Catheter Bending Indicators for Single-View Positioning

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Solution Overview

Problem

Current medical device deployment methods, such as catheters and guide tubes, require multiple imaging views and equipment setups to accurately position and orient devices within the body, increasing procedure complexity, time, and cost.

Innovation Solution

Equipping medical devices with strain gauges or bending indicators that provide stress information to determine orientation within anatomical reference planes, combined with fluoroscopic imaging from a single direction, allows for efficient and reliable positioning and orientation of the device.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If multiple fluoroscopes or sequential imaging setups are used to obtain adequate imaging views, then measurement precision and reliability of device positioning are improved, but device complexity and procedure time increase

Engineering Contradiction:
Improvedevice positioning accuracyVSAvoidimaging equipment complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent introduces an intermediary system consisting of markers attached to the medical device and a detection system that tracks these markers. This intermediary approach allows single-view fluoroscopy to provide sufficient positioning information by detecting marker positions and calculating device orientation, eliminating the need for multiple fluoroscopes or sequential imaging setups while maintaining measurement precision.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If multiple fluoroscopes or sequential imaging setups are used to obtain adequate imaging views, then measurement precision and reliability of device positioning are improved, but loss of time and procedure cost increase

Engineering Contradiction:
Improvedevice orientation verificationVSAvoidprocedure time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent applies preliminary action by pre-attaching markers to the medical device before the procedure. These markers are positioned in known configurations that encode orientation information. During the procedure, a single fluoroscopy view can immediately detect these markers and determine device orientation without requiring sequential imaging setups, significantly reducing procedure time while maintaining orientation verification accuracy.

Inventive Principle:
Principle #10Preliminary action

3Ease of operation

If strain gauges and bending indicators are integrated into the catheter, then ease of operation and positioning accuracy are improved, but device complexity increases

Engineering Contradiction:
Improvecatheter positioning easeVSAvoidcatheter structure complexity
Core Design Contradiction:
Ease of operationVSDevice complexity

Solution Approach 1:

The patent implements self-service by integrating strain gauges and bending indicators directly into the catheter structure. These sensors automatically detect catheter bending and orientation without requiring external measurement equipment. The catheter essentially measures its own position and orientation, providing real-time feedback to the operator through the markers and detection system, thereby improving ease of operation despite the increased structural complexity.

Inventive Principle:
Principle #25Self-service

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach reduces the need for multiple imaging equipment and procedural complications, shortening procedure time, lowering costs, and enhancing patient safety by minimizing anesthesia and radiation exposure.

Implementation Method 1

This catheter is equipped with strain gauges along its wall, which measure localized stresses in the wall as the tube bends along a curved path

Methodology Applied
Scientific EffectStrain gauge measurement: Piezoresistive Effect

Data Source

PatentUS7758587B2Medical device guidance from an anatomical reference
Publication Date: 2010.07.20 BOSTON SCIENTIFIC SCIMED INC
  • US7758587B2 patent drawing
  • US7758587B2 patent drawing
  • US7758587B2 patent drawing

AI summary

A system and method for simply and reliably determining the location and orientation of a medical device within a patient's body. A medical device, such as a catheter, has bending indicators on or imbedded in its wall, and passes through an anatomical reference of known orientation relative to a target site within the patient. Information from the tube bending indicators permits determination of the orientation of a feature, such as an orifice, at the distal end of the medical device relative to the anatomical reference. From the known orientation of the anatomical reference, and information on the location and orientation of the distal end of the medical device obtained from fluoroscopic imaging from a single direction, the physician may reliably determine the orientation of the distal feature relative to the target site, eliminating the need for imaging from multiple directions.