CN110432975A - A kind of electrophysiologicalcatheter catheter with touch feedback - Google Patents
A kind of electrophysiologicalcatheter catheter with touch feedback Download PDFInfo
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- CN110432975A CN110432975A CN201810416512.4A CN201810416512A CN110432975A CN 110432975 A CN110432975 A CN 110432975A CN 201810416512 A CN201810416512 A CN 201810416512A CN 110432975 A CN110432975 A CN 110432975A
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- electrophysiologicalcatheter catheter
- vibrator
- tube body
- touch feedback
- processing circuit
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
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- 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]
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7455—Details of notification to user or communication with user or patient ; user input means characterised by tactile indication, e.g. vibration or electrical stimulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00714—Temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00898—Alarms or notifications created in response to an abnormal condition
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Abstract
The invention discloses a kind of electrophysiologicalcatheter catheters with touch feedback, including handle and the electrophysiologicalcatheter catheter tube body being mounted on handle;Wherein, there is corresponding sensing device on electrophysiologicalcatheter catheter tube body, there is processing circuit and vibrator in handle.Moreover, processing circuit passes through and judges whether the data that sensing device is monitored reach preset value, or the signal provided by external equipment, vibration is issued to control vibrator, to remind the operator of gripping handle.Therefore, the present invention can directly remind operator by the touch feedback of vibrator, to mitigate the working strength of operator in use when the parameter of monitoring is presented exception or is in alert status.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of electrophysiologicalcatheter catheter with touch feedback.
Background technique
Arrhythmia cordis most common reason is the abnormal road of the electric signal generated in endocardial tissue near atrium or ventricle
Diameter, radio-frequency ablation procedure send RF energy (RF) by ablation catheter and act on the formation damage of lesion point.The meaning of damage is
Abnormal electrical activity path is blocked, to play the purpose for the treatment of arrhythmia cordis.
In clinical application, conduit, which plays, provides RF energy, detection distal temperature, detection remote pressure, the cold salt of perfusion
The functions such as water pressure, detection intracardiac electrophysiology signal, three-dimensional localization.And these signals mainly pass through vision at present and the sense of hearing is anti-
Feed operator, this, which just needs operator in operation, must pay attention to the vision and audio feedback of these signals the moment, avoids out
Existing operation error situation, virtually increases the working strength of operator.
Summary of the invention
It is an object of the invention to: a kind of electrophysiologicalcatheter catheter with touch feedback is provided, when exception is presented in the signal of monitoring
Or when being in alert status, operator is directly reminded by touch feedback, can reduce the working strength of operator.
In order to achieve the above-mentioned object of the invention, the present invention provides following technical schemes:
A kind of electrophysiologicalcatheter catheter with touch feedback comprising handle and the electrophysiologicalcatheter catheter pipe being mounted on the handle
Body;Wherein, have on the electrophysiologicalcatheter catheter tube body for issuing the electrode of RF energy to contact site and for monitoring
The sensing device of contact force between contact site;There is processing circuit and vibrator, moreover, the processing in the handle
Circuit receives the contact force data that the sensing device obtains, and when the contact force data reaches preset value, described in control
Vibrator issues vibration, to remind operator.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the electrophysiologicalcatheter catheter
Also there is the sensing device for monitoring the ablation temperature of electrode institute contact site on tube body;The processing circuit receives institute
The ablation temperature data that sensing device obtains is stated, and when the ablation temperature data reaches preset value, controls the vibrator
Issue vibration.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the electrophysiologicalcatheter catheter
Also there is the channel for conveying perfusion liquid on tube body and the fill orifice of tube body head end is set;The electrophysiologicalcatheter catheter with
When perfusion liquid device is connected, the processing circuit receives the alarm signal of perfusion liquid device, and according to the alarm signal
Triggering, control the vibrator and issue vibration;Wherein, the perfusion liquid device reaches preset value in its injection pressure surveyed
When, generate alarm signal.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the electrophysiologicalcatheter catheter
Also there is the electrode for monitoring the electricity physiological signal of contact portion on tube body;In the electrophysiologicalcatheter catheter and cardiac electrophysiology three
When dimension Mapping System is connected, the processing circuit receives the standby signal of cardiac electrophysiology three-dimensional mapping system, and according to described
The triggering of standby signal controls the vibrator and issues vibration;Wherein, the cardiac electrophysiology three-dimensional mapping system is in monitoring
When electricity physiological signal parameter reaches preset value, standby signal is generated.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the electrophysiologicalcatheter catheter
Also there is the sensing device for monitoring tube body position on tube body;In the electrophysiologicalcatheter catheter and cardiac electrophysiology three-dimensional mapping system
When system is connected, the processing circuit receives the standby signal of cardiac electrophysiology three-dimensional mapping system, and according to the standby signal
Triggering, control the vibrator and issue vibration;Wherein, the cardiac electrophysiology three-dimensional mapping system reaches pre- in tube body position
If when position, generating standby signal.
According to a kind of specific embodiment, when the electrophysiologicalcatheter catheter is connected with heart radiofrequency melting instrument, the place
The standby signal that circuit receives heart radiofrequency melting instrument is managed, and according to the triggering of the standby signal, controls the vibrator hair
It vibrates out;Wherein, the heart radiofrequency melting instrument reaches corresponding preset value in the operating power of the electrode or working time
When, generate standby signal.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the vibrator is inclined
Core motor, linear resonance actuator and piezo actuator one of.
According to a kind of specific embodiment, in electrophysiologicalcatheter catheter of the present invention with touch feedback, the processing circuit packet
Include microprocessor and driving circuit;Wherein, the microprocessor is configured by external equipment, and is configured as contact force vibration
Among dynamic feedback, ablation temperature disturbance feedback, injection pressure vibrational feedback, electricity physiological signal vibrational feedback and tube body position feedback
A kind of operating mode;The microprocessor drives the vibrator to issue vibration by controlling the driving circuit.
Compared with prior art, beneficial effects of the present invention:
Electrophysiologicalcatheter catheter with touch feedback of the invention includes handle and the electrophysiologicalcatheter catheter tube body that is mounted on handle;
Wherein, there is corresponding sensing device on electrophysiologicalcatheter catheter tube body, there is processing circuit and vibrator in handle.Moreover, processing
Circuit, which passes through, judges whether the data that sensing device is monitored reach preset value, or the signal provided by external equipment, comes
It controls vibrator and issues vibration, to remind the operator of gripping handle.Therefore, the present invention can work as monitoring in use
Parameter present abnormal or when being in alert status, operator is directly reminded by the touch feedback of vibrator, to mitigate
The working strength of operator.
Detailed description of the invention:
Fig. 1 is the structural schematic diagram of the electrophysiologicalcatheter catheter of the invention with touch feedback;
Fig. 2 is the inside connection schematic diagram of the electrophysiologicalcatheter catheter of the invention with touch feedback.
Marked in the figure: 1- handle, 101- processing circuit, 102- vibrator, 2- electrophysiologicalcatheter catheter tube body, 201- electrode,
202- pressure sensor, 203- fill orifice, 204- temperature sensor, 3- connector.
Specific embodiment
Below with reference to test example and specific embodiment, the present invention is described in further detail.But this should not be understood
It is all that this is belonged to based on the technology that the content of present invention is realized for the scope of the above subject matter of the present invention is limited to the following embodiments
The range of invention.
The structural schematic diagram of the electrophysiologicalcatheter catheter of the invention with touch feedback as shown in connection with fig. 1;Wherein, band touching of the present invention
Feel the electrophysiologicalcatheter catheter of feedback comprising handle 1 and the electrophysiologicalcatheter catheter tube body 2 being mounted on the handle 1.
Wherein, on the electrophysiologicalcatheter catheter tube body 2 have for contact site issue RF energy electrode 201 and
Pressure sensor 202 for the contact force between detection and contact site.There is processing circuit 101 and vibration in the handle 1
Dynamic device 102.Moreover, processing circuit 101 is connect with pressure sensor 202, and receive the contact force that pressure sensor 202 monitors
Data.Processing circuit 101 reaches by judging whether received contact force data reaches preset value, and in contact force data
When preset value, control vibrator 102 issues vibration, to remind operator.
Moreover, the tail end of handle 1 also has connector 3, which has on connection electrophysiologicalcatheter catheter tube body 2 and has
Electrode and sensing device and external equipment function, while when needing that liquid is perfused, which also has connection perfusion
The function of the pipeline of liquid.
In specific application, need to monitor the temperature of ablation site during electrode ablation.Therefore, raw in the electricity
Manage temperature sensor 204 of the setting for the ablation temperature of 201 contacts site of detecting electrode on catheter tube 2.Moreover, processing
Circuit 101 is connect with temperature sensor 204, and receives the ablation temperature data that temperature sensor 204 monitors.Processing circuit
101 by judging whether received ablation temperature data reaches preset value, and when ablation temperature data reaches preset value,
It controls vibrator 102 and issues vibration.
Moreover, in order to guarantee to accurately control electrode ablation process, it is also necessary to when monitoring operating power and the work of electrode
Between.In ablation, electrophysiologicalcatheter catheter of the invention is connected with heart radiofrequency melting instrument, and is connected to and is disappeared by heart radiofrequency melting instrument
Melt electrode and RF energy is provided, meanwhile, the operating power of heart radiofrequency melting instrument real-time monitoring ablating electrode or working time, and
When operating power or working time reach its corresponding preset value, standby signal is generated.Moreover, processing circuit 101 by with
Heart radiofrequency melting instrument connection, and the standby signal of heart radiofrequency melting instrument is received, processing circuit 101 is according to the standby signal
Triggering, control vibrator 102 issue vibration.
In specific application, it needs that liquid is perfused to ablation site during electrode ablation, while needing to monitor filling
The pressure of fluid injection body and whether there is the generation of the case where fill orifice congestion.Therefore, it is arranged on electrophysiologicalcatheter catheter tube body 2 and is used for
The channel of conveying perfusion liquid and the fill orifice 203 that tube body head end is set.In ablation, electrophysiologicalcatheter catheter of the invention and filling
Dispensing device (charge pump) is connected, and the perfusion pipeline of device for casting on connector 3 and electrophysiologicalcatheter catheter tube body 2 for conveying by filling
The channel of fluid injection body is connected to, and liquid is perfused in the pipeline into electrophysiologicalcatheter catheter tube body 2, and liquid is then perfused and passes through tube body
The fill orifice 203 of front end reaches ablation site.Meanwhile injection pressure when its work of device for casting real-time monitoring, and be perfused
When pressure reaches preset value, alarm signal is generated.Moreover, processing circuit 101 is with device for casting by connecting, and receive perfusion dress
The alarm signal set, according to the triggering of the alarm signal, control vibrator 102 issues to be vibrated processing circuit 101.
In specific application, the electricity physiological signal generated in for the endocardial tissue near atrium or ventricle it is different
Normal path and electrophysiologicalcatheter catheter pipe when causing the situation of arrhythmia cordis, in electrophysiologicalcatheter catheter of the present invention with touch feedback
There can also be the electrode of the electricity physiological signal for monitoring contact portion on body 2.When in use, electrophysiologicalcatheter catheter of the invention
It is connected with cardiac electrophysiology three-dimensional mapping system, moreover, the electro physiology that cardiac electrophysiology three-dimensional mapping system monitors electrode
Signal is handled, and obtains electricity physiological signal parameter, and when electricity physiological signal parameter reaches preset value, generates prompt letter
Number.Moreover, processing circuit 101 is connect with cardiac electrophysiology three-dimensional mapping system, and receive cardiac electrophysiology three-dimensional mapping system
Standby signal, processing circuit 101 issues vibration according to the triggering of the standby signal, control vibrator 102.
In specific application, in electrophysiologicalcatheter catheter of the present invention with touch feedback, on the electrophysiologicalcatheter catheter tube body also
With the position sensor for detection pipe body position.When in use, electrophysiologicalcatheter catheter of the invention and cardiac electrophysiology are three-dimensional
Mapping System is connected, moreover, the position signal that cardiac electrophysiology three-dimensional mapping system monitors position sensor is handled,
Corresponding position data is obtained, and when position data shows that tube body position reaches predeterminated position, generates standby signal.And
And processing circuit 101 is connect with cardiac electrophysiology three-dimensional mapping system, and receives the prompt of cardiac electrophysiology three-dimensional mapping system
Signal, according to the triggering of the standby signal, control vibrator 102 issues to be vibrated processing circuit 101.
In electrophysiologicalcatheter catheter of the present invention with touch feedback, the vibrator used is eccentric motor, linear resonance actuator
With piezo actuator one of.
The inside connection schematic diagram of the electrophysiologicalcatheter catheter of the invention with touch feedback as shown in connection with fig. 2;Wherein, of the invention
In electrophysiologicalcatheter catheter with touch feedback, processing circuit includes microprocessor and driving circuit.Wherein, microprocessor can pass through
External equipment cardiac electrophysiology three-dimensional mapping system is configured, and according to the demand of practical application, microprocessor is by cardiac electric
Physiology three-dimensional mapping system configuration is contact force vibrational feedback, ablation temperature disturbance feedback, injection pressure vibrational feedback, electro physiology
Signal vibrational feedback and tube body position feedback one of operating mode.
Wherein, contact force vibrational feedback operating mode refers to microprocessor and controls according to the contact force monitored driving electricity
Road drives vibrator to issue vibration.Ablation temperature disturbance feedback working mode refers to microprocessor according to the ablation temperature monitored
Vibration is issued to control driving circuit driving vibrator.Injection pressure vibrational feedback operating mode refers to microprocessor according to perfusion
The signal of characterization injection pressure state caused by device issues vibration to control driving circuit driving vibrator.Electro physiology letter
Number vibrational feedback operating mode refers to that microprocessor characterization electro physiology according to caused by cardiac electrophysiology three-dimensional mapping system is believed
The signal of number parameter state issues vibration to control driving circuit driving vibrator.Tube body position feedback operating mode refers to micro-
The signal of processor characterization tube body position according to caused by cardiac electrophysiology three-dimensional mapping system, to control driving circuit driving
Vibrator issues vibration.
In practical application, electrophysiologicalcatheter catheter of the present invention with touch feedback and cardiac electrophysiology three-dimensional mapping system connect
It connects, constitutes an electro physiology medical apparatus system, which can be realized touch feedback prompt tube body position and monitor electric life
Manage the configuration feature of signal and relevant work mode.
And electrophysiologicalcatheter catheter of the present invention with touch feedback is connect with cardiac electrophysiology three-dimensional mapping system, constitutes another
Electro physiology medical apparatus system, the system can be realized the operating power and work of touch feedback prompt perfusion fluid pressure, electrode
Make the function of time.
Claims (10)
1. a kind of electrophysiologicalcatheter catheter with touch feedback, which is characterized in that raw including handle and the electricity being mounted on the handle
Manage catheter tube;Wherein, on the electrophysiologicalcatheter catheter tube body have for contact site issue RF energy electrode and
Sensing device for the contact force between monitoring and contact site;There is processing circuit and vibrator in the handle, moreover,
The processing circuit receives the contact force data that the sensing device obtains, and when the contact force data reaches preset value,
It controls the vibrator and issues vibration, to remind operator.
2. as described in claim 1 with the electrophysiologicalcatheter catheter of touch feedback, which is characterized in that on the electrophysiologicalcatheter catheter tube body
Also there is the sensing device for monitoring the ablation temperature of electrode institute contact site;The processing circuit receives the sensing
The ablation temperature data that device obtains, and when the ablation temperature data reaches preset value, it controls the vibrator and issues vibration
It is dynamic.
3. as described in claim 1 with the electrophysiologicalcatheter catheter of touch feedback, which is characterized in that on the electrophysiologicalcatheter catheter tube body
Also there is the channel for conveying perfusion liquid and the fill orifice of tube body head end is set;In the electrophysiologicalcatheter catheter and perfusion liquid
When body device is connected, the processing circuit receives the alarm signal of perfusion liquid device, and according to the triggering of the alarm signal,
It controls the vibrator and issues vibration;Wherein, the perfusion liquid device is generated when its injection pressure surveyed reaches preset value
Alarm signal.
4. as described in claim 1 with the electrophysiologicalcatheter catheter of touch feedback, which is characterized in that on the electrophysiologicalcatheter catheter tube body
Also there is the electrode for monitoring the electricity physiological signal of contact portion;In the electrophysiologicalcatheter catheter and cardiac electrophysiology three-dimensional mapping
When system is connected, the processing circuit receives the standby signal of cardiac electrophysiology three-dimensional mapping system, and is believed according to the prompt
Number triggering, control the vibrator and issue vibration;Wherein, electro physiology of the cardiac electrophysiology three-dimensional mapping system in monitoring
When signal parameter reaches preset value, standby signal is generated.
5. as described in claim 1 with the electrophysiologicalcatheter catheter of touch feedback, which is characterized in that on the electrophysiologicalcatheter catheter tube body
Also there is the sensing device for monitoring tube body position;It is connected in the electrophysiologicalcatheter catheter with cardiac electrophysiology three-dimensional mapping system
When, the processing circuit receives the standby signal of cardiac electrophysiology three-dimensional mapping system, and according to the triggering of the standby signal,
It controls the vibrator and issues vibration;Wherein, the cardiac electrophysiology three-dimensional mapping system reaches predeterminated position in tube body position
When, generate standby signal.
6. as described in claim 1 with the electrophysiologicalcatheter catheter of touch feedback, which is characterized in that in the electrophysiologicalcatheter catheter and the heart
When dirty radiofrequency melting instrument is connected, the processing circuit receives the standby signal of heart radiofrequency melting instrument, and is believed according to the prompt
Number triggering, control the vibrator and issue vibration;Wherein, the heart radiofrequency melting instrument the electrode operating power or
When working time reaches corresponding preset value, standby signal is generated.
7. the electrophysiologicalcatheter catheter with touch feedback as described in one of claim 1~6, which is characterized in that the vibrator is
Eccentric motor, linear resonance actuator and piezo actuator any one of.
8. the electrophysiologicalcatheter catheter with touch feedback as described in one of claim 1~6, which is characterized in that the processing circuit
Including microprocessor and driving circuit;Wherein, the microprocessor is configured by external equipment, and is configured as contact force
Vibrational feedback, ablation temperature disturbance feedback, injection pressure vibrational feedback, electricity physiological signal vibrational feedback and tube body position feedback it
In any operating mode;The microprocessor drives the vibrator to issue vibration by controlling the driving circuit.
9. a kind of electro physiology Medical Devices, which is characterized in that including cardiac electrophysiology three-dimensional mapping system and with the cardiac electric
The electrophysiologicalcatheter catheter with touch feedback as described in one of claim 1~8 that physiology three-dimensional mapping system is connected.
10. a kind of electro physiology Medical Devices, which is characterized in that including heart radiofrequency melting instrument and with the heart radiofrequency melting instrument
The electrophysiologicalcatheter catheter with touch feedback as described in one of claim 1~8 being connected.
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CN201810416512.4A CN110432975A (en) | 2018-05-03 | 2018-05-03 | A kind of electrophysiologicalcatheter catheter with touch feedback |
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CN201810416512.4A CN110432975A (en) | 2018-05-03 | 2018-05-03 | A kind of electrophysiologicalcatheter catheter with touch feedback |
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Application publication date: 20191112 |