regents Of The University Of Michigan Ultraminiature pressure sensor with addressable read-out circuit
WO1996007351A1 (en) 1994-09-02 1996-03-14 Cardiometrics, Inc. Ultra miniature pressure sensor and guidewire using the same and method
JP3737554B2 (ja) 1996-01-09 2006-01-18 株式会社東海理化電機製作所 センサ機能を備えたカテーテル
US6193669B1 (en) * 1998-12-11 2001-02-27 Florence Medical Ltd. System and method for detecting, localizing, and characterizing occlusions, stent positioning, dissections and aneurysms in a vessel
DE102004009871A1 (de) 2004-02-26 2005-09-15 Deutsches Herzzentrum Berlin Verfahren zur Bestimmung hämodynamischer Parameter
BRPI0918563B8 (pt) * 2008-09-11 2021-06-22 Acist Medical Sys Inc dispositivo distribuidor de sensor fisiológico e método
NZ592387A (en) * 2008-09-22 2014-01-31 Dtherapeutics Llc Devices, systems, and methods for determining fractional flow reserve
US9259161B2 (en) * 2011-05-11 2016-02-16 Acist Medical Systems, Inc. Intravascular sensing method and system
US20140094697A1 (en) * 2011-05-27 2014-04-03 Lightlab Imaging, Inc. Optical coherence tomography and pressure based systems and methods
US10888232B2 (en) 2011-08-20 2021-01-12 Philips Image Guided Therapy Corporation Devices, systems, and methods for assessing a vessel
US9339348B2 (en) 2011-08-20 2016-05-17 Imperial Colege of Science, Technology and Medicine Devices, systems, and methods for assessing a vessel
US10226189B2 (en) * 2013-07-19 2019-03-12 Volcano Corporation Devices, systems, and methods for assessment of vessels
WO2015013134A2 (en) * 2013-07-19 2015-01-29 Volcano Corporation Devices. systems. and methods for assessing a vessel with automated drift correction
ES2730752T3 (es) * 2014-08-27 2019-11-12 St Jude Medical Systems Ab Sistema para evaluar un sistema cardíaco determinando la ratio Pd/Pa (presión distal/presión arterial) mínima

Patent Citations (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001013779A2 (en) * 1999-08-25 2001-03-01 Florence Medical Ltd. A method and system for stenosis identification, localization and characterization using pressure measurements
RU2382909C2 (ru) * 2008-05-15 2010-02-27 Открытое акционерное общество "Научно-производственное объединение "Сатурн" Способ диагностики помпажа компрессора
CN102387743A (zh) * 2009-02-09 2012-03-21 爱德华兹生命科学公司 计算心血管参数
CN102413760A (zh) * 2009-03-20 2012-04-11 爱德华兹生命科学公司 监控外周退耦
WO2012032553A1 (en) * 2010-09-06 2012-03-15 Salvatore Romano Automatic method for measuring and processing blood pressure
CN103796577A (zh) * 2011-01-06 2014-05-14 麦德索维有限公司 评估流体填充管中的断面收缩的设备和方法
CN103596493A (zh) * 2011-04-14 2014-02-19 皇家飞利浦有限公司 压力测量设备和方法
JP2014528774A (ja) * 2011-08-20 2014-10-30 ヴォルカノ コーポレイションＶｏｌｃａｎｏ Ｃｏｒｐｏｒａｔｉｏｎ 脈管を視覚的に描写し、処置オプションを評価するための装置、システム及び方法
WO2013109815A1 (en) * 2012-01-19 2013-07-25 Volcano Corporation Interface devices, systems, and methods for use with intravascular pressure monitoring devices
CN104254290A (zh) * 2012-01-20 2014-12-31 伊奥吉恩公司 医疗装置和方法
CN104321009A (zh) * 2012-05-14 2015-01-28 皇家飞利浦有限公司 针对血管狭窄的血流储备分数(ffr)值的确定
CN104519791A (zh) * 2012-08-06 2015-04-15 慧灵医疗有限公司 压力传感器导管和相关联的方法
WO2014053973A3 (en) * 2012-10-05 2014-07-10 Koninklijke Philips N.V. Medical imaging system and method for providing an enhanced x-ray image
CN104717924A (zh) * 2012-10-05 2015-06-17 皇家飞利浦有限公司 用于提供增强的x射线图像的医学成像系统及方法
CN104736046A (zh) * 2012-10-19 2015-06-24 哈特弗罗公司 用于数字评估脉管系统的系统和方法
CN104768465A (zh) * 2012-11-06 2015-07-08 皇家飞利浦有限公司 血流储备分数(ffr)指标
WO2014151830A1 (en) * 2013-03-15 2014-09-25 Volcano Corporation Interface devices, systems, and methods for use with intravascular pressure monitoring devices

Also Published As

Publication number Publication date
US20180228387A1 (en) 2018-08-16
JP2021180860A (ja) 2021-11-25
EP4509039A2 (en) 2025-02-19
JP6917976B2 (ja) 2021-08-11
US10849512B2 (en) 2020-12-01
US20210052174A1 (en) 2021-02-25
EP3324836B1 (en) 2024-09-11
EP3324836A1 (en) 2018-05-30
WO2017013020A1 (en) 2017-01-26
US11672433B2 (en) 2023-06-13
US20230320601A1 (en) 2023-10-12
JP7239644B2 (ja) 2023-03-14
CN107920764A (zh) 2018-04-17
EP4509039A3 (en) 2025-04-02
JP2018533381A (ja) 2018-11-15
US12245844B2 (en) 2025-03-11

Similar Documents

Publication Publication Date Title
US12245844B2 (en) Devices, systems, and methods for assessing a vessel
JP6466436B2 (ja) 自動ドリフト補正を備えた、導管を評価するための装置、システム、及び方法
US11950884B2 (en) Devices, systems, and methods for assessing a vessel
US20260060555A1 (en) Devices, systems, and methods and associated display screens for assessment of vessels
US20230320600A1 (en) Devices, systems, and methods for assessment of vessels
CN105636509B (zh) 评估脉管的设备、系统和方法
JP6214561B2 (ja) 脈管内圧力監視装置とともに用いるためのインターフェース装置、システム及び方法
JP6657217B2 (ja) 異常な心拍波形を検出し生理学的測定計算を行う装置、システム及び方法
JP7034986B2 (ja) 血管内の血流を評価するためのシステムおよび方法
JP7671318B2 (ja) 血管の評価
US12582320B2 (en) Assessment of a vessel

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant