Medical Device Position Tracking via Impedance and Physiological Data Integration

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Solution Overview

Problem

Medical procedures, such as those for cardiovascular maladies, face challenges in effectively pairing multi-dimensional position information with device-measured treatment information, leading to difficulties for physicians in tracking device positioning and treatment efficacy during procedures.

Innovation Solution

A medical system and method that utilize a medical device with a distal assembly and surface electrodes to obtain and pair position information with physiological and operational parameters, including impedance measurements, allowing for graphical display and modification of treatment based on this integrated data.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Loss of information

If multiple independent sources of information (positioning, physiological measurements, operational parameters) are provided separately during a medical procedure, then comprehensive data coverage is achieved, but it becomes difficult for physicians to track and integrate various parameters regarding device positioning and treatment efficacy

Engineering Contradiction:
Improvecomprehensive data coverageVSAvoiddifficulty to track and integrate parameters
Core Design Contradiction:
Loss of informationVSEase of operation

Solution Approach 1:

The patent combines multiple independent information sources (positioning data from fluoroscopy or impedance sensors, physiological measurements from tissue sensors, and operational parameters from device controllers) into a single integrated display interface. This merging allows physicians to view all parameters together in a coordinated manner, eliminating the difficulty of tracking separate parameters while maintaining comprehensive data coverage.

Inventive Principle:
Principle #5Merging (Combining)

Solution Approach 2:

The display system is designed to universally present multiple types of information (positional, physiological, operational) through a single multi-functional interface. This universal display capability allows the system to handle diverse data types without requiring separate tracking methods for each parameter type, thereby improving ease of operation while preserving comprehensive information.

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

2Measurement precision

If fluoroscopy or impedance measurement methods are used to determine catheter position, then position information is obtained, but the complexity of integrating this position data with treatment efficacy data increases

Engineering Contradiction:
Improveposition information accuracyVSAvoidcomplexity of integrating position and treatment data
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system merges position information from fluoroscopy or impedance measurements with treatment efficacy data by displaying both on the same interface. This integration is achieved through coordinated display techniques that show positional data and treatment outcomes together, reducing the complexity of data integration while maintaining measurement precision.

Inventive Principle:
Principle #5Merging (Combining)

3Adaptability or versatility

If multiple sensors and measurement components are included on the catheter to treat diseased areas, then comprehensive treatment capability is achieved, but the difficulty of monitoring and guiding device position increases

Engineering Contradiction:
Improvetreatment capabilityVSAvoiddifficulty of monitoring device position
Core Design Contradiction:
Adaptability or versatilityVSDifficulty of detecting and measuring

Solution Approach 1:

The patent combines positioning information with treatment efficacy measurements in a single integrated display. This merging allows physicians to simultaneously monitor device position and treatment outcomes, reducing the difficulty of detecting and measuring both parameters while maintaining comprehensive treatment capability through multiple sensors and components.

Inventive Principle:
Principle #5Merging (Combining)

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 enables accurate tracking and modification of medical device positioning and treatment efficacy, enhancing the precision and effectiveness of medical procedures by integrating positional and physiological data for real-time decision-making.

Implementation Method 1

Another method to determine position information for an inserted medical device during cardiac procedures is to measure the opposition to time-varying electric current in an electric circuit, or impedance, provided by the tissue surrounding the target tissue. This is typically achieved by placing one or more impedance sensors or electrodes on or in the patient's body and measuring the impedance or electric potential between one of the sensors or electrodes and an electrode or sensor on the catheter.

Methodology Applied
Scientific EffectElectrical Impedance: Electrical Resistance

Implementation Method 2

The treatment element may include a radiofrequency ablation element or a cryogenic ablation element

Methodology Applied
Scientific EffectRadiofrequency Ablation: Dielectric Heating

Implementation Method 3

The treatment element may include a radiofrequency ablation element or a cryogenic ablation element

Methodology Applied
Scientific EffectCryogenic Ablation: Freezing

Data Source

PatentUS10881456B2Systems and methods of performing medical procedures
Publication Date: 2021.01.05 MEDTRONIC ABLATION FRONTIERS LLC
  • US10881456B2 patent drawing
  • US10881456B2 patent drawing
  • US10881456B2 patent drawing

AI summary

A medical method is provided, including a medical device having a distal assembly including at least one electrode and at least one treatment element, the medical device generating information regarding at least one of a physiological measurement and an operational parameter of the medical device; a plurality of surface electrodes affixable to a skin of the patient, wherein the surface electrodes are in electrical communication with the distal assembly to obtain position information of the medical device; and a processor pairing the position information and the at least one of a physiological measurement and an operational parameter of the medical device.