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|  Custom CD of patents similar to US5568809 : Apparatus and method for intrabody mapping - $19.95 |
| United States Patent | 5568809 |
| Link to this page | http://www.wikipatents.com/5568809.html |
| Inventor(s) | Ben-haim; Shlomo (Haifa, IL) |
| Abstract | This invention concerns an apparatus and method for the treatment of
cardiac arrhythmias. More particularly, this invention is directed to a
method for ablating a portion of an organ or bodily structure of a
patient, which comprises obtaining a perspective image of the organ or
structure to be mapped; advancing one or more catheters having distal tips
to sites adjacent to or within the organ or structure, at least one of the
catheters having ablation ability; sensing the location of each catheter's
distal tip using a non-ionizing field; at the distal tip of one or more
catheters, sensing local information of the organ or structure; processing
the sensed information to create one or more data points; superimposing
the one or more data points on the perspective image of the organ or
structure; and ablating a portion of the organ or structure. |
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Title Information  |
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Drawing from US Patent 5568809 |
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Apparatus and method for intrabody mapping |
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| Publication Date |
October 29, 1996 |
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| Filing Date |
July 12, 1995 |
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| Parent Case |
RELATED PATENT APPLICATION
This application is a continuation of application Ser. No. 08/311,598,
filed Sep. 23, 1994 now abandoned which is a divisional of U.S. patent
application Ser. No. 08/094,539, filed Jul. 20, 1993 now U.S. Pat. No.
5,391,199. |
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Title Information  |
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References  |
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U.S. References |
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| | Reference | Relevancy | Comments | Reference | Relevancy | Comments | 5297549 Beatty
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Market Review  |
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Technical Review  |
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Claims  |
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I claim:
1. A method for intrabody mapping, which comprises the steps of:
(a) positioning the distal tip of each of one or more catheters at a site
adjacent to or within an organ or bodily structure;
(b) sensing location information at the site using a non-ionizing field;
(c) sensing local information at the site;
(d) processing sensed information from steps (b) and (c) to create one or
more data points;
(e) repeating steps (a), (b), (c), and (d) one or more times to create
sufficient data points for a map; and
(f) transmitting said data points from step (e) to a receiving means.
2. A method for intrabody mapping, which comprises the steps of:
(a) positioning the distal tip of each of one or more catheters at a site
adjacent to or within an organ or bodily structure;
(b) sensing location information at the site;
(c) sensing local information at the site;
(d) processing sensed information from steps (b) and (c) to create one or
more data points;
(e) repeating steps (a), (b), (c), and (d) one or more times to create
sufficient data points for a map.
3. The method of claim 2 which comprises an additional step (f) wherein
said data points or said map is transmitted to receiving means.
4. The method of claim 3 which comprises a further step (g) wherein said
data points or said map received by receiving means is projected onto an
image receiving means.
5. The method of claim 4 which comprises a yet further step (h) wherein the
location of a catheter distal tip is superimposed on said projected map or
data points on said image receiving means.
6. A method for intrabody mapping, which comprises the steps of:
(a) obtaining a perspective image of an organ or bodily structure;
(b) positioning the distal tip of each of one or more catheters at a site
adjacent to or within an organ or bodily structure;
(c) sensing location information at the site;
(d) sensing local information at the site;
(e) processing sensed information from steps (c) and (d) to create one or
more data points;
(f) repeating steps (b), (c), (d), and (e) one or more times to create
sufficient data points for a map; and
(g) superimposing said data points from steps (e) and (f) on the
perspective image of the organ or bodily structure.
7. The method of claim 6 which comprises an additional step (h) wherein
said data points and said perspective image are transmitted to receiving
means.
8. The method of claim 7 which comprises a further step (i) wherein the
location of a mapping/ablation catheter distal tip is superimposed on the
perspective image of the organ or bodily structure.
9. The method of claim 7 which comprises a further step (i) wherein said
data points and said perspective image received by receiving means are
projected onto an image receiving means.
10. The method of claim 9 which comprises a yet further step (j) wherein
the location of a mapping/ablation catheter distal tip is superimposed on
said projected data points and said perspective image on said image
receiving means.
11. A method for intrabody mapping, which comprises the steps of:
(a) positioning the distal tip of each of one or more reference catheters
at a site adjacent to or within an organ or bodily structure;
(b) positioning the distal tip of each of one or more mapping/ablation
catheters at a site adjacent to or within an organ or bodily structure;
(c) sensing location information at each site;
(d) sensing local information at a site with each mapping/ablation catheter
distal tip;
(e) processing sensed information from steps (c) and (d) to create one or
more data points; and
(f) repeating steps (b), (c), (d), and (e) one or more times to create
sufficient data points for a map.
12. The method of claim 11 which comprises an additional step (g) wherein
said data points or said map is transmitted to receiving means.
13. The method of claim 12 which comprises a further step (h) wherein said
data points or said map received by receiving means is projected onto an
image receiving means.
14. The method of claim 13 which comprises a yet further step (i) wherein
the location of a mapping/ablation catheter distal tip is superimposed on
said projected data points or map on said image receiving means.
15. A method for intrabody mapping, which comprises the steps of:
(a) positioning the distal tip of each of one or more reference catheters
at a site adjacent to or within an organ or bodily structure;
(b) positioning the distal tip of each of one or more mapping/ablation
catheters at a site adjacent to or within an organ or bodily structure;
(c) sensing location information at each site;
(d) determining relative location of each mapping/ablation distal tip
relative to reference catheter distal tips;
(e) sensing local information at a site with each mapping/ablation catheter
distal tip;
(f) processing sensed information from steps (d) and (e) to create one or
more data points; and
(g) repeating steps (b), (c), (d), (e), and (f) one or more times to create
sufficient data points for a map.
16. The method of claim 15 which comprises an additional step (h) wherein
said data points or said map is transmitted to receiving means.
17. The method of claim 16 which comprises a further step (i) wherein said
data points or said map received by receiving means is projected onto an
image receiving means.
18. The method of claim 17 which comprises a yet further step (j) wherein
the location of a mapping/ablation catheter distal tip is superimposed on
said projected data points or map on said image receiving means.
19. A method for intrabody mapping, which comprises the steps of:
(a) obtaining a perspective image of the organ or bodily structure;
(b) positioning the distal tip of each of one or more reference catheters
at a site adjacent to or within an organ or bodily structure;
(c) positioning the distal tip of each of one or more mapping/ablation
catheters at a site adjacent to or within an organ or bodily structure;
(d) sensing location information at each site;
(e) sensing local information at a site with each mapping/ablating catheter
distal tip;
(f) processing sensed information from steps (d) and (e) to create one or
more data points;
(g) repeating steps (c), (d), (e), and (f) one or more times to create
sufficient data points for a map; and
(h) superimposing said data points or said map from steps (f) and (g) on
the perspective image of the organ or bodily structure.
20. The method of claim 19 which comprises an additional step (i) wherein
said data points or map and said perspective image are transmitted to
receiving means.
21. The method of claim 20 which comprises a further step (j) wherein said
location of a mapping/ablation catheter distal tip is superimposed on said
data points or map and said perspective image of the organ or bodily
structure.
22. The method of claim 20 which comprises a further step (j) wherein said
data points or map and said perspective image received by receiving means
are projected onto an image receiving means.
23. The method of claim 22 which comprises a yet further step (k) wherein
the location of a mapping/ablation catheter distal tip is superimposed on
said projected data points or map and said perspective image on said image
receiving means.
24. A method for intrabody mapping, which comprises the steps of:
(a) obtaining a perspective image of the organ or bodily structure;
(b) positioning the distal tip of each of one or more reference catheters
at a site adjacent to or within an organ or bodily structure;
(c) positioning the distal tip of each of one or more mapping/ablation
catheters at a site adjacent to or within an organ or bodily structure;
(d) sensing location information at each site;
(e) determining relative location of each mapping/ablation catheter distal
tip relative to reference catheter distal tips;
(f) sensing local information with each mapping/ablation catheter distal
tip;
(g) processing sensed information from steps (e) and (f) to create one or
more data points;
(h) repeating steps (c), (d), (e), (f) and (g) one or more times to create
sufficient data points for a map; and
(i) superimposing said data points or said map from steps (g) and (h) on
the perspective image of the organ or bodily structure.
25. The method of claim 24 which comprises an additional step (j) wherein
said data points or map and said perspective image are transmitted to
receiving means.
26. The method of claim 25 which comprises a further step (k) wherein the
location of a mapping/ablation catheter distal tip is superimposed on the
perspective image of the organ or bodily structure.
27. The method of claim 25 which comprises a further step (k) wherein said
data points or map and said perspective image received by receiving means
are projected onto an image receiving means.
28. The method of claim 27 which comprises a yet further step (l) wherein
the location of a mapping/ablation catheter distal tip is superimposed on
said projected data points or map and said perspective image on said image
receiving means.
29. The method of claim 2, 6, 11, 15, 19, or 24, wherein sensing location
information is achieved using a non-ionizing field.
30. An apparatus for intrabody mapping, which comprises:
(a) means for positioning the distal tip of each of one or more catheters
at a site adjacent to or within an organ or bodily structure;
(b) means for sensing location information at the site using a non-ionizing
field;
(c) means for sensing local information at the site;
(d) means for processing sensed information from means (b) and (c) to
create one or more data points;
(e) means for repeating the functions of means (a), (b), (c), and (d) one
or more times to create sufficient data points for a map; and
(f) means for transmitting said data points from means (e) to a receiving
means.
31. An apparatus for intrabody mapping, which comprises:
(a) means for positioning the distal tip of each of one or more catheters
at a site adjacent to or within an organ or bodily structure;
(b) means for sensing location information at the site;
(c) means for sensing local information at the site;
(d) means for processing sensed information from means (b) and (c) to
create one or more data points; and
(e) means for repeating the functions of means (a), (b), (c), and (d) one
or more times to create sufficient data points for a map.
32. The apparatus of claim 31 which additionally comprises means for
transmitting said data points or said map to receiving means.
33. The apparatus of claim 32 which further comprises means for projecting
said data points or said map received by receiving means onto an image
receiving means.
34. The apparatus of claim 33 which yet further comprises means for
superimposing the location of a catheter distal tip on said projected map
or data points on said image receiving means.
35. An apparatus for intrabody mapping, which comprises:
(a) means for obtaining a perspective image of an organ or bodily
structure;
(b) means for positioning the distal tip of each of one or more catheters
at a site adjacent to or within an organ or bodily structure;
(c) means for sensing location information at the site;
(d) means for sensing local information at the site;
(e) means for processing sensed information from means (c) and (d) to
create one or more data points;
(f) means for repeating the functions of means (b), (c), (d), and (e) one
or more times to create sufficient data points for a map; and
(g) means for superimposing said data points from means (e) and (f) on the
perspective image of the organ or bodily structure.
36. The apparatus of claim 35 which additionally comprises means for
transmitting said data points and said perspective image to receiving
means.
37. The apparatus of claim 36 which further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
the perspective image of the organ or bodily structure.
38. The apparatus of claim 36 which further comprises means for projecting
said data points and said perspective image received by receiving means
onto an image receiving means.
39. The apparatus of claim 38 which yet further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
said projected data points and said perspective image on said image
receiving means.
40. An apparatus for intrabody mapping, which comprises:
(a) means for positioning the distal tip of each of one or more reference
catheters at a site adjacent to or within an organ or bodily structure;
(b) means for positioning the distal tip of each of one or more
mapping/ablation catheters at a site adjacent to or within an organ or
bodily structure;
(c) means for sensing location information at each site;
(d) means for sensing local information at a site with each
mapping/ablation catheter distal tip;
(e) means for processing sensed information from means (c) and (d) to
create one or more data points; and
(f) means for repeating the functions of means (b), (c), (d), and (e) one
or more times to create sufficient data points for a map.
41. The apparatus of claim 40 which additionally comprises means for
transmitting said data points or said map to receiving means.
42. The apparatus of claim 41 which further comprises means for projecting
said data points or said map received by receiving means onto an image
receiving means.
43. The apparatus of claim 42 which yet further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
said projected data points or map on said image receiving means.
44. An apparatus for intrabody mapping, which comprises:
(a) means for positioning the distal tip of each of one or more reference
catheters at a site adjacent to or within an organ or bodily structure;
(b) means for positioning the distal tip of each of one or more
mapping/ablation catheters at a site adjacent to or within an organ or
bodily structure;
(c) means for sensing location information at each site;
(d) means for determining relative location of each mapping/ablation distal
tip relative to reference catheter distal tips;
(e) means for sensing local information at a site with each
mapping/ablation catheter distal tip;
(f) means for processing sensed information from means (d) and (e) to
create one or more data points; and
(g) means for repeating the functions of means (b), (c), (d), (e), and (f)
one or more times to create sufficient data points for a map.
45. The apparatus of claim 44 which additionally comprises means for
transmitting said data points or said map to receiving means.
46. The apparatus of claim 45 which further comprises means for projecting
said data points or said map received by receiving means onto an image
receiving means.
47. The apparatus of claim 46 which yet further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
said projected data points or map on said image receiving means.
48. An apparatus for intrabody mapping, which comprises:
(a) means for obtaining a perspective image of the organ or bodily
structure;
(b) means for positioning the distal tip of each of one or more reference
catheters at a site adjacent to or within an organ or bodily structure;
(c) means for positioning the distal tip of each of one or more
mapping/ablation catheters at a site adjacent to or within an organ or
bodily structure;
(d) means for sensing location information at each site;
(e) means for sensing local information at a site with each
mapping/ablation catheter distal tip;
(f) means for processing sensed information from means (d) and (e) to
create one or more data points;
(g) means for repeating the functions of means (c), (d), (e), and (f) one
or more times to create sufficient data points for a map; and
(h) means for superimposing said data points or said map from means (f) and
(g) on the perspective image of the organ or bodily structure.
49. The apparatus of claim 48 which additionally comprises means for
transmitting said data points or map and said perspective image to
receiving means.
50. The apparatus of claim 49 which further comprises means for
superimposing said location of a mapping/ablation catheter distal tip on
said data points or map and said perspective image of the organ or bodily
structure.
51. The apparatus of claim 49 which further comprises means for projecting
said data points or map and said perspective image received by receiving
means onto an image receiving means.
52. The apparatus of claim 51 which yet further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
said projected data points or map and said perspective image on said image
receiving means.
53. An apparatus for intrabody mapping, which comprises:
(a) means for obtaining a perspective image of the organ or bodily
structure;
(b) means for positioning the distal tip of each of one or more reference
catheters at a site adjacent to or within an organ or bodily structure;
(c) means for positioning the distal tip of each of one or more
mapping/ablation catheters at a site adjacent to or within an organ or
bodily structure;
(d) means for sensing location information at each site;
(e) means for determining relative location of each mapping/ablation
catheter distal tip relative to reference catheter distal tips;
(f) means for sensing local information with each mapping/ablation catheter
distal tip;
(g) means for processing sensed information from means (e) and (f) to
create one or more data points;
(h) means for repeating the functions of means (c), (d), (e), (f) and (g)
one or more times to create sufficient data points for a map; and
(i) means for superimposing said data points or said map from means (g) and
(h) on the perspective image of the organ or bodily structure.
54. The apparatus of claim 53 which additionally comprises means for
transmitting said data points or map and said perspective image to
receiving means.
55. The apparatus of claim 54 which further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
the perspective image of the organ or bodily structure.
56. The method of claim 54 which further comprises means for projecting
said data points or map and said perspective image received by receiving
means onto an image receiving means.
57. The apparatus of claim 56 which yet further comprises means for
superimposing the location of a mapping/ablation catheter distal tip on
said projected data points or map and said perspective image on said image
receiving means.
58. The apparatus of claims 31, 35, 40, 44, 48, or 53, wherein location
information is sensed using a non-ionizing field. |
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Claims  |
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Description  |
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FIELD OF THE INVENTION
This invention is directed to an apparatus and method for treating a
cardiac arrhythmia such as ventricular tachycardia. More particularly,
this invention is directed to an improved apparatus and method whereby
there is faster identification of an active site to be ablated.
BACKGROUND OF THE INVENTION
Cardiac arrhythmias are the leading cause of death in the United States.
The most common cardiac arrhythmia is ventricular tachycardia (VT), i.e.,
very rapid and ineffectual contractions of the heart muscle. VT is the
cause death of approximately 300,000 people annually.
In the United States, from 34,000 to 94,000 new patients are diagnosed
annually with VT. Patients are diagnosed with VT after either (1)
surviving a successful resuscitation after an aborted sudden death
(currently 25-33% of sudden death cases) or (2) syncope, i.e., temporary
loss of consciousness caused by insufficient cerebral circulation. The
number of VT patients is expected to increase in the future, estimated to
range between 61,000 and 121,000 patients annually in five years, as a
result of early detection of patients at risk for sudden death by newly
developed cardiac tests, advances in cardiopulmonary resuscitation, better
medical management of acute myocardial infarction patients, and the
demographic shift to a more aged population.
Without proper treatment most patients diagnosed with VT do not survive
more than two years. The most frequent current medical treatment consists
of certain antiarrhythmic drugs or implantation of an automatic
implantable cardiac defibrillator (AICD). Drug treatment is associated
with an average life span of 3.2 years, a 30% chance of debilitating side
effects, and an average cost of approximately $88,000 per patient. In
contrast, AICD implantation is associated with a life expectancy of 5.1
years, a 4% chance of fatal complications, and a cost of approximately
$121,000 per patient.
In a majority of patients VT originates from a 1 to 2 mm lesion that is
located close to the inner surface of the heart chamber. A treatment of VT
in use since 1981 comprises a method whereby electrical pathways of the
heart are mapped to locate the lesion, i.e., the "active site," and then
the active site is physically ablated. In most instances the mapping and
ablation are performed while the patient's chest and heart are open. Also,
the mapping procedure has been carried out by sequentially moving a
hand-held electrical recording probe or catheter over the heart and
recording the times of arrival of electrical pulses to specific locations.
These processes are long and tedious.
Attempts to destroy, i.e., ablate, the critical lesion are now quite
successful, but are currently limited to a small number of patients who
can survive a prolonged procedure during which they have to remain in VT
for almost intolerable periods of time. The time-consuming part of the
treatment is the localization, i.e., identifying the site, of the target
lesion to be ablated. Another limitation preventing the widespread use of
catheter ablation for VT is poor resolution of target localization, which
in turn compels the physician to ablate a large area of the patient's
heart. The reduction in heart function following such ablation becomes
detrimental to most patients with pre-existing cardiac damage. However,
once the target is correctly identified, ablation is successful in almost
all patients.
An improved procedure for treatment of VT must include a faster, more
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