JP7171558B2 - 心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法 - Google Patents

心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法 Download PDF

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JP7171558B2
JP7171558B2 JP2019522487A JP2019522487A JP7171558B2 JP 7171558 B2 JP7171558 B2 JP 7171558B2 JP 2019522487 A JP2019522487 A JP 2019522487A JP 2019522487 A JP2019522487 A JP 2019522487A JP 7171558 B2 JP7171558 B2 JP 7171558B2
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instrument
internal volume
electrodes
map
electrical
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JP2019536523A5 (enExample
JP2019536523A (ja
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フランソワ ガイ ジェラルド マリエ ヴィニョン
アーミート クマー ジャイン
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Koninklijke Philips NV
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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
    • A61B5/0033—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
    • 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
    • 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

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  • 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)
JP2019522487A 2016-11-08 2017-11-03 心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法 Active JP7171558B2 (ja)

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Application Number Priority Date Filing Date Title
JP2022176117A JP2023015189A (ja) 2016-11-08 2022-11-02 心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法

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

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JP2022176117A Division JP2023015189A (ja) 2016-11-08 2022-11-02 心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法

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JP2019536523A JP2019536523A (ja) 2019-12-19
JP2019536523A5 JP2019536523A5 (enExample) 2020-12-10
JP7171558B2 true JP7171558B2 (ja) 2022-11-15

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JP2022176117A Pending JP2023015189A (ja) 2016-11-08 2022-11-02 心臓における心臓電気生理学信号のリアルタイム作成のためのシステム及び方法

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

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015148470A1 (en) 2014-03-25 2015-10-01 Acutus Medical, Inc. Cardiac analysis user interface system and method
WO2018087016A1 (en) * 2016-11-08 2018-05-17 Koninklijke Philips N.V. System and method for real-time creation of cardiac electro-physiology signals in the heart
US20210068694A1 (en) * 2018-01-21 2021-03-11 Acutus Medical, Inc. System for identifying cardiac conduction patterns
CN119679517A (zh) * 2019-12-19 2025-03-25 诺亚医疗集团公司 机器人支气管镜导航的系统和方法
CA3166764A1 (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

Citations (5)

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JP2003260057A (ja) 2002-02-19 2003-09-16 Biosense Inc マッピング装置およびマッピング方法
JP2005529701A (ja) 2002-06-18 2005-10-06 ボストン　サイエンティフィック　リミテッド 撮像装置の撮像パターンのコンピュータで生成した表示
JP2007117746A (ja) 2005-10-28 2007-05-17 Biosense Webster Inc 超音波イメージングデータの電気マッピングとの同期化
JP2014514031A (ja) 2011-03-10 2014-06-19 アクタス メディカル インク 心臓壁の電気双極子密度の幾何学的測定のための装置および方法
JP2015536727A (ja) 2013-01-14 2015-12-24 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． 電気的及び機械的方法に基づく心臓活性化信号の再構成

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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
US20030093067A1 (en) * 2001-11-09 2003-05-15 Scimed Life Systems, Inc. Systems and methods for guiding catheters using registered images
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
US10296707B2 (en) * 2014-04-10 2019-05-21 Siemens Healthcare Gmbh System and method for patient-specific image-based guidance of cardiac arrhythmia therapies
WO2018087016A1 (en) * 2016-11-08 2018-05-17 Koninklijke Philips N.V. System and method for real-time creation of cardiac electro-physiology signals in the heart

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003260057A (ja) 2002-02-19 2003-09-16 Biosense Inc マッピング装置およびマッピング方法
JP2005529701A (ja) 2002-06-18 2005-10-06 ボストン　サイエンティフィック　リミテッド 撮像装置の撮像パターンのコンピュータで生成した表示
JP2007117746A (ja) 2005-10-28 2007-05-17 Biosense Webster Inc 超音波イメージングデータの電気マッピングとの同期化
JP2014514031A (ja) 2011-03-10 2014-06-19 アクタス メディカル インク 心臓壁の電気双極子密度の幾何学的測定のための装置および方法
JP2015536727A (ja) 2013-01-14 2015-12-24 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． 電気的及び機械的方法に基づく心臓活性化信号の再構成

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Publication number Publication date
US20220240780A1 (en) 2022-08-04
EP3537965A1 (en) 2019-09-18
JP2023015189A (ja) 2023-01-31
JP2019536523A (ja) 2019-12-19
US20190313910A1 (en) 2019-10-17
CN109922724A (zh) 2019-06-21
US12016652B2 (en) 2024-06-25
US11266312B2 (en) 2022-03-08
WO2018087016A1 (en) 2018-05-17

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