公开(公告)号：US08024024B2

公开(公告)日：2011-09-20

申请号：US12163693

申请日：2008-06-27

申请人： Raju R. Viswanathan ,  Walter M. Blume ,  Ilker Tunay ,  Charidimos E. Gasparakis ,  Gareth T. Munger

发明人： Raju R. Viswanathan ,  Walter M. Blume ,  Ilker Tunay ,  Charidimos E. Gasparakis ,  Gareth T. Munger

IPC分类号： A61B5/05 ,  A61B1/00

CPC分类号： A61M25/0105 ,  A61B5/024 ,  A61B5/062 ,  A61B5/0816 ,  A61B18/1492 ,  A61B34/70 ,  A61B34/73 ,  A61B2034/2051 ,  A61B2090/065

摘要： A method of determining the quality of contact between a remotely navigated medical device and a cyclically moving anatomical structure includes measuring movement of the device, and processing the measured movement of the device to determine the contact between the device and the moving anatomical structure.

摘要翻译： 确定远程导航的医疗设备和循环移动的解剖结构之间的接触质量的方法包括测量设​​备的移动，以及处理所测量的设备的移动以确定设备与移动的解剖结构之间的接触。

公开(公告)号：US07761133B2

公开(公告)日：2010-07-20

申请号：US11236772

申请日：2005-09-27

申请人： Raju R. Viswanathan ,  Walter M. Blume

发明人： Raju R. Viswanathan ,  Walter M. Blume

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B5/061 ,  A61B5/062

摘要： A method of navigating a medical device includes determining the location of a medical device at a point in an operating region in a subject's body, the medical device being responsive to at least one control variable to assume a desired configuration includes storing information representative of the at least one control variable being applied to the medical device at the point, and more preferably storing information representative of the at least one control variable and the device length.

摘要翻译： 一种导航医疗设备的方法包括：确定医疗设备在受试者身体的操作区域中的某一点处的位置，所述医疗设备响应于至少一个控制变量来采取所需的配置，包括存储代表在 至少一个控制变量在该点被应用于医疗设备，更优选地存储表示至少一个控制变量和设备长度的信息。

公开(公告)号：US08721655B2

公开(公告)日：2014-05-13

申请号：US10879694

申请日：2004-06-29

申请人： Raju R. Viswanathan ,  Walter M. Blume

发明人： Raju R. Viswanathan ,  Walter M. Blume

IPC分类号： A61F11/00

CPC分类号： A61B6/12 ,  A61B1/00147 ,  A61B6/4441 ,  A61B6/463 ,  A61B6/466 ,  A61B6/5235 ,  A61B17/22 ,  A61B34/20 ,  A61B34/25 ,  A61B34/70 ,  A61B34/73 ,  A61B90/00 ,  A61B90/10 ,  A61B90/36 ,  A61B2017/003 ,  A61B2018/00839 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/733 ,  A61B2090/376 ,  A61B2090/3954 ,  A61M25/0108

摘要： The present invention provides a means for guiding a medical device within the body to approach a target destination. The system and method provide a means for determining a predicted length and orientation, navigating the device to an intermediate point less than the predicted length, determining an error between the projected destination and actual target destination, and successively updating a predicted value of a control variable to yield an orientation within a predetermined distance error before advancing the device the remaining distance to the destination. This provides a physician with the capability of verifying the device will be accurately guided to the target destination without trial and error. A method is also provided for intuitive navigation to targets with limited trial and error based on user-applied device orientation adjustments, where the user chooses the magnitude of the adjustments and the system determines the adjustment direction.

摘要翻译： 本发明提供一种用于引导身体内的医疗装置接近目标目的地的装置。 该系统和方法提供了一种用于确定预测长度和方向的装置，将设备导航到小于预测长度的中间点，确定投影目的地与实际目标目的地之间的误差，并且连续更新控制变量的预测值 以在将设备的剩余距离提前到目的地之前产生在预定距离误差内的取向。 这为医师提供了验证设备将能够被准确地引导到目标目的地的尝试和错误的能力。 还提供了一种方法，用于基于用户应用的设备方向调整，用于直观地导航到具有有限尝试和错误的目标，其中用户选择调整的大小并且系统确定调整方向。

公开(公告)号：US07853306B2

公开(公告)日：2010-12-14

申请号：US11236769

申请日：2005-09-27

申请人： Raju R. Viswanathan ,  Walter M. Blume

发明人： Raju R. Viswanathan ,  Walter M. Blume

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B5/061 ,  A61B5/062

摘要： A method of navigating a medical device includes determining the location of a medical device at a point in an operating region in a subject's body, the medical device being responsive to at least one control variable to assume a desired configuration includes storing information representative of the at least one control variable being applied to the medical device at the point, and more preferably storing information representative of the at least one control variable and the device length.

公开(公告)号：US07769428B2

公开(公告)日：2010-08-03

申请号：US11170764

申请日：2005-06-29

申请人： Raju R. Viswanathan ,  Walter M. Blume

发明人： Raju R. Viswanathan ,  Walter M. Blume

IPC分类号： A61B5/00

CPC分类号： A61B5/06 ,  A61B5/061 ,  A61B5/062

摘要： A method of navigating a medical device includes determining the location of a medical device at a point in an operating region in a subject's body, the medical device being responsive to at least one control variable to assume a desired configuration includes storing information representative of the at least one control variable being applied to the medical device at the point, and more preferably storing information representative of the at least one control variable and the device length.

公开(公告)号：US20080228068A1

公开(公告)日：2008-09-18

申请号：US11685664

申请日：2007-03-13

申请人： Raju R. Viswanathan ,  Walter M. Blume ,  Oren Liav ,  Zafrir Patt ,  Assaf Rubissa

发明人： Raju R. Viswanathan ,  Walter M. Blume ,  Oren Liav ,  Zafrir Patt ,  Assaf Rubissa

IPC分类号： A61B5/00 ,  A61B18/12

CPC分类号： A61B34/73 ,  A61B5/042 ,  A61B18/1492 ,  A61B34/20 ,  A61B34/70 ,  A61B2034/2051 ,  A61B2090/364

摘要： A method for navigating a medical device to an anatomical surface within a subject to perform electro-anatomical mapping using a magnetic navigation system is provided that includes importing a pre-operative image data set of an anatomical surface in the subject's body into a localization system. One or more control parameters are applied to the magnetic navigation system to drive the medical device to one or more points of tissue contact, from the locations of which a geometric anatomical map can be created and registered with the pre-operative anatomical image. The pre-operative anatomical surface image and a representation of the geometric anatomical map are displayed relative to one another, such that a user may select a location on the displayed pre-operative anatomical image to navigate the medical device towards. The localization system provides the location data to the magnetic navigation system to drive the medical device to the desired location, for enabling further electrophysiology mapping or ablation treatment.

摘要翻译： 提供了一种用于将医疗装置导航到对象内的解剖表面以使用磁导航系统执行电解剖映射的方法，其包括将主体内的解剖学表面的术前图像数据集导入到定位系统中。 将一个或多个控制参数应用于磁性导航系统，以将医疗装置驱动到组织接触的一个或多个点，从其位置可以创建几何解剖图并且与手术前解剖图像一起登记。 相对于彼此显示术前解剖学表面图像和几何解剖图的表示，使得用户可以选择所显示的术前解剖图像上的位置来导航医疗装置。 定位系统将位置数据提供给磁性导航系统，以将医疗装置驱动到期望的位置，以实现进一步的电生理学绘图或消融治疗。

公开(公告)号：US20120330089A1

公开(公告)日：2012-12-27

申请号：US13441366

申请日：2012-04-06

申请人： Rogers C. Ritter ,  Jeffrey M. Garibaldi ,  Charles Wolfersberger ,  Francis M. Creighton ,  Peter R. Werp ,  Bevil J. Hogg ,  Walter M. Blume

发明人： Rogers C. Ritter ,  Jeffrey M. Garibaldi ,  Charles Wolfersberger ,  Francis M. Creighton ,  Peter R. Werp ,  Bevil J. Hogg ,  Walter M. Blume

IPC分类号： A61N2/02 ,  A61N2/10

CPC分类号： A61B34/73 ,  A61B6/0457 ,  A61B6/4441 ,  A61B34/70 ,  A61B2034/733

摘要： A system of navigating a magnetic medical device within that part of a patient located within an operating region of the system, the system comprising magnets, and preferably electromagnets, arranged to provide a magnetic field sufficient to navigate the magnetic medical device within the operating region. There are preferably three magnetic coils arranged in mutually perpendicular planes such that their axes intersect in the operating region. The magnetic coils are sized and arranged so that a patient can easily access the operating region to allow virtually any portion of the patient to be positioned within the operating region. The openness of the magnetic system allows access to the operating region by a bi-planer imaging system.

摘要翻译： 一种在位于系统的操作区域内的患者的该部分内导航磁性医疗装置的系统，所述系统包括磁体，优选地电磁体，其被设置成提供足以在操作区域内导航磁性医疗装置的磁场。 优选地，在相互垂直的平面中布置有三个磁性线圈，使得它们的轴线在操作区域相交。 磁性线圈的尺寸和布置使得患者可以容易地进入操作区域，以允许患者的几乎任何部分位于操作区域内。 磁性系统的开放性允许通过双平面成像系统进入操作区域。

公开(公告)号：US20100063385A1

公开(公告)日：2010-03-11

申请号：US12537012

申请日：2009-08-06

申请人： Jeffrey M. Garibaldi ,  Rogers C. Ritter ,  Gerard H. Epplin ,  Walter M. Blume

发明人： Jeffrey M. Garibaldi ,  Rogers C. Ritter ,  Gerard H. Epplin ,  Walter M. Blume

IPC分类号： A61B5/05 ,  A61B1/00

CPC分类号： A61B6/12 ,  A61B1/00158 ,  A61B5/06 ,  A61B5/062 ,  A61B17/12022 ,  A61B17/12113 ,  A61B17/1214 ,  A61B2017/003 ,  A61B2017/00876 ,  A61B2017/1205 ,  A61L24/001 ,  A61L24/02 ,  A61L31/022 ,  A61M25/0127 ,  A61N2/02

摘要： A method of navigating a magnet-tipped distal end of an elongate medical device through the body includes providing an image display of the part of the body through which the medical device is being navigated and using the display to input the desired path of the medical device by identifying points on the desired path on the display. The magnetic field needed to orient the end of the medical device in the direction of the desired path as indicated on the display is then determined. In one embodiment where only points on the desired path are identified, the field direction is the direction indicated by the points on the desired path. In a second embodiment, where points on the current path and the desired path are identified, the desired angle of deflection is determined, and the direction of the magnetic field is set to lead this desired angle of deflection by 90° to over-torque the end of the catheter, and the intensity of the field is determined from a table of experimentally determined field intensities for given angles of deflection.The apparatus for navigating a magnet-tipped medical device through the body in accordance with the invention includes a magnet system for applying a magnetic field to the magnet-tipped distal end of the medical device to orient the distal end of the medical device; a computer for controlling the magnet system to generate a specified magnetic field in the body part; first and second imaging devices connected to the computer, for providing bi-planar images of the body part through which the medical device is being navigated; first and second displays for displaying the images from the image devices; and an input device for inputting points identifying the desired path of the medical device on each of the displays. The computer is programmed to determine the magnetic field necessary to control orient the medical device on the path input on the displays.

摘要翻译： 通过身体导航细长医疗装置的磁铁尖端的远端的方法包括：提供身体部分的图像显示，医疗装置通过该部分导航，并使用显示器输入医疗装置的期望路径 通过识别显示器上所需路径上的点。 然后确定在显示器上指示的朝向期望路径的方向定向医疗装置的端部所需的磁场。 在仅识别期望路径上的点的一个实施例中，场方向是由期望路径上的点指示的方向。 在第二实施例中，在电流路径和期望路径上的点被识别时，确定期望的偏转角，并且将磁场的方向设定为将该期望的偏转角度引导90°以过度扭矩 导管的端部，并且从给定的偏转角度的实验确定的场强度的表确定场的强度。 根据本发明的用于通过身体导航磁头医疗装置的装置包括：磁体系统，用于将磁场施加到医疗装置的磁头顶端，以定向医疗装置的远端; 用于控制磁体系统以在身体部分中产生指定磁场的计算机; 连接到计算机的第一和第二成像装置，用于提供身体部位的双平面图像，医疗装置通过该平面图像进行导航; 用于显示来自图像装置的图像的第一和第二显示器; 以及输入装置，用于输入识别每个显示器上的医疗装置的期望路径的点。 计算机被编程以确定在显示器上的路径输入上控制医疗装置的定向所必需的磁场。

公开(公告)号：US07066924B1

公开(公告)日：2006-06-27

申请号：US09200055

申请日：1998-11-25

申请人： Jeffrey M. Garibaldi ,  Walter M. Blume

发明人： Jeffrey M. Garibaldi ,  Walter M. Blume

IPC分类号： A61M31/00

CPC分类号： A61M25/0127 ,  A61M25/09 ,  A61M2025/09075 ,  A61M2025/09083

摘要： A guide wire combined with a catheter or medical device for moving through a body lumen to a desired position in the body with the aid of an applied magnetic field. The guide wire is provided with a magnet on its distal end that can be oriented or oriented and moved by the application of a magnetic field to the magnet. A catheter or other medical device can be advanced over the guide wire. Once the medical device is in its desired position, the magnet can be withdrawn through the lumen of the catheter. Alternatively, a guide wire with a magnet on its distal end can be docked at the distal end of a catheter or medical device and can be oriented, or oriented and moved by the application of a magnetic field.

摘要翻译： 导丝与导管或医疗装置组合，用于借助于施加的磁场将体腔移动到身体中的期望位置。 引导线在其远端设置有可以通过向磁体施加磁场而定向或定向和移动的磁体。 导管或其他医疗装置可以在导丝上前进。 一旦医疗装置处于其期望的位置，磁体可以通过导管的内腔抽出。 或者，在其远端具有磁体的导丝线可以对接在导管或医疗装置的远端，并且可以通过施加磁场而定向或定向和移动。

公开(公告)号：US06902528B1

公开(公告)日：2005-06-07

申请号：US09292096

申请日：1999-04-14

申请人： Jeffrey M. Garibaldi ,  Walter M. Blume ,  Gerard H. Epplin

发明人： Jeffrey M. Garibaldi ,  Walter M. Blume ,  Gerard H. Epplin

IPC分类号： A61B1/005 ,  A61B1/01 ,  A61B1/00

CPC分类号： A61B1/00158 ,  A61B1/00039 ,  A61B1/0005 ,  A61B1/00071 ,  A61B1/0051 ,  A61B1/01 ,  A61B5/6885

摘要： A magnetically navigable endoscope system includes an endoscope having a proximal end and a distal end, the distal end having a magnetic body; a component which transmits an image, associated with the distal end; a display component for displaying the image; a magnetic field generating apparatus for generating a magnetic field to orient the magnetic body and thus the distal end of the endoscope; and a controller coordinated with the display for controlling the magnetic field generating apparatus to selectively change the magnetic field to change the orientation of the magnetic body and thus the distal end of the endoscope.

摘要翻译： 一种可导磁导管的内窥镜系统，包括：具有近端和远端的内窥镜，前端具有磁性体; 发送与远端相关联的图像的部件; 用于显示图像的显示部件; 磁场产生装置，用于产生磁场以使磁体定向并因此使内窥镜的远端定向; 以及与显示器协调的控制器，用于控制磁场产生装置以选择性地改变磁场以改变磁体的取向并因此改变内窥镜的远端。