Catheter control system and graphical user interface

• US 9,814,534 B2
• Filed: 12/22/2015
• Issued: 11/14/2017
• Est. Priority Date: 08/29/2008
• Status: Active Grant

• Current Assignee: Corindus, Inc. (Siemens AG)
• Original Assignee: Corindus, Inc. (Siemens AG)
• Inventors: Wenderow, Tal, Bromander, Thomas, Handler, David
• Primary Examiner(s): Tran, Khoi
• Assistant Examiner(s): NGUYEN, ROBERT T
• Application Number:
  US14/978,308
• Publication Number:
  US 20160175058A1
• Time in Patent Office: 693 Days
• Field of Search: 600424, 606130
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/37 Master-slave robots A61B34/35 takes precedence
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence
• 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 90/98 using electromagnetic means, e.g. transponders
• CPC Class Codes: A61F 2/95 Instruments specially adapted for placement or removal of stents or stent-grafts
• 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 remote workstation for the control of percutaneous intervention devices is provided. The remote workstation includes a control system for remotely and independently controlling at least two percutaneous intervention devices. The control system includes at least one input device to control the percutaneous intervention devices. The control system controls movement of at least one of the percutaneous intervention devices along at least two degrees of freedom. The remote workstation also includes a graphical user interface for displaying icons representative of the operational status of each of the percutaneous intervention devices.

Claims

1. A remote workstation for the control of percutaneous intervention devices comprising:

a control system configured to remotely and independently control a first percutaneous intervention device, the control system including at least one input device to control the first percutaneous intervention device, wherein the control system controls movement of the first percutaneous intervention device along at least one degree of freedom;

a measurement module configured to allow a user to measure a length of a vasculature structure by aligning a tip of the first percutaneous intervention device controlled by the control system with a distal end of the vasculature structure, withdrawing the tip until it is aligned with a proximate end of the vasculature structure and measuring a distance moved by the first percutaneous intervention device as the first percutaneous intervention device traverses the length of the vasculature structure; and

a display configured to provide a first measurement control comprising a first reset button, a first distance indicator and a first stored distance indicator, the first reset button configured to, when actuated, reset a value displayed by the first distance indicator, wherein the first distance indicator indicates a distance moved by the first percutaneous intervention device since the first reset button was actuated.

2. The remote workstation of claim 1, wherein the first percutaneous intervention device is one of a guide wire, a working catheter, a guide catheter, a stent, and an angioplasty balloon.

3. The remote workstation of claim 1, wherein the control system controls movement of the first percutaneous intervention device in a first degree of freedom and in a second degree of freedom, wherein the first degree of freedom and the second degree of freedom include axial movement and rotation.

4. The remote workstation of claim 1, wherein the display includes a first set of icons and the first set of icons are displayed in a first color to indicate that the first percutaneous intervention device is active and are displayed in a second color to indicate that the first percutaneous intervention device is inactive.

5. The remote workstation of claim 4 wherein, when the first percutaneous intervention device is inactive, the control system is configured to hold the inactive first percutaneous intervention device such that the first percutaneous intervention device is not permitted to move axially relative to a patient on which a procedure is being performed.

6. The remote workstation of claim 4, wherein the first set of icons provide at least one of a visual indication of movement of the first percutaneous intervention device and a visual indication of the physical position of the at least one input device.

7. The remote workstation of claim 1, wherein the display displays an icon representative of an amount of contrast agent delivered to a patient during a medical procedure.

8. The remote workstation of claim 1, wherein the display displays an icon that provides information regarding at least one of the type, manufacturer, size, and material of one of the first percutaneous intervention device being controlled.

9. The remote workstation of claim 1, wherein the display displays an icon representative of the state of contraction of the patient'"'"'s heart, wherein the icon is an animated image of a beating heart that moves to match the state of contraction of the patient'"'"'s heart.

10. The remote workstation of claim 1, wherein the display further comprises a touch screen, wherein the display displays an icon on the touch screen that is a graphical representation of a heart, wherein the icon is touched to change a display of a real-time image of the patient'"'"'s heart.

11. The remote workstation of claim 10, wherein the display of the real-time image of the patient'"'"'s heart zooms in on a portion of the patient'"'"'s heart corresponding to a portion of the icon that is touched.

12. The remote workstation of claim 1, wherein the display includes an operational status of the first percutaneous intervention device and the operational status includes an indication of the current movement speed of the first percutaneous intervention device.

13. The remote workstation of claim 1, wherein the first measurement control further comprises a first save button configured to, when actuated, store the value displayed in the first distance indicator.

14. The remote workstation of claim 13, wherein the first stored distance indicator is configured to display the stored value.

15. The remote workstation of claim 1, wherein the control system is configured to remotely and independently control a second percutaneous intervention device and the measurement module is configured to measure a distance moved by the second percutaneous intervention device as the second percutaneous intervention device is advanced or retracted by the control system.

16. The remote workstation of claim 15, wherein the display is configured to provide a second measurement control comprising a second reset button, a second distance indicator and a second stored distance indicator, the second reset button configured to, when actuated, reset a value displayed by the second distance indicator, wherein the value displayed by the second distance indicator indicates a distance moved by the second percutaneous intervention device since the second reset button was actuated.

17. The remote workstation of claim 16, wherein the second measurement control further comprises a second save button configured to, when actuated, store the value displayed in the second distance indicator.

18. The remote workstation of claim 17, wherein the second stored distance indicator is configured to display the stored value.

19. A method for measuring the length of a vascular lesion of a patient during a percutaneous procedure comprising:

aligning a portion of a percutaneous device with a distal end of the vascular lesion;

actuating a reset button on a display to reset a value displayed in a distance indicator on the display;

withdrawing the portion of the percutaneous device through the patient'"'"'s vasculature until the portion is aligned with a proximal end of the vasculature lesion;

aligning the portion of the percutaneous device with the proximal end of the vasculature lesion;

measuring a distance moved by the percutaneous device to move the portion of the percutaneous device between the distal end and the proximal end of the vasculature lesion; and

displaying the measured distance in the distance indicator on the display.

20. The method of claim 19, wherein the percutaneous device is a guide wire, and the portion is a distal tip of the guide wire.

21. The method of claim 19 further comprising selecting a second percutaneous device based upon the measured distance, and further wherein the second percutaneous device includes a stent.

22. The method of claim 19, further comprising actuating a stop button on the display and storing the measured distance displayed in the distance indicator.

23. The method of claim 22, further comprising displaying the stored measured distance in a stored distance indicator on the display.