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    • 74. 发明申请
    • SYSTEM AND METHOD FOR SELECTING A GUIDANCE MODE FOR PERFORMING A PERCUTANEOUS PROCEDURE
    • 用于选择执行PERCUTANEOUS程序的指导模式的系统和方法
    • US20090274271A1
    • 2009-11-05
    • US12431518
    • 2009-04-28
    • Marcus PfisterNorbert Strobel
    • Marcus PfisterNorbert Strobel
    • G01N23/04A61N5/10A61B6/08
    • A61B6/12A61B6/4441A61B6/5229A61B90/11A61B90/13A61B2034/107A61B2090/364A61B2090/376A61N2005/1061G06F19/00
    • A system and method are disclosed for planning a percutaneous procedure and for guiding an instrument to engage a target within a patient's body. A patient 3-dimensional image data set is provided, within which a user defines an instrument trajectory, for example, by selecting a skin entry point and a target point. A line, or “planned path,” is generated between the points. The system determines whether the path can be targeted so the optical axis of the movable arm coincides with the path so that a laser can be used for instrument guidance. Alternatively, the user can determine whether planned path can be targeted so that the C-arm can be made to coincide with the path so that the extension of the path is projected onto the detector, using x-ray radiation. If neither laser guidance or x-ray guidance can be used, the physician is prompted to re-plan the path so that at least x-ray radiation guidance can be used. Once the desired guidance method is selected, the puncture instrument is guided along the planned path to engage the target.
    • 公开了一种用于规划经皮程序和引导器械使患者身体内的目标接合的系统和方法。 提供了一种患者的三维图像数据集,其中用户通过选择皮肤入口点和目标点来定义仪器轨迹。 点之间产生一行或“计划路径”。 系统确定路径是否可以被定向,使可动臂的光轴与路径重合,使得激光可以用于仪器引导。 或者,用户可以确定是否可以定向计划的路径,使得C臂可以与路径一致,使得使用x射线辐射将路径的延伸投影到检测器上。 如果既不能使用激光引导或X射线引导,也可以提示医生重新规划路径,以至少可以使用x射线辐射引导。 一旦选择了所需的引导方法,穿刺器械沿着规划的路径被引导以接合目标。
    • 75. 发明申请
    • WORKFLOW TO ENHANCE A TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PROCEDURE
    • 加强输血内镜手术切除手术的工作流程
    • US20090198124A1
    • 2009-08-06
    • US12023906
    • 2008-01-31
    • Ralf AdamusMarcus Pfister
    • Ralf AdamusMarcus Pfister
    • A61B6/00
    • A61B6/12A61B5/055A61B6/02A61B6/4441A61B6/481A61B6/504
    • A method and appertaining system are provided for performing an image-assisted subject procedure. The method comprises obtaining at least a first and a second 2D projected image of a 3D subject from a first angle and a second angle. A user selects at least a first point and a second point in each of the first and second 2D images, and the system calculates 3D positions of the first point and the second point based on the selected points in the 3D images and the first and second angles. The, a 3D line is calculated between the first and second points. A further projected 2D image is created that includes the calculated 3D position of at least one of: a) one of the points; and b) the line. The subject procedure is then subsequently performed utilizing the further projected 2D image as a guide.
    • 提供了一种用于执行图像辅助对象程序的方法和附加系统。 该方法包括从第一角度和第二角度获得3D对象的至少第一和第二2D投影图像。 用户选择第一和第二2D图像中的每一个中的至少第一点和第二点,并且系统基于3D图像中的所选点计算第一点和第二点的3D位置,并且第一和第二2D 角度。 在第一和第二点之间计算3D线。 创建另外投影的2D图像,其包括以下中的至少一个的计算的3D位置:a)点之一; 和b)线。 然后随后使用进一步投影的2D图像作为指导来执行主题程序。
    • 76. 发明申请
    • Device localization and guidance
    • 设备本地化和指导
    • US20090069672A1
    • 2009-03-12
    • US11900261
    • 2007-09-11
    • Marcus PfisterLaura Johnson
    • Marcus PfisterLaura Johnson
    • A61B8/00
    • A61B6/12A61B5/06A61B6/022A61B6/4441A61B6/4464A61B6/466
    • An apparatus and method is described for determining the location of a object inside a patient. Three dimensional image data of the patient is obtained by an imaging modality such as a C-arm X-ray device. The same or another imaging modality may be used to obtain projection radiographic images, having a coordinate system that can be registered with respect to that of the three dimensional image. The location of one or more features of a medical treatment device such as a needle or a catheter introduced into the imaging filed of view is determined either by an operator or by image analysis, in at least two projection radiographic images, and the position of the feature located in the three-dimensional volume. The projection on a radiographic image of a vector joining a first and a second position is used to assist in guiding the medical treatment device inside of the patient.
    • 描述了用于确定患者体内物体的位置的装置和方法。 通过诸如C臂X射线装置的成像模式获得患者的三维图像数据。 可以使用相同或另一种成像模态来获得具有可以相对于三维图像的坐标系进行登记的坐标系的投影放射照相图像。 引入到成像视场中的医疗处理装置(例如针或导管)的一个或多个特征的位置由操作者或通过图像分析,至少两个投影放射照相图像和 功能位于三维体积。 使用连接第一位置和第二位置的矢量的放射线图像上的投影来辅助将患者体内的医疗装置引导。
    • 77. 发明授权
    • Fluorescence scanner for molecular signatures
    • 用于分子标记的荧光扫描仪
    • US07495233B2
    • 2009-02-24
    • US11375948
    • 2006-03-15
    • Marcus PfisterWolfgang Strob
    • Marcus PfisterWolfgang Strob
    • H05B35/00
    • G01N21/6456A61B5/0059A61B5/415A61B5/418G01N2201/0221
    • An apparatus detects fluorescence. The apparatus, also known as a fluorescence scanner, includes an image detector, which is embodied for detecting image data in the wavelength range of fluorescent light, and an excitation light source, which is embodied for generating light in a wavelength range suitable for exciting the fluorescence. The apparatus has a guide beam projector, which is embodied for generating a guide beam from light in the visible wavelength range. The guide beam is aimed such that a projection of the guide beam, a region that is detectable by the image detector is displayed. The guide beam allows exact viewing of a body region to be examined possible for the surgeon, which is not possible on the basis only of the light for exciting a fluorescence, at least whenever the excitation light is in the non-visible wavelength range, such as IR or NIR, or is generated directly during the recording of the fluorescence image.
    • 一种装置检测荧光。 该装置也称为荧光扫描器,包括:图像检测器,其被实现为用于检测荧光波长范围内的图像数据;以及激发光源,其被实施用于产生适于激发波长范围的光 荧光。 该装置具有导光束投影仪,其被实施用于从可见波长范围的光产生引导光束。 引导光束被瞄准,使得可以显示引导光束的投影,可以被图像检测器检测的区域。 至少每当激发光处于不可见的波长范围内时,引导光束允许精确地观察对外科医生进行检查的身体区域,这对于激发荧光来说是不可能的,这仅仅是用于激发荧光的光。 作为IR或NIR,或者在记录荧光图像期间直接产生。