Stereotaxis, Inc.

Tursiop Technologies LLC

Other

Baylis Medical Company Inc.

Raju R Viswanathan

Walter M Blume

Jeffrey M Garibaldi

Rogers C Ritter

Nathan Kastelein

Gareth T Munger

Peter R Werp

John Rauch

Ashwini K Pandey

Roger Noel Hastings

Ilker Tunay

Michael John Eng

Michael E Sabo

Gareth Davies

Francis M Creighton

Guy M Besson

William J Flickinger

Jonathan C Sell

Kelly Albert

Heather Drury

Charidimos E Gasparakis

Gery Tomassoni

Christopher D Minar

Methods are provided for automatically actuating and positioning a first medical device in a subject anatomy with a remote medical navigation system together with a localized second medical device that passes through the first device and is also actuated by the remote navigation system to access a desired target location. After an initial calibration step, an exemplary method comprises:

Method and apparatus for automated control and steering of multiple medical devices with a single interventional remote navigation system

A method of operating a remote medical navigation system using ultrasound, employs ultrasound imaging from a medical device to supplement or to replace conventional x-ray imaging of the operating region during navigation.

Operation of a remote medical navigation system using ultrasound image

An apparatus and method for interventional navigation within a subject's body is provided in which a medical device having at least one electrostrictive element is adapted to cause the distal end of the medical device to bend in a given direction for improving navigation. The medical device may further comprise at least one magnetically responsive element on the distal end, which may be oriented in the approximate direction of a magnetic field that is applied to the subject's body. At least one method for navigating a medical device though a subject's body is provided, by changing the direction of an applied magnetic field to align a magnetically responsive element on the distal end for orienting the distal end, and by applying a voltage to at least one electrostrictive element disposed in the distal portion of the device for causing the distal end to change orientation from that achieved by application of the magnetic field alone.

Electrostriction devices and methods for assisted magnetic navigation

A display for operating a plurality of separate computer systems, each having a visual display. The display includes comprising a composite display, a video system for receiving display input from each of the plurality of separate computer systems and displaying it on the composite display, a processor which controls the content of the composite display based upon a planned procedure workflow.

Workflow driven display for medical procedures

A work flow driven method of performing multi-step medical procedures includes displaying the visual displays from separate computer controlled systems on a composite display, and displaying prompts for a plurality of steps of the multi-step medical procedure, and in response to user selection from the prompts, automatically reconfiguring the composite display based in part on the selection. Alternatively the display can be changed in response to user actions other than selection. In other embodiments, the composite display can change automatically to match a planned work flow.

Workflow driven method of performing multi-step medical procedures

The present invention provides a means for guiding a medical device within the body to approach a target destination. The system and method provide a means for determining a predicted length and orientation, navigating the device to an intermediate point less than the predicted length, determining an error between the projected destination and actual target destination, and successively updating a predicted value of a control variable to yield an orientation within a predetermined distance error before advancing the device the remaining distance to the destination. This provides a physician with the capability of verifying the device will be accurately guided to the target destination without trial and error. A method is also provided for intuitive navigation to targets with limited trial and error based on user-applied device orientation adjustments, where the user chooses the magnitude of the adjustments and the system determines the adjustment direction.

Efficient closed loop feedback navigation

An apparatus and method for interventional navigation within a subject's body is provided in which a medical device having at least one electrostrictive element is adapted to cause the distal end of the medical device to bend in a given direction for improving navigation. The medical device may further comprise at least one magnetically responsive element on the distal end, which may be oriented in the approximate direction of a magnetic field that is applied to the subjects body. At least one method for navigating a medical device though a subject's body is provided, by changing the direction of an applied magnetic field to align a magnetically responsive element on the distal end for orienting the distal end, and by applying a voltage to at least one electrostrictive element disposed in the distal portion of the device for causing the distal end to change orientation from that achieved by application of the magnetic field alone.

A method is provided for establishing contact of a medical device against a three-dimensional surface geometry within a subject body, the method comprising obtaining a three-dimensional tissue surface geometry of an anatomical region within the subject body, obtaining a target location on the surface for the device to contact, determining local surface geometry information in a neighborhood of the target location, and using this information to determine a change of at least one control variable for effecting an over-torque of the medical device to enhance contact of the device with the target surface.

Contact over-torque with three-dimensional anatomical data

A guide wire for magnetically navigating a medical device through in a subject's body comprising an elongate wire having a proximal and distal end, a portion adjacent the distal end that is more flexible than the more proximal portions of the elongate wire, and a first magnetically responsive element on the distal end of the elongate wire. The guide wire further comprises one or more magnetically responsive elements spaced apart from the first magnetically responsive element and disposed on the more flexible portion of the elongate wire. The guide wire provides for bending or deflecting the distal end of the stent, to provide easier navigation of the distal end of the guide wire and the stent through the vasculature of a subject body.

Stent delivery guide wire

A method is disclosed for planning the treatment of cardiac arrhythmias by RF ablation with a remote navigation system, including the identification of ablation lines around the pulmonary veins ostia&#x2014;atrial junctions based on impedance measurements. When used by itself or in conjunction with electro-anatomical approaches, the impedance method therein disclosed enables safe and effective arrhythmia treatment.

Impedance-based cardiac therapy planning method with a remote surgical navigation system

A method of operating a plurality of computer systems includes translating inputs generated by the operation of an input device associated with a first computer into control signals for operating at least one other computer system to operate the at least one other computer system in a corresponding manner.

Coordinated control for multiple computer-controlled medical systems

A method of performing a multi-step medical procedure requiring the operation of a plurality of separate computer systems, each accepting inputs and providing a visual display, the method including displaying the displays from the separate computer controlled systems on a composite display; and based in part from information from one of the separate computer systems, automatically selecting the next step from a plurality of possible next steps, and displaying a prompt for the automatically selected next step, and automatically reconfiguring the composite display for the automatically selected next step.

System state driven display for medical procedures

This invention describes an energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field and comprising an electrical conductor having a substantially elongated configuration; an electrode for delivering electrical energy at the target location, with the electrode being electrically coupled to the electrical conductor and having an exposed surface with at least a portion of the exposed surface having one of its principal radii of curvature smaller than 0.35 mm; an insulating dielectric coating along a substantial portion of the length of the electrical conductor, with the dielectric coating having a dielectric constant smaller than about 3; at least one guiding element mounted to the electrical conductor, with at least one of the guiding elements including a magnetically responsive material. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.

Magnetically guided energy delivery apparatus

A method of navigating a medical device in an operating region in a subject. The method includes applying a magnetic field to the operating region and changing the magnetic moment of the medical device by selectively changing a physical condition of at least one magnet element in the medical device to change the orientation of the device with respect to the applied magnetic field.

Variable magnetic moment MR navigation

A method is provided for establishing contact of a medical device against a tissue surface within a subject body, the method comprising determination of the geometrical configuration of the distal portion of the medical device, and using this together with known control variable information to determine and control the contact force of the distal tip of the medical device against the tissue surface.

Growing community of inventors

St. Louis, MO, United States of America

Raju R Viswanathan