JP2019521730A - 血管内圧及び壁厚の測定値に基づいて腎除神経術のために患者の階層化を行うデバイス及び方法 - Google Patents

血管内圧及び壁厚の測定値に基づいて腎除神経術のために患者の階層化を行うデバイス及び方法 Download PDF

Info

Publication number
JP2019521730A
JP2019521730A JP2018560139A JP2018560139A JP2019521730A JP 2019521730 A JP2019521730 A JP 2019521730A JP 2018560139 A JP2018560139 A JP 2018560139A JP 2018560139 A JP2018560139 A JP 2018560139A JP 2019521730 A JP2019521730 A JP 2019521730A
Authority
JP
Japan
Prior art keywords
blood vessel
pressure
wall thickness
renal
pulse wave
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.)
Pending
Application number
JP2018560139A
Other languages
English (en)
Japanese (ja)
Other versions
JP2019521730A5 (enExample
Inventor
マールテン ペトルス ヨセフ キューネン
マールテン ペトルス ヨセフ キューネン
デル ホルスト アーエン ファン
デル ホルスト アーエン ファン
チャールズ フレデリク シオ
チャールズ フレデリク シオ
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
Priority claimed from EP16176925.2A external-priority patent/EP3263018A1/en
Application filed by Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of JP2019521730A publication Critical patent/JP2019521730A/ja
Publication of JP2019521730A5 publication Critical patent/JP2019521730A5/ja
Pending legal-status Critical Current

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
    • A61B5/02108—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A61B5/02125—Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics of pulse wave propagation time
    • 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
    • A61B5/02—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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by 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
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Physiology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Endoscopes (AREA)
JP2018560139A 2016-05-20 2017-05-09 血管内圧及び壁厚の測定値に基づいて腎除神経術のために患者の階層化を行うデバイス及び方法 Pending JP2019521730A (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
EP16170671 2016-05-20
EP16170671.8 2016-05-20
EP16176925.2 2016-06-29
EP16176925.2A EP3263018A1 (en) 2016-06-29 2016-06-29 Devices and methods for stratification of patients for renal denervation based on intravascular pressure and wall thickness measurements
PCT/EP2017/060973 WO2017198490A1 (en) 2016-05-20 2017-05-09 Devices and methods for stratification of patients for renal denervation based on intravascular pressure and wall thickness measurements

Publications (2)

Publication Number Publication Date
JP2019521730A true JP2019521730A (ja) 2019-08-08
JP2019521730A5 JP2019521730A5 (enExample) 2020-06-18

Family

ID=58779056

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018560139A Pending JP2019521730A (ja) 2016-05-20 2017-05-09 血管内圧及び壁厚の測定値に基づいて腎除神経術のために患者の階層化を行うデバイス及び方法

Country Status (5)

Country Link
US (1) US20190200884A1 (enExample)
EP (1) EP3457912A1 (enExample)
JP (1) JP2019521730A (enExample)
CN (1) CN109152534A (enExample)
WO (1) WO2017198490A1 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108403093B (zh) * 2018-02-27 2021-12-14 京东方科技集团股份有限公司 用于确定血管的位置的装置及其方法
EP3613339A1 (en) 2018-08-21 2020-02-26 Koninklijke Philips N.V. Renal denervation preparation
EP3643222A1 (en) 2018-10-26 2020-04-29 Koninklijke Philips N.V. Device and system for assessing reliability of vessel physiology related measurement
US12020791B2 (en) 2018-10-26 2024-06-25 Koninklijke Philips N.V. Determination of a treatment response index
EP3714780A1 (en) 2019-03-28 2020-09-30 Koninklijke Philips N.V. Pulse wave velocity measurement system
JP7649237B2 (ja) 2018-10-26 2025-03-19 コーニンクレッカ フィリップス エヌ ヴェ 脈波伝播速度測定システム
CN114173665A (zh) * 2019-08-01 2022-03-11 国立大学法人大阪大学 血管壁厚度推测方法、血管壁厚度推测装置及血管壁厚度推测系统
US12310703B2 (en) 2023-06-01 2025-05-27 Endophys Holdings, Llc Vascular assessment using statistical analysis of rapid blood pressure readings

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0417843A (ja) * 1990-05-10 1992-01-22 Olympus Optical Co Ltd 超音波診断装置
JPH06189917A (ja) * 1992-12-25 1994-07-12 Fukuda Denshi Co Ltd 末梢動脈硬化指標測定方法及びその装置
WO1999034724A2 (en) * 1998-01-12 1999-07-15 Florence Medical Ltd. Characterizing blood vessel using multi-point pressure measurements
US20060058653A1 (en) * 2004-08-23 2006-03-16 Scimed Life Systems, Inc. Systems and methods for measuring pulse wave velocity with an intravascular device
JP2015054223A (ja) * 2013-09-13 2015-03-23 旭化成株式会社 血圧情報出力装置、血圧情報出力プログラム、媒体、血圧情報出力方法
JP2015536186A (ja) * 2012-10-29 2015-12-21 アブレイティブ ソリューションズ, インコーポレイテッドAblative Solutions, Inc. 支持構造を備えた脈管周囲組織焼灼カテーテル
JP2015231411A (ja) * 2014-06-09 2015-12-24 国立大学法人東北大学 大動脈血流波形分析に基づく腎機能の評価

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6111645A (en) 1991-04-29 2000-08-29 Massachusetts Institute Of Technology Grating based phase control optical delay line
US5321501A (en) 1991-04-29 1994-06-14 Massachusetts Institute Of Technology Method and apparatus for optical imaging with means for controlling the longitudinal range of the sample
US6134003A (en) 1991-04-29 2000-10-17 Massachusetts Institute Of Technology Method and apparatus for performing optical measurements using a fiber optic imaging guidewire, catheter or endoscope
US6943881B2 (en) 2003-06-04 2005-09-13 Tomophase Corporation Measurements of optical inhomogeneity and other properties in substances using propagation modes of light
EP2278266A3 (en) 2004-11-24 2011-06-29 The General Hospital Corporation Common-Path Interferometer for Endoscopic OCT
WO2006133030A2 (en) 2005-06-06 2006-12-14 Board Of Regents Oct using spectrally resolved bandwidth
EP1948021A4 (en) 2005-10-20 2009-12-02 Univ Texas ROTATING OPTICAL CATHETER TIP FOR OPTICAL COHERENCE TOMOGRAPHY
US8125648B2 (en) 2006-06-05 2012-02-28 Board Of Regents, The University Of Texas System Polarization-sensitive spectral interferometry
US8108030B2 (en) 2006-10-20 2012-01-31 Board Of Regents, The University Of Texas System Method and apparatus to identify vulnerable plaques with thermal wave imaging of heated nanoparticles
WO2008091961A2 (en) 2007-01-23 2008-07-31 Volcano Corporation Optical coherence tomography implementation
WO2009009802A1 (en) 2007-07-12 2009-01-15 Volcano Corporation Oct-ivus catheter for concurrent luminal imaging
EP2191227A4 (en) 2007-08-10 2017-04-19 Board of Regents, The University of Texas System Forward-imaging optical coherence tomography (oct) systems and probe
US7787127B2 (en) 2007-10-15 2010-08-31 Michael Galle System and method to determine chromatic dispersion in short lengths of waveguides using a common path interferometer
US20110112400A1 (en) * 2009-11-06 2011-05-12 Ardian, Inc. High intensity focused ultrasound catheter apparatuses, systems, and methods for renal neuromodulation
CN101889861B (zh) * 2010-07-28 2011-10-26 沈阳恒德医疗器械研发有限公司 心脑血管特性与血流特性分析仪
US11357447B2 (en) 2012-05-31 2022-06-14 Sonivie Ltd. Method and/or apparatus for measuring renal denervation effectiveness
CN105030195A (zh) * 2015-06-02 2015-11-11 牛欣 指感施压与微阵列传感的三部九候多信息获取识别装置

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0417843A (ja) * 1990-05-10 1992-01-22 Olympus Optical Co Ltd 超音波診断装置
JPH06189917A (ja) * 1992-12-25 1994-07-12 Fukuda Denshi Co Ltd 末梢動脈硬化指標測定方法及びその装置
WO1999034724A2 (en) * 1998-01-12 1999-07-15 Florence Medical Ltd. Characterizing blood vessel using multi-point pressure measurements
US20060058653A1 (en) * 2004-08-23 2006-03-16 Scimed Life Systems, Inc. Systems and methods for measuring pulse wave velocity with an intravascular device
JP2015536186A (ja) * 2012-10-29 2015-12-21 アブレイティブ ソリューションズ, インコーポレイテッドAblative Solutions, Inc. 支持構造を備えた脈管周囲組織焼灼カテーテル
JP2015054223A (ja) * 2013-09-13 2015-03-23 旭化成株式会社 血圧情報出力装置、血圧情報出力プログラム、媒体、血圧情報出力方法
JP2015231411A (ja) * 2014-06-09 2015-12-24 国立大学法人東北大学 大動脈血流波形分析に基づく腎機能の評価

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
LURZ P: "AORTIC PULSE WAVE VELOCITY AS A MARKER FOR ARTERIAL STIFFNESS PREDICTS OUTCOME OF RENAL SYMPATHETIC", EUROPEAN HEART JOURNAL, vol. VOL:36, NR:SUPPL. 1, JPN5019004533, August 2015 (2015-08-01), GB, pages 387, ISSN: 0004601066 *

Also Published As

Publication number Publication date
EP3457912A1 (en) 2019-03-27
CN109152534A (zh) 2019-01-04
WO2017198490A1 (en) 2017-11-23
US20190200884A1 (en) 2019-07-04

Similar Documents

Publication Publication Date Title
EP3457928B1 (en) Determining pulse wave velocity using intravascular pressure measurement and external ultrasound imaging, and associated devices, systems, and methods
US20190090856A1 (en) Devices and methods for stratification of patients for renal denervation based on intravascular pressure and cross-sectional lumen measurements
US20190175035A1 (en) Devices and methods for determining pulse wave velocity based on changes in vessel diameter
JP2019521730A (ja) 血管内圧及び壁厚の測定値に基づいて腎除神経術のために患者の階層化を行うデバイス及び方法
US20190290139A1 (en) Apparatus and methods for determining pulse wave velocity using multiple pressure sensors
US9199082B1 (en) Devices and methods for improved placement of implantable medical devices
US20140276137A1 (en) Systems and methods for determining coronary flow reserve
US20230233168A1 (en) Pulse wave velocity determination using co-registration between intravascular data and extraluminal image, and associated systems, devices, and methods
US20230233095A1 (en) Renal vascular resistance using intravascular blood flow and pressure and associated systems, devices, and methods
US20240268694A1 (en) Noninvasive Structural and Valvular Abnormality Detection System based on Flow Aberrations
US20210251504A1 (en) System and method for determining pulse wave velocity of vessels
US20230233251A1 (en) Sympathetic nervous system response to blood flow alterations in renal vasculature for patient stratification in renal denervation
EP3263018A1 (en) Devices and methods for stratification of patients for renal denervation based on intravascular pressure and wall thickness measurements
EP3643244A1 (en) System and method for determining pulse wave velocity of vessels
WO2024110313A1 (en) Method to quantify autonomic nervous system activity and to identify potential responders to autonomic modulation therapy
CN117462078A (zh) 从医学图像测量肾动脉扩张性和/或顺应性

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20200508

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20200508

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20210126

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20210205

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20210928