ES2557730T3 - Sistema huésped multifunción para adquisición y visualización de medición diagnóstica cardiovascular invasiva - Google Patents

Sistema huésped multifunción para adquisición y visualización de medición diagnóstica cardiovascular invasiva Download PDF

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ES2557730T3
ES2557730T3 ES12150922.8T ES12150922T ES2557730T3 ES 2557730 T3 ES2557730 T3 ES 2557730T3 ES 12150922 T ES12150922 T ES 12150922T ES 2557730 T3 ES2557730 T3 ES 2557730T3
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sensors
host system
user interface
sensor
mode
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Howard David Alpert
Paul Michael Hoseit
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Philips Image Guided Therapy Corp
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Volcano Corp
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/026—Measuring blood flow
    • A61B5/0265—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter
    • A61B5/027—Measuring blood flow using electromagnetic means, e.g. electromagnetic flowmeter using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0033—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room
    • A61B5/0035—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0062—Arrangements for scanning
    • A61B5/0066—Optical coherence imaging
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    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
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    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
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    • A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
    • A—HUMAN NECESSITIES
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14539—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring pH
    • A—HUMAN NECESSITIES
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    • A61B5/1468—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means
    • A61B5/1473—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using chemical or electrochemical methods, e.g. by polarographic means invasive, e.g. introduced into the body by a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851—Guide wires
    • A—HUMAN NECESSITIES
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    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/7435—Displaying user selection data, e.g. icons in a graphical user interface
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/7475—User input or interface means, e.g. keyboard, pointing device, joystick
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/06—Measuring blood flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/12—Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/46—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient
    • A61B8/467—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means
    • A61B8/468—Ultrasonic, sonic or infrasonic diagnostic devices with special arrangements for interfacing with the operator or the patient characterised by special input means allowing annotation or message recording
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/48—Diagnostic techniques
    • A61B8/488—Diagnostic techniques involving Doppler signals
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/40—ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04—Constructional details of apparatus
    • A61B2560/0443—Modular apparatus
    • A61B2560/045—Modular apparatus with a separable interface unit, e.g. for communication
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Hematology (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Human Computer Interaction (AREA)
  • Electromagnetism (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Psychiatry (AREA)
  • Pulmonology (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Signal Processing (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Artificial Intelligence (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

Un sistema (100) huésped, que comprende: una interfaz (112) de señal externa configurada para: recibir datos desde un primer componente de detección cardiovascular, donde los datos recibidos desde el primer componente de detección cardiovascular incluyen datos relacionados con un primer parámetro cardiovascular; recibir datos desde un segundo componente de detección cardiovascular, donde los datos recibidos desde el segundo componente de detección cardiovascular incluyen datos relacionados con un segundo parámetro cardiovascular, siendo diferente el segundo parámetro cardiovascular del primer parámetro cardiovascular; y controlar el funcionamiento de los primeros y segundos componentes de detección cardiovascular; una pluralidad de componentes (224) de procesamiento de medición que funcionan en el nivel del modo usuario en el sistema huésped, estando la pluralidad de componentes de procesamiento de medición en comunicación con la interfaz de señal externa, incluyendo los componentes de procesamiento de medición: un primer componente de procesamiento modular configurado para procesar los datos relacionados con el primer parámetro cardiovascular recibido por medio de la interfaz de señal externa; y un segundo componente de procesamiento modular separado del primer componente de procesamiento modular, estando configurado el segundo componente de procesamiento modular para procesar los datos relacionados con el segundo parámetro cardiovascular recibido por medio de la interfaz de señal externa; una pluralidad de conductores (204) del modo núcleo para facilitar la comunicación de órdenes y datos entre la interfaz (112) de señal externa y la pluralidad de componentes (224) de procesamiento de medición; y un componente (110) de salida para proporcionar salidas desde los componentes de procesamiento de medición de una manera observable.

Description

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envío a procesos del modo usuario (descritos en el presente documento a continuación) responsables de proporcionar los datos de entrada que accionan la interfaz de usuario gráfica del modo usuario (por ejemplo, gráficos, valores de parámetros instantáneos para presión y velocidad de flujo, etc.).
5 El nivel de modo usuario del huésped 100 incorpora una arquitectura modular/basada en componentes. La arquitectura modular proporciona un alto grado de flexibilidad al desarrollar e incorporar nuevos tipos de sensor, e interfaces correspondientes de usuario gráficas, a la interfaz de usuario de huésped de múltiples modos. Los procesos 206 del modo usuario incluyen una aplicación 222 de huésped extensible basada en COM que es responsable de la presentación de una interfaz de usuario gráfica de modo de múltiples interfaces (preferentemente con funcionalidad de pantalla táctil). En el arranque, la aplicación 222 huésped representa un conjunto de objetos del modo de interfaz de usuario a partir de un registro de clases disponibles de objetos del modo de interfaz de usuario. Los ejemplos de tales objetos del modo de interfaz de usuario incluyen Presión, Flujo y Combinación. La extensión de un conjunto de base de interfaces de usuario gráficas para incluir nuevos modos de interfaz de usuario, tales como Temperatura y pH, se logra instalando una o más nuevas DLL que contienen objetos de clase del modo de
15 interfaz de usuario que se corresponden con los nuevos modos de interfaz de usuario. En una realización de la invención, se proporciona un objeto componente separado del modo de interfaz de usuario para cada modo de interfaz de usuario distinto soportado por la aplicación 222 huésped.
El conjunto de procesos 206 del modo usuario también incluye un conjunto de componentes 224 de procesamiento de medición. En una realización de la invención, cada componente de procesamiento de medición se corresponde con un sensor particular. Los componentes 224 de procesamiento de medición se representan a partir de un conjunto de objetos del modelo de objeto de componente (COM) específicos de un sensor proporcionados por uno o más archivos de biblioteca de enlace dinámico (DLL). Cada componente específico de sensor se ejecuta como un hilo dentro de un mismo procedimiento, o como alternativa, un proceso separado. De esta manera, un fallo de 25 funcionamiento en un componente específico de sensor no afectará al funcionamiento de los componentes específicos de sensor que funcionan apropiadamente. El enfoque COM antes descrito respecto al manejo de datos del sensor en el nivel 206 del modo usuario también permite al conjunto de sensores de entrada e interfaces mostradas correspondientes extenderse fácilmente instalando nuevas DLL a partir de las que el sistema 100 huésped representa objetos COM que se corresponden con nuevos tipos de entradas de sensor. El sistema 100 huésped ilustrativo representado en la FIG. 2 incluye los siguientes componentes específicos de sensor: presión 226, velocidad 228 de flujo, volumen 230 de flujo, temperatura 232, y auxiliar 234. Una entrada ejemplar procesada por el componente auxiliar 234 es una señal de posición proporcionada por uno o más sensores de desplazamiento (ejemplo, una posición rotativa, una posición longitudinal a lo largo de un vaso). Los componentes específicos de sensor se describen además en el presente documento a continuación. Los tipos de componentes adicionales de los
35 componentes en el conjunto de componentes 224 de procesamiento de medición (por ejemplo, temperatura, pH, etc.) de acuerdo con realizaciones alternativas del sistema 100 huésped.
En la realización ilustrativa de la invención, el conjunto de componentes específicos de sensor es extensible. De esta manera, cuando un nuevo tipo de sensor se desarrolla para el sistema 100 huésped, el conjunto de componentes 224 de procesamiento de medición se extiende desarrollando e incorporando dinámicamente un nuevo objeto de componente específico de sensor. Por tanto, la integración del nuevo objeto componente específico de sensor se logra identificando apropiadamente el objeto como un miembro de la clase del componente 224 de procesamiento de medición específico de sensor que se representa cuando se inicia el sistema 100.
45 El conjunto de componentes 224 de procesamiento de medición recibe datos de sensor recuperados desde la interfaz 202 PCI y dirige entradas a algunos particulares de los modos de visualización de interfaz de usuario gráfica soportados por la aplicación 222 huésped. Las comunicaciones con los procesos 204 del modo núcleo se llevan a cabo por medio de una API 238 de componente de sensor que habilita que los componentes 224 de procesamiento de medición se comuniquen con un componente 240 de lógica aplicación. Los métodos de la API 238 de componente de sensor van orientados a las funciones. Un conjunto ejemplar de tales métodos en la API 238 de componente de sensor incluye: configurar estados operativos de los sensores, extraer datos de sensor, enviar órdenes de control a la tarjeta 112 PCI que configura/controla el funcionamiento de los sensores. El componente 240 de lógica de aplicación transforma las llamadas enviadas por algunos del conjunto de componentes 224 de procesamiento de medición en llamadas a los conductores 204 del modo núcleo. El componente 240 de lógica de
55 aplicación pasa datos de sensor (que se originan desde la interfaz 202 PCI) desde los conductores 204 del modo núcleo a los componentes 224 de procesamiento de medición. Las comunicaciones entre el componente 240 de lógica de aplicación y los conductores 204 del modo núcleo que acceden al DSP 200 y a la interfaz 202 PCI se llevan a cabo de acuerdo con una API 242 de procesamiento digital de señales (DSP). Los métodos de la API 242 van orientados al hardware, e incluyen, a modo de ejemplo: manejar una interrupción, escribir DRAM, escribir DRAM, iniciar y obtener funciones DSP particulares referentes a sensores y/o interfaces particulares.
Habiendo descrito la arquitectura general de sistema 100 huésped, la atención se dirige ahora a la interfaz de usuario gráfica de múltiples modos soportada por la aplicación 222 huésped. Debe apreciarse además que las interfaces de usuario se aumentan preferentemente mediante la funcionalidad de pantalla táctil. Los diversos modos 65 de interfaz de visualización, aunque diferentes, comparten preferentemente una apariencia y sensación común basándose en una especificación de interfaz de usuario gráfica y genérica. La FIG. 3 representa una especificación
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Claims (1)

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ES12150922.8T 2002-05-20 2003-05-14 Sistema huésped multifunción para adquisición y visualización de medición diagnóstica cardiovascular invasiva Expired - Lifetime ES2557730T3 (es)

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US10/151,423 US7134994B2 (en) 2002-05-20 2002-05-20 Multipurpose host system for invasive cardiovascular diagnostic measurement acquisition and display
US151423 2002-05-20

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ES2557730T3 true ES2557730T3 (es) 2016-01-28

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ES12172643.4T Expired - Lifetime ES2559621T3 (es) 2002-05-20 2003-05-14 Sistema huésped multifunción para adquisición y visualización de medición diagnóstica cardiovascular invasiva

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US (6) US7134994B2 (es)
EP (4) EP2578143B1 (es)
AT (1) ATE543143T1 (es)
AU (1) AU2003233155A1 (es)
ES (2) ES2557730T3 (es)
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US20030216621A1 (en) 2003-11-20
EP2578144B1 (en) 2016-04-27
EP2578143B1 (en) 2016-01-06
US20160324426A1 (en) 2016-11-10
US7134994B2 (en) 2006-11-14
US20120220836A1 (en) 2012-08-30
US20070060822A1 (en) 2007-03-15
US8636659B2 (en) 2014-01-28
EP1509866B1 (en) 2012-01-25

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