Persistent Guide Wire Identification in Fluoroscopy

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Solution Overview

Problem

During medical interventions like percutaneous coronary intervention, clinicians face challenges in distinguishing between multiple guide wires, leading to potential misidentification and unintentional dislodgment, especially when switching between devices with different physical properties.

Innovation Solution

A system that includes an input interface for acquiring X-ray images, an image identifier to distinguish between medical devices, and a tagger to associate unique tags with each device, ensuring consistent tagging throughout the video feed, using image structure filters or machine learning algorithms to identify and cluster transmission footprints.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If multiple guide wires are used during medical intervention, then the ability to treat complex lesions (e.g., bifurcations, CTO) is improved, but the difficulty of distinguishing between devices and the risk of wrong pick increases

Engineering Contradiction:
Improveability to treat complex lesionsVSAvoiddifficulty of distinguishing between devices
Core Design Contradiction:
Adaptability or versatilityVSEase of operation

Solution Approach 1:

The patent applies color coding to visually distinguish multiple guide wires during fluoroscopy. Each guide wire is assigned a distinct color (e.g., red, green, blue) that is displayed on the fluoroscopy screen, allowing the clinician to easily identify and track each device. This color differentiation is maintained consistently across multiple images and time points, resolving the contradiction by making device distinction intuitive while preserving the ability to use multiple wires simultaneously for complex interventions.

Inventive Principle:
Principle #32Color changes

Solution Approach 2:

The patent introduces an intermediary system that processes fluoroscopy images and overlays identification information (such as color codes or labels) onto the visual display. This intermediary processing layer acts as a mediator between the raw fluoroscopy images and the clinician's perception, automatically assigning and maintaining consistent identifiers for each guide wire. This resolves the identification difficulty without requiring manual tracking or complex device modifications.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If manual shaping of guide wire tips is performed to create shape signatures, then device identification capability is improved, but the time consumption and complexity of the procedure increases

Engineering Contradiction:
Improvedevice identification capabilityVSAvoidtime consumption for creating signatures
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent applies preliminary identification marking to guide wires before they are inserted into the patient's body. Each guide wire is pre-marked with visible identifiers (such as colored sections or patterns) that can be directly observed during fluoroscopy without requiring any additional shaping or manipulation. This preliminary action eliminates the need for time-consuming manual shaping while ensuring accurate device identification from the moment of insertion.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent replaces the mechanical approach of manually shaping guide wire tips with an automated image processing system. Instead of physically modifying the guide wires to create identification features, the system uses computational methods to analyze fluoroscopy images and automatically assign identification markers. This substitution eliminates the time-consuming manual shaping process while maintaining or improving identification accuracy.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Reliability

If consistent tagging of medical devices is maintained throughout the video feed, then the reliability of device identification is improved, but the complexity of the image processing system increases

Engineering Contradiction:
Improvereliability of device identificationVSAvoidcomplexity of the image processing system
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent implements a universal identification system that uses a standardized set of color codes and markers applicable to all guide wires regardless of their specific type or function. This universal tagging approach allows the same image processing logic to handle multiple devices consistently throughout the procedure. The system maintains reliability by applying the same identification rules uniformly across all devices and time points, while managing complexity through standardization rather than device-specific processing.

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

Solution Approach 2:

The patent uses visual copying of identification markers from the guide wire exterior to the fluoroscopy display. The identifiers (colors, patterns) that are physically present on the guide wires are replicated in the digital image overlay, creating a consistent visual representation. This copying approach ensures reliability by maintaining the same identification scheme across physical and digital domains, while managing system complexity by using simple visual replication rather than complex recognition algorithms.

Inventive Principle:
Principle #26Copying

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 solution reduces the risk of picking the wrong device and minimizes mental effort for clinicians by providing persistent and explicit tagging, allowing reliable switching between guide wires with minimal confusion.

Implementation Method 1

one or more input images acquired by an X-ray imager whilst two or more medical devices are present

Methodology Applied
Scientific EffectX-ray transmission and absorption: X-Ray

Implementation Method 2

The detector is configured to detect transmission footprints in the input images caused by the presence of the two or more devices

Methodology Applied
Scientific EffectDifferential absorption: Absorption (EM radiation)

Data Source

PatentEP3946007B1Persistent guide wire identification
Publication Date: 2025.01.08 KONINKLIJKE PHILIPS NV
  • EP3946007B1 patent drawingFigure 1
  • EP3946007B1 patent drawingFigure 2A~2B
  • EP3946007B1 patent drawingFigure 3

AI summary

A system (IPS) for supporting image-based navigation, comprising: an input interface (IN) for reviving one or more input images acquired by an X-ray imager (IA) whilst two or more medical devices (GW1, GW2) are present in a field of view (FoV) of the X-ray imaging apparatus. An image identifier (ID) identifies the two or more medical devices based on image information in the one or more images. A tagger (TGG) associates a respective, unique, tag with each of at least two of the two or more medical devices (GW1, GW2) so identified. A graphics display generator (GDG) effects displaying on a display device (DD) the one or more input images in a video feed, with the tags included.