摘要:
A navigation system (406) comprising: a reference (428, 438) adapted to be disposed on a patient (P); an image capturing device (402) configured to image a patient having a reference (428, 438); a surgical device (424); a tracking system (436; 426, 420, 422) configured to generate location data describing a location of the surgical device relative to the reference; a controller (408) configured to receive the image the location data and to correlate the position of the surgical device with the image; and a display (410) configured to display the image and a virtual image of the surgical device based on the correlated position of the surgical device with the image.
摘要:
An apparatus for mechanically manipulating hollow organs within the body of a subject, or an organ manipulation apparatus, includes a manipulation section. The manipulation section may include a substantially two-dimensional element, which may have a width that exceeds a distance across a portion of the interior of a hollow organ within which the manipulation section is to be positioned. The manipulation section is configured to manipulate at least a portion of a hollow organ from within, which may modify at least one of a shape, orientation, or location of at least part of the hollow organ. Methods for manipulating hollow organs are also disclosed, as are operating techniques, such as left atrial ablation, in which the shapes, orientations, and/or locations of hollow organs are manipulated to move the hollow organs away from the site of the medical procedure, reducing the potential for damage to the hollow organs.
摘要:
A sterile radiation shield drape configured to be disposed about a radiation shield while the radiation shield is hanging from a support at its top end and extending to a free bottom end is provided. The radiation shield drape includes a circumferentially continuous wall having a sterilized outer surface and an inner surface extending between an upper end and a lower end. The inner surface circumferentially bounds a cavity sized for receipt of the radiation shield. The upper end has an everted edge providing at least one pocket extending along the upper end and further includes at least one fastener provided adjacent the upper end. The at least one fastener is configured to releasably fix the circumferentially continuous wall about the radiation shield.
摘要:
The present disclosure is directed to a planning and navigation system 300. The planning system 302,100 includes a memory 104 configured to store a plurality of images and a controller 106 configured to render the plurality of images in three dimensions, automatically segment the plurality of images to demarcate a target area, and automatically determine a treatment plan based on the target area. The navigation system 304,200 includes an ultrasound device 202 having a fiducial pattern 204 that obtains an ultrasound image, a surgical device 206 having a image capture device 206 that captures an image of the fiducial pattern, and a controller 212 that receives the ultrasound image and the fiducial image. The controller determines a position of the surgical device based on the fiducial image. The planning and navigation system also includes a controller 306 that receives data from the planning system and the navigation system and a display 308 configured to display the received information.
摘要:
An electrical lead including a conductor assembly, an electrode, and a thermally sensitive material. The conductor assembly has one or more conductors. The electrode is in electrical communication with one of the conductors and has an outer contact adapted for contacting adjacent body tissue of a patient. The thermally sensitive material is electrically connected between the one conductor and the electrode outer contact, and is configured to exhibit high impedance in the presence of currents considered unsafe to the patient, thereby preventing the unsafe currents from flowing through the thermally sensitive material and through the electrode outer contact potentially causing the adjacent body tissue to increase in temperature to an unsafe level. The unsafe currents cause the thermally sensitive material to increase in temperature, thereby causing the material to transition to a high impedance state.
摘要:
A lead includes a conductor having a distal end and a proximal end and a resonant circuit connected to the conductor. The resonant circuit has a resonance frequency approximately equal to an excitation signal's frequency of a magnetic resonance imaging scanner or a resonance frequency not tuned to an excitation signal's frequency of a magnetic resonance imaging scanner so as to reduce the current flow through a tissue area, thereby reducing tissue damage. The resonant circuit may be included in an adapter that provides an electrical bridge between a lead a medical device such as an electrode, sensor, or signal generator. The resonant circuit may also be included directly in the housing of a medical device.
摘要:
Apparatus and methods are disclosed for reducing the potentially harmful effects of electromagnetic waves on an implantable medical device. In one embodiment of the present invention, an implantable medical system comprising a dual threshold magnetic sensor capable of detecting an elevated magnetic field is disclosed. The sensor can comprise a solid-state sensor capable of detecting a static magnetic field in excess of about 1500 Gauss. The magnetic sensor can be operatively coupled to electronics that are capable of altering the operation of the system upon detection of an elevated magnetic field by the magnetic sensor.
摘要:
Medical devices that are coated with an echogenic material that includes an electrically insulativc base layer and an echogenic layer demonstrate both improved ultrasonic imaging and protection against RF electrical breakdown. The echogenic layer includes a polymeric matrix that (i) defines a plurality of void spaces, (ii) includes glass microsphere particles, or (iii) both defines a plurality of void spaces and includes glass microsphere particles. Medical instruments exhibit enhanced ultrasonic imaging even when viewed along their lengths.