CN109922724A - 用于心脏中的心脏电生理信号的实时创建的系统和方法 - Google Patents

用于心脏中的心脏电生理信号的实时创建的系统和方法 Download PDF

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Publication number
CN109922724A
CN109922724A CN201780069381.0A CN201780069381A CN109922724A CN 109922724 A CN109922724 A CN 109922724A CN 201780069381 A CN201780069381 A CN 201780069381A CN 109922724 A CN109922724 A CN 109922724A
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CN
China
Prior art keywords
instrument
electrical characteristics
electrode
sensor
image
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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.)
Pending
Application number
CN201780069381.0A
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English (en)
Chinese (zh)
Inventor
F·G·G·M·维尼翁
A·K·贾殷
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Koninklijke Philips NV
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Koninklijke Philips NV
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Publication of CN109922724A publication Critical patent/CN109922724A/zh
Pending legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0033—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room
    • A61B5/004—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room adapted for image acquisition of a particular organ or body part
    • A61B5/0044—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room adapted for image acquisition of a particular organ or body part for the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
    • A61B5/066—Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging
    • 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
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • 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
    • A61B5/6858—Catheters with a distal basket, e.g. expandable basket
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2051—Electromagnetic tracking systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2063—Acoustic tracking systems, e.g. using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364—Correlation of different images or relation of image positions in respect to the body
    • A61B2090/367—Correlation of different images or relation of image positions in respect to the body creating a 3D dataset from 2D images using position information
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0209—Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053
    • 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
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/285—Endotracheal, oesophageal or gastric probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0833—Clinical applications involving detecting or locating foreign bodies or organic structures
    • A61B8/0841—Clinical applications involving detecting or locating foreign bodies or organic structures for locating instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Clinical applications
    • A61B8/0883—Clinical applications for diagnosis of the heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/42—Details of probe positioning or probe attachment to the patient
    • A61B8/4245—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient
    • A61B8/4254—Details of probe positioning or probe attachment to the patient involving determining the position of the probe, e.g. with respect to an external reference frame or to the patient using sensors mounted on the probe

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Human Computer Interaction (AREA)
  • Physiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
CN201780069381.0A 2016-11-08 2017-11-03 用于心脏中的心脏电生理信号的实时创建的系统和方法 Pending CN109922724A (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662418856P 2016-11-08 2016-11-08
US62/418,856 2016-11-08
PCT/EP2017/078255 WO2018087016A1 (en) 2016-11-08 2017-11-03 System and method for real-time creation of cardiac electro-physiology signals in the heart

Publications (1)

Publication Number Publication Date
CN109922724A true CN109922724A (zh) 2019-06-21

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201780069381.0A Pending CN109922724A (zh) 2016-11-08 2017-11-03 用于心脏中的心脏电生理信号的实时创建的系统和方法

Country Status (5)

Country Link
US (2) US11266312B2 (enExample)
EP (1) EP3537965A1 (enExample)
JP (2) JP7171558B2 (enExample)
CN (1) CN109922724A (enExample)
WO (1) WO2018087016A1 (enExample)

Cited By (1)

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Publication number Priority date Publication date Assignee Title
CN115348847A (zh) * 2019-12-19 2022-11-15 诺亚医疗集团公司 机器人支气管镜导航的系统和方法

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US11278231B2 (en) 2014-03-25 2022-03-22 Acutus Medical, Inc. Cardiac analysis user interface system and method
CN109922724A (zh) * 2016-11-08 2019-06-21 皇家飞利浦有限公司 用于心脏中的心脏电生理信号的实时创建的系统和方法
CN111655130B (zh) * 2018-01-21 2023-11-17 阿库图斯医疗有限公司 心脏传导模式识别系统
WO2021130683A1 (en) 2019-12-23 2021-07-01 Alimetry Limited Electrode patch and connection system
EP3967236A1 (en) * 2020-09-10 2022-03-16 Koninklijke Philips N.V. Method of registering ultrasound images to an anatomical map
US20230329678A1 (en) * 2022-04-14 2023-10-19 Biosense Webster (Israel) Ltd. Augmented ultrasonic images
US12263013B2 (en) 2022-12-29 2025-04-01 Biosense Webster (Israel) Ltd. Cage deformation modeling

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US20030013958A1 (en) * 2001-07-10 2003-01-16 Assaf Govari Location sensing with real-time ultrasound imaging
US20030093067A1 (en) * 2001-11-09 2003-05-15 Scimed Life Systems, Inc. Systems and methods for guiding catheters using registered images
US20030231789A1 (en) * 2002-06-18 2003-12-18 Scimed Life Systems, Inc. Computer generated representation of the imaging pattern of an imaging device
US20070106146A1 (en) * 2005-10-28 2007-05-10 Altmann Andres C Synchronization of ultrasound imaging data with electrical mapping
US20140121470A1 (en) * 2011-03-10 2014-05-01 Acutus Medical, Inc. Device and method for the geometric determination of electrical dipole densities on the cardiac wall
US20140200457A1 (en) * 2013-01-14 2014-07-17 Boston Scientific Scimed, Inc. Reconstruction of cardiac activation information based on electrical and mechanical means
US20150294082A1 (en) * 2014-04-10 2015-10-15 Siemens Aktiengesellschaft System and method for patient-specific image-based guidance of cardiac arrhythmia therapies

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US5941251A (en) * 1994-10-11 1999-08-24 Ep Technologies, Inc. Systems for locating and guiding operative elements within interior body regions
US6556695B1 (en) * 1999-02-05 2003-04-29 Mayo Foundation For Medical Education And Research Method for producing high resolution real-time images, of structure and function during medical procedures
US20080009733A1 (en) * 2006-06-27 2008-01-10 Ep Medsystems, Inc. Method for Evaluating Regional Ventricular Function and Incoordinate Ventricular Contraction
US9173638B2 (en) * 2007-06-04 2015-11-03 Biosense Webster, Inc. Cardiac mechanical assessment using ultrasound
CN109922724A (zh) * 2016-11-08 2019-06-21 皇家飞利浦有限公司 用于心脏中的心脏电生理信号的实时创建的系统和方法

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030013958A1 (en) * 2001-07-10 2003-01-16 Assaf Govari Location sensing with real-time ultrasound imaging
US20030093067A1 (en) * 2001-11-09 2003-05-15 Scimed Life Systems, Inc. Systems and methods for guiding catheters using registered images
US20030231789A1 (en) * 2002-06-18 2003-12-18 Scimed Life Systems, Inc. Computer generated representation of the imaging pattern of an imaging device
US20070106146A1 (en) * 2005-10-28 2007-05-10 Altmann Andres C Synchronization of ultrasound imaging data with electrical mapping
US20140121470A1 (en) * 2011-03-10 2014-05-01 Acutus Medical, Inc. Device and method for the geometric determination of electrical dipole densities on the cardiac wall
US20140200457A1 (en) * 2013-01-14 2014-07-17 Boston Scientific Scimed, Inc. Reconstruction of cardiac activation information based on electrical and mechanical means
US20150294082A1 (en) * 2014-04-10 2015-10-15 Siemens Aktiengesellschaft System and method for patient-specific image-based guidance of cardiac arrhythmia therapies

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115348847A (zh) * 2019-12-19 2022-11-15 诺亚医疗集团公司 机器人支气管镜导航的系统和方法

Also Published As

Publication number Publication date
US20190313910A1 (en) 2019-10-17
US12016652B2 (en) 2024-06-25
EP3537965A1 (en) 2019-09-18
US11266312B2 (en) 2022-03-08
JP7171558B2 (ja) 2022-11-15
JP2023015189A (ja) 2023-01-31
WO2018087016A1 (en) 2018-05-17
JP2019536523A (ja) 2019-12-19
US20220240780A1 (en) 2022-08-04

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Application publication date: 20190621