Multipurpose host system for invasive cardiovascular diagnostic measurement acquisition and display

• US 8,562,537 B2
• Filed: 03/01/2012
• Issued: 10/22/2013
• 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:
  US13/410,099
• Publication Number:
  US 20120220837A1
• Time in Patent Office: 600 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 performing an invasive cardiovascular procedure using multiple invasive sensor types, the method comprising:

communicatively coupling a first invasive cardiovascular sensing component to a multi-purpose host system;

communicatively coupling a second invasive cardiovascular sensing component to the multi-purpose host system;

positioning at least a portion of the first invasive cardiovascular sensing component within a vessel of a patient;

positioning at least a portion of the second invasive cardiovascular sensing component within the vessel of the patient;

utilizing a user interface of the multi-purpose host system to control operation of the first invasive cardiovascular sensing component to cause the first invasive cardiovascular sensing component to obtain data related to a first invasive cardiovascular parameter while positioned within the vessel of the patient;

utilizing the user interface of the multi-purpose host system to control operation of the second invasive cardiovascular sensing component to cause the second invasive cardiovascular sensing component to obtain data related to a second invasive cardiovascular parameter while positioned within the vessel of the patient, the second invasive cardiovascular parameter being different than the first invasive cardiovascular parameter;

utilizing a first processing component of the multi-purpose host system to process the data related to the first invasive cardiovascular parameter to produce values associated with the first invasive cardiovascular parameter for display on the user interface of the multi-purpose host system; and

utilizing a second processing component of the multi-purpose host system to process the data related to the second invasive cardiovascular parameter to produce values associated with the second invasive cardiovascular parameter for display on the user interface of the multi-purpose host system.

2. The method of claim 1, wherein the data related to the first invasive cardiovascular parameter is processed by the first processing component independently from the data related to the second invasive cardiovascular parameter being processed by the second processing component.

3. The method of claim 1, 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.

4. The method of claim 1, wherein the first invasive cardiovascular sensing component is secured to a first flexible elongate member and wherein positioning the first invasive cardiovascular sensing component within the vessel of the patient includes positioning the first flexible elongate member within the vessel of the patient.

5. The method of claim 4, wherein the second invasive cardiovascular sensing component is secured to the first flexible elongate member and wherein positioning the second invasive cardiovascular sensing component within the vessel of the patient includes positioning the first flexible elongate member within the vessel of the patient.

6. The method of claim 4, wherein the second invasive cardiovascular sensing component is secured to a second flexible elongate member and wherein positioning the second invasive cardiovascular sensing component within the vessel of the patient includes positioning the second flexible elongate member within the vessel of the patient.

7. The method of claim 1, wherein the first invasive cardiovascular parameter is a pressure within the vessel.

8. The method of claim 7, wherein the second invasive cardiovascular parameter is imaging data representative of the vessel.

9. The method of claim 8, wherein the second invasive cardiovascular parameter is ultrasound imaging data representative of the vessel.

10. The method of claim 8, wherein the second invasive cardiovascular parameter is OCT imaging data representative of the vessel.

11. The method of claim 7, wherein processing the data related to the first invasive cardiovascular parameter includes calculating a fractional flow reserve (FFR).

12. A method of performing an intravascular procedure using multiple invasive sensor types, the method comprising:

obtaining a first elongate intravascular device sized and shaped for positioning within a vessel of a patient, the first elongate intravascular device including a first intravascular sensing element configured to obtain data related to a first intravascular parameter;

obtaining a second elongate intravascular device sized and shaped for positioning within the vessel of the patient, the second elongate intravascular device including a second intravascular sensing element configured to obtain data related to a second intravascular parameter, the second intravascular parameter being different than the first intravascular parameter;

coupling the first and second elongate intravascular devices to a multi-purpose host system such that the first and second intravascular sensing components are in communication with a processing system of the multi-purpose host system, wherein the multi-purpose host system is configured to control operation of the first and second intravascular sensing components based on input to a user interface of the multi-purpose host system and wherein the processing system is configured to process the data related to the first and second intravascular parameters obtained by the first and second intravascular sensing elements.

13. The method of claim 12, wherein the first intravascular parameter is a pressure within the vessel and the second intravascular parameter is imaging data representative of the vessel.

14. A method of performing an intravascular procedure utilizing a pressure sensor and an imaging element to obtain pressure data and imaging data within a vessel of a patient, the method comprising:

obtaining a first elongate intravascular device sized and shaped for positioning within the vessel of the patient, the first elongate intravascular device including a pressure sensor configured to obtain data related to a pressure within the vessel of the patient;

obtaining a second elongate intravascular device sized and shaped for positioning within the vessel of the patient, the second elongate intravascular device including an imaging element configured to obtain imaging data representative of the vessel of the patient;

coupling the first elongate intravascular device to an external interface of a multi-purpose host system such that the pressure sensor is in communication with a processing system of the multi-purpose host system, wherein the multi-purpose host system is configured to control operation of the pressure sensor by transmitting signals through the external interface to obtain data related to the pressure within the vessel of the patient and wherein the processing system is configured to process the data related to the pressure within the vessel received through the external interface to produce values associated with the pressure within the vessel for display on a user interface of the multi-purpose host system; and

coupling the second elongate intravascular device to the external interface of the multi-purpose host system such that the imaging element is in communication with the processing system of the multi-purpose host system, wherein the multi-purpose host system is configured to control operation of the imaging element by transmitting signals through the external interface to obtain imaging data representative of the vessel of the patient and wherein the processing system is configured to process the imaging data representative of the vessel received through the external interface to produce images of the vessel for display on the user interface of the multi-purpose host system.

15. The method of claim 14, further comprising:

positioning the first elongate intravascular device within the vessel of the patient;

obtaining data related to the pressure within the vessel of the patient with the pressure sensor while the first elongate intravascular device is positioned within the vessel of the patient;

positioning the second elongate intravascular device within the vessel of the patient; and

obtaining imaging data representative of the vessel of the patient with the imaging element while the second elongate intravascular device is positioned within the vessel of the patient.

16. A method of performing an invasive cardiovascular procedure using multiple sensor types, the method comprising:

positioning portions of first and second invasive cardiovascular sensing components within a patient;

communicatively coupling the first and second invasive cardiovascular sensing components to a control system;

utilizing a user interface of the control system to control operation of the first and second invasive cardiovascular sensing components 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; and

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

17. The method of claim 16, 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.

18. The method of claim 16, 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.

19. The method of claim 16, wherein the first invasive cardiovascular sensing component is secured to a first invasive cardiovascular device and wherein positioning the first invasive cardiovascular sensing component within the patient includes positioning the first invasive cardiovascular device within a vessel of the patient.

20. The method of claim 19, wherein the second invasive cardiovascular sensing component is secured to the first invasive cardiovascular device and wherein positioning the second invasive cardiovascular sensing component within the patient includes positioning the first invasive cardiovascular device within the vessel of the patient.

21. The method of claim 19, wherein the second invasive cardiovascular sensing component is secured to a second invasive cardiovascular device and wherein positioning the second invasive cardiovascular sensing component within the patient includes positioning the second invasive cardiovascular device within the vessel of the patient.

22. The method of claim 21, wherein the first invasive cardiovascular parameter is a pressure within the vessel.

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

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

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

26. The method of claim 23, wherein processing the data related to the first invasive cardiovascular parameter includes calculating a fractional flow reserve (FFR).

27. The method of claim 26, wherein the imaging data representative of the vessel is generated by a light-based imaging technique.

28. The method of claim 26, wherein the imaging data representative of the vessel is generated by optical coherence tomography (OCT).

29. The method of claim 26, wherein the imaging data representative of the vessel is suitable for characterizing a tissue of the vessel.

30. The method of claim 16, further comprising guiding placement of a treatment based on a display of the user interface.