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1. 发明专利

JP2017113568A アブレーション中の温度の推定审中-公开
公开(公告)号：JP2017113568A
公开(公告)日：2017-06-29
申请号：JP2016248970
申请日：2016-12-22
申请人：バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. , Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , EPHRATH YARON , ALTMANN ANDRES C
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1206 , A61B2018/00011 , A61B2018/00029 , A61B2018/00351 , A61B2018/00577 , A61B2018/00648 , A61B2018/00696 , A61B2018/00702 , A61B2018/00708 , A61B2018/00744 , A61B2018/00791 , A61B2018/00797 , A61B2018/00827 , A61B2018/00863 , A61B2018/00898 , A61B2018/00988 , A61B2218/002
摘要：【課題】アブレーション電極及び温度センサーを遠位端に含む体内プローブと共に使用するための方法及び装置を提供する。【解決手段】 (i)アブレーション電極がアブレーション電流を被験者の組織内に流し込んでいて、かつ(ii)流体が体内プローブの遠位端からある流体流量で送り出されている間、プロセッサは、温度センサーによって検知された温度を受信する。プロセッサは、検知された温度、並びに流体流量、及びアブレーション電流のパラメータからなる群から選択される少なくとも1つのパラメータに少なくとも基づいて、組織の温度を推定する。プロセッサは、推定された温度に応じて出力を生成する。他の実施形態も記載される。【選択図】図1

2. 发明专利

JP2012011197A Pressure sensing for multi-arm catheter 有权
标题翻译：多臂传感器的压力传感器
公开(公告)号：JP2012011197A
公开(公告)日：2012-01-19
申请号：JP2011143923
申请日：2011-06-29
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , KOLIN-SCHWARTZ ORIT
IPC分类号： A61M25/00
CPC分类号： A61B34/20 , A61B17/00234 , A61B17/0057 , A61B18/1492 , A61B19/5244 , A61B90/10 , A61B2017/00053 , A61B2018/00345 , A61B2018/00577 , A61B2034/2051 , A61B2034/2059 , A61B2090/064 , A61B2090/065 , A61M25/0068 , A61M25/0082 , A61M25/0127 , A61M2025/0002 , A61M2025/0166
摘要： PROBLEM TO BE SOLVED: To provide a method for operating a medical probe.SOLUTION: The method includes pressing a distal end of the medical probe, which includes one or more arms that extend diagonally outward from a central shaft and have respective position transducers coupled thereto, against an intra-body surface, so as to cause the arms to exert pressure on the surface and bend with respect to the central shaft in response to the pressure. Positions of the respective position transducers coupled to the arms are measured, and the pressure exerted by the arms is estimated responsively to the measured positions.
摘要翻译：要解决的问题：提供一种用于操作医疗探针的方法。解决方案：该方法包括按压医疗探针的远端，其包括一个或多个臂，其从中心轴向对角地向外延伸并且具有相应的位置传感器抵靠体内表面，从而引起臂对表面施加压力并响应于压力相对于中心轴弯曲。测量耦合到臂的相应位置传感器的位置，并且响应于测量位置估计由臂施加的压力。版权所有（C）2012，JPO＆INPIT

3. 发明专利

JP2011255185A Operator-controlled map point density 有权
标题翻译：操作者控制的地图点密度
公开(公告)号：JP2011255185A
公开(公告)日：2011-12-22
申请号：JP2011128844
申请日：2011-06-09
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： ALTMANN ANDRES C
IPC分类号： A61B5/044 , A61B5/0408 , A61B5/0478 , A61B5/0492 , A61B5/05
CPC分类号： A61B5/04011 , A61B5/0402 , A61B5/6852 , G06T19/003 , G06T2210/36 , G06T2210/41
摘要： PROBLEM TO BE SOLVED: To provide a method and a device for visualizing a surface of a body organ.SOLUTION: A method accepts from a medical imaging system a plurality of map points, each map point including respective corresponding coordinates on the surface of the body organ measured by bringing a medical probe into proximity with the surface of the body organ. An operator input, which specifies a spatial density at which the map points are to be displayed, is accepted. A subset of the map points is selected in response to the operator input. The surface is visualized at the specified spatial density by displaying the selected subset of the map points.
摘要翻译：要解决的问题：提供用于使身体器官的表面可视化的方法和装置。解决方案：一种方法从医疗成像系统接收多个地图点，每个地图点包括通过使医疗探针接近身体器官的表面而测量的身体器官表面上的相应对应坐标。接受指定要显示地图点的空间密度的操作员输入。响应于操作者输入选择地图点的子集。通过显示所选择的地图点的子集，以指定的空间密度可视化表面。版权所有（C）2012，JPO＆INPIT

4. 发明专利

JP2011131058A Actuator-based calibration system for pressure-sensitive catheter 有权
标题翻译：基于执行器的压敏电阻校准系统
公开(公告)号：JP2011131058A
公开(公告)日：2011-07-07
申请号：JP2010285631
申请日：2010-12-22
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , EPHRATH YARON , ALTMANN ANDRES C
IPC分类号： A61M25/00 , A61B19/00 , G01L25/00
CPC分类号： A61B5/1495 , A61B5/6885 , A61B2560/0223
摘要： PROBLEM TO BE SOLVED: To provide calibrating pressure sensors in invasive probes. SOLUTION: A calibration apparatus includes a fixture coupled to hold a distal end of a medical probe. An actuator is configured to press against the distal tip of the probe and apply to the distal tip multiple force vectors having respective magnitudes and angles with respect to the distal end, so as to cause a deformation of the distal tip relative to the distal end. A sensing device is configured to measure the magnitudes of the force vectors applied by the actuator. A calibration processor is configured to receive from the probe first measurements indicative of the deformation of the distal tip in response to the force vectors, to receive from the sensing device second measurements indicative of the magnitudes of the force vectors, and to compute, based on the angles and the first and second measurements, calibration coefficients for assessing the force vectors as a function of the first measurements. COPYRIGHT: (C)2011,JPO&INPIT
摘要翻译：要解决的问题：在侵入性探针中提供校准压力传感器。解决方案：校准装置包括联接以保持医疗探针的远端的固定器。致动器被构造成压靠探针的远侧末端并且向远侧末端施加具有相对于远端具有相应大小和角度的多个力矢量，以便引起远侧末端相对于远端的变形。感测装置被配置为测量由致动器施加的力矢量的大小。校准处理器被配置为从探针接收第一测量值，其指示响应于力矢量的远端尖端的变形，从感测装置接收指示力矢量的幅度的第二测量值，并基于角度和第一和第二测量值，用于评估作为第一测量的函数的力矢量的校准系数。版权所有（C）2011，JPO＆INPIT

5. 发明专利

JP2013255803A Gated sampling of electrocardiogram signal during ablation waveform zero-crossing 有权
标题翻译：消除波浪期间电子信号的采样零点交叉
公开(公告)号：JP2013255803A
公开(公告)日：2013-12-26
申请号：JP2013123644
申请日：2013-06-12
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , EPHRATH YARON
IPC分类号： A61B5/0402 , A61B18/12
CPC分类号： A61B18/1492 , A61B5/04288 , A61B5/7217 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839
摘要： PROBLEM TO BE SOLVED: To provide an apparatus including detection circuitry and gating circuitry.SOLUTION: A detection circuitry is configured to sense a radio frequency (RF) ablation signal that is applied to a heart by an intra-body probe, and to identify time intervals during which an amplitude of an ablation signal is within a predefined window. The gating circuitry is configured to gate an electrocardiogram (ECG) signal acquired in the heart, such that the ECG signal is sampled only within the identified time intervals.
摘要翻译：要解决的问题：提供包括检测电路和门控电路的装置。解决方案：检测电路被配置为感测通过体内探针施加到心脏的射频（RF）消融信号，并且识别时间消融信号的幅度在预定窗口内的间隔。门控电路被配置为门控在心脏中获取的心电图（ECG）信号，使得仅在所识别的时间间隔内对ECG信号进行采样。

6. 发明专利

JP2013128770A Monitoring and tracking bipolar ablation 有权
标题翻译：监测和跟踪双极性吸收
公开(公告)号：JP2013128770A
公开(公告)日：2013-07-04
申请号：JP2012273212
申请日：2012-12-14
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , EPHRATH YARON
IPC分类号： A61B18/12 , A61B5/0402
CPC分类号： A61B18/1492 , A61B5/0422 , A61B5/0538 , A61B5/062 , A61B2018/00357 , A61B2018/00577
摘要： PROBLEM TO BE SOLVED: To provide an invasive medical device.SOLUTION: Methods and systems treat abnormal cardiac electrical activity, employing a probe having first and second ablation electrodes disposed on a distal portion of the probe and a sensing electrode disposed between the first and second ablation electrodes, bringing the probe into contact with a cardiac tissue, applying energy through the first and second ablation electrodes to ablate a target tissue along an ablation path, and monitoring cardiac electrical activity using the sensing electrode to detect the cardiac electrical activity. After making an observation that the cardiac electrical activity is no longer detectable by the sensing electrode, energy application is terminated.
摘要翻译：要解决的问题：提供侵入性医疗装置。解决方案：方法和系统处理异常心脏电活动，使用探针，其具有设置在探针的远端部分上的第一和第二消融电极和设置在第一和第二消融电极，使探针与心脏组织接触，通过第一和第二消融电极施加能量以沿着消融路径烧蚀靶组织，以及使用感测电极监测心脏电活动以检测心脏电活动。在观察到心电活动不再被检测电极检测到之后，能量施加终止。

7. 发明专利

JP2012101065A Simultaneous ablation by multiple electrodes 有权
标题翻译：多电极同时消除
公开(公告)号：JP2012101065A
公开(公告)日：2012-05-31
申请号：JP2011243210
申请日：2011-11-07
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , EPHRATH YARON
IPC分类号： A61B18/12
CPC分类号： A61B18/1206 , A61B18/1492 , A61B18/16 , A61B2018/00577 , A61B2018/00779 , A61B2018/00821 , A61B2018/00875 , A61B2018/124 , A61B2018/128 , A61B2018/1286 , A61B2018/1467 , A61B2034/2051
摘要： PROBLEM TO BE SOLVED: To provide an apparatus including a current source which has a transformer having a primary winding coupled to receive input power.SOLUTION: The transformer includes a secondary winding having a first plurality of secondary taps configured to supply electrical power at an ablation frequency to an electrode in contact with body tissue. The tissue has an impedance, and is ablated by the electrical power. The current source has a second plurality of capacitors. The apparatus also includes a controller which is configured to select one of the secondary taps and at least one of the capacitors in response to the impedance and the ablation frequency, and to connect the selected secondary tap to at least one of the selected capacitors.
摘要翻译：解决的问题：提供一种包括电流源的装置，该电流源具有耦合以接收输入功率的初级绕组的变压器。解决方案：变压器包括具有第一多个辅助抽头的次级绕组，其被配置为将消融频率的电力提供给与身体组织接触的电极。组织具有阻抗，并被电力消融。电流源具有第二多个电容器。该装置还包括控制器，其被配置为响应于阻抗和消融频率来选择次级抽头和至少一个电容器，并且将所选择的次级抽头连接到所选择的电容器中的至少一个。版权所有（C）2012，JPO＆INPIT

8. 发明专利

JP2011255184A Weight-based calibration system for pressure sensitive catheter 有权
标题翻译：用于压力敏感导管的基于重量的校准系统
公开(公告)号：JP2011255184A
公开(公告)日：2011-12-22
申请号：JP2011128843
申请日：2011-06-09
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , EPHRATH YARON
IPC分类号： A61B18/12 , A61B1/00
CPC分类号： A61B5/1495 , A61B5/6885 , A61B2560/0223 , A61B2560/0228
摘要： PROBLEM TO BE SOLVED: To provide a calibration apparatus and method.SOLUTION: The calibration apparatus includes a fixture, which is coupled to hold a distal end of a medical probe. A plurality of weights, which have respective masses and respective bottom surfaces that are oriented at respective angles with respect to the distal end of the probe, are coupled to rest on a distal tip of the probe so as to apply to the distal tip respective force vectors that cause a deformation of the distal tip relative to the distal end. A calibration processor is configured to receive from the probe measurements indicative of the deformation of the distal tip in response to the force vectors, and to compute, based on the measurements, the masses and the angles, calibration coefficients for assessing the force vectors as a function of the measurements.
摘要翻译：要解决的问题：提供校准装置和方法。解决方案：校准装置包括固定器，其被联接以保持医疗探针的远端。具有相对于相对于探针的远端以相应角度定向的相应质量和相应底表面的多个重物联接以保持在探针的远侧末端上，以便向远侧末端施加相应的力导致远侧末端相对于远端变形的载体。校准处理器被配置为从所述探针接收响应于所述力向量的指示所述远侧末端的变形的测量，并且基于所述测量来计算所述质量和角度，用于将所述力矢量评估为测量功能。版权所有（C）2012，JPO＆INPIT

9. 发明专利

JP2011136172A Catheter with arcuate end section 有权
标题翻译：带有ARCUATE END SECTION的导管
公开(公告)号：JP2011136172A
公开(公告)日：2011-07-14
申请号：JP2010292039
申请日：2010-12-28
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , MOADDEB SHAHRAM , ZIRKLE MICHAEL OLEN , BEECKLER CHRISTOPHER , HILL PHILIPPA , ALTMANN ANDRES C
IPC分类号： A61B18/12
CPC分类号： A61B18/1492 , A61B5/06 , A61B2017/00867 , A61B2018/00011 , A61B2018/00029 , A61B2018/00375 , A61B2018/00577 , A61B2018/1407 , A61B2018/1467 , A61B2034/2051 , A61B2218/002 , A61N1/056 , C08L2201/12
摘要： PROBLEM TO BE SOLVED: To provide a method and device for invasive medical treatment.
SOLUTION: The medical treatment device includes an insertion shaft having a longitudinal axis and a distal end adapted for insertion into the body of a patient. A resilient end section is fixed to the distal end of the insertion shaft and is formed to define, when unconstrained, an arc oriented obliquely relative to the axis and having a center of curvature on the axis. One or at least two electrodes are disposed at respective locations along the end section.
COPYRIGHT: (C)2011,JPO&INPIT

10. 发明专利

JP2013240595A Guide wire with position sensing electrode 审中-公开
标题翻译：带位置感应电极的导线
公开(公告)号：JP2013240595A
公开(公告)日：2013-12-05
申请号：JP2013103803
申请日：2013-05-16
申请人： Biosense Webster (Israel) Ltd , バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd.
发明人： GOVARI ASSAF , ALTMANN ANDRES C , BEECKLER CHRISTOPHER THOMAS
IPC分类号： A61B17/00 , A61B1/00 , A61M25/00
CPC分类号： A61B5/036 , A61B5/0536 , A61B5/0538 , A61B34/20 , A61B2034/2046 , A61B2576/023 , Y10T29/49194
摘要： PROBLEM TO BE SOLVED: To provide an apparatus including a guide wire and a processor.SOLUTION: A guide wire is configured to be inserted into a passage of a living body, and at least one electrical conductor and electrical insulation covering a surface of the conductor with a gap formed in the electrical insulation at a predefined position on the guide wire. A processor is configured to measure an electrical impedance of the body between the conductor at the gap and one or more electrodes fixed to the body, and to calculate a location of the gap within the passage in the body in response to the measured impedance.
摘要翻译：要解决的问题：提供一种包括引导线和处理器的装置。解决方案：引导线被配置为插入生物体的通道中，并且至少一个电导体和电绝缘覆盖导体的表面在引导线上的预定位置处在电绝缘中形成间隙。处理器被配置为测量在间隙处的导体与固定到身体的一个或多个电极之间的身体的电阻抗，并且响应于测量的阻抗来计算身体内的通道内的间隙的位置。

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