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    METHOD AND APPARATUS FOR ENHANCEMENT OF BRONCHIAL AIRWAYS REPRESENTATIONS USING VASCULAR MORPHOLOGY
    1.
    发明公开
    METHOD AND APPARATUS FOR ENHANCEMENT OF BRONCHIAL AIRWAYS REPRESENTATIONS USING VASCULAR MORPHOLOGY 审中-公开

    公开(公告)号：EP3454293A1

    公开(公告)日：2019-03-13

    申请号：EP18192679.1

    申请日：2018-09-05

    申请人： Biosense Webster (Israel) Ltd.

    发明人： ZOABI, Akram ,  ZRIHEM, Yaniv Ben ,  DEKEL, Zvi

    IPC分类号： G06T5/00 ,  G06T5/50 ,  G06T7/11 ,  G06T7/174 ,  G06T7/187 ,  G06T7/136

    摘要： Methods and apparatus for enhancing bronchial airways representations using vascular morphology. A representation of bronchial airways of a subject and a representation of a corresponding vascular network are obtained and may be stored in a memory. In the bronchial airways representation, termini of airways are identified where portions of the airways are not included in the representation though they are in fact continuous airways in the subject. In the vascular network representation, vessel portions corresponding to unrepresented airway portions between first and second identified airway termini are identified. An enhanced bronchial airways representation is produced that reflects an airway extending between the termini. The enhanced bronchial airways representation can be displayed on a monitor of a medical apparatus to facilitate a bronchoscopic procedure.

    SYSTEM AND METHOD FOR DETECTING ATRIAL FIBRILLATION ROTATIONAL ACTIVITY PATTERN SOURCES
    5.
    发明公开
    SYSTEM AND METHOD FOR DETECTING ATRIAL FIBRILLATION ROTATIONAL ACTIVITY PATTERN SOURCES 审中-公开
    用于检测心房颤动旋转活动模式源的系统和方法

    公开(公告)号：EP3192445A1

    公开(公告)日：2017-07-19

    申请号：EP17151686.7

    申请日：2017-01-16

    申请人： Biosense Webster (Israel) Ltd.

    发明人： ZRIHEM, Yaniv Ben ,  ZEIDAN, Ziyad ,  URMAN, Roy ,  GOLDBERG, Stanislav ,  HAYAM, Gal ,  BAE-TAL, Meir ,  VERMA, Atul ,  AMOS, Yariv Avraham ,  HOUBEN Richard P.M.

    IPC分类号： A61B5/046 ,  A61B5/042 ,  A61B5/00

    CPC分类号： A61B5/6852 ,  A61B5/0402 ,  A61B5/0422 ,  A61B5/044 ,  A61B5/0452 ,  A61B5/04525 ,  A61B5/046 ,  A61B5/6858 ,  A61B5/7278

    摘要： A method of atrial rotational activity pattern (RAP) source detection is provided which includes detecting, via a plurality of sensors, electro-cardiogram (ECG) signals over time, each ECG signal detected via one of the plurality of sensors and indicating electrical activity of a heart. The method also includes determining, for each of the plurality of ECG signals, one or more local activation times (LATs) each indicating a time of activation of a corresponding ECG signal. The method further includes detecting whether one or more RAP source areas of activation in the heart is indicated based on the detected ECG signals and the one or more local LATs. Mapping information of the detected RAP source areas of activation in the heart is also generated for providing one or more maps.

    摘要翻译： 提供了心房旋转活动模式（RAP）源检测的方法，其包括经由多个传感器随时间检测心电图（ECG）信号，每个ECG信号经由多个传感器中的一个检测并且指示 一个心脏。 该方法还包括为多个ECG信号中的每一个确定一个或多个本地激活时间（LAT），每个本地激活时间指示相应ECG信号的激活时间。 该方法还包括基于检测到的ECG信号和一个或多个本地LAT来检测是否指示了心脏中激活的一个或多个RAP源区域。 也生成在心脏中检测到的激活的RAP源区域的映射信息以用于提供一个或多个映射。

    IMPROVEMENT OF REGISTRATION WITH TRAJECTORY INFORMATION WITH SHAPE SENSING
    8.
    发明公开
    IMPROVEMENT OF REGISTRATION WITH TRAJECTORY INFORMATION WITH SHAPE SENSING 审中-公开

    公开(公告)号：EP3417759A1

    公开(公告)日：2018-12-26

    申请号：EP18178714.4

    申请日：2018-06-20

    申请人： Biosense Webster (Israel) Ltd.

    发明人： DEKEL, Zvi ,  ZOABI, Akram ,  ZRIHEM, Yaniv Ben ,  RACHLI, Noam ,  VOLFSON, Helen

    IPC分类号： A61B1/00 ,  A61B1/06 ,  A61B1/267 ,  G06T19/00

    摘要： A method and system for automatic landmark registration and registration using trajectory information and shape sensing during an endoscopic procedure, such as bronchoscopy, are described herein. A segmentation centerline of airways of a lung may be generated based on a pre-operative computed tomography (CT) image of the lung. Landmarks may be automatically detected on the segmentation centerline corresponding to bifurcations in the airways of the lung. A location data point cloud of locations of a catheter through the airways of the lung during navigation may be generated. A bounding volume of the airways of the lung may be generated and a bounding volume centerline may be detected. Landmarks may be detected on the bounding volume centerline for the same bifurcations. Then, the two sets of landmarks may be mapped as part of registration. The trajectory information with shape sensing may be used to provide non-rigid or fine registration.

    MEDICAL TOOL PUNCTURE WARNING METHOD AND APPARATUS
    9.
    发明公开
    MEDICAL TOOL PUNCTURE WARNING METHOD AND APPARATUS 审中-公开

    公开(公告)号：EP3406183A1

    公开(公告)日：2018-11-28

    申请号：EP18173524.2

    申请日：2018-05-22

    申请人： Biosense Webster (Israel) Ltd.

    发明人： DEKEL, Zvi ,  ZOABI, Akram ,  ZRIHEM, Yaniv Ben

    IPC分类号： A61B1/005 ,  A61B1/267 ,  A61B1/00

    CPC分类号： G08B21/182 ,  A61B1/00055 ,  A61B1/0051 ,  A61B1/2676 ,  A61B17/3401

    摘要： A conduit puncture alert method and apparatus are provided for a medical instrument having a flexible conduit through which a medical procedure is performed. In one embodiment, the flexible conduit is inserted into a subject. A highest degree of curvature of the conduit within the subject is sensed. A warning signal is then provided upon a condition that a curvature is sensed that exceeds a predetermined limit reflective of a maximum curvature permissible for a selected tool to be inserted through the conduit while avoiding puncturing of the conduit by the selected tool. For example, the method can be conducted with respect to a bronchoscope during a bronchoscopic procedure where a needle tool is to be used and the warning is given with respect to that tool when a conduit curvature is sensed that exceeds a predetermined limit determined with respect to the needle tool.

    SYSTEM AND METHOD FOR DETERMINING ATRIAL FIBRILLATION REGIONS FOR ABLATION
    10.
    发明公开
    SYSTEM AND METHOD FOR DETERMINING ATRIAL FIBRILLATION REGIONS FOR ABLATION 审中-公开
    用于确定消融的心房颤动区域的系统和方法

    公开(公告)号：EP3192444A1

    公开(公告)日：2017-07-19

    申请号：EP17151634.7

    申请日：2017-01-16

    申请人： Biosense Webster (Israel) Ltd.

    发明人： URMAN, Roy ,  ZEIDAN, Ziyad ,  GOLDBERG, Stanislav ,  HAYAM, Gal ,  BAR-TAL, Meir ,  ZRIHEM, Yaniv Ben ,  VERMA, Atul ,  AMOS, Yariv Avraham ,  HOUBEN, Richard P. M.

    IPC分类号： A61B5/046 ,  A61B5/042 ,  A61B5/00

    CPC分类号： A61B5/7485 ,  A61B5/042 ,  A61B5/0422 ,  A61B5/044 ,  A61B5/0456 ,  A61B5/046 ,  A61B5/4836 ,  A61B5/743 ,  A61B18/1492 ,  A61B2018/00357 ,  A61B2018/00577 ,  A61B2018/00839 ,  A61B2018/00904

    摘要： A method of determining target heart ablation regions is provided which includes detecting electro-cardiogram (ECG) signals each indicating an electrical activity of a heart over time and determining, for each of the ECG signals, local activation times (LATs) each indicating a time of electrical activation for an area the heart. The method also includes generating, based on the LATs, electrical activity mapping information for displaying one or more maps representing the electrical activity of the heart and alternatively, or in addition to the electrical activity mapping information, generating spatio-temporal mapping information for one or more maps representing a spatio-temporal manifestation of the conditions indicative of cardiac arrhythmia, such as atrial fibrillation (AF). The method further includes determining a region of interest (ROI) of the heart by identifying the ROI as a region exhibiting conditions indicative of cardiac arrhythmia based on the mapping information.

    摘要翻译： 提供了一种确定目标心脏消融区域的方法，该方法包括检测每个指示心脏随时间的电活动的心电图（ECG）信号并且为每个ECG信号确定每个指示时间的局部激活时间（LAT） 对心脏区域进行电激活。 该方法还包括基于LAT产生用于显示表示心脏的电活动的一个或多个图的电活动映射信息，并且替代地或除了电活动映射信息之外还生成用于一个或多个电极活动的空间 - 时间映射信息 代表心律失常状态（如心房颤动（AF））的时空表现的更多地图。 该方法还包括通过基于映射信息将ROI识别为呈现指示心律失常的状况的区域来确定心脏的感兴趣区域（ROI）。