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1. 发明申请

WO2008112902A3 AUTOMATED SURGICAL NAVIGATION WITH ELECTRO-ANATOMICAL AND PRE-OPERATIVE IMAGE DATA 审中-公开
标题翻译：具有电离解剖图像和自动图像数据的自动手术导航
公开(公告)号：WO2008112902A3
公开(公告)日：2008-12-11
申请号：PCT/US2008056868
申请日：2008-03-13
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M , LIAV OREN , PATT ZAFRIR , RUBISSA ASSAF
发明人： VISWANATHAN RAJU R , BLUME WALTER M , LIAV OREN , PATT ZAFRIR , RUBISSA ASSAF
IPC分类号： G06K9/00 , A61B5/05
CPC分类号： A61B34/73 , A61B5/042 , A61B18/1492 , A61B34/20 , A61B34/70 , A61B2034/2051 , A61B2090/364
摘要： A method for navigating a medical device to an anatomical surface within a subject to perform electro-anatomical mapping using a magnetic navigation system is provided that includes importing a pre-operative image data set of an anatomical surface in the subject's body into a localization system One or more control parameters are applied to the magnetic navigation system to drive the medical device to one or more points of tissue contact, from the locations of which a geometric anatomical map can be created and registered with the pre-operative anatomical image The preoperative anatomical surface image and a representation of the geometric anatomical map are displayed relative to one another The localization system provides the location data to the magnetic navigation system to drive the medical device to the desired location, for enabling further electrophysiology mapping or ablation treatment.
摘要翻译：提供了一种用于将医疗装置导航到对象内的解剖表面以使用磁导航系统执行电解剖映射的方法，其包括将主体内的解剖表面的术前图像数据集导入到定位系统中或更多的控制参数被应用于磁导航系统以将医疗装置驱动到组织接触的一个或多个点，从其位置可以创建几何解剖图并且与术前解剖图像一起注册。术前解剖表面图像和几何解剖图的表示相对于彼此显示。定位系统将位置数据提供给磁性导航系统，以将医疗装置驱动到期望的位置，以实现进一步的电生理学绘图或消融治疗。

2. 发明申请

WO2008112896A3 SYSTEM AND METHOD FOR REGISTRATION OF LOCALIZATION AND IMAGING SYSTEMS FOR NAVIGATIONAL CONTROL OF MEDICAL DEVICES 审中-公开
标题翻译：用于医疗设备导航控制的本地化和成像系统的注册系统和方法
公开(公告)号：WO2008112896A3
公开(公告)日：2008-12-04
申请号：PCT/US2008056861
申请日：2008-03-13
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M , BARTAL MEIR , RUBISSA ASSAF
发明人： VISWANATHAN RAJU R , BLUME WALTER M , BARTAL MEIR , RUBISSA ASSAF
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/062 , A61B6/02
摘要： A system and method are provided for obtaining registration of a localization system's three-dimensional coordinates for a plurality of markers having known locations to the two-dimensional coordinates for the plurality of reference markers obtained from a single X-ray image. The method for registering a navigational system with a localization system having a plurality of reference markers includes determining the three-dimensional coordinates of the locations of a plurality of reference markers within the localization coordinate system, and providing a single two-dimensional X-ray image that includes a two dimensional location of the plurality of markers. The method further includes determining a coordinate transformation for obtaining a best fit registration of the localization system's three-dimensional coordinates to the two-dimensional coordinates obtained from the single X-ray image, for at least one reference marker location.
摘要翻译：提供了一种系统和方法，用于获得针对多个从单个X射线图像获得的多个参考标记的二维坐标的具有已知位置的多个标记的定位系统的三维坐标的配准。用于具有具有多个参考标记的定位系统登记导航系统的方法包括确定定位坐标系中多个参考标记的位置的三维坐标，以及提供单个二维X射线图像其包括多个标记的二维位置。所述方法还包括确定坐标变换，用于为至少一个参考标记位置获得所述定位系统的三维坐标与由所述单个X射线图像获得的二维坐标的最佳拟合配准。

3. 发明申请

WO2008051841A2 LOCATION AND DISPLAY OF OCCLUDED PORTIONS OF VESSELS ON 3-D ANGIOGRAPHIC IMAGES 审中-公开
标题翻译：三维血管成像血管的位置和显示
公开(公告)号：WO2008051841A2
公开(公告)日：2008-05-02
申请号：PCT/US2007081942
申请日：2007-10-19
申请人： STEREOTAXIS INC , BLUME WALTER M , GARIBALDI JEFFREY M , DRURY HEATHER , VISWANATHAN RAJU R
发明人： BLUME WALTER M , GARIBALDI JEFFREY M , DRURY HEATHER , VISWANATHAN RAJU R
IPC分类号： A61B6/00
CPC分类号： A61B6/504 , A61B6/481 , G06T7/73 , G06T2207/10116 , G06T2207/20101 , G06T2207/30101 , G06T2207/30172 , Y10S128/92 , Y10S128/921 , Y10S128/922 , Y10S128/923 , Y10S128/924
摘要： A method of finding the location of an occluded portion of a blood vessel relative to a three-dimensional angiographic image of a subject's vasculature includes identifying the location of the occluded portion of the blood vessel on each of a series of displayed two dimensional images derived from the three dimensional image data in planes substantially transverse to direction of the occluded portion of the vessel. The identified locations in the occluded portion of the vessel can then be used to determine the path of the occluded portion of the vessel.
摘要翻译：找到相对于受试者脉管系统的三维血管造影图像的血管的闭塞部分的位置的方法包括在从一个或多个第二维图像中导出的一系列显示的二维图像中的每一个上识别血管的封闭部分的位置基本上横向于容器的封闭部分的方向的平面中的三维图像数据。然后可以使用容器闭塞部分中的识别位置来确定容器的封闭部分的路径。

4. 发明申请

WO2007015843A3 APPARATUS AND METHODS FOR AUTOMATED SEQUENTIAL MOVEMENT CONTROL FOR OPERATION OF A REMOTE NAVIGATION SYSTEM 审中-公开
标题翻译：用于远程导航系统操作的自动顺序运动控制的装置和方法
公开(公告)号：WO2007015843A3
公开(公告)日：2007-04-26
申请号：PCT/US2006027802
申请日：2006-07-17
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M , KASTELEIN NATHAN , GARIBALDI JEFFREY M
发明人： VISWANATHAN RAJU R , BLUME WALTER M , KASTELEIN NATHAN , GARIBALDI JEFFREY M
IPC分类号： A61B5/05
CPC分类号： A61B90/36 , A61B34/20 , A61B34/70 , A61B2034/2051 , A61B2090/061
摘要： A method of defining automated movement sequences of a remotely controlled medical device actuated by a remote navigation system includes the steps of: defining a reference length for a medical device inserted into an anatomical chamber where subsequent device length measurements are made and automated device length changes are applied with respect to the reference length, and defining a movement sequence as a concatenation of automated movement building block primitives for subsequent automated execution by the remote navigation system.
摘要翻译：定义由远程导航系统启动的远程控制的医疗设备的自动移动顺序的方法包括以下步骤：为插入到解剖腔室中的医疗设备定义参考长度，其中进行随后的设备长度测量并且自动化设备长度变化并且将运动顺序定义为自动运动构建块基元的连接，以供远程导航系统随后的自动执行。

5. 发明申请

WO2005119505A3 USER INTERFACE FOR REMOTE CONTROL OF MEDICAL DEVICES 审中-公开
标题翻译：用于医疗设备远程控制的用户界面
公开(公告)号：WO2005119505A3
公开(公告)日：2008-11-13
申请号：PCT/US2005019880
申请日：2005-06-06
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M , GARIBALDI JEFFREY M , RAUCH JOHN
发明人： VISWANATHAN RAJU R , BLUME WALTER M , GARIBALDI JEFFREY M , RAUCH JOHN
IPC分类号： G06F3/00 , A61B6/12 , A61B8/08 , A61B17/52 , A61B19/00 , G06F17/00
CPC分类号： A61B6/548 , A61B6/12 , A61B8/0833 , A61B34/20 , A61B34/25 , A61B34/70 , A61B34/73 , A61B90/37 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/2074 , A61B2090/364 , A61B2090/376 , A61B2090/3958
摘要： An interface for remotely controlling a medical device in a patient's body provides a two dimensional display of a three dimensional rendering of the operating region, and allows the user to select the orientation or location of the distal end of the medical device on the display and then operate a navigation system to cause the distal end of the medical device to approximately assume the selected orientation or location.
摘要翻译：用于远程控制患者身体中的医疗设备的界面提供了操作区域的三维呈现的二维显示，并且允许用户在显示器上选择医疗设备的远端的取向或位置，然后操作导航系统以使医疗装置的远端大致呈现所选择的方向或位置。

6. 发明申请

WO2008030962A9 CONSOLIDATED USER INTERFACE SYSTEMS AND METHODS 审中-公开
标题翻译：综合用户界面系统和方法
公开(公告)号：WO2008030962A9
公开(公告)日：2008-04-24
申请号：PCT/US2007077761
申请日：2007-09-06
申请人： STEREOTAXIS INC , GARIBALDI JEFFREY M , BLUME WALTER M , KASTELEIN NATHAN , VISWANATHAN RAJU R , TOMASSONI GERY , BESSON GUY , GASPARAKIS CHARIDIMOS E
发明人： GARIBALDI JEFFREY M , BLUME WALTER M , KASTELEIN NATHAN , VISWANATHAN RAJU R , TOMASSONI GERY , BESSON GUY , GASPARAKIS CHARIDIMOS E
IPC分类号： G05B11/01
CPC分类号： G16H40/63
摘要： A control for the coordinated operation of at least two medical systems. Each of the medical systems generating its own visual display output, and preferably accepts commands from an input device. The control includes a display, having an active display area, and at least one inactive display area; at least one input device which provides inputs to the medical system whose visual display out is being displayed on the active display area. A controller selects the medicai system whose visual display output is displayed on the active display area.
摘要翻译：用于至少两个医疗系统的协调操作的控制。每个医疗系统产生其自己的视觉显示输出，并且优选地接受来自输入设备的命令。该控制包括具有活动显示区域的显示器和至少一个非活动显示区域; 至少一个输入装置，其向视觉显示输出正在显示在主动显示区域上的医疗系统提供输入。控制器选择在活动显示区域显示视觉显示输出的医疗系统。

7. 发明申请

WO2006005013A3 EFFICIENT CLOSED LOOP FEEDBACK NAVIGATION 审中-公开
标题翻译：高效的闭环反馈导航
公开(公告)号：WO2006005013A3
公开(公告)日：2007-06-21
申请号：PCT/US2005023576
申请日：2005-06-29
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M
发明人： VISWANATHAN RAJU R , BLUME WALTER M
IPC分类号： A61B5/05 , A61B17/00 , A61B17/22 , A61B19/00
CPC分类号： A61B6/12 , A61B1/00147 , A61B6/4441 , A61B6/463 , A61B6/466 , A61B6/5235 , A61B17/22 , A61B34/20 , A61B34/25 , A61B34/70 , A61B34/73 , A61B90/00 , A61B90/10 , A61B90/36 , A61B2017/003 , A61B2018/00839 , A61B2034/107 , A61B2034/2051 , A61B2034/733 , A61B2090/376 , A61B2090/3954 , A61M25/0108
摘要： The present invention provides a means for guiding a medical device within the body to approach a target destination. The system and method provide a means for determining a predicted length and orientation, navigating the device to an intermediate point less than the predicted length, determining an error between the projected destination and actual target destination, and successively updating a predicted value of a control variable to yield an orientation within a predetermined distance error before advancing the device the remaining distance to the destination. This provides a physician with the capability of verifying the device will be accurately guided to the target destination without trial and error. A method is also provided for intuitive navigation to targets with limited trial and error based on userapplied device orientation adjustments, where the user chooses the magnitude of the adjustments and the system determines the adjustment direction.
摘要翻译：本发明提供一种用于引导身体内的医疗装置接近目标目的地的装置。该系统和方法提供了一种用于确定预测长度和方向的装置，将设备导航到小于预测长度的中间点，确定投影目的地与实际目标目的地之间的误差，并且连续更新控制变量的预测值以在将设备的剩余距离提前到目的地之前产生在预定距离误差内的取向。这为医师提供了验证设备的能力，并将其准确地引导到目标目的地，而无需试验和错误。还提供了一种方法，用于基于用户应用的设备方向调整，用于直观导航到具有有限尝试和错误的目标，其中用户选择调整的大小并且系统确定调整方向。

8. 发明申请

WO2008030962A3 CONSOLIDATED USER INTERFACE SYSTEMS AND METHODS 审中-公开
标题翻译：合并用户界面系统和方法
公开(公告)号：WO2008030962A3
公开(公告)日：2008-12-04
申请号：PCT/US2007077761
申请日：2007-09-06
申请人： STEREOTAXIS INC , GARIBALDI JEFFREY M , BLUME WALTER M , KASTELEIN NATHAN , VISWANATHAN RAJU R , TOMASSONI GERY , BESSON GUY , GASPARAKIS CHARIDIMOS E
发明人： GARIBALDI JEFFREY M , BLUME WALTER M , KASTELEIN NATHAN , VISWANATHAN RAJU R , TOMASSONI GERY , BESSON GUY , GASPARAKIS CHARIDIMOS E
IPC分类号： G09G5/00 , G06F3/00 , G06F3/048 , G06F15/16 , G06F15/173 , G09G5/08
CPC分类号： G16H40/63
摘要： A control for the coordinated operation of at least two medical systems. Each of the medical systems generating its own visual display output, and preferably accepts commands from an input device. The control includes a display, having an active display area, and at least one inactive display area; at least one input device which provides inputs to the medical system whose visual display out is being displayed on the active display area. A controller selects the medicai system whose visual display output is displayed on the active display area.
摘要翻译：对至少两个医疗系统的协调操作进行控制。每个医疗系统生成其自己的视觉显示输出，并且优选地接受来自输入设备的命令。控制器包括具有有效显示区域和至少一个无效显示区域的显示器; 至少一个输入装置，其向可视化显示输出显示在有效显示区域上的医疗系统提供输入。控制器选择在活动显示区域上显示其视觉显示输出的医疗系统。

9. 发明申请

WO2006005012A2 NAVIGATION OF REMOTELY ACTUABLE MEDICAL DEVICE USING CONTROL VARIABLE AND LENGTH 审中-公开
标题翻译：使用控制可变和长度导航远程执行医疗设备
公开(公告)号：WO2006005012A2
公开(公告)日：2006-01-12
申请号：PCT/US2005023575
申请日：2005-06-29
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , BLUME WALTER M
发明人： VISWANATHAN RAJU R , BLUME WALTER M
IPC分类号： A61M31/00
CPC分类号： A61B5/06 , A61B5/061 , A61B5/062
摘要： A method of navigating a medical device includes determining the location of a medical device at a point in an operating region in a subject's body, the medical device being responsive to at least one control variable to assume a desired configuration includes storing information representative of the at least one control variable being applied to the medical device at the point, and more preferably storing information representative of the at least one control variable and the device length.
摘要翻译：一种导航医疗设备的方法包括：确定医疗设备在受试者身体的操作区域中的某一点处的位置，所述医疗设备响应于至少一个控制变量来采取所需的配置，包括存储代表在至少一个控制变量在该点被应用于医疗设备，更优选地存储表示至少一个控制变量和设备长度的信息。

10. 发明申请

WO2008003059A3 ELECTROSTRICTION DEVICES AND METHODS FOR ASSISTED MAGNETIC NAVIGATION 审中-公开
标题翻译：电磁感应装置及辅助磁导管的方法
公开(公告)号：WO2008003059A3
公开(公告)日：2008-10-02
申请号：PCT/US2007072397
申请日：2007-06-28
申请人： STEREOTAXIS INC , VISWANATHAN RAJU R , WERP PETER R , RITTER ROGERS C
发明人： VISWANATHAN RAJU R , WERP PETER R , RITTER ROGERS C
IPC分类号： A61B5/05
CPC分类号： A61B19/22 , A61B34/70 , A61B34/73 , A61B2017/00106 , A61B2017/003
摘要： An apparatus and method for interventional navigation within a subject's body is provided in which a medica! device having at least one electrostrictive element is adapted to cause the distal end of the medical device to bend in a given direction for improving navigation. The medical device may further comprise at least one magnetically responsive element on the distal end, which may be oriented in the approximate direction of a magnetic field that is applied to the subject's body. At least one method for navigating a medical device though a subject's body is provided, by changing the direction of an applied magnetic field to align a magneticaliy responsive element on the distal end for orienting the distal end, and by applying a voltage to at least one electrostrictive element disposed in the distal portion of the device for causing the distal end to change orientation from that achieved by application of the magnetic field alone.
摘要翻译：提供了一种用于受试者身体内的介入导航的装置和方法，其中药物具有至少一个电致伸缩元件的装置适于使医疗装置的远端沿给定方向弯曲以改善导航。医疗装置还可以包括远端上的至少一个磁响应元件，其可以被施加到被检体的磁场的大致方向上定向。通过改变所施加的磁场的方向以使远端上的磁性响应元件对准以使远端定向，并且通过向至少一个电极施加电压，提供至少一种用于通过受试者身体导航医疗装置的方法电致伸缩元件设置在装置的远端部分中，用于使远端改变方向与通过仅施加磁场实现的方向。

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