CA2554311A1 - Simulation of invasive procedures - Google Patents

Simulation of invasive procedures Download PDF

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Publication number
CA2554311A1
CA2554311A1 CA002554311A CA2554311A CA2554311A1 CA 2554311 A1 CA2554311 A1 CA 2554311A1 CA 002554311 A CA002554311 A CA 002554311A CA 2554311 A CA2554311 A CA 2554311A CA 2554311 A1 CA2554311 A1 CA 2554311A1
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CA
Canada
Prior art keywords
heart
map
points
image
treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002554311A
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French (fr)
Other versions
CA2554311C (en
Inventor
Yitzhack Schwartz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biosense Webster Inc
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Biosense Webster Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biosense Webster Inc filed Critical Biosense Webster Inc
Publication of CA2554311A1 publication Critical patent/CA2554311A1/en
Application granted granted Critical
Publication of CA2554311C publication Critical patent/CA2554311C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • 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
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • 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
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107—Visualisation of planned trajectories or target regions
    • 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
    • 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
    • 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
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • 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

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.

Claims (16)

1. A method for pre-planning a cardiac procedure on a heart comprising the steps of:
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;
and verifying that the one or more points on or within the heart can be accessed for treatment.
2. A method for developing a plan for a cardiac procedure comprising the steps of:
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;
and verifying that the one or more points on or within the heart can be accessed for treatment.
3. A method for pre-planning and performing a cardiac procedure on a heart comprising the steps of:

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.
4. The method according to Claim 3, wherein the medical procedure is monitored and guided according to the plan.
5. The method according to Claim 4, wherein the medical procedure is monitored and robotically guided according to the plan.
6. A method for developing a plan and performing a cardiac procedure on a heart comprising the steps of:
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.
7. The method according to Claim 6, wherein the medical procedure is monitored and guided according to the plan.
8. The method according to Claim 7, wherein the medical procedure is monitored and robotically guided according to the plan.
9. A method for simulating a cardiac procedure on a heart comprising the steps of:
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;
and verifying that the one or more points on or within the heart can be accessed for treatment.
10. A method for simulating and developing a plan for a cardiac procedure comprising the steps of:
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;
and verifying that the one or more points on or within the heart can be accessed for treatment.
11. A method for simulating and performing a cardiac procedure on a heart comprising the steps of:
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.
12. The method according to Claim 11, wherein the medical procedure is monitored and guided according to the plan.
13. The method according to Claim 12, wherein the medical procedure is monitored and robotically guided according to the plan.
14. A method for simulating a cardiac procedure, developing a plan and performing a cardiac procedure on a heart comprising the steps of:
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.
15. The method according to Claim 14, wherein the medical procedure is monitored and guided according to the plan.
16. The method according to Claim 15, wherein the medical procedure is monitored and robotically guided according to the plan.
CA2554311A 2005-08-02 2006-07-27 Simulation of invasive procedures Expired - Fee Related CA2554311C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/195,050 US7877128B2 (en) 2005-08-02 2005-08-02 Simulation of invasive procedures
US11/195,050 2005-08-02

Publications (2)

Publication Number Publication Date
CA2554311A1 true CA2554311A1 (en) 2007-02-02
CA2554311C CA2554311C (en) 2012-09-25

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA2554311A Expired - Fee Related CA2554311C (en) 2005-08-02 2006-07-27 Simulation of invasive procedures

Country Status (9)

Country Link
US (1) US7877128B2 (en)
EP (1) EP1749493B1 (en)
JP (1) JP5095149B2 (en)
CN (2) CN103169541A (en)
AT (1) ATE532474T1 (en)
AU (1) AU2006202956B2 (en)
BR (1) BRPI0603066A (en)
CA (1) CA2554311C (en)
IL (1) IL177131A (en)

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US20070043285A1 (en) 2007-02-22
IL177131A (en) 2012-05-31
AU2006202956B2 (en) 2011-11-03
CN1915183A (en) 2007-02-21
EP1749493A1 (en) 2007-02-07
ATE532474T1 (en) 2011-11-15
US7877128B2 (en) 2011-01-25
JP2007044509A (en) 2007-02-22
JP5095149B2 (en) 2012-12-12
AU2006202956A1 (en) 2007-02-22
CN103169541A (en) 2013-06-26
BRPI0603066A (en) 2007-03-20
CA2554311C (en) 2012-09-25
EP1749493B1 (en) 2011-11-09

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