Pre-Post FFR Measurement for Blood Flow Assessment

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Solution Overview

Problem

Current methods for assessing the effectiveness of cardiovascular procedures, such as stent placement, do not provide a clear measure of the degree of post-therapy improvement in blood flow, leaving uncertainty about the success of the treatment.

Innovation Solution

A system that compares pre-therapy and post-therapy physiological measurements, such as fractional flow reserve (FFR), to determine the degree of improvement in blood flow, using a combination guidewire with pressure and flow measuring capabilities, and customizable displays to present the results.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If FFR measurement is performed before and after therapy to assess treatment effectiveness, then the ability to evaluate procedural success is improved, but the complexity of the measurement system increases

Engineering Contradiction:
Improvetreatment effectiveness assessmentVSAvoidmeasurement system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system performs a pre-therapy FFR measurement before the cardiovascular procedure to establish a baseline. This preliminary measurement allows for comparison with post-therapy results, enabling assessment of treatment effectiveness without requiring complex additional equipment during the procedure itself.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system measures FFR after therapy and compares it with the pre-therapy baseline measurement. This feedback mechanism provides quantitative information about the degree of improvement, allowing physicians to objectively evaluate whether the treatment achieved the desired therapeutic effect.

Inventive Principle:
Principle #23Feedback

2Loss of information

If multiple physiological measurements are taken and compared to determine functional gain, then the information completeness is improved, but the time required for assessment increases

Engineering Contradiction:
Improvefunctional gain informationVSAvoidassessment time
Core Design Contradiction:
Loss of informationVSLoss of time

Solution Approach 1:

The pre-therapy FFR measurement establishes a baseline that is stored and used for later comparison. This preliminary data collection eliminates the need to perform all measurements simultaneously, allowing for efficient post-therapy assessment by simply comparing the new measurement against the stored baseline.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The same FFR measurement system and methodology are used for both pre-therapy and post-therapy assessments. This universal approach allows consistent data collection that can be directly compared, providing complete functional gain information through a standardized process that minimizes additional time requirements.

Inventive Principle:
Principle #6Universality (Multi-functionality)

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

Enables physicians to accurately assess and document the degree of post-therapy improvement, providing a quantitative measure of treatment effectiveness and patient progress.

Implementation Method 1

Distal coronary pressure is usually measured with a pressure sensor mounted on the distal portion of a guidewire

Methodology Applied
Scientific EffectPressure sensing:

Data Source

PatentEP2934307B1Functional gain measurement technique and representation
Publication Date: 2020.08.05 PHILIPS IMAGE GUIDED THERAPY CORP
  • EP2934307B1 patent drawingFigure 1~2
  • EP2934307B1 patent drawingFigure 3~4
  • EP2934307B1 patent drawingFigure 5~6B

AI summary

The present invention generally relates to methods for determining the degree of improvement after a therapeutic procedure. The method can involve determining a baseline measurement prior to conducting a therapeutic procedure, conducting the therapeutic procedure, and determining a post-therapy measurement after conducting the therapeutic procedure. The method further involves comparing the post-therapy measurement to the baseline measurement, thereby determining the degree of improvement after conducting the therapeutic procedure.