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1. 发明申请

WO2019149608A1 VERFAHREN ZUR VISUALISIERUNG EINER VORAUSSICHTLICHEN LANDUNGSZONE EINES VASKULÄREN STENTS 审中-公开
公开(公告)号：WO2019149608A1
公开(公告)日：2019-08-08
申请号：PCT/EP2019/051695
申请日：2019-01-24
申请人： OTTO-VON-GUERICKE-UNIVERSITÄT MAGDEBURG
发明人： SAALFELD, Sylvia , MANTHEY, Samuel , HOFFMANN, Thomas , BEUING, Oliver , PREIM, Bernhard
IPC分类号： A61B6/12 , A61B34/10 , A61B6/00
CPC分类号： A61B6/12 , A61B6/504 , A61B34/10 , A61B2034/107
摘要： Die Erfindung betrifft ein Verfahren zur Visualisierung einer voraussichtlichen Landungszone eines vaskulären Stents, der mit einem Zuführkatheter in einem Gefäß eines Organismus abgesetzt werden soll. Das Verfahren umfasst dazu folgende Schritte: Speichern von Parametern des Stents in einem elektronischen Datenspeicher; Aufnehmen eines ersten Paars von 2-dimensionalen Bildern eines Zielgebiets in dem Gefäß mit einer Bildaufnahmeeinheit; Bestimmen der Gefäßmittellinie und der Gefäßgrenzen des abgebildeten Gefäßes mithilfe einer Recheneinheit; Aufnehmen eines zweiten Paars von 2-dimensionalen Bildern des Zielgebiets mithilfe der Bildaufnahmeeinheit, nachdem der Stent im Zielgebiet des Gefäßes vorläufig fixiert wurde, ohne vollständig vom Zuführkatheter gelöst zu sein; Berechnen eines 3-dimensionalen Modells des Gefäßes im Zielgebiet; Berechnen eines 3-dimensionalen Modells des Stents im abgesetzten Einsatzzustand; Anzeigen des berechneten 3-dimensionalen Modells des Stents oder einer 2-dimensionalen Projektion dieses Modells als voraussichtliche Landungszone im Bild des berechneten 3-dimensionalen Modells des Gefäßes in einer Anzeigeeinheit. Die Erfindung betrifft weiterhin ein Angiografiegerät, welches für die Ausführung dieses Verfahrens konfiguriert ist.

2. 发明申请

WO2019140451A1 ABLATION SYSTEM WITH AUTOMATED ABLATION ENERGY ELEMENT 审中-公开
公开(公告)号：WO2019140451A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/013688
申请日：2019-01-15
申请人： CARDIOFOCUS, INC.
发明人： MELSKY, Gerald , ESTABROOK, Brian , BAXTER, Lincoln , BABKO-MALYI, Sergei , GREEN, Ronald , DICESARE, Paul
IPC分类号： A61B18/02 , A61M25/04
CPC分类号： A61B18/18 , A61B17/22012 , A61B17/320068 , A61B18/1815 , A61B18/24 , A61B34/10 , A61B90/30 , A61B90/361 , A61B90/37 , A61B2017/00017 , A61B2017/00128 , A61B2017/00247 , A61B2017/22069 , A61B2017/320069 , A61B2017/320098 , A61B2018/00196 , A61B2018/00208 , A61B2018/00232 , A61B2018/00351 , A61B2018/00577 , A61B2018/0066 , A61B2018/00684 , A61B2018/00702 , A61B2018/00761 , A61B2018/00785 , A61B2018/00839 , A61B2018/00898 , A61B2018/00904 , A61B2018/00982 , A61B2018/1823 , A61B2018/1861 , A61B2018/2025 , A61B2018/20357 , A61B2018/20361 , A61B2018/20553 , A61B2018/2272 , A61B2018/2277 , A61B2034/107 , A61B2090/306 , A61B2090/3614
摘要： An ablation instrument (e.g., an ablation balloon catheter system) includes an elongate catheter having a housing with a window formed therein. An energy emitter is coupled to the elongate catheter and is configured to deliver ablative energy. A controller is received within the window and is coupled to the energy emitter such that axial movement of the controller within the window is translated to axial movement of the energy emitter and rotation of the controller within the window is translated into rotation of the energy emitter. The instrument includes a motor that is at least partially disposed within the housing of the catheter; a first gear that is operatively connected to and driven by the motor; and a second gear that is coupled to the energy emitter and is driven by the first gear to cause rotation of the energy emitter, while allowing the energy emitter to move axially.

3. 发明申请

WO2019133345A1 BALLOON CATHETER WITH INTERNAL DISTAL END 审中-公开
公开(公告)号：WO2019133345A1
公开(公告)日：2019-07-04
申请号：PCT/US2018/066292
申请日：2018-12-18
申请人： BIOSENSE WEBSTER (ISRAEL) LTD. , BEECKLER, Christopher Thomas
发明人： BEECKLER, Christopher Thomas , GOVARI, Assaf , KEYES, Joseph Thomas
IPC分类号： A61B18/14 , A61M25/10 , A61B34/00 , A61B34/20 , A61B18/00 , A61B34/10
CPC分类号： A61M25/1002 , A61B5/0422 , A61B5/6853 , A61B18/1492 , A61B34/20 , A61B34/25 , A61B2018/0022 , A61B2018/00232 , A61B2018/00351 , A61B2018/00357 , A61B2018/00375 , A61B2018/00577 , A61B2018/00636 , A61B2018/00791 , A61B2018/00815 , A61B2018/00821 , A61B2018/00839 , A61B2034/107 , A61B2034/2051 , A61M2025/1065
摘要： A catheter adapted to slidably receive a hollow shaft through its lumen. An expandable balloon is attached to the distal portion of the hollow shaft. A nose piece disposed at the front face of the balloon forms a connection between the balloon and the distal portion of the hollow shaft. When the balloon is expanded the nose piece does not protrude beyond the front face of the balloon.

4. 发明申请

WO2018204375A1 SYSTEM AND METHOD FOR DETERMINING ABLATION PARAMETERS 审中-公开
公开(公告)号：WO2018204375A1
公开(公告)日：2018-11-08
申请号：PCT/US2018/030470
申请日：2018-05-01
申请人： ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.
发明人： MANGUAL-SOTO, Jan, O. , GIORGETTI, Pier, Alessandro , CIANI, Michele , DE MURA, Sergio
IPC分类号： A61N1/08 , A61B18/14 , A61N1/04 , A61N1/05 , A61B18/00 , A61B18/16 , A61B90/00 , A61B34/10
CPC分类号： A61B34/10 , A61B18/00 , A61B18/1492 , A61B90/37 , A61B2017/00292 , A61B2018/00351 , A61B2018/00577 , A61B2018/00702 , A61B2018/00738 , A61B2018/00761 , A61B2018/00779 , A61B2018/00827 , A61B2018/00839 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00904 , A61B2018/1467 , A61B2034/102 , A61B2034/104 , A61B2034/105 , A61B2034/107 , A61B2090/065 , A61N1/0492 , A61N1/056 , A61N1/08 , G16H40/63
摘要： Parameters for cardiac ablation can be determined using a map of one or more biological properties of a tissue to be ablated, such as tissue thickness. The biological properties are used to compute a transmurality index map. In turn, the transmurality index map can be used to determine one or more of ablation energy level, ablation time, and ablation contact force to achieve a transmural lesion. Graphical representations of the biological property maps, the transmural index map, and/or the ablation parameters can be output, for example on geometric models of the heart and/or the ablation catheter.

5. 发明申请

WO2017151171A1 PATIENT-SPECIFIC SURGICAL INSTRUMENT AND METHODS FOR MAKING IT 审中-公开
标题翻译：患者专用外科手术器械及其制造方法
公开(公告)号：WO2017151171A1
公开(公告)日：2017-09-08
申请号：PCT/US2016/035491
申请日：2016-06-02
申请人： SABIC GLOBAL TECHNOLOGIES B.V. , KUGLER, Andrew
发明人： KUGLER, Andrew , WILLIAMS, John A.
IPC分类号： A61B17/15 , A61L31/00
CPC分类号： A61B34/10 , A61B6/505 , A61B8/0875 , A61B17/15 , A61B17/155 , A61B17/1764 , A61B2017/0023 , A61B2017/00526 , A61B2017/00853 , A61B2017/00955 , A61B2034/107 , A61B2034/108 , B33Y10/00 , B33Y80/00
摘要： A method for making a customized orthopedic surgical instrument for use in repairing a joint of a patient includes: obtaining image data associated with at least a portion of a bone corresponding to the joint of the patient; generating instructions to form a patient- specific orthopedic surgical instrument based at least in part on the image data; and forming the patient-specific orthopedic surgical instrument based on the instructions. The patient- specific orthopedic surgical instrument includes a resin composition, the resin composition including from about 50 wt % to about 90 wt % of a base thermoplastic and from about 10 wt % to about 50 wt % of a filler material. The base thermoplastic includes polyetherimide, polycarbonate, modified polyphenylene ether, polyamide, copolymers of these thermoplastics, and combinations thereof. The orthopedic surgical instrument includes at least one surface portion having a shape that substantially conforms to a corresponding surface portion of the bone.
摘要翻译：一种用于制造用于修复患者关节的定制矫形外科手术器械的方法，包括：获得与对应于患者关节的骨的至少一部分相关联的图像数据; 生成用于至少部分地基于所述图像数据形成患者特定整形外科手术器械的指令; 并且基于说明书形成患者专用整形外科手术器械。患者专用整形外科手术器械包括树脂组合物，该树脂组合物包含约50重量％至约90重量％的基础热塑性塑料和约10重量％至约50重量％的填充材料。基础热塑性塑料包括聚醚酰亚胺，聚碳酸酯，改性聚苯醚，聚酰胺，这些热塑性塑料的共聚物及其组合。整形外科手术器械包括至少一个表面部分，其具有与骨的相应表面部分基本一致的形状。

6. 发明申请

WO2017132745A1 SYSTEM AND METHOD FOR PROVIDING SURGICAL GUIDANCE BASED ON POLARIZATION-SENSITIVE OPTICAL COHERENCE TOMOGRAPHY 审中-公开
标题翻译：基于极化敏感的光学相干层析成像提供手术指导的系统和方法
公开(公告)号：WO2017132745A1
公开(公告)日：2017-08-10
申请号：PCT/CA2016/050105
申请日：2016-02-05
申请人： SYNAPTIVE MEDICAL (BARBADOS) INC. , PIRON, Cameron Anthony , WOOD, Michael Frank Gunther , YUWARAJ, Murugathas , MAK, Siu Wai Jacky
发明人： PIRON, Cameron Anthony , WOOD, Michael Frank Gunther , YUWARAJ, Murugathas , MAK, Siu Wai Jacky
IPC分类号： A61B34/10 , A61B34/00 , A61B5/00
CPC分类号： A61B5/0066 , A61B5/00 , A61B5/0035 , A61B5/0084 , A61B17/3421 , A61B34/00 , A61B34/10 , A61B90/37 , A61B2034/107 , A61B2034/2055 , A61B2090/365 , A61B2090/3735 , G01B9/02091 , G01N21/4795
摘要： Systems and methods are provided for identifying a suitable surgical location and/or trajectory for proceeding with a surgical procedure based on local polarization- sensitive optical coherence tomography imaging (PS-OCT). PS-OCT images are obtained of a tissue region and are processed to provide a spatial map of anisotropic structure within the tissue region. The anisotropic structure is processed to determine one or more suitable surgical locations and/or trajectories for avoiding or reducing damage to local anisotropic tissue structure identified within the tissue region. The spatial map of the anisotropic structure is registered with pre-operative volumetric image data identifying anisotropic tissue structure within a second tissue region that is larger than the tissue region imaged by PS-OCT.
摘要翻译：提供了系统和方法，用于基于局部偏振敏感光学相干断层扫描成像（PS-OCT）来识别用于继续进行外科手术的合适手术位置和/或轨迹。获得组织区域的PS-OCT图像，并对其进行处理以提供组织区域内的各向异性结构的空间图。处理各向异性结构以确定用于避免或减少对在组织区域内识别的局部各向异性组织结构的损伤的一个或多个合适手术位置和/或轨迹。各向异性结构的空间图与术前体积图像数据配准，该数据识别大于由PS-OCT成像的组织区域的第二组织区域内的各向异性组织结构。

7. 发明申请

WO2017132029A1 PRESENTING A SEQUENCE OF IMAGES ASSOCIATED WITH A MOTION MODEL 审中-公开
标题翻译：显示与运动模型相关的图像序列
公开(公告)号：WO2017132029A1
公开(公告)日：2017-08-03
申请号：PCT/US2017/013981
申请日：2017-01-18
申请人： ACCURAY INCORPORATED
发明人： LUGOSI, Kolos , NETHERY-PAVELCHAK, Kyle , CORE, Matthew , MAURER, Calvin , JORDAN, Petr
IPC分类号： A61B6/00 , A61N5/10 , G06T7/246 , G06T7/38 , G06T19/20 , G06T17/00
CPC分类号： A61N5/1049 , A61B5/0816 , A61B5/1127 , A61B5/113 , A61B6/022 , A61B6/032 , A61B6/12 , A61B6/4014 , A61B6/4085 , A61B6/4266 , A61B6/4464 , A61B6/463 , A61B6/465 , A61B6/5223 , A61B6/5235 , A61B6/5288 , A61B6/5294 , A61B34/25 , A61B2034/107 , A61B2034/2055 , A61B2034/254 , A61B2090/364 , A61B2090/376 , A61B2090/3945 , A61B2090/3966 , A61N5/1037 , A61N5/1067 , A61N5/1083 , A61N2005/1051 , A61N2005/1061 , A61N2005/1062 , A61N2005/1074 , G06F19/00 , G06F19/3418 , G06T7/0016 , G06T7/20 , G06T7/251 , G06T7/38 , G06T11/008 , G06T17/00 , G06T19/00 , G06T19/20 , G06T2200/08 , G06T2207/10124 , G06T2207/20096 , G06T2210/41 , G06T2211/428
摘要： Images that are associated with an identification of a tracking target of a patient to receive radiation treatment may be received. The images may be sorted into a sequence based on a motion of the patient. The sorted images may be provided via a graphical user interface. The sequence of the sorted images that are based on the motion of the patient may be provided.
摘要翻译：可以接收与接收放射治疗的患者的追踪目标的标识相关联的图像。可以基于患者的运动将图像分类成序列。分类后的图像可以通过图形用户界面提供。可以提供基于患者运动的排序图像的序列。

8. 发明申请

WO2017122076A2 FLEXIBLE PATIENT SPECIFIC INSTRUMENT 审中-公开
标题翻译：灵活的患者专用仪器
公开(公告)号：WO2017122076A2
公开(公告)日：2017-07-20
申请号：PCT/IB2016/058093
申请日：2016-12-30
申请人： KONINKLIJKE PHILIPS N.V.
发明人： NOONAN, David Paul , POPOVIC, Aleksandra , KAHYA, Neriman Nicoletta
IPC分类号： A61B34/00 , A61J15/00 , A61M16/04 , A61N1/05
CPC分类号： A61B34/00 , A61B18/1492 , A61B2017/00526 , A61B2034/107 , A61B2034/108 , A61J15/0003 , A61J15/0069 , A61M16/04
摘要： A method for designing and manufacturing a base operating configuration of a flexible patient specific instrument (91) to follow an anatomical path relative to an anatomical structure. The method involves generating a diagnostic scan of the anatomical structure, and delineating an instrument design path relative to the anatomical structure based on a scanned configuration of the anatomical path as illustrated in the diagnostic scan of the anatomical structure. The method further involves rendering a design of the base operating configuration of the flexible patient specific instrument (91) following a portion or an entirety of the instrument design path, and additive manufacturing and/or subtractive manufacturing of flexible patient specific instrument (91) in the base operating configuration and/or a mold of the flexible patient specific instrument (91) in the base operating configuration.
摘要翻译：一种用于设计和制造柔性患者专用器械（91）的基本操作配置以遵循相对于解剖结构的解剖路径的方法。该方法涉及生成解剖结构的诊断扫描，并且基于如解剖结构的诊断扫描中所示的解剖路径的扫描配置来描绘相对于解剖结构的仪器设计路径。该方法进一步包括在部分或全部仪器设计路径之后呈现柔性患者特异性器械（91）的基本操作配置的设计，以及柔性患者特异性器械（91）的增材制造和/或减量制造基本操作配置和/或基本操作配置中柔性患者专用仪器（91）的模具。

9. 发明申请

WO2017115227A1 IMAGE BASED ROBOT GUIDANCE 审中-公开
标题翻译：基于图像的机器人指导
公开(公告)号：WO2017115227A1
公开(公告)日：2017-07-06
申请号：PCT/IB2016/057863
申请日：2016-12-21
申请人： KONINKLIJKE PHILIPS N.V.
发明人： POPOVIC, Aleksandra , NOONAN, David Paul
IPC分类号： A61B34/30 , A61B90/13 , A61B34/32 , A61B34/10
CPC分类号： A61B34/30 , A61B34/32 , A61B90/13 , A61B2034/107
摘要： A method and system provide two light beams which intersect at a remote center of motion (RCM) of a robot having an end-effector at a distal end thereof; capture images of a planned entry point and a planned path through the RCM; register the captured images to three-dimensional pre-operative images; define an entry point and path for the RCM in the captured images using the light beams; detect and track in the captured images a reference object having a known shape; in response to information about the entry point, the path, and the reference object, compute robot joint motion parameters to align the end-effector to the planned entry point and planned path; and communicate the computed robot joint motion parameters to the robot to align the end-effector to the planned entry point and the planned path.
摘要翻译：一种方法和系统提供两个光束，所述两个光束在机器人的远端具有末端执行器的远程运动中心（RCM）相交; 通过RCM捕获计划入口点和计划路径的图像; 将拍摄的图像登记到三维术前图像; 使用光束在捕获的图像中定义RCM的入口点和路径; 在捕获的图像中检测并跟踪具有已知形状的参考对象; 响应于关于入口点，路径和参考对象的信息，计算机器人关节运动参数以将端部效应器对准计划进入点和计划路径; 并将计算出的机器人关节运动参数传达给机器人以将末端执行器对准计划进入点和计划路径。

10. 发明申请

WO2017103862A1 MOTION BOX VISUALIZATION FOR ELECTROMAGNETIC SENSOR TRACKING SYSTEM 审中-公开
标题翻译：电磁传感器跟踪系统的运动框可视化
公开(公告)号：WO2017103862A1
公开(公告)日：2017-06-22
申请号：PCT/IB2016/057693
申请日：2016-12-15
申请人： ST. JUDE MEDICAL INTERNATIONAL HOLDING S.A R.L.
发明人： BYRD, Charles , COHEN, Stavit , GOROVOY, Alexander , ROMANO, Avinoam
IPC分类号： A61B34/20 , A61B34/10 , A61B90/00
CPC分类号： A61B5/062 , A61B5/746 , A61B34/20 , A61B34/25 , A61B2034/107 , A61B2034/2051 , A61B2090/376 , A61B2576/00
摘要： Methods, systems, and apparatuses for visualizing the motion box of an electromagnetic sensor tracking system on a display that can be viewed by the physician are disclosed. Electromagnetic sensor tracking systems are able to determine the position and orientation (P&O) of the sensors being tracked only when the sensors are within the motion box, or the spatial region located in proximity to the electromagnetic field generators of the system. During usage of the electromagnetic sensor tracking system, the sensor can go out of this spatial region and, when this occurs, navigating it back into the motion box can be difficult. The methods, systems, and apparatuses described herein provide for the representation of sensors, the motion box, and a representation of a thorax on a display so that the clinician can view the position and orientation of the sensors with respect to the motion box.
摘要翻译：公开了用于可视化医师可查看的显示器上的电磁传感器跟踪系统的运动框的方法，系统和装置。电磁传感器跟踪系统只有在传感器位于运动箱内时，才能确定被跟踪传感器的位置和方向（P＆amp; O），或者位于系统的电磁场发生器附近的空间区域。在使用电磁传感器跟踪系统期间，传感器可以离开这个空间区域，并且当发生这种情况时，将其导回到运动箱中可能是困难的。本文描述的方法，系统和装置提供了传感器，运动框以及显示器上的胸部的表示，使得临床医生可以观察传感器相对于运动框的位置和方向。 / p>

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