CATHETER SIMULATION AND ASSISTANCE SYSTEM

• US 20110144658A1
• Filed: 02/24/2011
• Published: 06/16/2011
• Est. Priority Date: 08/29/2008
• Status: Abandoned Application

• Current Assignee: Corindus, Inc. (Siemens AG)
• Original Assignee: Corindus, Inc. (Siemens AG)
• Inventors: Bromander, Thomas, Wenderow, Tal
• Application Number:
  US13/034,618
• Publication Number:
  US 20110144658A1
• Time in Patent Office: Days
• US Class Current: 606/130
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• 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 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 6/4441 the rigid structure being a C-arm or U-arm
• CPC Class Codes: A61B 6/481 involving the use of contrast agents
• CPC Class Codes: A61B 6/503 for diagnosis of the heart
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography
• CPC Class Codes: A61B 8/0891 for diagnosis of blood vessels
• CPC Class Codes: G09B 23/285 for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A workstation configured for operating and simulating a robotic catheter system and interventional procedure is provided. The workstation includes a user interface configured to receive a user input and a control system operatively coupled to the user interface for remotely and independently controlling at least two percutaneous intervention devices. The workstation includes a data storage subsystem to store a vascular image data and a simulation subsystem. The control system controls the at least two percutaneous intervention devices based upon the user input received by the user interface to allow the user to perform a real catheterization procedure. The simulation subsystem generates a display as a function of the vascular image data and causes the display of a simulated percutaneous intervention device within the vascular image data as a function of the user input allowing the user to perform a simulated catheterization procedure.

Claims

1. A workstation configured for both operating and simulating a robotic catheter system and interventional procedure, comprising:

a user interface configured to receive a user input;

a control system operatively coupled to the user interface, the control system configured to remotely and independently control at least two percutaneous intervention devices during a real catheterization procedure;

a data storage subsystem storing vascular image data; and

a simulation subsystem configured to simulate a catheterization procedure;

wherein the control system controls the at least two percutaneous intervention devices based upon the user input received by the user interface to allow the user to perform the real catheterization procedure; and

further wherein the simulation subsystem generates a display as a function of the vascular image data and causes the display of a simulated percutaneous intervention device within the display of vascular image data as a function of the user input allowing the user to perform the simulated catheterization procedure.

2. The workstation of claim 1 wherein the vascular image data is patient specific image data.

3. The workstation of claim 1 wherein the vascular image data comprises an image of a heart.

4. The workstation of claim 1 wherein the vascular image data is three dimensional image data.

5. The workstation of claim 4 wherein the simulation subsystem displays a two dimensional image generated from the three dimensional image data and causes the display of the simulated percutaneous intervention device within the display of the two dimensional image, and further wherein the display of the simulated percutaneous intervention device within the two dimensional image changes as a function of the user input.

6. The workstation of claim 4 wherein the simulation subsystem displays both a three dimensional image as a function of the three dimensional image data and a two dimensional image generated from the three dimensional image data.

7. The workstation of claim 1 further comprising:

a first mode, wherein the control system is active in the first mode;

a second mode, wherein the simulation subsystem is active in the second mode; and

a mode selection subsystem allowing the user to select between the first mode and the second mode.

8. The workstation of claim 7 wherein the mode selection subsystem allows the user to switch from the first mode to the second mode during a real catheterization procedure.

9. The workstation of claim 1 further comprising an assist subsystem wherein the assist subsystem provides the user with information during a real catheterization procedure to assist the user in the performance of the catheterization procedure.

10. The workstation of claim 9 wherein the information provided by the assist subsystem is a function of the vascular image data.

11. The workstation of claim 10 wherein the information provided comprises a list of percutaneous intervention devices.

12. The workstation of claim 9 wherein the data storage subsystem stores recorded procedural data, and further wherein the information provided by the assist subsystem is a function of the recorded procedural data, and further wherein the information provided by the assist subsystem includes a suggested path as a function of the recorded procedural data.

13. The workstation of claim 1 wherein the simulation subsystem allows the user to perform the simulated procedure with a plurality of simulated percutaneous intervention devices.

14. The workstation of claim 13 wherein the control system is in communication with a hospital inventory system, the hospital inventory system including a list of percutaneous intervention devices available for use during the real catheterization procedure, wherein the control system displays information identifying percutaneous intervention devices that are included in the list of percutaneous intervention devices or that were used during a simulated catheterization procedure.

15. The workstation of claim 13 wherein the control system is in communication with the hospital inventory system, the hospital inventory system including a list of percutaneous intervention devices available for use during the real catheterization procedure, wherein the simulation subsystem displays information identifying percutaneous intervention devices that are included in the list of percutaneous intervention devices and allows the user to perform a simulated procedure using a percutaneous intervention device that is included in the list of percutaneous devices.

16. A workstation configured for operating and simulating a robotic catheter system and configured for simulating an imaging system movable between a plurality of angular positions relative to a patient to capture a plurality of angular views of a portion of the patient, the workstation comprising:

a user interface configured to receive a user input;

a control system operatively coupled to the user interface configured to remotely and independently control at least two percutaneous intervention devices;

a data storage subsystem to store three dimensional patient specific vascular image data; and

a simulation subsystem configured to simulate a catheterization procedure, wherein the simulation subsystem displays a plurality of two dimensional images generated from the three dimensional vascular image data representative of different angular views of a portion of the patient that may be displayed during a real catheterization procedure;

wherein the control system controls the at least two percutaneous intervention devices based upon the user input received by the user interface to allow the user to perform a real catheterization procedure.

17. The workstation of claim 16 further comprising a procedure record subsystem that records two dimensional images displayed by the simulation subsystem during the simulated catheterization procedure.

18. The workstation of claim 17 wherein the control system displays two dimensional images during a real catheterization procedure that were recorded by the procedure record subsystem during the simulated procedure.

19. The workstation of claim 16 wherein the control system is operatively coupled to an imaging system, the control system controlling the movement of the imaging system between the plurality of angular positions relative to a patient to capture a plurality of angular views of a portion of the patient during a real catheterization procedure;

wherein at least one angular view of the portion of the patient captured by the imaging system during a real catheterization procedure generally approximates at least one two dimensional image displayed by the simulation subsystem.

20. The workstation of claim 19 wherein the control system controls the movement of the imaging system between the plurality of angular positions based upon a second user input received by the user interface.

21. The workstation of claim 19 wherein the control system automatically controls the movement of the imaging system between the plurality of angular positions based upon at least one two dimensional image displayed by the simulation subsystem.

22. A workstation configured for operating and simulating a robotic catheter system and interventional procedure, comprising:

a user interface configured to receive a user input;

a control system operatively coupled to the user interface configured to remotely control at least two percutaneous intervention devices during a real catheterization procedure;

a data storage subsystem to store vascular image data;

a simulation subsystem configured to simulate a catheterization procedure;

wherein the control system controls the at least two percutaneous intervention devices based upon the user input received by the user interface to allow the user to perform the real catheterization procedure;

wherein the simulation subsystem generates a display as a function of the vascular image data and causes the display of a simulated intervention device as a function of the user input; and

further wherein the display generated by the simulation subsystem may be displayed during the real catheterization procedure.

23. The workstation of claim 22 further comprising:

a first mode, wherein the control system is active in the first mode;

a second mode, wherein the simulation subsystem is active in the second mode; and

a mode selection subsystem configured to allow the user to select between the first mode and the second mode;

wherein the mode selection subsystem allows the user to switch from the first mode to the second mode and from the second mode to the first mode during a real catheterization procedure.

24. The workstation of claim 22 further comprising a record subsystem to record procedural information, wherein the record subsystem flags portions of the recorded procedural information associated with a problem encountered during a procedure, and further wherein the control system causes a display of information as a function of the flagged portion of the recorded procedure.