发明名称 System and method for integrating candidate implant location test results with real-time tissue images for use with implantable device leads
摘要 Patient tissues are imaged using, e.g., a real-time fluoroscopic imaging system, along with a lead system being implanted. Parameters representative of lead placement efficacy—such as capture thresholds, phrenic nerve stimulation thresholds, impedance values or screw-in tip mechanical resistance values—are measured at candidate implant locations. Localization parameters identifying the candidate implant locations are also measured. In one example, a display is generated substantially in real-time showing: images of the tissues of the patient and the lead system being implanted; candidate locations of the electrodes; and parameters representative of lead placement efficacy at the candidate locations. In this manner, the implanting clinician can readily view capture thresholds and other helpful parameters at various candidate locations along with actual real-time images of the tissues of the patient and the lead system being implanted. Recorded images can also be displayed and, in some examples, multiple images can be superimposed over one another.
申请公布号 US9237936(B2) 申请公布日期 2016.01.19
申请号 US201313940741 申请日期 2013.07.12
申请人 Pacesetter, Inc. 发明人 Razavi Hoda;Arnold Edith;Qu Fujian;Nabutovsky Yelena
分类号 A61B19/00;A61N1/05 主分类号 A61B19/00
代理机构 代理人 Raymer Theresa A.
主权项 1. A method for use with an implantable medical lead system for implant within a patient, the method comprising: imaging tissues of the patient including at least a portion of a lead system being implanted; measuring at least one parameter representative of lead placement efficacy at at least a first and second candidate implant location within the tissues of the patient using a repositionable electrode of the lead system; measuring localization parameters identifying the candidate implant locations of the repositionable electrode within a three-dimensional coordinate system; and generating a display of images of the tissues of the patient and at least a portion of the lead system being implanted, the first candidate location of the repositionable electrode concurrently with the second candidate location of the repositionable electrode, and at least one parameter representative of lead placement efficacy at the candidate locations.
地址 Sunnyvale CA US