Multipurpose host system for invasive cardiovascular diagnostic measurement acquisition and display

• US 8,556,820 B2
• Filed: 03/01/2012
• Issued: 10/15/2013
• Est. Priority Date: 05/20/2002
• Status: Expired due to Term

• Current Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Original Assignee: Volcano Corporation (Koninklijke Philips N.V.)
• Inventors: Alpert, Howard David, Hoseit, Paul Michael
• Primary Examiner(s): Ketter, Jim
• Assistant Examiner(s): Ghafoorian, Reza
• Application Number:
  US13/410,070
• Publication Number:
  US 20120220836A1
• Time in Patent Office: 593 Days
• Field of Search: None
• US Class Current: 600/485
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• CPC Class Codes: A61B 5/0035 adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/0215 by means inserted into the body catheters A61M25/00
• CPC Class Codes: A61B 5/026 Measuring blood flow A61B3/1233, A61B3/1241 take precedence
• CPC Class Codes: A61B 5/027 using catheters
• CPC Class Codes: A61B 5/14539 for measuring pH
• CPC Class Codes: A61B 5/1473 invasive, e.g. introduced into the body by a catheter A61B5/1482 takes precedence
• CPC Class Codes: A61B 5/6851 Guide wires
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/72 Signal processing specially adapted for physiological signals or for diagnostic purposes character recognition, recognising digital ink, document-oriented image-based pattern recognition G06V30/00; recognition or understanding of postal images G06V30/424
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 8/06 Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/468 allowing annotation or message recording
• CPC Class Codes: A61B 8/488 : involving Doppler signals
• CPC Class Codes: G16H 30/40 : for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/63 : for local operation

Abstract

A multifunctional invasive cardiovascular diagnostic measurement host is disclosed that interfaces a variety of sensor devices, such as guide wire-mounted pressure sensors, flow sensors, temperature sensors, etc, and provides a multi-mode graphical user interface providing a plurality of displays in accordance with the various types of sensors and measurements rendered by the sensors.

Claims

1. A method of utilizing multiple sensor types to obtain invasive cardiovascular patient information, the method comprising:

controlling operation of a first invasive cardiovascular sensing component with a control system in response to an input to a user interface of the control system to cause the first invasive cardiovascular sensing component to obtain data related to a first invasive cardiovascular parameter;

controlling operation of a second invasive cardiovascular sensing component with the control system in response to an input to the user interface of the control system to cause the second invasive cardiovascular sensing component to obtain data related to a second invasive cardiovascular parameter, the second invasive cardiovascular parameter being different than the first invasive cardiovascular parameter;

processing, using a first modular processing component of the control system, the obtained data related to the first invasive cardiovascular parameter to produce a first set of values associated with the first invasive cardiovascular parameter for display on the user interface;

processing, using a second modular processing component of the control system separate from the first modular processing component, the obtained data related to the second invasive cardiovascular parameter to produce a second set of values associated with the second invasive cardiovascular parameter for display on the user interface; and

displaying the user interface such that at least a portion of at least one of the first set of values and the second set of values is shown.

2. The method of claim 1, wherein the steps of processing the data related to the first invasive cardiovascular parameter and processing the data related to the second invasive cardiovascular parameter are performed independently of one another.

3. The method of claim 2, wherein the first modular processing component and the second modular processing component are executed as separate processes within the processing system.

4. The method of claim 2, wherein the first and second invasive cardiovascular parameters are selected from the group of parameters consisting of:

pressure, flow velocity, flow volume, pH, ultrasound images, light-based images, and tissue characterization.

5. The method of claim 1, wherein the first invasive cardiovascular parameter is a pressure within a vessel and the second invasive cardiovascular parameter is imaging data representative of the vessel.

6. The method of claim 5, wherein processing the data related to the first invasive cardiovascular parameter includes calculating a fractional flow reserve (FFR).

7. The method of claim 6, wherein the imaging data representative of the vessel is generated by optical coherence tomography (OCT).

8. The method of claim 6, wherein the imaging data representative of the vessel is generated by ultrasound.

9. The method of claim 1, wherein the first invasive cardiovascular sensing component is an intravascular sensing component sized and shaped for positioning within a blood vessel of a patient and wherein the first invasive cardiovascular parameter is a measurement of an intravascular parameter within the blood vessel of the patient.

10. A method of obtaining multiple types of invasive cardiovascular patient information, the method comprising

providing a control system including:

a processing system having;

a first modular processing component configured to process data related to a first invasive cardiovascular parameter; and

a second modular processing component separate from the first modular processing component, the second modular processing component configured to process data related to a second invasive cardiovascular parameter, the second invasive cardiovascular parameter being different than the first invasive cardiovascular parameter;

an external interface in communication with the processing system, the external interface configured to;

receive data from a first invasive cardiovascular sensing component, wherein the data received from the first invasive cardiovascular sensing component includes data related to the first invasive cardiovascular parameter; and

receive data from a second invasive cardiovascular sensing component, wherein the data received from the second invasive cardiovascular sensing component includes data related to the second invasive cardiovascular parameter; and

a component in communication with the processing system and the external interface, the component configured to facilitate communication between the processing system and the external interface to control operation of the first and second invasive cardiovascular sensing components in response to user inputs received from a user interface of the control system and to receive the data related to the first and second invasive cardiovascular parameters from the first and second invasive cardiovascular sensing components; and

controlling operation of the first and second invasive cardiovascular sensing components with the control system in response to inputs received from the user interface of the control system to cause the first and second invasive cardiovascular sensing components to obtain data related to the first and second invasive cardiovascular parameters, respectively.

11. The method of claim 10, further comprising:

receiving data related to the first invasive cardiovascular parameter from the first invasive cardiovascular sensing component with the external interface;

receiving data related to the second invasive cardiovascular parameter from the second invasive cardiovascular sensing component with the external interface;

processing the data received from the first invasive cardiovascular sensing component with the first modular processing component; and

processing the data received from the second invasive cardiovascular sensing component with the second modular processing component.

12. A method of obtaining multiple types of invasive cardiovascular patient information, the method comprising:

providing a multi-purpose host system for use in invasive cardiovascular procedures, the multi-purpose host system including;

a processing system having a plurality of separate processing components, wherein each of the plurality of processing components are configured to process data related to an invasive cardiovascular parameter that is different than invasive cardiovascular parameters of the other of the plurality of processing components such that the plurality of processing components are configured to process a plurality of invasive cardiovascular parameters independently of one another; and

an interface in communication with the processing system, the interface configured to receive data from a plurality of invasive cardiovascular sensing components, wherein the data received from each of the plurality invasive cardiovascular sensing components includes data related to one of the plurality of invasive cardiovascular parameters and wherein the interface is configured to communicate the data related to one of the plurality of invasive cardiovascular parameters to the processing system;

wherein the multi-purpose host system is configured to control operation of the plurality of invasive cardiovascular sensing components and configured to facilitate communication of commands and data between the processing system and the interface to control operation of the plurality of invasive cardiovascular sensing components in response to user inputs received from a user interface of the multi-purpose host system and to receive the data from the plurality of invasive cardiovascular sensing components; and

controlling operation of the plurality of invasive cardiovascular sensing components with the multi-purpose host system in response to the user inputs received from the user interface of the multi-purpose host system to cause the plurality of invasive cardiovascular sensing components to obtain data related to the plurality of invasive cardiovascular parameters.

13. The method of claim 12, wherein the plurality of invasive cardiovascular parameters include a pressure within a vessel and imaging data representative of the vessel.

14. A method of evaluating a patient utilizing multiple invasive cardiovascular parameters, comprising:

controlling operation of a first invasive cardiovascular sensing component and a second invasive cardiovascular sensing component with a control system in communication with the first and second invasive cardiovascular sensing components in response to inputs to a user interface of the control system to cause the first invasive cardiovascular sensing component to obtain data related to a first invasive cardiovascular parameter and to cause the second invasive cardiovascular sensing component to obtain data related to a second invasive cardiovascular parameter, the second invasive cardiovascular parameter being different than the first invasive cardiovascular parameter;

receiving data, including data related to the first and second invasive cardiovascular parameters, from the first and second invasive cardiovascular sensing components using an interface associated with the control system; and

processing the received data related to the first and second invasive cardiovascular parameters using a processing system associated with the control system to produce values associated with the first and second invasive cardiovascular parameter for display on the user interface of the control system.

15. The method of claim 14, wherein processing the data related to the first and second invasive cardiovascular parameters includes processing the data related to the first invasive cardiovascular parameter independently from the data related to the second invasive cardiovascular parameter.

16. The method of claim 14, wherein the first and second invasive cardiovascular parameters are selected from the group of parameters consisting of:

pressure, flow velocity, flow volume, pH, ultrasound images, light-based images, and tissue characterization.

17. The method of claim 14, wherein the first invasive cardiovascular sensing component is secured to a first elongate invasive cardiovascular device.

18. The method of claim 17, wherein the second invasive cardiovascular sensing component is secured to the first elongate invasive cardiovascular device.

19. The method of claim 17, wherein the second invasive cardiovascular sensing component is secured to a second elongate invasive cardiovascular device.

20. The method of claim 19, wherein the first invasive cardiovascular parameter is a pressure within the vessel.

21. The method of claim 20, wherein the second invasive cardiovascular parameter is imaging data representative of the vessel.

22. The method of claim 21, wherein the second invasive cardiovascular parameter is ultrasound imaging data representative of the vessel.

23. The method of claim 21, wherein the second invasive cardiovascular parameter is OCT imaging data representative of the vessel.

24. The method of claim 21, wherein processing the data related to the first invasive cardiovascular parameter includes calculating a fractional flow reserve (FFR).

25. The method of claim 24, wherein the imaging data representative of the vessel is suitable for characterizing a tissue of the vessel.

26. The method of claim 14, wherein controlling operation of the second invasive cardiovascular sensing component includes causing a component of the second invasive cardiovascular sensing component to emit a wave and receive a reflected wave.

27. The method of claim 26, wherein processing the received data related to the second invasive cardiovascular parameter includes determining a shift in the reflected wave relative to the emitted wave.

28. The method of claim 27, wherein the emitted wave is an ultrasound wave.

29. The method of claim 26, wherein the first invasive cardiovascular parameter is pressure.

30. The method of claim 29, wherein the second invasive cardiovascular parameter is a flow velocity.