CN116437857A - 电解剖标测系统 - Google Patents
电解剖标测系统 Download PDFInfo
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- 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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- 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]
- A61B5/367—Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
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- 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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- A61B5/25—Bioelectric electrodes therefor
- A61B5/271—Arrangements of electrodes with cords, cables or leads, e.g. single leads or patient cord assemblies
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Abstract
本发明公开了一种设备,该设备与电解剖标测系统、细长针组件(具有被配置成能够由电解剖标测系统检测的远侧能量发射器)、能量递送组件(具有被配置成至少部分地接收细长针组件的远侧能量发射器的至少一个传感器,从而使得远侧能量发射器和所述至少一个传感器能够相对于彼此移动)一起使用。该设备包括信号接口组件。该信号接口组件包括信号输入区段,该信号输入区段被配置成能够信号连接到能量递送组件的所述至少一个传感器。信号输出区段被配置成能够信号连接到电解剖标测系统的输入区段。
Description
技术领域
本文档涉及(不限于)如下技术领域:(A)用于电解剖标测系统的信号接口组件(和/或与其相关联的方法);和/或(B)能量递送组件,该能量递送组件具有传感器,该传感器被配置成与电解剖标测系统的信号接口组件的信号输入区段交接(和/或与其相关联的方法);和/或(C)电解剖标测系统、细长针组件、能量递送组件和信号接口组件的协同组合(和/或与其相关联的方法)。
背景技术
已知的医疗装置被配置成便于医疗规程,并且帮助医疗保健提供者诊断和/或治疗患病患者的医疗状况。
发明内容
应当理解,需要(至少部分地)缓解与现有(已知)电解剖标测系统相关联的至少一个问题。在对现有(已知)电解剖标测系统进行大量研究和实验后,对问题及其解决方案的(至少部分地)理解已(至少部分地)确定,并(至少部分地)如下阐明:
电解剖标测是指采集并(经由显示装置)显示与患者的生物特征相关的(由其产生或感测的)电信息(信号)以及生物特征的空间定位(视觉图)(这优选地原位进行)。电解剖标测系统(EAM系统)被配置成提供显示装置,该显示装置被配置成显示(优选地实时或接近实时地原位标测出并指示)患者的生物特征(诸如心脏等)的三维解剖结构。
已知电解剖标测系统可以利用磁性传感器和/或电阻抗传感器来生成解剖图。此外,已知的经导管介入规程用于治疗患者的生物特征(诸如心脏左侧)。例如,这些规程中的一种已知规程是使用消融导管的通过将射频能量选择性地施加(发射)到生物特征(例如,生物壁等)的期望部分的肺静脉隔离(PVI)规程。已知的PVI规程可以利用电解剖标测系统来辅助执行(进行),该电解剖标测系统被配置成使(心脏的)左心房和消融导管两者可视化(优选地,这同时原位完成)。而在可视化(经由电解剖标测系统的显示装置)的情况下,可以(优选地原位)操纵和/或导航医疗装置(其输送消融导管),使得可以将消融导管操纵至患者的期望生物特征(或生物位点);一旦(通过显示装置的识别)定位了期望的生物位点,并且消融导管适当地定位在期望的生物位点附近(或与期望的生物位点接触)(如由显示装置所指示的),则可针对期望的生物位点处的病灶的形成而(经由消融导管)激活射频消融。
可能期望以更少的时间和/或更确定地完成规程,从而至少部分地减少与执行该规程相关联的劳动成本、手术时间等。
可能期望的是,为电解剖标测系统提供医疗护套组件(其可在患者体内操控),该医疗护套组件被配置成通过经由电解剖标测系统的显示装置使医疗装置(诸如医疗护套组件等)能够与消融装置(诸如消融导管等)一起(原位)可视化来改善规程(诸如PVI规程)的过程工作流。
在进行消融规程之前,可能需要房间隔穿刺以进入心脏的左心房。规程的这一部分可能很难通过使用电解剖标测系统的显示装置正确地并且有把握地进行可视化。
可能期望向用户(诸如电生理学家)提供一种设备,该设备被配置成通过电解剖标测系统使射频房间隔穿刺针能够可视化。
可能期望为使用能量穿刺的规程提供一种信号开关组件(电气开关盒),该信号开关组件被配置成从至少一个医疗装置(诸如消融导管和/或医疗护套组件的组合)向电解剖标测系统传送信息(诸如电压测量值等)。
例如,电生理学家可以依赖于超声波诸如心内超声心动图(ICE)和/或经食管超声心动图(TEE)和荧光镜透视检查的结合来执行房间隔穿刺(优选地,原位);不利的是,这些类型的设备的拥有、维护和/或操作可能非常昂贵。
可能期望通过利用电解剖标测系统来执行房间隔穿刺。以此方式,有利的是,用户可以从荧光镜透视检查接收较少(优选地没有)或有限的x射线辐射,这可能是一个优先考虑事项;此外,完全避免使用超声波技术可能会带来巨大的资金成本。
可能期望使用电解剖标测系统提供具有传感器(诸如电极)的可操控的护套组件。应当理解,对于部署在医疗装置上的各种传感器组合可能需要一种装置。
可能期望共享医疗装置(诸如护套组件、能量穿刺装置等)组合的传感器,以经由电解剖标测系统的显示装置使医疗装置可视化。
可能期望基于采集并(经由显示装置)显示与患者的生物特征相关的(由其产生或感测的)电信息(信号)以及生物特征和与至少一个医疗组件诸如导管(或两个或更多个医疗组件)相关联的至少一个传感器(或两个或更多个传感器)的空间定位(视觉图)来提供电解剖标测;这优选地(在规程期间)原位进行。
为了至少部分地缓解与现有技术相关联的至少一个问题,(根据主要方面)提供了一种设备。该设备与电解剖标测系统、细长针组件(具有被配置成能够由电解剖标测系统检测的远侧能量发射器)、能量递送组件(具有被配置成至少部分地接收细长针组件的远侧能量发射器的至少一个传感器,从而使远侧能量发射器和传感器能够相对于彼此移动)一起使用。该设备包括并且不限于包括信号输入区段的信号接口组件。该信号输入区段被配置成能够信号连接到能量递送组件的传感器。信号接口组件还包括信号输出区段,该信号输出区段被配置成能够信号连接到电解剖标测系统的输入区段。电解剖标测系统被配置成经由显示装置显示能量递送组件的传感器以及(细长针组件的)远侧能量发射器的空间定位;这优选地在以下操作之后进行:(A)信号输入区段在使用中被信号连接到能量递送组件的传感器;以及(B)信号输出区段在使用中被信号连接到电解剖标测系统的输入区段。
为了至少部分地缓解与现有技术相关联的至少一个问题,(根据主要方面)提供了一种设备。该设备与电解剖标测系统(包括信号接口组件)一起使用,并且还与细长针组件(具有被配置成能够由电解剖标测系统检测的远侧能量发射器)一起使用。该设备包括但不限于具有至少一个传感器的能量递送组件,该至少一个传感器被配置成至少部分地接收细长针组件的远侧能量发射器,从而使远侧能量发射器和传感器能够相对于彼此移动。该传感器还被配置成与信号接口组件的信号输入区段交接。电解剖标测系统被配置成经由显示装置显示能量递送组件的传感器以及细长针组件的远侧能量发射器的空间定位;这优选地在以下操作之后进行:(A)信号接口组件在使用中被信号连接到能量递送组件的所述至少一个传感器;以及(B)信号接口组件在使用中被信号连接到电解剖标测系统的输入区段。
为了至少部分地减轻与现有技术相关联的至少一个问题,提供(根据主要方面)方法。该方法用于操作电解剖标测系统(具有信号接口组件)、细长针组件(具有被配置成能够由电解剖标测系统检测的远侧能量发射器)、能量递送组件(具有被配置成至少部分地接收细长针组件的远侧能量发射器的至少一个传感器,从而使得远侧能量发射器和传感器能够相对于彼此移动)。该方法包括经由电解剖标测系统的显示装置显示能量递送组件的传感器以及(细长针组件的)远侧能量发射器的空间定位;这优选地在以下操作之后进行:(A)信号输入区段在使用中被信号连接到能量递送组件的传感器;以及(B)信号输出区段在使用中被信号连接到电解剖标测系统的输入区段。
在权利要求书中识别其他方面。在阅读具有附图的非限制性实施方案的以下详细描述后,非限制性实施方案的其他方面和特征现在对于本领域技术人员来说变得显而易见。提供本发明内容是为了以简化的形式介绍将在以下详细描述中进一步描述的概念。本发明内容不旨在识别所公开主题的潜在关键特征或可能的基本特征,并且不旨在描述所公开主题的每个所公开的实施方案或每个实施方式。随着该描述的进行,许多其他新颖的优点、特征和关系将变得显而易见。随后的附图和描述更具体地举例说明示例性实施方案。
附图说明
当结合附图时,通过参考非限制性实施方案的以下详细描述,可以更全面地理解非限制性实施方案,其中:
图1示出了电解剖标测系统的信号接口组件的实施方案的示意图;并且
图2和图3示出了图1的电解剖标测系统的显示装置的实施方案的示意图;并且
图4示出了图1的电解剖标测系统的信号接口组件的实施方案的示意图;并且
图5示出了图4的信号接口组件的构型的实施方案的示意图;并且
图6示出了图1的电解剖标测系统的信号接口组件的实施方案的示意图;并且
图7示出了与图1的电解剖标测系统的信号接口组件一起使用的能量递送组件的实施方案的示意图;并且
图8示出了图1的电解剖标测系统的信号接口组件的实施方案的示意图;并且
图9示出了图6和/或图8的信号接口组件的构型的实施方案的示意图。
附图不一定按比例绘制,并且可以由虚线、图解表示和局部视图示出。在某些情况下,可以省略对于理解实施方案而言不必要的细节(和/或使其他细节难以理解的细节)。在整个附图的若干附图中,对应的附图标记指示对应的部件。若干附图中的元件是为了简单和清楚起见而示出的,并且未必按比例绘制。可以相对于其他元件强调附图中的一些元件的尺寸,以便于理解各种公开的实施方案。另外,通常未描绘在商业上可行的实施方案中有用的常见且众所周知的元件,以提供对本公开的实施方案的较少阻碍的视图。
附图中使用的附图标号列表
能量递送组件201 护套管腔211
医疗护套组件202 连接部212
护套传感器(203A,203B,203C, 能量发生器214
203D) 传感器线216
医疗扩张器组件204 柄部组件500
扩张器传感器205 护套操控调节旋钮502
针组件206 柄部延伸部504
远侧能量发射器208 针柄部506
行进路径209 导线电缆508
线210 延伸电缆510
开关盒512 导线624
标测电缆514 引脚(703A,703B,703C,703D,
护套侧端口管516 705,708)
护套导线电缆518 护套图像802
标测电缆520 扩张器图像804
集线器522 针图像806
导线524 穿刺装置图像808
柄部组件600 第一电线813A
操控调节旋钮602 第二电线815
柄部延伸部604 第一电触点833
针柄部606 第二电触点835
能量电缆608 电气换向器装置836
延伸电缆610 电解剖标测系统900
开关盒组件612 信号接口组件901
能量端口613 显示装置902
传感器信号端口614 插孔905
护套侧端口管616 信号输入区段910
护套线组件618 信号输出区段912
护套延伸电缆619 第一内部跳线1002
标测电缆620 第二内部跳线1004
集线器622
具体实施方式
以下详细描述仅仅是示例性的,并且不旨在限制所描述的实施方案或所描述的实施方案的应用和用途。如所使用的,词语“示例性的”或“说明性的”意指“用作实例、示例或说明”。描述为“示例性的”或“说明性的”的任何实施方式不一定被解释为比其他实施方式更为优选或有利。下文描述的所有实施方式是为了使本领域技术人员能够制造或使用本公开的实施方案而提供的示例性实施方式,并且不旨在限制本公开的范围。本公开的范围由权利要求限定。对于说明书,术语“上”、“下”、“左”、“后”、“右”、“前”、“竖直”、“水平”和其派生词应与附图中取向的示例相关。不旨在由前述技术领域、背景技术、发明内容或以下详细描述中的任何所表达或暗示的理论的约束。还应理解,在附图中示出并且在以下详细描述中描述的装置和过程是在所附权利要求中限定的示例性实施方案(示例)、方面和/或概念。因此,除非另有说明,否则与所公开的实施方案有关的尺寸和其他物理特性不应被认为是限制性的。应理解,短语“至少一个”等同于“一个”。关于附图描述了方面(示例、改变、修改、选项、变型、实施方案和其任何等同物)。应理解,本公开限于权利要求所提供的主题,并且本公开不限于所描绘和描述的特定方面。应当了解,被配置成耦合到物品(即,待连接到物品、与物品相互作用等)的装置的含义的范围应被解释为被配置为直接或间接耦合到物品的装置。因此,除非另外特别说明,否则“被配置成”可以包括“直接或间接”的含义。
图1示出了电解剖标测系统900的信号接口组件901的实施方案的示意图。
参考如图1所示的实施方案,能量递送组件201包括远侧能量发射器208。能量递送组件201被配置成插入到由活体(患者)限定的受限空间中并能够沿该受限空间移动。能量递送组件201的移动将由用户(通过未示出但本领域的技术人员已知并因此未描述的装置诸如操控装置等)控制。能量递送组件201被配置成靠近患者的生物特征操纵和定位远侧能量发射器208。能量递送组件201被配置成沿行进路径209操纵和定位远侧能量发射器208。远侧能量发射器208被配置成在能量递送组件201已靠近患者的生物特征定位远侧能量发射器208之后选择性地发射能量(一旦被激活,用于穿过患者的生物特征形成穿刺)。远侧能量发射器208被配置成一旦被激活以从其发射能量(诸如射频能量等及其任何等同物),则形成穿刺。远侧能量发射器208可包括任何类型的能量发射装置等。
参考如图1所示的实施方案,能量递送组件201包括适于足够性能(介电强度、热性能、绝缘和腐蚀、防水和/或耐热性等)的生物相容性材料特性,以符合工业和/或监管安全标准(或通常适用于医疗用途)。在选择合适的材料时,请参考以下出版物:《医疗装置中的塑料:特性、要求和应用》;第二版;作者:Vinny R.Sastri;精装版ISBN:9781455732012;出版时间:2013年11月21日;出版商:Amsterdam[Pays-Bas]:Elsevier/William Andrew,[2014]。
参考如图1所示的实施方案,能量递送组件201包括(但不限于)细长针组件206、医疗护套组件202和医疗扩张器组件204的协同组合。细长针组件206被配置成接收在医疗扩张器组件204(由其限定)的细长扩张器管腔内并且沿着该细长扩张器管腔。医疗扩张器组件204被配置成(至少部分地)接收在医疗护套组件202的管腔内并沿着该管腔。细长针组件206从远侧能量发射器208延伸。医疗护套组件202具有安装到其上并且沿着位于医疗护套组件202的伸长长度上的预定间隔位置定位的至少一个护套传感器(诸如间隔开的护套传感器203A、203B、203C、203D等)。医疗扩张器组件204具有(优选地)定位在医疗扩张器组件204的远侧端部处的至少一个扩张器传感器(205)。线210电连接到远侧能量发射器208。线210沿着细长针组件206的纵向长度(从其远侧端部到近侧端部)延伸。一组传感器线216电连接到相应的(每个)护套传感器(203A,203B,203C,203D)以及电连接到扩张器传感器205。
参考如图1所示的实施方案,线210沿着能量递送组件201的长度(优选地沿着其内部)在能量递送组件201的近侧端部与远侧端部之间延伸。在能量递送组件201的远侧端部处,线210电连接到远侧能量发射器208。在能量递送组件201的近侧端部处,线210被配置成能够(经由连接部212)电连接到能量发生器214。能量发生器214被配置成选择性地生成并(经由线210和连接部212等)输出传送到远侧能量发射器208的能量(诸如射频能量)。能量发生器214可以包括射频能量发生器等及其任何等同物。
参考如图1所示的实施方案,能量递送组件201和远侧能量发射器208可以例如包括(但不限于)射频穿刺装置,诸如由BAYLIS医疗公司(BAYLIS MEDICAL COMPANY)(总部在加拿大)制造的BAYLIS(商标)POWERWIRE(注册商标)射频导丝。
参考如图1所示的实施方案,电解剖标测系统900可以包括荧光镜透视检查标测系统(如果需要,但是对于一些实施方案可能不是优选的)。电解剖标测系统900优选地包括非荧光镜透视检查标测系统,诸如但不限于:(A)CARTO EP(商标)标测系统(由总部位于美国的BIOSENSE WEBSTER制造);(B)ENSITE PRECISION(商标)心脏标测系统(由总部位于美国的Abbott Laboratories制造);(C)LOCALISA(商标)心内标测系统(由总部位于美国的MEDTRONICS INC.制造);以及(D)RHYTHMIA HDx(商标)标测系统(由总部位于美国的BostonScientific Corp.制造)。
参考如图1所示的实施方案,信号接口组件901被配置成能够(有线和/或无线地、直接或间接地等)电连接到电解剖标测系统900。信号接口组件901可以包括例如引脚盒、具有被配置成接收插头(有线插头)的接收器(插孔)阵列的壳体等及其任何等同物。信号接口组件901可以被配置用于传送任何类型的信号,诸如电磁信号、电信号和/或磁信号等及其任何等同物。信号接口组件901被配置成从能量递送组件201的传感器(203A,203B,203C,203D,205)接收信号。另外,信号接口组件901被配置成(至少部分地)接收来自能量发生器214的信号(其可以是提供给能量递送组件201的远侧能量发射器208的相同或相似的能量信号)。远侧能量发射器208被配置成被激活。护套传感器(203A,203B,203C,203D)和扩张器传感器205(和被激活的远侧能量发射器208)均被配置成能够由电解剖标测系统900(经由信号接口组件901和/或由未示出的并且本领域技术人员已知的其他类型的感测装置,诸如磁性装置和/或电阻抗装置等及其任何等同物)检测。
参考如图1所示的实施方案,显示装置902被配置成电连接到电解剖标测系统900。电解剖标测系统900被配置成在规程期间(原位)将标测信息(视觉表示数据)(在使用中)输出到显示装置902,其中标测信息可以包括(被激活后的)远侧能量发射器208、护套传感器(203A,203B,203C,203D)和扩张器传感器205的相对空间位置。在此布置中,向用户提供(插入患者体内的医疗装置的)附加视觉信息,使得用户可以在规程期间做出改进的(或更好的)过程决策。
参考如图1所示的实施方案,能量递送组件201被配置成能够与电解剖标测系统900一起使用。能量递送组件201和电解剖标测系统900可以用于任何类型的规程,诸如规程中的房间隔穿刺规程部分。能量递送组件201和/或信号接口组件901的技术效果是在规程期间提供插入患者体内的医疗装置(诸如能量递送组件201)的改进(扩展)的可视化。能量递送组件201包括被配置成由电解剖标测系统900检测的传感器;使得电解剖标测系统900可以(基于由信号接口组件901接收的传感器数据)向显示装置902提供视觉图(标测数据)。例如,能量递送组件201可以提供一种工具,该工具用于在经由远侧能量发射器208向组织施加能量之前,确定生物特征(诸如中隔和/或卵圆孔)上的理想位置,对准穿刺角度,并确认与生物壁的接触和/或生物壁的隆起。医生(用户)能够经由显示装置902看到能量递送组件201(使其可视化),优选地其看起来可能像直列式同轴导管,如图2和图3中所示。
参考如图1所示的实施方案,示出了一种设备,该设备与电解剖标测系统900、细长针组件206(具有被配置成能够由电解剖标测系统900检测的远侧能量发射器208)和能量递送组件201(具有被配置成至少部分地接收细长针组件206的远侧能量发射器208的至少一个传感器,使得远侧能量发射器208和该传感器能够相对于彼此移动)一起使用。该设备包括但不限于(包括)信号接口组件901。信号接口组件901包括信号输入区段910,该信号输入区段被配置成能够信号连接到能量递送组件201的传感器。信号接口组件901还包括信号输出区段912,该信号输出区段被配置成能够信号连接到电解剖标测系统900的输入区段。电解剖标测系统900被配置成经由显示装置902显示能量递送组件201的传感器以及细长针组件206的远侧能量发射器208的空间位置;这优选地在以下操作之后进行:(A)信号输入区段910在使用中被信号连接到能量递送组件201的传感器;并且(B)信号输出区段912在使用中被信号连接到电解剖标测系统900的输入区段。
参考如图1所示的实施方案,示出了与(包括信号接口组件901的)电解剖标测系统900一起使用的设备。该设备还与细长针组件206(具有被配置成能够由电解剖标测系统900检测的远侧能量发射器208)一起使用。该设备包括但不限于(包括)能量递送组件201,该能量递送组件具有至少一个传感器,该至少一个传感器被配置成至少部分地接收细长针组件206的远侧能量发射器208(使得远侧能量发射器208和该传感器能够相对于彼此移动)。该传感器还被配置成与信号接口组件901的信号输入区段910交接。电解剖标测系统900被配置成经由显示装置显示能量递送组件201的传感器以及(细长针组件206的)远侧能量发射器208的空间位置;这优选地在以下操作之后进行:(A)信号接口组件901在使用中被信号连接到能量递送组件201的所述至少一个传感器;并且(B)信号接口组件901在使用中被信号连接到电解剖标测系统900的输入区段。
参考如图1所示的实施方案,示出了一种设备,该设备包括但不限于(包括)电解剖标测系统900、细长针组件206、能量递送组件201和信号接口组件901的协同组合。
图2和图3示出了图1的电解剖标测系统900的显示装置902的实施方案的示意图。
参考如图2和图3中所示的实施方案,显示装置902(在使用中)提供可视化图(也称为标测信息)。例如,可视化图指示:(A)(表示)(如图1所示的)医疗护套组件202的护套图像802;(B)(表示)(如图1所示的)医疗扩张器组件204的扩张器图像804;(C)(表示)(图1的)细长针组件206的细长针图像806;和(D)(表示)(图1的)远侧能量发射器208的穿刺装置图像808。
参考如图2所示的实施方案,显示装置902示出了标测信息,其中视觉表示(如图所示)暗示(暗指)表示远侧能量发射器208的图像被示出为相对更靠近表示能量递送组件201的图像的远侧端部部分(缩回到其中)。
参考如图3所示的实施方案,显示装置902示出了标测信息。视觉成像表示(如图所示)暗示(暗指)远侧能量发射器208被定位成相对进一步远离(延伸远离)能量递送组件201的远侧端部部分。远侧能量发射器208可被可视化为能够沿行进路径209或移动方向移动(通过参考穿刺装置图像808的移动)。
图4示出了图1的电解剖标测系统900的信号接口组件901的实施方案的示意图。
参考图4中所示的实施方案,示出了柄部组件500。应当理解,柄部组件500的一些项(或部件)是本领域技术人员已知的(例如,操控装置等),因此,这些项未进行详细描述。
参考如图4所示的实施方案,柄部组件500包括护套操控调节旋钮502、柄部延伸部504、针柄部506和导线电缆508。导线电缆508被配置成将能量传送到远侧能量发射器208(一旦相应地连接到能量发生器214等)。柄部组件500还包括用于导线电缆508的延伸电缆510。柄部组件500还包括开关盒512。开关盒512被配置成(经由导线电缆508等)连接(分割)能量发生器214与(A)远侧能量发射器208之间的信号,以及(经由标测电缆514)连接(分割)该能量发生器与(B)信号接口组件901之间的信号。标测电缆514被配置成将能量发生器214的能量信号传送到信号接口组件901。
参考如图4所示的实施方案,柄部组件500还包括护套侧端口管516。柄部组件500还包括护套导线电缆518。护套导线电缆518被配置成(经由特定或预定导线等)将来自传感器(203A,203B,203C,203D,205)的信号传送到信号接口组件901。护套导线电缆518被配置成电连接到标测电缆520。集线器522从标测电缆520的端部区段延伸。专用导线524从标测电缆520的集线器522延伸。标测电缆520被配置成分成多根导线,该多根导线各自(分别)具有专用引脚(703A,703B,703C,703D,705),也称为插头等。引脚(703A,703B,703C,703D,705)中的每一者被配置成插入信号接口组件901的相应专用插孔(入口、接收器)中。引脚(703A,703B,703C,703D,705)被配置成能够分别电连接到信号接口组件901的专用插孔,并且被配置成(分别)将来自传感器(203A,203B,203C,203D,205)的传感器信号传送到信号接口组件901。引脚708连接到标测电缆514。引脚708被配置成(A)能够电连接到信号接口组件901的专用插孔,并且(B)(分别)将来自能量发生器214的能量信号(至少部分地)传送到信号接口组件901(该能量信号也发送到远侧能量发射器208)。
参考如图4所示的实施方案,能量发生器214被配置成能够经由连接部212和开关盒512等电连接到远侧能量发射器208以及电连接到信号接口组件901。信号接口组件901包括被配置成能够电连接到引脚(703A,703B,703C,703D,705,708)的插孔905的阵列。引脚(703A,703B,703C,703D,705,708)(优选地)被分配到分组中。引脚(703A,703B,703C,703D)被分配给第一引脚组,使得信号接口组件901可将这些信号传送到电解剖标测系统900以表示与能量递送组件201的第一方面相关联的信号(诸如,能量递送组件201的医疗护套组件202的一部分的长度等)。引脚(703A,705)被分配给第二引脚组,使得信号接口组件901可将这些信号传送到电解剖标测系统900以表示与能量递送组件201的第二方面相关联的信号(诸如,医疗护套组件202的远侧末端与医疗扩张器组件204之间的相对分隔距离)。引脚(705,708)被分配给第三引脚组,使得信号接口组件901可将这些信号传送到电解剖标测系统900以表示与能量递送组件201的第三方面相关联的信号(诸如,医疗扩张器组件204的远侧末端与定位在细长针组件206的远侧端部处的远侧能量发射器208之间的相对分隔距离等)。
参考如图4中所示的实施方案,应当理解,信号接口组件901的使用可以包括(在诸如房间隔穿刺规程等规程期间要示出在显示装置902上的)医疗护套组件202、医疗扩张器组件204和细长针组件206的标测可视化;应当理解,优选地,信号接口组件901是一种根据需要替代和/或补充心内回波系统和/或荧光镜透视检查系统的使用的方法。
参考如图4所示的实施方案,信号接口组件901被配置成(在使用中)电传送来自能量递送组件201的各方面的电信号,以使得能够经由电解剖标测系统900的显示装置902使能量递送组件201的至少一个方面(几何视觉方面)可视化。电解剖标测系统900的标测软件被配置成接收和处理这些信号以便生成待显示在显示装置902上的可视化图(例如,如图2和/或图3中所示)。电解剖标测系统900的标测软件(编程)可以被配置成在视觉上标测出能量递送组件201的部件的对准等,其可以(由用户)用于在规程期间在视觉上辅助用户。例如,在不使用信号接口组件901的情况下,能量递送组件201的部件的对准的可视化可能更难以实现(并且容易出现不期望的误差等)。电解剖标测系统900的标测软件可以被配置成计算并且随后经由显示装置902显示能量递送组件201的部件的对准。
图5示出了图4的信号接口组件901的构型的实施方案的示意图。
参考如图5所示的实施方案,示出了图4的信号接口组件901的插孔905的分组的分配。应当理解,可以根据需要实现针对引脚和插孔的配对或分组的其他构型或变型,以便获得并显示能量递送组件201的不同视觉方面(如特定规程可能需要的)。
图6示出了图1的电解剖标测系统900的信号接口组件901的实施方案的示意图。
参考如图6所示的实施方案,示出了柄部组件600,其包括操控调节旋钮602、柄部延伸部604、针柄部606和(用于将能量传送到远侧能量发射器208的)能量电缆608。柄部组件600还包括用于能量电缆608的延伸电缆610等。
参考如图6所示的实施方案,柄部组件600还包括开关盒组件612。开关盒组件612包括能量端口613,该能量端口被配置成(经由延伸电缆610、能量电缆608等)将能量信号从连接部212传送到远侧能量发射器208。
参考如图6所示的实施方案,柄部组件600还包括护套侧端口管616和护套线组件618。护套线组件618提供各自分别电连接到专用传感器(203A,203B,203C,203D,205)的专用线。护套延伸电缆619连接到护套线组件618(以用于延伸护套线组件618等)。
参考如图6中所示的实施方案,开关盒组件612包括传感器信号端口614。传感器信号端口614被配置成(经由护套延伸电缆619)电连接到护套线组件618,电连接到标测电缆620等。一组导线从标测电缆620的集线器622延伸。导线624从集线器622延伸。标测电缆620分成引脚(703A,703B,703C,703D,705,708)。引脚(703A,703B,703C,703D,705,708)被配置成电连接到信号接口组件901的相应插孔,并且被配置成将相应传感器(203A,203B,203C,203D,205)的传感器信号和来自能量发生器214的(待施加到远侧能量发射器208的)能量信号传送到信号接口组件901。
参考如图6所示的实施方案,能量发生器214能够经由连接部212连接到远侧能量发射器208。有利地是,可以通过利用如图6中所示的实施方案来使能量递送组件201的附加物理方面可视化。例如,能量递送组件201(或其部件)的曲率可以更好地(更准确地)可视化。
图7示出了与图1的电解剖标测系统900的信号接口组件901一起使用的能量递送组件201的实施方案的示意图。图7的视图表示(能量递送组件201的)医疗扩张器组件204和医疗护套组件202的一部分的纵向横截面视图。
参考如图7所示的实施方案,医疗护套组件202包括柄部延伸部604。护套管腔211通过柄部延伸部604(或医疗护套组件202)限定。护套传感器203A定位为邻近(靠近)扩张器传感器205。医疗扩张器组件204沿着医疗护套组件202的护套管腔211接收。扩张器传感器205安装到医疗扩张器组件204的远侧部分。护套线组件618从医疗护套组件202的柄部延伸部604离开。护套线组件618提供一束线(导线)以(直接或间接)电连接到信号接口组件901。第一电线813A被配置成传送医疗护套组件202的护套传感器203A的传感器信号。第一电线813A与护套线组件618的特定导线合并(或连接到该导线)。第二电线815被配置成传送医疗扩张器组件204的扩张器传感器205的传感器信号。
参考如图7所示的实施方案,电气换向器装置836被配置成将第二电线815的传感器信号传送到护套线组件618的特定导线。电气换向器装置836(诸如电气换向器环和触点等及其任何等同物)被配置成传递静止元件(诸如柄部延伸部604等)与可移动和/或旋转轴(诸如医疗扩张器组件204等)之间的电信号(和/或功率)。电气换向器装置836(优选地)包括安装到柄部延伸部604的第一电触点833。电气换向器装置836被配置用于(经由电气换向器装置836)将第二电线815连接到护套线组件618的专用导线。电气换向器装置836(优选地)包括安装到医疗扩张器组件204的第二电触点835。第二电触点835(经由第一电触点833)被配置用于第二电线815。第一电触点833和第二电触点835被配置成彼此电接触,同时允许医疗扩张器组件204与医疗护套组件202之间的相对移动。应当理解,在没有电气换向器装置836的情况下,另选实施方案(未示出)提供针对扩张器传感器205添加的单独电缆(线)的布置。
图8示出了图1的电解剖标测系统900的信号接口组件901的实施方案的示意图。
参考如图8所示的实施方案,提供了第一内部跳线1002和第二内部跳线1004。内部跳线(连接部)被配置成将扩张器电极信号从扩张器传感器205传输到护套线组件618(或传输到护套导线电缆518,如图4中所示)。应当理解,另选实施方案(未示出)可以为扩张器传感器205提供单独的电缆等。
参考如图8所示的实施方案,在标测系统上的可视化中,用于耦合能量递送组件201的传感器的另一布置是通过使用(部署在电解剖标测系统900上的)软件。由于(电解剖标测系统900的)标测系统软件被配置成创建(生成)可视化(标测信息),因此该软件可以强制显示可视化图以指示能量递送组件201的元件的经改进的同轴对准,只要该软件被编程为识别能量递送组件201的部件(诸如,扩张器和护套等)并且该部件以特定的物理方式或布置连接。
参考如图8所示的实施方案,应当理解,能量递送组件201(诸如扩张器和护套等)的传感器的分配可以在具有共享传感器的标测系统软件中单独实现,以使用不同直径、颜色等和/或精确对准的连接部对单独的可视化进行建模,使得能量递送组件201的部件可以同轴显示。
参考如图8所示的实施方案,应当理解,(待显示在显示装置902中的)可视化图中的细长针组件206、医疗扩张器组件204和/或医疗护套组件202的可视化信息可以通过用于将电连接部组合在一起的信号接口组件901(中间平台)来实现。
参考如图8所示的实施方案,应当理解,对于沿能量递送组件201对准的专用传感器导线,许多其他构型是可能的。
参考如图8所示的实施方案,应当理解,仅当扩张器锁定到集线器中以便确保导管间电极的间距固定时,扩张器信号可以为可用的。
参考如图8所示的实施方案,应当理解,在导管(能量递送组件201的部件)之间使用多个共享传感器(电极)以针对每个单独的导管模型保持至少三个电极可以捕获曲率和末端矢量的更高精度。
图9示出了图6和/或图8的信号接口组件901的构型的实施方案的示意图。
参考如图9所示的实施方案,示出了引脚与图6或图8的信号接口组件901的插孔905的分组之间的分配。应当理解,可以根据需要实现用于(分配)引脚分组的其他构型。
以下提供了对实施方案的进一步描述,其中任何技术特征(在详细描述、发明内容和权利要求中描述)中的任何一个或多个可以与任何其他一个或多个任何技术特征(在详细描述、发明内容和权利要求中描述)组合。应理解,除非另有说明,否则权利要求部分中的每个权利要求是开放式权利要求。除非另有说明,否则在这些说明书中使用的关系术语应被解释为包括本领域技术人员将认识到的提供等价功能的具体公差。举例来说,术语垂直不一定限于90.0度,并且可以包括本领域技术人员将其理解为为相关部件或元件所描述的目的提供等效功能的其变体。在配置的上下文中,如“约”和“基本上”的术语大体上涉及精确或足够接近相关元件的位置、处置或配置的处置、位置或配置,以保持本公开内的元件的可操作性,该可操作性不会实质上修改本公开。类似地,除非从其上下文具体特别明确,否则数值应被解释为包括本领域技术人员将认识到的具有可忽略的重要性的某些公差,因为它们不会实质上改变本公开的可操作性。应当了解,描述和/或附图标识和描述设备的实施方案(明确地或固有地)。设备可以包括如详细描述中所识别的技术特征的任何合适的组合和/或排列,如可能需要和/或期望的以适合特定的技术目的和/或技术功能。应当了解,在可能和合适的情况下,设备的任何一个或多个技术特征可以与设备的任何其他一个或多个技术特征(以任何组合和/或排列)组合。应当了解,本领域技术人员将知道,即使上面没有明确说明,每个实施方案的技术特征也可以(在可能的情况下)部署在其他实施方案中。应当了解,本领域技术人员将知道,其他选项对于设备的部件的配置可以是可能的,以适应制造要求并且仍然保持在如至少一项或多项权利要求中描述的范围内。此书面说明书提供了包括最佳模式的实施方案,并且还使得本领域技术人员能够制造和使用实施方案。本公开的范围可以由权利要求限定。书面说明书和/或附图可以帮助理解权利要求书的范围。据信本文件中已经提供所公开主题的所有关键方面。应理解,对于本文件而言,词语“包括”等同于词语“包含”,其中两个词用于表示组件、部件、零件等的开放式列表。术语“包含”与术语“包括”、“含有”或“特征在于”同义,是包容的或开放式的,并且不排除附加的、未列举的元件或方法步骤。包含(包括)是“开放的”短语并且允许覆盖采用附加的、未列举的元件的技术。当用于权利要求时,词语“包含”是将权利要求的前序部分与本公开的技术特征分开的过渡动词(过渡术语)。前述内容概述了非限制性实施方案(示例)。对特定非限制性实施方案进行描述(示例)。应理解,非限制性实施方案仅仅作为示例是说明性的。
Claims (20)
1.一种设备,所述设备与电解剖标测系统、细长针组件、能量递送组件一起使用,所述细长针组件具有被配置成能够由所述电解剖标测系统检测的远侧能量发射器,所述能量递送组件具有被配置成至少部分地接收所述细长针组件的所述远侧能量发射器的至少一个传感器,从而使得所述远侧能量发射器和所述至少一个传感器能够相对于彼此移动,所述设备包括:
信号接口组件,所述信号接口组件包括:
信号输入区段,所述信号输入区段被配置成能够信号连接到所述能量递送组件的所述至少一个传感器;和
信号输出区段,所述信号输出区段被配置成能够信号连接到所述电解剖标测系统的输入区段;并且
其中所述电解剖标测系统被配置成经由显示装置显示所述能量递送组件的所述至少一个传感器以及所述细长针组件的所述远侧能量发射器的空间位置,这在以下操作之后进行:
所述信号输入区段在使用中被信号连接到所述能量递送组件的所述至少一个传感器;并且
所述信号输出区段在使用中被信号连接到所述电解剖标测系统的所述输入区段。
2.根据权利要求1所述的设备,其中:
所述能量递送组件包括:
医疗护套组件;和
医疗扩张器组件,所述医疗扩张器组件被配置成与所述医疗护套组件相互作用。
3.根据权利要求1所述的设备,其中:
所述能量递送组件包括:
细长针组件,所述细长针组件从所述远侧能量发射器延伸,其中线电连接到所述远侧能量发射器,并且所述线沿着所述细长针组件的长度延伸。
4.根据权利要求3所述的设备,其中:
所述能量递送组件还包括:
医疗护套组件,所述医疗护套组件被配置成接收所述细长针组件,并且所述医疗护套组件具有至少一个护套传感器。
5.根据权利要求4所述的设备,其中:
所述能量递送组件还包括:
医疗扩张器组件,所述医疗扩张器组件被配置成接收所述医疗护套组件,并且所述医疗扩张器组件具有至少一个扩张器传感器。
6.根据权利要求1所述的设备,其中:
所述信号接口组件被配置成从所述能量递送组件的所述至少一个传感器接收至少一个传感器信号;并且
所述信号接口组件还被配置成将所述至少一个传感器信号至少部分地传送到所述电解剖标测系统。
7.根据权利要求6所述的设备,其中:
所述信号接口组件被配置成接收与所述能量递送组件相关联的能量信号,并且将所述能量信号至少部分地传送到所述电解剖标测系统。
8.根据权利要求1所述的设备,其中:
所述显示装置被配置成电连接到所述电解剖标测系统。
9.根据权利要求8所述的设备,其中:
所述电解剖标测系统被配置成在使用中将标测信息输出到所述显示装置,其中所述标测信息包括被激活后的所述远侧能量发射器和所述能量递送组件的所述至少一个传感器的空间位置。
10.根据权利要求1所述的设备,所述设备还包括:
标测电缆,所述标测电缆被配置成分成多根导线,每根导线具有与所述能量递送组件的至少一个传感器电连接的至少一个专用引脚;并且
所述标测电缆还被配置成与所述信号接口组件交接。
11.根据权利要求10所述的设备,其中:
所述标测电缆包括至少一个引脚,所述至少一个引脚被分配到与待在所述显示装置上示出的所述能量递送组件的方面相关联的分组中。
12.根据权利要求1所述的设备,所述设备还包括:
标测电缆,所述标测电缆被配置成分成多根导线,每根导线具有与所述能量递送组件的至少一个传感器电连接的至少一个专用引脚。
13.根据权利要求12所述的设备,其中:
所述标测电缆还被配置成将来自能量发生器的所述能量信号中的至少一些能量信号传送到所述信号接口组件。
14.根据权利要求13所述的设备,其中:
所述标测电缆还被配置成与所述信号接口组件交接。
15.根据权利要求1所述的设备,其中:
所述信号接口组件被配置成在使用中电传送来自所述能量递送组件的方面的电信号。
16.根据权利要求1所述的设备,其中:
所述信号接口组件被配置成在使用中电传送来自所述能量递送组件的方面的电信号,以使得能够经由所述电解剖标测系统的所述显示装置使所述能量递送组件的各方面可视化。
17.根据权利要求1所述的设备,其中:
所述能量递送组件包括:
电气换向器装置,所述电气换向器装置被配置成传送所述能量递送组件的至少一个传感器的传感器信号。
18.一种设备,所述设备与包括信号接口组件的电解剖标测系统一起使用,并且还与具有被配置成能够由所述电解剖标测系统检测的远侧能量发射器的细长针组件一起使用,所述设备包括:
能量递送组件,所述能量递送组件具有至少一个传感器,所述至少一个传感器被配置成至少部分地接收所述细长针组件的所述远侧能量发射器,使得所述远侧能量发射器和所述至少一个传感器能够相对于彼此移动;并且
所述至少一个传感器还被配置成与所述信号接口组件的信号输入区段交接;并且
所述电解剖标测系统被配置成经由显示装置显示所述能量递送组件的所述至少一个传感器以及所述细长针组件的所述远侧能量发射器的空间位置,这在以下操作之后进行:
所述信号接口组件在使用中被信号连接到所述能量递送组件的所述至少一个传感器;并且
所述信号接口组件在使用中被信号连接到所述电解剖标测系统。
19.一种设备,所述设备包括:
电解剖标测系统;和
细长针组件,所述细长针组件具有被配置成能够由所述电解剖标测系统检测的远侧能量发射器;和
能量递送组件,所述能量递送组件具有至少一个传感器,所述至少一个传感器被配置成至少部分地接收所述细长针组件的所述远侧能量发射器,使得所述远侧能量发射器和所述至少一个传感器能够相对于彼此移动;和
信号接口组件,所述信号接口组件包括:
信号输入区段,所述信号输入区段被配置成能够信号连接到所述能量递送组件的所述至少一个传感器;和
信号输出区段,所述信号输出区段被配置成能够信号连接到所述电解剖标测系统的输入区段;并且
其中所述电解剖标测系统被配置成经由显示装置显示所述能量递送组件的所述至少一个传感器以及所述细长针组件的所述远侧能量发射器的空间位置,这在以下操作之后进行:
所述信号输入区段在使用中被信号连接到所述能量递送组件的所述至少一个传感器;并且
所述信号输出区段在使用中被信号连接到所述电解剖标测系统的所述输入区段。
20.一种操作电解剖标测系统、细长针组件、能量递送组件的方法,所述电解剖标测系统具有信号接口组件,所述细长针组件具有被配置成能够由所述电解剖标测系统检测的远侧能量发射器,所述能量递送组件具有被配置成至少部分地接收所述细长针组件的所述远侧能量发射器的至少一个传感器,从而使得所述远侧能量发射器和所述至少一个传感器能够相对于彼此移动,所述方法包括:
经由所述电解剖标测系统的所述显示装置显示所述能量递送组件的所述至少一个传感器以及所述细长针组件的所述远侧能量发射器的空间位置,这在以下操作之后进行:
所述信号接口组件在使用中被信号连接到所述能量递送组件的所述至少一个传感器;并且
所述信号接口组件在使用中被信号连接到所述电解剖标测系统。
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US202063040052P | 2020-06-17 | 2020-06-17 | |
US63/040,052 | 2020-06-17 | ||
PCT/IB2021/054590 WO2021255556A1 (en) | 2020-06-17 | 2021-05-26 | Electroanatomical mapping system |
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JP2023521165A (ja) | 2023-05-23 |
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