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101. 发明申请

US20100049011A1 Mapping Catheter as Well as Mapping Catheter Apparatus and Associated Method 有权
标题翻译：绘图导管以及绘图导管设备及相关方法
公开(公告)号：US20100049011A1
公开(公告)日：2010-02-25
申请号：US12605547
申请日：2009-10-26
申请人： Jan Boese , Norbert Rahn , Bernhard Sandkamp
发明人： Jan Boese , Norbert Rahn , Bernhard Sandkamp
IPC分类号： A61B5/00 , A61B5/05 , A61F7/12
CPC分类号： A61B5/042 , A61B5/01 , A61B5/06 , A61B5/062 , A61B5/721 , A61B18/1492 , A61B2018/00005 , A61B2018/00011 , A61B2018/00041 , A61B2018/00797 , A61B2018/00839
摘要： The invention relates to a mapping catheter for determination of data of an area of an organ embodied as a flat surface, especially of the heart, to be presented graphically, with at least one thermosensor essentially aligned in the direction of the longitudinal axis of the mapping catheter for determination of temperature-related data which is arranged at a tip of the mapping catheter being provided in the distal area of the mapping catheter for introduction into the organ.
摘要翻译：本发明涉及一种用于确定体现为平坦表面（特别是心脏的平面）的器官的区域的数据的映射导管，以图形方式呈现，至少一个热敏传感器在映射的纵向轴线的方向上基本对准用于确定布置在映射导管的尖端处的温度相关数据的导管设置在映射导管的远端区域中以引入器官。

102. 发明申请

US20100016712A1 Method and Device for Visually Assisting a Catheter Application 审中-公开
标题翻译：视力辅助导管应用的方法和装置
公开(公告)号：US20100016712A1
公开(公告)日：2010-01-21
申请号：US12518172
申请日：2008-02-26
申请人： Meir Bartal , Jan Boese , Assaf Govari , Matthias John , Assaf Preiss , Norbert Rahn
发明人： Meir Bartal , Jan Boese , Assaf Govari , Matthias John , Assaf Preiss , Norbert Rahn
IPC分类号： A61B6/12 , A61B5/055 , G06K9/00
CPC分类号： A61B6/5247 , A61B5/042 , A61B5/06 , A61B5/062 , A61B6/12 , A61B6/4441 , A61B6/5235 , A61B6/584 , A61B18/1492 , A61B90/36 , A61B2018/00839 , A61B2090/364 , A61B2090/365 , A61B2090/376
摘要： A method and a device for visually assisting a catheter application on the heart of a patient using an image of the patient obtained by a C-arm X-ray device and using electroanatomical mapping data of the patient obtained by an electromagnetic position detection system and mapping system. The C-arm X-ray device and the electromagnetic position detection system and mapping system are calibrated in relation to each other, by determining a co-ordinate transformation between a co-ordinate system assigned to the C-arm x-ray device and/or a co-ordinate system assigned to the image generated by the C-arm X-ray device and a co-ordinate system assigned to the electromagnetic position detection system and mapping system. The position of the patient is determined during the detection of the image and/or during the detection of the electroanatomic mapping-data and is at least indirectly assigned to the image and/or the electroanatomic mapping-data.
摘要翻译：一种用于使用C型臂X射线装置获得的患者的图像并且使用通过电磁位置检测系统获得的患者的电解剖图数据来视觉上辅助使用患者心脏的导管应用的方法和装置，系统。 C臂X射线装置和电磁位置检测系统和映射系统通过确定分配给C臂x射线装置的坐标系和/ 或分配给由C臂X射线装置产生的图像和分配给电磁位置检测系统和映射系统的坐标系统的坐标系统。在检测图像期间和/或在检测到电解剖映射数据期间确定患者的位置，并且至少间接分配给图像和/或电解剖映射数据。

103. 发明授权

US07641650B2 Remote control device for a medical probe 有权
标题翻译：用于医疗探头的遥控装置
公开(公告)号：US07641650B2
公开(公告)日：2010-01-05
申请号：US10966754
申请日：2004-10-15
申请人： Jan Boese , Martin Kleen , Marcus Pfister , Norbert Rahn
发明人： Jan Boese , Martin Kleen , Marcus Pfister , Norbert Rahn
IPC分类号： A61B17/00
CPC分类号： A61B1/00039 , A61B34/70 , A61B34/74 , A61B34/76 , A61B34/77 , A61M25/0136
摘要： The device according to the invention ensures accurate and in particular sensitive navigation of the probe, which can be inserted into a body, despite the fact that the remote control uses simple means, by means of a movement (MR;MB;MP) corresponding intuitively to the navigation of a probe using the control device (1). Intuitive operation can be converted in particular using an inventive U-shaped embodiment of the control device (1). Sensitive controllability can be increased by transmitting the mechanical interaction between the probe and an environment under examination to the control device (1) and thus directly to the operating hand (3) by means of inventive feedback.
摘要翻译：根据本发明的装置，尽管远程控制使用简单的手段，借助于直观对应的移动（MR; MB; MP），可以确保探头的精确和特别灵敏的导航，其可插入到身体中使用控制装置（1）到探针的导航。可以使用控制装置（1）的本发明的U形实施例特别地转换直观的操作。可以通过发明反馈将探测器和被检查环境之间的机械相互作用传输到控制装置（1），从而直接传递给操作手（3）来增加敏感的可控性。

104. 发明授权

US07630751B2 Method and medical imaging system for compensating for patient motion 有权
标题翻译：用于补偿患者运动的方法和医学成像系统
公开(公告)号：US07630751B2
公开(公告)日：2009-12-08
申请号：US11045653
申请日：2005-01-28
申请人： Jan Boese , Benno Heigl , Norbert Rahn
发明人： Jan Boese , Benno Heigl , Norbert Rahn
IPC分类号： A61B5/05
CPC分类号： A61B6/5264 , A61B6/481 , A61B6/504 , A61B6/527 , A61B6/5288 , G06T7/20 , G06T7/38 , G06T7/70 , G06T2207/30004
摘要： Disclosed herein is a method, and system (1) for implementing same, to compensate for patient motion in series recordings in medical imaging, in which a plurality of images of an examination area of a patient (17) are recorded at time intervals with an imaging system (1) and related to each other. Before the start of the series recordings a 3D image data set is recorded by a 3D recording of the examination area, which establishes a reference system. A first spatial position of the examination area in the reference system is obtained by recording a first image of the series recordings and then registering it or by calculating it. Each further image of the series recordings is registered immediately after recording to obtain the current spatial position of the examination area. Differences in spatial position are compensated for at least approximately by changing geometric relationships of the imaging system (1).
摘要翻译：本文公开了一种方法和用于实现其的系统（1），以补偿医疗成像中的串行记录中的患者运动，其中以与时间间隔的患者（17）的检查区域的多个图像以成像系统（1）并相互关联。在系列记录开始之前，通过建立参考系统的检查区域的3D记录来记录3D图像数据集。通过记录序列记录的第一图像然后记录或通过计算来获得参考系中的检查区域的第一空间位置。在记录之后立即记录系列记录的每个另外的图像，以获得检查区域的当前空间位置。至少通过改变成像系统（1）的几何关系来补偿空间位置的差异。

105. 发明授权

US07620711B2 Method of using configuration files for configuring technical devices 有权
标题翻译：使用配置文件配置技术设备的方法
公开(公告)号：US07620711B2
公开(公告)日：2009-11-17
申请号：US11375987
申请日：2006-03-15
申请人： Jan Boese , Martin Kleen , Norbert Rahn
发明人： Jan Boese , Martin Kleen , Norbert Rahn
IPC分类号： G06F15/173
CPC分类号： G06Q30/0603 , G06Q10/06 , H04L41/0846 , H04L41/0856 , H04L41/18 , H04L67/104 , H04L67/1063 , H04L67/303 , Y10S707/99937 , Y10S707/99953
摘要： Method for the provision and use of configuration files for configuring technical devices.The present invention relates to a method for the provision and use of configuration files containing essential configuration data for configuring technical devices. With the method the configuration data is uploaded by one or more participants in the method via a network onto a server and downloaded by users of the technical devices as configuration files from the server via the network. When a configuration file is downloaded by a user or when a downloaded configuration file is used by a user to configure a technical device, the participant who uploaded the configuration data of the downloaded or used configuration file onto the server receives a reimbursement. The present method simplifies the configuration of units for the users of technical devices and represents an incentive for experienced users to make the configurations they have created themselves also available to other users.
摘要翻译：提供和使用配置文件配置技术设备的方法。本发明涉及一种提供和使用包含配置技术设备的基本配置数据的配置文件的方法。使用该方法，配置数据由方法中的一个或多个参与者通过网络上传到服务器上，并且通过技术设备的用户作为配置文件从服务器经由网络下载。当用户下载配置文件或用户使用下载的配置文件配置技术设备时，将下载或使用的配置文件的配置数据上传到服务器上的参与者收到报销。本方法简化了技术设备用户的单元配置，并表示有经验的用户激励自己创建的配置也可供其他用户使用。

106. 发明授权

US07590442B2 Method for determining the position of an instrument with an x-ray system 有权
标题翻译：用X射线系统确定仪器位置的方法
公开(公告)号：US07590442B2
公开(公告)日：2009-09-15
申请号：US11358853
申请日：2006-02-21
申请人： Jan Boese , Martin Kleen , Norbert Rahn
发明人： Jan Boese , Martin Kleen , Norbert Rahn
IPC分类号： A61B5/05 , G06K9/00
CPC分类号： G06T19/00 , A61B6/12 , A61B6/4441 , A61B6/466 , A61B6/504 , A61B34/20 , A61B90/36 , A61B90/37 , A61B2034/105 , A61B2034/2065 , A61B2090/364 , A61B2090/376 , G06T2210/41
摘要： The present invention relates to a method for determining the position of an instrument in a structure of an object with an x-ray system, in which a 3D image data record is provided for at least one area of the object relevant for determining the position, the x-ray system is registered with the 3D image data record, after the introduction of the instrument into the structure at least one 2D x-ray image of the relevant area is recorded from at least one direction of projection with a known projection geometry with the x-ray system and a 2D position of a first location of the instrument is recorded in the 2D x-ray image. In the method a projection line in accordance with the known projection geometry is placed through the 3D image data record at the 2D position and a 3D position of the first location of the instrument in the 3D image data record is determined from an intersection of the projection line with the structure. The method enables the 3D position to be determined with a simple monoplanar x-ray system.
摘要翻译：本发明涉及一种用于确定具有x射线系统的物体的结构中的器械的位置的方法，其中为与所述位置有关的所述物体的至少一个区域提供3D图像数据记录，将X射线系统与3D图像数据记录对齐，在将仪器引入结构之后，从具有已知投影几何形状的至少一个投影方向记录相关区域的至少一个2D X射线图像， x射线系统和仪器的第一位置的2D位置被记录在2D x射线图像中。在该方法中，根据已知的投影几何形状的投影线通过2D位置处的3D图像数据记录放置，并且3D图像数据记录中的仪器的第一位置的3D位置由投影的交点确定符合结构。该方法使得可以用简单的单平面x射线系统来确定3D位置。

107. 发明申请

US20090118609A1 Method and system for performing ablation to treat ventricular tachycardia 有权
标题翻译：进行消融治疗室性心动过速的方法和系统
公开(公告)号：US20090118609A1
公开(公告)日：2009-05-07
申请号：US11983027
申请日：2007-11-06
申请人： Norbert Rahn
发明人： Norbert Rahn
IPC分类号： A61B6/00 , A61B18/12 , A61B5/055
CPC分类号： A61B6/12 , A61B5/7289 , A61B18/1492 , A61B34/25 , A61B34/30 , A61B90/361 , A61B2018/00351 , A61B2018/00839 , A61B2034/2051 , A61B2034/2063 , A61B2034/301 , A61B2090/3762
摘要： A system and method of treating tachycardias and similar syndromes by the use of catheter ablation of tissue is described. A computed tomography (CT)-like image of the heart is obtained and processed to segment the various types of tissue. Papillary muscle areas are identified and displayed differently from the other nearby tissues so that the muscles can be avoided during treatment to avoid or minimize damage to the muscles during ablation treatment. Electrophysical data and scar tissue may also be identified in the image, which may be of the endoscopic type. The position of the catheter may be displayed as a synthetic image on the endoscopic view.
摘要翻译：描述了通过使用导管消融组织治疗心动过速和类似综合征的系统和方法。获得心脏的计算机断层摄影（CT）样图像并进行处理以分割各种类型的组织。识别和显示乳头肌区域与其他附近组织不同，使得在治疗期间可以避免肌肉以避免或最小化在消融治疗期间对肌肉的损伤。也可以在图像中识别电物理数据和瘢痕组织，其可以是内窥镜型。导管的位置可以在内窥镜视图上显示为合成图像。

108. 发明申请

US20090082660A1 CLINICAL WORKFLOW FOR TREATMENT OF ATRIAL FIBRULATION BY ABLATION USING 3D VISUALIZATION OF PULMONARY VEIN ANTRUM IN 2D FLUOROSCOPIC IMAGES 审中-公开
标题翻译：临床工作流程通过2D二维荧光图像中的脉搏血管三维可视化进行放射治疗的ATRIAL FIBRULATION
公开(公告)号：US20090082660A1
公开(公告)日：2009-03-26
申请号：US12233230
申请日：2008-09-18
申请人： Norbert Rahn , Stefan Lautenschlager
发明人： Norbert Rahn , Stefan Lautenschlager
IPC分类号： A61B5/05 , A61B6/00 , A61B18/14
CPC分类号： A61B6/504 , A61B5/7285 , A61B5/7289 , A61B6/12 , A61B6/4441 , A61B6/463 , A61B6/466 , A61B6/481 , A61B6/527 , A61B6/541 , A61B6/547 , A61B18/1492 , A61B2018/00577 , G06T5/50 , G06T7/12 , G06T2207/10081 , G06T2207/10121 , G06T2207/20221 , G06T2207/30048
摘要： A system and method of treatment of a patient in a catheterization laboratory is described. A three dimensional (3D) voxel data set of the patient is obtained using a computed tomography device. The data is displayed in a multiplanar slice format, or as a segmented 3D image, and a particular bodily structure identified. The identified structure coordinates are registered, if necessary, with respect to the patient when the patient is positioned for obtaining real-time fluoroscopic images during the treatment, and the bodily structure information is superimposed on the displayed fluoroscopic image. The treatment may be, for example, an electrophysiological (EP) ablation procedure for atrial fibrulation.
摘要翻译：描述了在导管实验室中治疗患者的系统和方法。使用计算机断层摄影装置获得患者的三维（3D）体素数据集。数据以多平面切片格式显示，或以分割的3D图像显示，并标识特定的身体结构。如果需要，在患者被定位以获得实时荧光透视图像的处理期间，如果必要，登记所识别的结构坐标，并且将身体结构信息叠加在所显示的荧光透视图像上。该治疗可以是例如心房纤颤的电生理（EP）消融手术。

109. 发明授权

US07480398B2 Method of registering a sequence of 2D image data with 3D image data 有权
标题翻译：使用3D图像数据注册2D图像数据序列的方法
公开(公告)号：US07480398B2
公开(公告)日：2009-01-20
申请号：US11076536
申请日：2005-03-08
申请人： Martin Kleen , Marcus Pfister , Norbert Rahn
发明人： Martin Kleen , Marcus Pfister , Norbert Rahn
IPC分类号： G06K9/00 , G06K9/36 , A61B5/05
CPC分类号： G06T3/0037 , A61B8/12 , A61B8/483 , A61B8/5238 , G06T7/33 , G06T7/38 , G06T7/66 , G06T2207/30101
摘要： The present invention relates to a method for registration of a sequence of 2D image data (5) of a hollow channel (2), in particular of a vessel, recorded with an imaging endoluminal instrument (1) when the relative displacement positions of the instrument (1) in the hollow channel (2) are known, with 3D image data (8) of the hollow channel (2). In the method a three-dimensional path of a central axis (10) of a definable section of the hollow channel (2) is determined from the 3D image data (8), the three-dimensional path of the central axis (10) is converted into a rectilinear path by a first transformation of the 3D image data (8) of the definable section of the hollow channel (2) and transformation parameters required for the first transformation are stored. A combined 3D image data record (11) is generated from the sequence of 2D image data (5) by a parallel side-by-side arrangement on a central straight line in accordance with the known relative displacement positions, and is first registered with the transformed 3D image data (9) by equating the central straight line with the rectilinear path of the central axis (10) and suitable translation for superposition of a shared reference point. The combined 3D image data record (11) or 2D image data (5) contained therein is then registered with the 3D image data (3), taking into account the stored transformation parameters.
摘要翻译：本发明涉及用于记录仪器的相对位移位置时记录有成像腔内仪器（1）的中空通道（2）的二维图像数据序列（2）的序列的方法，特别是记录有成像腔内仪器（1）的容器（2）中的3D图像数据（8）已知在空心通道（2）中的（1）。在该方法中，根据3D图像数据（8）确定空心通道（2）的可定义部分的中心轴线（10）的三维路径，中心轴线（10）的三维路径为通过中空通道（2）的可定义部分的3D图像数据（8）的第一变换，转换为直线路径，并存储第一变换所需的变换参数。根据已知的相对位移位置，通过平行并排布置在中央直线上从2D图像数据（5）的序列生成组合的3D图像数据记录（11），并且首先与通过将中心直线与中心轴线（10）的直线路径相等，以及用于叠加共享参考点的合适的平移来改变3D图像数据（9）。然后将其中包含的组合3D图像数据记录（11）或2D图像数据（5）与3D图像数据（3）一起注册，同时考虑所存储的变换参数。

110. 发明授权

US07479141B2 Ablation tip catheter device with integrated imaging, ECG and positioning devices 有权
标题翻译：消融尖端导管装置具有集成成像，ECG和定位装置
公开(公告)号：US07479141B2
公开(公告)日：2009-01-20
申请号：US10992181
申请日：2004-11-18
申请人： Martin Kleen , Norbert Rahn
发明人： Martin Kleen , Norbert Rahn
IPC分类号： A61B18/18
CPC分类号： A61B5/6852 , A61B5/0066 , A61B5/042 , A61B8/12 , A61B18/1492 , A61B90/361 , A61B2018/00839
摘要： Catheter device comprising a catheter (2), particularly an intravascular catheter, for insertion into an organ or vessel of the human or animal body, with a device for ablation of the adjacent organ tissue or vessel tissue using high-frequency currents in the region of the tip of the catheter, a device (3, 11, 12, 18, 19, 23, 24) being integrated for capturing images of the organ or vessel in the region of the tip of the catheter (10, 17, 22).
摘要翻译：导管装置包括导管（2），特别是血管内导管，用于插入到人体或动物体的器官或血管中，其具有用于在邻近的器官组织或血管组织的区域中使用高频电流导管的尖端，被整合用于捕获在导管（10,17,22）的尖端区域中的器官或血管的图像的装置（3,11,12,18,19,23,24）。

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