Mediguide Ltd.

St. Jude Medical International Holding S.a.r.l.

Lightlab Imaging, Inc.

St. Jude Medical Internaiional Holding S.àr.l.

St Jude Medical, Atrial Fibrillation Division, Inc

Amit Cohen

Uzi Eichler

Gera M Strommer

Desmond Christopher Adler

Alon Izmirli

Itai Winkler

Lorina Dascal

Itay M Kariv

Stavit Cohen

Liat Schwartz

Kobi Kor

An apparatus for displaying a moving region of interest located within a body includes a positioning system to determine a position and orientation (P&O) of a medical device as well as to track, using an internal position reference sensor, the motion of the region of interest over time. A compensation function block generates a motion compensation function based on the motion of the region of interest, which is configured to compensate for the motion of the region of interest between a first time, for example a time at which an image was acquired and a second time, for example a time at which a P&O of the device was measured. The measured P&O is corrected using the compensation function. A representation of the medical device is superimposed on the image in accordance with the corrected P&O.

Compensation of motion in a moving organ using an internal position reference sensor

A system for superimposing virtual anatomical landmarks on an image includes a medical positioning system (MPS) for producing location readings with respect to points within a region of interest in accordance with an output of a location sensor disposed in a medical device. A coordinate system of the MPS is registered with an image coordinate system. A control unit receives a signal from a user to record a location reading when the medical device is at a desired point in the region of interest where the user desires to place a virtual landmark, modifies the recorded location reading for motion compensation, transforms the motion-compensated location reading from the MPS coordinate system to the image coordinate system to produce a target location, and then superimposes a representation of the virtual landmark on the image at the target location.

Method and system for superimposing virtual anatomical landmarks on an image

In part, the invention relates to processing, tracking and registering angiography images and elements in such images relative to images from an intravascular imaging modality such as, for example, optical coherence tomography (OCT). Registration between such imaging modalities is facilitated by tracking of a marker of the intravascular imaging probe performed on the angiography images obtained during a pullback. Further, detecting and tracking vessel centerlines is used to perform a continuous registration between OCT and angiography images in one embodiment.

Vascular data processing and image registration systems, methods, and apparatuses

A method for enhancing a three-dimensional (3D) reconstruction of an object comprises obtaining a signal indicative of a static 3D reconstruction of an object disposed in a tracking space, co-registering the 3D reconstruction to the 3D tracking space, collecting enhancement data from a tracked tool disposed in the 3D tracking space, and adding real-time features of the object to the static 3D reconstruction using the enhancement data. A system for enhancing data obtained by a medical system includes an electronic control unit configured to receive a first signal for a static 3D reconstruction of an organ, co-register the static 3D reconstruction to a 3D tracking space for a tracked tool, receive a second signal for enhancement data generated by the tracked tool operating within a region of interest of the organ, and add real-time features of the area of interest to the static 3D reconstruction using the enhancement data.

Tracking-based 3D model enhancement

Systems and methods are disclosed for navigating a surgical device toward a target organ in the body of a patient. An example method includes providing a surgical needle and a guide wire, the surgical needle configured for insertion into a vein or a beating heart. The method also includes holding the guide wire within the surgical needle while the surgical needle is inserted into the vein or the beating heart. The method also includes generating output in two modes, the output based on at least one medical positioning system (MPS) sensor on the guide wire, the output corresponding to a position of the surgical needle and the guide wire for navigating the surgical needle and the guide wire toward a target in the vein or the heart. The methods can be carried out directly by a physician or via a computer processor-based surgical system.

Systems and methods for navigating a surgical device

A method for detecting when a tool contacts a wall of a region of interest includes the steps of: tracking the motion of the tool and creating a tool motion profile; calculating a correlation value representative of the correlation between the tool motion profile and a wall motion profile indicative of the motion of the wall; and determining when the correlation value exceeds a threshold indicative of contact of the tool with the wall of the region of interest.

Method for detecting contact with the wall of a region of interest

Methods and systems for producing an electrophysiological map of a heart of a patient are disclosed. An example method may include determining a target location and an orientation of a catheter tip, confirming that the tip is located at the target location, measuring the heart parameter value at each of the target locations, and superimposing a plurality of representations of the heart parameter value. Confirmation that the tip of the catheter is located at a target location can be accomplished by comparing the current location of the tip with the target location, a corresponding heart parameter value being measured at each of the target locations by a heart parameter sensor, and the representations of the heart parameter value being superimposed on an image of the heart at the target location to produce the electrophysiological map.

Method for producing an electrophysiological map of the heart

A tool dislodgement detection apparatus includes an MPS outputting position and orientation (P&O) readings for determining tool motion. A control generates an alarm based on the tool motion and dislodgement criteria. The criteria includes whether the tool motion meets a condition based on the type of medical procedure or tool, the tool parking position, a patient characteristic (e.g., age, weight, gender) or a physician preference. The criteria includes when the correlation between the tool motion and the cardiac, respiration and patient motion changes abruptly. In a prolapse detection apparatus, guidewire tip P&O readings determine a tip motion vector. The control generates an alarm using the motion vector and predetermined criteria. The criteria include a substantial change in the tip orientation not accompanied by a corresponding position change and a change in the motion vector by about 180&#xb0; accompanied by a corresponding position change no greater than a threshold.

Prolapse detection and tool dislodgement detection

A medical tool includes a location sensor at a distal end. While the tool is being maneuvered to a desired region of interest, a control unit records a first location reading obtained according to an output from the sensor when requested by a user, indicative of when a patient's anatomy constrains free movement of the tool in at least one degree of freedom. Once the tool has reached the region of interest, the control unit records a second location reading according to the sensor output indicative of a current location. A relaxation shape of the tool forms a shape constraint on the tool shape reconstruction. The control unit determines a reconstruction representing the current shape of the tool based on the positional constraints and the shape constraint. The reconstruction is graphically superimposed on an image of the region of interest.

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Binyamina, Israel

Amit Cohen