Remote catheter procedure system

• US 10,561,821 B2
• Filed: 12/08/2016
• Issued: 02/18/2020
• Est. Priority Date: 12/12/2008
• Status: Active Grant

• Current Assignee: Corindus, Inc. (Siemens AG)
• Original Assignee: Corindus, Inc. (Siemens AG)
• Inventors: Wenderow, Tal, Bromander, Thomas
• Primary Examiner(s): Templeton, Christopher L
• Application Number:
  US15/372,985
• Publication Number:
  US 20170319824A1
• Time in Patent Office: 1,167 Days
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/376 using X-rays, e.g. fluoroscopy
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/74 Manipulators with manual electric input means
• CPC Class Codes: A61M 25/0105 Steering means as part of the catheter or advancing means; Markers for positioning systems for detection of markers A61B
• CPC Class Codes: A61M 25/104 used for angioplasty

Abstract

A catheter procedure system including a bedside system and a remote workstation is provided. The bedside system includes a catheter including an expandable percutaneous intervention device, a robotic catheter system configured to move the catheter, and an inflation device configured to cause expansion of the expandable percutaneous intervention device. The remote workstation includes a user interface configured to receive a at least first user input and a second user input and a control system operatively coupled to the user interface for remotely controlling both the robotic catheter system and the inflation device. The remote workstation includes a monitor configured to display information related to the expandable percutaneous intervention device. The control system controls the robotic catheter system to move the catheter based upon at least the first user input and controls the inflation device to cause expansion of the expandable percutaneous intervention device based upon at least the second user input.

Claims

1. A catheter procedure system comprising:

a bedside system comprising;

a catheter including an expandable percutaneous intervention device;

a robotic catheter system; and

an inflation device configured to cause expansion of the expandable percutaneous intervention device; and

a remote workstation comprising;

a user interface configured to receive at least a first user input; and

a control system operatively coupled to the user interface for remotely controlling both the robotic catheter system and the inflation device, the control system including a controller to move the catheter and expand the expandable percutaneous intervention device;

wherein the control system identifies an inflation rate based on a geometry of a patient'"'"'s vessel and the control system is configured to automatically inflate the expandable percutaneous intervention device utilizing the inflation rate.

2. The catheter procedure system of claim 1, wherein the control system is configured to identify a geometry of a lesion.

3. The catheter procedure system of claim 2, wherein the control system is configured to identify a type of a lesion.

4. The catheter procedure system of claim 2, wherein the control system is configured to identify a size and the geometry of the patient'"'"'s vessel.

5. The catheter procedure system of claim 1, further including a monitor configured to display information related to a position, a fluid pressure, and an extent of expansion of the expandable percutaneous intervention device.

6. The catheter procedure system of claim 1, wherein the control system is configured to move the catheter based upon at least the first user input and controls the inflation device to cause expansion of the expandable percutaneous intervention device based upon at least a second user input.

7. The catheter procedure system of claim 6 wherein the bedside system further comprises a fluid delivery device, wherein the user interface is configured to receive at least a third user input, wherein the control system is operatively coupled to the user interface for remotely controlling the fluid delivery device, and further wherein the control system controls the fluid delivery device based upon at least the third user input, wherein the fluid delivery device is one of a contrast media and medication delivery device.

8. The catheter procedure system of claim 1, wherein the control system is configured to identify an inflation profile to treat an identified lesion.

9. The catheter procedure system of claim 1, wherein the control system is configured to provide a recommendation regarding at least one of a particular type, make, model, and size of the expandable percutaneous intervention device.

10. The catheter procedure system of claim 1 wherein the expandable percutaneous intervention device is one of an angioplasty balloon and a stent.

11. The catheter procedure system of claim 1 wherein the control system includes a first set of instructions and a second set of instructions, wherein the first set of instructions is configured to be executed by the control system if the expandable percutaneous intervention device is an angioplasty balloon, and the second set of instructions is configured to be executed by the control system if the expandable percutaneous intervention device is a stent.

12. The catheter procedure system of claim 1 wherein the control system is configured to control expansion of the expandable percutaneous intervention device based upon a position of the expandable percutaneous intervention device relative to a lesion to be treated.

13. The catheter procedure system of claim 12 wherein the expandable percutaneous intervention device includes a target point and a lesion to be treated includes a landmark, and further wherein the control system is configured to cause expansion of the expandable percutaneous intervention device when the target point is aligned with the landmark.

14. The catheter procedure system of claim 12 wherein the expandable percutaneous intervention device includes a target point and the lesion includes a landmark, and further wherein the control system is configured to stop expansion of the expandable percutaneous intervention device when the target point is not aligned with the landmark.

15. The catheter procedure system of claim 1 wherein the expandable percutaneous intervention device includes a target point and a lesion to be treated includes a landmark, and further wherein the control system is configured to move the expandable percutaneous intervention device relative to the lesion to maintain alignment between the target point and the landmark during expansion of the expandable percutaneous intervention device.

16. The catheter procedure system of claim 1 wherein the control system is configured to provide a user with a suggested position of the expandable percutaneous intervention device relative to a lesion to be treated.

17. The catheter procedure system of claim 1, wherein when the control system detects motion of the expandable percutaneous intervention device relative to a lesion, the controller automatically realigns the expandable percutaneous intervention device with a landmark of the lesion.

18. The catheter procedure system of claim 1, wherein the control system alters the rate of inflation of the expandable percutaneous intervention device based upon a position of a second percutaneous device to synchronize expansion of the expandable percutaneous intervention device with movement of the second percutaneous device.

19. The catheter procedure system of claim 1, wherein the inflation rate is based on the geometry of the patient'"'"'s vessel and a geometry of a lesion.