公开(公告)号：US20070049817A1

公开(公告)日：2007-03-01

申请号：US11215435

申请日：2005-08-30

Applicant: Assaf Preiss ,  Yitzhack Schwartz

Inventor： Assaf Preiss ,  Yitzhack Schwartz

IPC: A61B5/05

CPC classification number: A61B5/0422 ,  A61B5/0538 ,  A61B5/06 ,  A61B5/062 ,  A61B5/063 ,  A61B6/12 ,  A61B6/5247 ,  A61B6/541 ,  A61B8/12 ,  A61B8/4488 ,  A61B8/5238 ,  A61B8/543 ,  G06K9/00 ,  G06K2209/05 ,  G06T5/50 ,  G06T7/30 ,  G06T2207/10132 ,  G06T2207/30048

Abstract: Systems and methods are provided for registering maps with images, involving segmentation of three-dimensional images and registration of images with an electro-anatomical map using physiological or functional information in the maps and the images, rather than using only location information. A typical application of the invention involves registration of an electro-anatomical map of the heart with a preacquired or real-time three-dimensional image. Features such as scar tissue in the heart, which typically exhibits lower voltage than healthy tissue in the electro-anatomical map, can be localized and accurately delineated on the three-dimensional image and map.

Abstract translation: 提供了系统和方法，用于使用图像登记地图，涉及使用地图和图像中的生理或功能信息的三维图像的分割和使用电解剖图进行的图像配准，而不是仅使用位置信息。 本发明的典型应用包括将心脏的电解剖图谱与预先获取的或实时的三维图像进行配准。 在电解剖图中通常表现出比健康组织更低电压的心脏中的瘢痕组织的特征可以在三维图像和图上被局部化并准确地描绘。

公开(公告)号：US20070027392A1

公开(公告)日：2007-02-01

申请号：US11194791

申请日：2005-08-01

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B8/14 ,  A61F2/24 ,  A61B8/06

CPC classification number: A61B8/12 ,  A61B5/06 ,  A61B5/7285 ,  A61B6/541 ,  A61B8/445 ,  A61B8/4488 ,  A61B8/543 ,  A61B34/20 ,  A61B90/36 ,  A61B2017/00243 ,  A61B2034/105 ,  A61B2034/2051 ,  A61B2034/2063 ,  A61B2090/378 ,  A61B2090/3784

Abstract: During a minimally invasive deployment of a mitral valvuloplasty device into the coronary sinus near realtime tracking of the device is monitored to determine whether the device is compressing the left circumflex coronary artery or is likely to do so. In one embodiment of the invention, one or more position sensors are included in the catheter that is used to deploy the constricting implant and or in the implant itself. The position of the device is determined during deployment, and compared to the location of the left circumflex coronary artery, which may be determined by mapping relative to a pre-acquired image or by simultaneous intracardiac ultrasound imaging.

Abstract translation: 在将近端实时追踪装置的二尖瓣成形术装置微创部署到冠状窦内进行监测以确定该装置是否正在压缩左回旋支冠状动脉或者很可能这样做。 在本发明的一个实施例中，导管中包括一个或多个位置传感器，其用于部署收缩植入物和/或植入物本身。 在部署期间确定装置的位置，并且与左回旋支冠状动脉的位置进行比较，其可以通过相对于预采集图像的映射或通过同时心内超声成像来确定。

公开(公告)号：US20060161171A1

公开(公告)日：2006-07-20

申请号：US10793061

申请日：2004-03-04

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61F11/00

CPC classification number: A61B5/0031 ,  A61B1/00147 ,  A61B5/0215 ,  A61B5/076 ,  A61B5/6882 ,  A61B2560/0219 ,  A61B2562/0233 ,  A61B2562/046 ,  Y10S128/903

Abstract: A method for implanting a medical device between tissue comprises the steps of providing a catheter having a body and a distal end thereof wherein the catheter includes an implantable device comprising a housing having a proximal end and a distal end and a longitudinal axis. The implantable device further includes a first set of anchoring members operatively connected to the proximal end of the housing and a second set of anchoring members operatively connected to the distal end of the housing. Both sets of anchoring members are movable between a collapsed position and a deployed position. Each set of anchoring members includes ring members connected to a housing of the device. Further steps of the method include inserting the distal end of the catheter into tissue and disposing the medical device at least partially from the distal end of the catheter. The first set of anchoring members are moved from the collapsed position to the deployed position and one side of the tissue is engaged with the tissue engaging surfaces of each ring member of the first set of anchoring member. The medical device is further disposed completely from the distal end of the catheter wherein the second set of anchoring members are moved from the collapsed position to the deployed position and the other side of the tissue is engaged with the tissue engaging surfaces of each ring member of the second set of anchoring members.

公开(公告)号：US06783499B2

公开(公告)日：2004-08-31

申请号：US09877673

申请日：2001-06-08

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B502

CPC classification number: A61B5/6882 ,  A61B1/00147 ,  A61B5/0031 ,  A61B5/0215 ,  A61B5/076 ,  A61B2560/0219 ,  A61B2562/0233 ,  A61B2562/046 ,  Y10S128/903

Abstract: An implantable medical device comprises a housing having a proximal end and a distal end and a longitudinal axis. A first set of anchoring members are operatively connected to the proximal end of the housing. A second set of anchoring members are operatively connected to the distal end of the housing. The first set of anchoring members and the second set of anchoring members are movable between a collapsed position and a deployed position. The collapsed position is defined as a position whereby the first set of anchoring members and the second set of anchoring members are substantially parallel to the longitudinal axis of the housing. The deployed position is defined as a position whereby the first set of anchoring members and the second set of anchoring members are substantially perpendicular to the longitudinal axis of the housing. Each anchoring member of the first set of anchoring members and the second set of anchoring members comprise a ring member wherein each ring member has a tissue engaging surface thereon.

Abstract translation: 可植入医疗装置包括具有近端和远端以及纵向轴线的壳体。 第一组锚定构件可操作地连接到壳体的近端。 第二组锚定构件可操作地连接到壳体的远端。 第一组锚固构件和第二组锚定构件可在折叠位置和展开位置之间移动。 折叠位置被限定为第一组锚定构件和第二组锚定构件基本上平行于壳体的纵向轴线的位置。 所展开的位置被定义为第一组锚定构件和第二组锚定构件基本上垂直于壳体的纵向轴线的位置。 第一组锚固构件的每个锚定构件和第二组锚固构件包括环构件，其中每个环构件在其上具有组织接合表面。

公开(公告)号：US06746404B2

公开(公告)日：2004-06-08

申请号：US09877615

申请日：2001-06-08

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B502

CPC classification number: A61B5/0031 ,  A61B1/00147 ,  A61B5/0215 ,  A61B5/076 ,  A61B5/6882 ,  A61B2560/0219 ,  A61B2562/0233 ,  A61B2562/046 ,  Y10S128/903

Abstract: A method for implanting a medical device between tissue comprises the steps of providing a catheter having a body and a distal end thereof wherein the catheter includes an implantable device comprising a housing having a proximal end and a distal end and a longitudinal axis. The implantable device further includes a first set of anchoring members operatively connected to the proximal end of the housing and a second set of anchoring members operatively connected to the distal end of the housing. Both sets of anchoring members are movable between a collapsed position and a deployed position. Each set of anchoring members includes ring members connected to a housing of the device. Further steps of the method include inserting the distal end of the catheter into tissue and disposing the medical device at least partially from the distal end of the catheter. The first set of anchoring members are moved from the collapsed position to the deployed position and one side of the tissue is engaged with the tissue engaging surfaces of each ring member of the first set of anchoring member. The medical device is further disposed completely from the distal end of the catheter wherein the second set of anchoring members are moved from the collapsed position to the deployed position and the other side of the tissue is engaged with the tissue engaging surfaces of each ring member of the second set of anchoring members.

Abstract translation: 用于在组织之间植入医疗装置的方法包括提供具有主体及其远端的导管的步骤，其中所述导管包括可植入装置，所述可植入装置包括具有近端和远端以及纵向轴线的壳体。 可植入装置还包括可操作地连接到壳体的近端的第一组锚定构件和可操作地连接到壳体的远端的第二组锚定构件。 两组锚定构件可在折叠位置和展开位置之间移动。 每组锚定构件包括连接到装置的壳体的环形构件。 该方法的另外的步骤包括将导管的远端插入组织中并且至少部分地从导管的远端设置医疗装置。 第一组锚固构件从折叠位置移动到展开位置，并且组织的一侧与第一组锚定构件的每个环构件的组织接合表面接合。 医疗装置进一步从导管的远端完全设置，其中第二组锚固构件从折叠位置移动到展开位置，并且组织的另一侧与每个环构件的组织接合表面接合 第二组锚固构件。

公开(公告)号：US12205448B2

公开(公告)日：2025-01-21

申请号：US17988619

申请日：2022-11-16

Applicant: Simon R. Daniel ,  Timothy W. Coleman ,  Yitzhack Schwartz ,  Zubin Rustom Wadia ,  Justyna Zander

Inventor： Simon R. Daniel ,  Timothy W. Coleman ,  Yitzhack Schwartz ,  Zubin Rustom Wadia ,  Justyna Zander

IPC: G08B21/02 ,  G08B25/01 ,  H04L12/18 ,  H04L51/58 ,  H04Q9/00 ,  B64U101/69

Abstract: A disaster response system includes a communication infrastructure including a plurality of sensor assemblies configured to generate data indicative of at least one of environmental conditions, motion, position, chemical detection, and medical information; and wirelessly provide the generated data to the communication infrastructure. The system also includes an incident command infrastructure configured to exchange data with the communication infrastructure; and detect an incident based on the data from the sensor assemblies. The system also includes an unmanned aerial vehicle (UAV) configured to deliver a payload in response to the detected incident.

公开(公告)号：US09861836B2

公开(公告)日：2018-01-09

申请号：US11154367

申请日：2005-06-16

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B18/04 ,  A61N7/02 ,  A61B18/14 ,  A61B34/20 ,  A61B17/22 ,  A61B18/18 ,  A61B18/24 ,  A61B18/00 ,  A61B34/10 ,  A61B90/00

CPC classification number: A61N7/022 ,  A61B17/2202 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/24 ,  A61B34/20 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2034/105 ,  A61B2034/2051 ,  A61B2090/378 ,  A61N7/02

Abstract: Epicardial fat pad ablation is conducted using a catheter inserted through the chest wall, using ultrasound ablation, or using a catheter fitted with a directional ultrasound transducer and capable of being aligned with the epicardium. The epicardial fat pad locations are determined using noninvasive imaging methods, or using electrical maps. These locations are then displayed on maps or images of the heart, and thus targeted for minimally invasive or non invasive therapy. The methods of the present invention are less invasive than conventional methods of ablation, and permit flexible access to substantially any point on the epicardium.

公开(公告)号：US08636519B2

公开(公告)日：2014-01-28

申请号：US12897828

申请日：2010-10-05

Applicant: Yitzhack Schwartz ,  Natan Katz

Inventor： Yitzhack Schwartz ,  Natan Katz

IPC: G09B23/28

CPC classification number: G09B23/285

Abstract: Apparatus, including: a mockup probe, having a distal end and a proximal end adapted to be held by a human operator. The apparatus further includes a mockup patient, simulating an actual patient, the mockup patient having an aperture allowing penetration of the distal end of the mockup probe into the mockup patient. The apparatus includes a force generator, coupled to the mockup probe so as to apply a force to the proximal end that can be felt by the human operator, and a system controller. The controller is configured to: track a location of the distal end during the penetration thereof into the mockup patient, access an indication of a value of contractility of a region of an organ of the actual patient corresponding to the location, and activate the force generator so that the force applied to the proximal end corresponds to the indication.

Abstract translation: 装置，包括：模型探针，其具有适于由人操作者保持的远端和近端。 该装置还包括模拟患者的模拟患者，模拟患者具有允许模型探针的远端穿透到模型患者体内的孔。 该装置包括耦合到模型探针的力发生器，以便向可由人操作者感知的近端施加力，以及系统控制器。 所述控制器被配置为：在所述远端穿过所述模型患者期间跟踪所述远端的位置，访问对应于所述位置的所述实际患者的器官的区域的收缩值的指示，并激活所述力发生器 使得施加到近端的力对应于指示。

公开(公告)号：US20120150021A1

公开(公告)日：2012-06-14

申请号：US12963818

申请日：2010-12-09

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B5/05

CPC classification number: A61B5/0422 ,  A61B5/6885 ,  A61B18/1492 ,  A61B34/20 ,  A61B34/30 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2090/065 ,  A61B2090/067

Abstract: A method for mapping includes receiving electrical inputs measured by a probe at respective locations in a chamber of a heart of a subject. The electrical inputs are processed to identify complex fractionated electrograms. At each of the respective locations, a respective contact quality between the probe and a tissue in the chamber is measured. A map of the complex fractionated electrograms in the chamber is created using the electrical inputs and the measured contact quality.

Abstract translation: 一种用于映射的方法包括：在对象的心脏的腔室的相应位置处接收由探针测量的电输入。 处理电气输入以识别复杂的分级电描记图。 在各个位置的每一个处，测量探针与腔室中的组织之间的相应接触质量。 使用电气输入和测量的接触质量创建腔室中复杂分馏电描记图。

公开(公告)号：US07877128B2

公开(公告)日：2011-01-25

申请号：US11195050

申请日：2005-08-02

Applicant: Yitzhack Schwartz

Inventor： Yitzhack Schwartz

IPC: A61B5/05

CPC classification number: A61B34/20 ,  A61B18/1492 ,  A61B34/10 ,  A61B90/36 ,  A61B2017/00243 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2090/378 ,  A61B2090/3782 ,  G06F19/00 ,  G16H50/50

Abstract: A method for pre-planning and performing a cardiac procedure on a heart includes acquiring an image or map of the heart; displaying the image or map of the heart; marking at least one feature on the image or map; calculating dimensions of the at least one feature; identifying one or more points on or within the heart for treatment; determining paths to the one or more points on or within the heart for treatment; simulating insertion of a sheath into the heart; simulating insertion of a medical device through the sheath and within the heart; verifying that the one or more points on or within the heart can be accessed for treatment; and performing a medical procedure on or within the heart.

Abstract translation: 在心脏上预先规划和执行心脏手术的方法包括获取心脏的图像或图; 显示心脏的图像或地图; 标记图像或地图上的至少一个特征; 计算所述至少一个特征的尺寸; 识别心脏上或内部的一个或多个点用于治疗; 确定到心脏上或心脏内的一个或多个点的路径用于治疗; 模拟将鞘插入心脏; 模拟通过护套和心脏内插入医疗器械; 验证可以访问心脏上或心脏内的一个或多个点进行治疗; 并在心脏上或内部执行医疗程序。