KR20150079897A - Catheter with imaging assembly and console with reference library and related methods therefor - Google Patents
Catheter with imaging assembly and console with reference library and related methods therefor Download PDFInfo
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- KR20150079897A KR20150079897A KR1020157014148A KR20157014148A KR20150079897A KR 20150079897 A KR20150079897 A KR 20150079897A KR 1020157014148 A KR1020157014148 A KR 1020157014148A KR 20157014148 A KR20157014148 A KR 20157014148A KR 20150079897 A KR20150079897 A KR 20150079897A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
- A61B1/051—Details of CCD assembly
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- A61B19/5212—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0003—Nasal or oral feeding-tubes, e.g. tube entering body through nose or mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0015—Gastrostomy feeding-tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0069—Tubes feeding directly to the intestines, e.g. to the jejunum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
- A61B1/00045—Display arrangement
- A61B1/0005—Display arrangement combining images e.g. side-by-side, superimposed or tiled
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00112—Connection or coupling means
- A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
- A61B1/00124—Connectors, fasteners and adapters, e.g. on the endoscope handle electrical, e.g. electrical plug-and-socket connection
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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
- A61B5/0059—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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- 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
- A61B5/6852—Catheters
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
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Abstract
According to the present invention, an imaging system is provided that includes an imaging assembly having an imaging device for generating an imaging signal corresponding to an image of a patient's anatomy. The imaging assembly, which may be a component of the supply tube assembly, transmits the generated image signal to a console that presents the image generated on the display in response to the imaging signal. A reference menu is presented on the display, which includes menu items corresponding to reference data including photographs, video recordings, audio recordings, charts, animations and / or text. Each of the above data may include information about anatomy, patient preparation, burn catheter preparation, burn catheter placement, burn catheter operation, burn catheter configuration, console preparation, console operation, console configuration, system operation, system configuration and / to provide.
Description
The present invention relates to a catheter, and more particularly to an image catheter system having a display console with reference data.
Some medical procedures include positioning a catheter, such as a supply tube or endoscope, through a patient's nose, mouth or other opening within the patient. In many procedures, precise positioning of the catheter is critical to the safety of the patient and / or the success of the procedure. For example, a nasogastric (NG) supply tube may be inserted into the patient's small intestine through the nose, through the throat, into the stomach, or past the stomach to deliver food to the patient through the tube. If the supply tube is misplaced in the patient ' s lungs, the supply fluid may be delivered to the patient ' s lungs, resulting in a risky and fatal result.
Thus, x-ray imaging devices and procedures have been used to identify the precise positioning of a supply tube or other type of catheter within a patient. Specifically, the x-ray image is taken from the patient after the supply tube is first placed in the patient. The x-ray image is inspected to determine whether the supply tube is properly positioned or whether a repositioning is required. The X-ray imaging procedure is repeated until the supply tube is properly positioned. However, X-ray imaging is generally expensive and time-consuming. In addition, since the patient often uses the supply tube for a relatively long period of time, the X-ray imaging procedure must be repeated periodically to ensure that the supply tube has not been moved or migrated.
One or more aspects of the present invention may include a catheter having an imaging assembly. The catheter may be a supply tube with an imaging assembly. According to one aspect of the present invention, an image catheter system may include an image catheter, wherein the image catheter system includes an imaging assembly having an imaging device for generating an imaging signal corresponding to an image of a patient's anatomy. The imaging assembly transmits an image signal generated by the imaging device. The system also includes a console configured to receive the image signal transmitted by the imaging assembly and presents an image generated from the image signal on the display. The console is configured to selectively present a reference menu on the display including the menu item. A menu item corresponds to a reference material that includes any one or more of a photograph, a video record, an audio record, a chart, an animation, and text. The data may include any of the following: anatomy, patient preparation, burn catheter preparation, burn catheter placement, burn catheter operation, burn catheter configuration, console preparation, console operation, console configuration, system operation, system configuration, contact information, And the like. The console can be further configured to present the reference menu simultaneously with the image generated from the image signal on the display. The console is typically configured to present a graphical user interface on the display. For some cases, the display is a touch screen display configured to present an icon for controlling the system by touching the display. In another configuration, the console can be configured to present the reference data simultaneously with the image generated from the image signal on the display. In another case, each of the reference data is preferably located in a directory having a name corresponding to the corresponding reference data. The display may be configured to present a reference menu when the user touches the display twice during a pre-selected period of time. This period may be, for example, about one second. Also, at least a portion of the reference data is read-only, and in some cases can be changed by updating the system software. The burn catheter system can include a supply tube assembly including a supply tube for delivering a enteric feed liquid to a patient, the tube having an inlet and an outlet, and a supply passage extending between the inlet and the outlet, The image assembly is positioned adjacent the outlet to generate an image signal corresponding to the patient's digestive tract and the imaging assembly is sealed from the supply passage to prevent enteric feed in the supply passage from entering the imaging assembly. The system typically further includes an interface cable connecting the image catheter to the console for use in transmitting the image signal generated by the imaging device to the console.
One or more aspects of the present invention may be directed to an image catheter system, wherein the system is a supply tube, comprising: an inlet capable of being connected to a source of supply fluid; a valve positioned radially from the inlet through the supply passage and fluidly connected to the inlet; The imaging device being configured to generate and transmit an image signal corresponding to an image of a patient ' s anatomy; A console that includes a memory and a display that stores therein a plurality of reference materials selected from the group consisting of photographs, video records, audio records, charts, animations, text, and combinations thereof. In some cases, each of the plurality of baseline data may include at least one of anatomy, patient preparation, burn catheter preparation, burn catheter placement, burn catheter operation, burn catheter configuration, console preparation, console operation, console configuration, system operation, And may provide information about at least one. Preferably, the console receives the image signal, presents at least a portion of at least one image corresponding to the image signal on the display, and displays a reference menu on the display including menu items corresponding to at least one of the reference data . The at least one of the plurality of reference data may include a photograph showing an anatomical landmark. The anatomical markers include the bronchi, larynx, tracheal ring, cardia, pyloric sphincter or nail, cartilage, bronchial split, esophagogastric junction, stomach folds, duodenal attachments and pyloric orifices It can be one.
According to another aspect of the present invention there is provided a medical system having a medical device including an imaging device for generating an imaging signal corresponding to an image of a patient's anatomy and a console configured to present an image generated from the imaging signal on a display Includes accessing a reference material on the display. The data includes an image of an anatomical structure showing proper placement of the medical device within the patient.
One or more aspects of the present invention may relate to a method of facilitating use of a supply tube assembly. In one or more embodiments in accordance with such an aspect of the present invention, the method includes providing a supply tube having an inlet connectable to a source of supply fluid and an outlet over a circle of the inlet via a supply passage, Providing an imaging device disposed proximate the outlet and configured to generate and transmit an image signal corresponding to an image of the anatomy of the patient; A console including a memory and a display storing therein a plurality of reference data selected from the group consisting of audiovisual data such as video, audio and photograph, textual data such as application, animation and text, . According to some specific embodiments, each of the reference materials may be adapted for use with an anatomical structure, a patient preparation, an image catheter preparation, an image catheter placement, an image catheter operation, an image catheter configuration, a console preparation, a console operation, a console configuration, And information about at least one of the contact information. In some cases, the console receives the image signal and presents on the display at least a portion of at least one image corresponding to at least a portion of the image signal, and a reference menu containing menu items corresponding to at least one of the reference data Display on the display. In some cases, the console may be configured to simultaneously present a video image corresponding to an image signal from a photographic and imaging assembly from a plurality of reference materials on a display, wherein the photographs include representative anatomical markers to provide. According to another aspect of the present invention there is provided a method comprising: storing additional reference data into a memory; removing at least one of the reference data from the memory; and storing the updated reference data into an updated memory, And replacing the at least one of the first and second modules. According to another embodiment, the method further comprises the steps of: receiving a console from a user; storing additional reference material in memory after acceptance of the console; removing at least one reference material from the memory; And replacing the memory with an updated memory storing the stored reference data therein.
In an aspect, an image catheter system generally includes an image catheter and a console. The burn catheter includes an elongated body having opposing first and second ends. The imaging assembly includes an imaging device for generating an imaging signal present at the first end of the elongated body and representing an image of the anatomy of the object. The imaging assembly is configured to transmit an image signal generated by the imaging device. The electronic memory component has a predefined identifier of the image catheter recorded thereon. The console includes a display. The console is configured to receive an image signal from the imaging assembly and to display an image generated from the image signal on the display. The console is configured to read a predefined identifier from the electronic memory component.
1 is a schematic diagram illustrating a perspective view of an image supply tube assembly in accordance with one or more aspects of the present invention.
Figure 2 is a schematic diagram showing a perspective view of the supply tube assembly of Figure 1 according to one or more aspects of the present invention.
3 is a schematic diagram illustrating a side elevational view of an image supply tube system including the image supply tube assembly and interface cable and console of FIG. 1 according to one or more aspects of the present invention.
4A is a schematic diagram illustrating a perspective view of a console connector of the supply tube assembly of FIG. 1, showing inner components according to one or more aspects of the present invention and including a supply tube segment of the supply tube.
4B is a schematic diagram illustrating another embodiment of an inlet adapter for an image supply tube assembly in accordance with one or more aspects of the present invention.
5 is a schematic diagram showing an enlarged partial perspective view of the distal end of the supply tube assembly of FIG. 1, including a portion of a disassembled imaging assembly, a imaging assembly connector, and a supply tube, according to one or more aspects of the present invention.
Figure 6 is a schematic diagram illustrating an enlarged cross-sectional view of a feed tube of the feed tube assembly of Figure 1 according to one or more aspects of the present invention.
Figure 7 is a schematic diagram illustrating a planar perspective view of a flexible circuit assembly of the imaging assembly of Figure 5 in a folded configuration, in accordance with one or more aspects of the present invention.
Figure 8 is a schematic diagram illustrating a bottom perspective view of a flexible circuit assembly of the imaging assembly of Figure 4 in a folded configuration, in accordance with one or more aspects of the present invention.
Figure 9 is a schematic diagram showing a partial view of the imaging assembly of Figure 5 according to one or more aspects of the present invention.
Figure 10 is a schematic diagram showing a perspective view of the cap of the imaging assembly of Figure 5 according to one or more aspects of the present invention.
Figure 11 is a block diagram of the flexible circuit assembly of Figure 7 in accordance with one or more aspects of the present invention.
Figures 12 and 13 are circuit schematic diagrams of the flexible circuit of Figure 11 in accordance with one or more aspects of the present invention.
Figure 14 is a schematic diagram illustrating a top view of a flexible circuit assembly of the imaging assembly of Figure 7 in an unfolded configuration, in accordance with one or more aspects of the present invention.
Figure 15 is a schematic diagram showing a top view of a first substrate of the flexible circuit assembly of Figure 14 in accordance with one or more aspects of the present invention.
16 is a block diagram of a flexible circuit assembly in accordance with one or more aspects of the present invention.
17 is a block diagram of a flexible circuit assembly in accordance with one or more aspects of the present invention.
18 is a block diagram of an exemplary supply tube system according to one or more aspects of the present invention.
19 is a flow diagram illustrating an exemplary graphical user interface screen flow in accordance with one or more aspects of the present invention.
Figures 20-31 are schematic diagrams illustrating an exemplary graphical user interface displayable by a console in accordance with one or more aspects of the present invention.
32A is a schematic diagram illustrating a perspective view of an image supply tube assembly in accordance with one or more aspects of the present invention.
32B is a schematic diagram showing an exploded perspective view of the image supply tube assembly of FIG. 32A according to one or more aspects of the present invention.
33 is a schematic diagram illustrating a cross-sectional view of a supply tube of the image supply tube assembly of FIG. 32A according to one or more aspects of the present invention.
Figure 34 is a schematic diagram illustrating an exploded perspective view of the imaging assembly of the imaging tube assembly of Figure 32a according to one or more aspects of the present invention.
35 is a schematic diagram illustrating a perspective view of a light-to-water circuit assembly in accordance with one or more aspects of the present invention.
36 is a schematic diagram illustrating a top view of a light-to-soft circuit in accordance with one or more aspects of the present invention.
Figure 37 is a schematic diagram illustrating a side elevational view of a light-to-soft circuit in accordance with one or more aspects of the present invention.
Figure 38 is a schematic diagram showing a perspective view of the imaging assembly connector of the image supply tube assembly of Figure 32a according to one or more aspects of the present invention.
Figure 39 is a schematic diagram illustrating a perspective view of the imaging assembly of Figure 34, wherein the housing according to one or more aspects of the present invention is removed therefrom to illustrate internal components.
Figure 40 is a schematic diagram illustrating a longitudinal cross-sectional view of the housing of the imaging assembly of Figure 34 in accordance with one or more aspects of the present invention.
41 is a schematic diagram illustrating an imaging assembly in accordance with one or more aspects of the present invention.
42 is a schematic diagram illustrating a cross-sectional view of a console connector of an image supply tube assembly in accordance with one or more aspects of the present invention.
43 is a schematic diagram illustrating an interface cable in accordance with one or more aspects of the present invention.
44 is a schematic diagram illustrating a perspective view of a flexible circuit assembly having a folded-shape flexible circuit, in accordance with one or more aspects of the present invention.
45 is a schematic diagram illustrating a perspective view of the flexible circuit of FIG. 44 in an unfolded or flat configuration, in accordance with one or more aspects of the present invention.
46 is a schematic diagram illustrating a partial perspective view of an image catheter system in accordance with one or more aspects of the present invention.
47 is a schematic diagram illustrating a front elevational view of a console of an image catheter system in accordance with one or more aspects of the present invention.
FIG. 48 is a schematic view including a copy of a photograph showing an example mark showing an incorrect path and a correct path; FIG.
49A to 49C show a copy of a photograph of an exemplary cover, FIG. 49A shows a copy of a photograph of a bronchial, FIG. 49B shows a copy of a photograph of a part of the above, FIG. 49C shows a copy Lt; / RTI >
Corresponding reference numerals denote corresponding parts throughout the drawings.
In another aspect, a supply tube assembly generally comprises a flexible supply tube having opposite first and second longitudinal ends, a longitudinal axis extending between the first and second longitudinal ends, And a feed passage formed therein to extend along the longitudinal axis between the second longitudinal ends. An inlet adapter is positioned adjacent the second longitudinal end of the tube in fluid communication with the feed passage. The inlet adapter is configured to fluidly connect to the source of the enteric feed to connect the source of the enteric feed fluid to the feed passageway for fluid flow. The imaging assembly includes an imaging device. The imaging assembly is configured to generate and transmit an image signal representing an image of a digestive tract of the subject. The imaging assembly is secured to the tube adjacent the first longitudinal end of the tube and is sealed from the supply passageway to prevent intestinal feed fluid in the feed passageway from entering the imaging assembly. A supply outlet is located in the vicinity of the burn assembly and is in fluid communication with the feed passage for delivering the enteric feed to the object. A console connector is communicatively coupled to the imaging assembly, wherein the console connector is configured for use in communicatively connecting the imaging assembly to the console to enable transmission of the imaging signal to the console.
In another aspect, a feed tube system generally includes a feed tube assembly and a console. The feed tube assembly includes a feed tube having opposed first and second ends and a feed passage for fluidly connecting the first and second ends. An inlet adapter is positioned adjacent the second end of the tube in fluid communication with the supply tube. The inlet adapter is configured to fluidly connect to the source of the enteric feed to connect the source of the enteric feed fluid to the feed passageway for fluid flow. An imaging assembly that includes an imaging device and is configured to generate and transmit an imaging signal indicative of an image of a digestive tract of a subject can be used. The imaging assembly is secured to the tube adjacent the first end of the tube and is sealed from the supply passageway to prevent intestinal feed fluid in the feed passageway from entering the imaging assembly. A supply outlet is located intermediate the imaging assembly and the inlet adapter for communicating the enteric feed to the object and is in fluid communication with the feed passage. The console includes a display, is operatively coupled to the supply tube assembly, configured to receive the image signal transmitted by the imaging assembly and to display an image generated from the image signal on the display.
In another embodiment, the supply tube assembly includes a flexible supply tube having generally opposite first and second longitudinal ends and a feed passage formed therein to extend between the first and second ends. The inlet adapter is positioned adjacent the second longitudinal end of the tube to be in fluid communication with the supply tube. The inlet adapter is configured to fluidly connect to the source of the enteric feed liquid. The imaging assembly includes an imaging device for generating an imaging signal indicative of an image of a digestive tract of a subject. The imaging assembly is secured to the supply tube adjacent the first end of the tube and is insulated against fluid flow from the supply passage. The console connector is secured to the supply tube near the inlet adapter. The console connector is communicatively coupled to the imaging assembly and configured to be used to connect the imaging assembly to the console to enable transmission of imaging signals to the console.
In another embodiment, an image catheter assembly generally includes an elongated body having a first body end and an alternating second body end, and an image assembly secured to the first body end. The imaging assembly has a first imaging assembly on a circle from the first body end, a second imaging assembly end adjacent the first body end, and a imaging assembly longitudinal axis extending between the first and second imaging assembly ends. The imaging assembly includes an electronic component-mounting portion extending from an adjacent second imaging assembly end to a first imaging assembly end along an imaging assembly longitudinal axis, and an electronic component-mounting portion adjacent the first imaging assembly end and extending generally transverse to the imaging assembly And a light-to-soft circuit having a camera-mounted portion. The electronic component-mounting portion includes first and second rigid sections spaced longitudinally apart and a first flexible section disposed between the first and second rigid sections. A first electronic component is mounted on the first rigid section of the electronic component-mounting portion. A second electronic component is mounted on the second rigid section of the electronic component-mounting portion. A camera is mounted on the camera-mounted portion, and the camera is communicably connected to the first and second electronic components. The light-to-soft circuit is disposed within the housing. The housing circumferentially surrounds at least a portion of the light-to-soft circuit. The first flexible section of the electronic component-mounting portion is free of the electronic component mounted on the top so that the light-and-soft circuit is bendable in the first flexible section.
In another aspect, an image catheter system for use in performing medical procedures generally includes an image catheter and a console. The burn catheter includes an elongated body having opposing first and second ends. An image assembly positioned at a first end of the body is configured to be inserted into the object. The imaging assembly includes an imaging device for generating an imaging signal indicative of an image of the anatomy of the object when the imaging assembly is inserted into the object. The imaging assembly is configured to transmit an image signal generated by the imaging device. The burn catheter includes an electronic memory component. The console including the display is configured to receive the image signal transmitted by the imaging assembly and to display the image generated from the image signal on the display. The console is configured to print data to electronic memory components during use of the image catheter.
In another aspect, an imaging catheter system for use in performing medical procedures generally includes a revascularization catheter and a console. The burn catheter includes an elongated body having opposing first and second ends. An image assembly positioned at a first end of the body is configured to be inserted into the object. The imaging assembly includes an imaging device for generating an imaging signal indicative of an image of a dissection structure of the object when the imaging assembly is inserted into the object. The imaging assembly is configured to transmit an image signal generated by the imaging device. The console includes a display. The console is configured to receive the image signal transmitted by the imaging assembly and to display an image generated from the image signal on the display. The console is configured to simultaneously present the image previously received by the console from the imaging assembly and the current image from the imaging data currently being received by the console from the imaging assembly.
Referring now to the drawings, and particularly FIGS. 1-3, an image catheter is generally indicated at 10. As disclosed herein, an image catheter is a medical device that is configured for insertion into a subject, e.g., a person or a non-human subject, such that when the medical device is inserted into the subject and / For example, a medical device configured to provide digital video. In the illustrated embodiment, the image catheter is configured as a
The illustrated
Referring to Figures 1-4, the
The
As shown in FIG. 6, the
The
For example, the
Referring back to Figures 1 and 2, the illustrated
The
1, 2, and 5, the
In one example, the
Referring to Figure 5, the
The
The
7 and 9, the
In another embodiment, the one or more LEDs may be located on the remote side of the camera. As shown in Figure 44, an example of a flexible circuit assembly is indicated generally at 60 '. The flexible circuit 80'of the flexible circuit assembly 60'includes an electrical component mount 90 ', a camera mount 82' on which the camera 84 'is mounted, as shown in the folded or at least partially assembled configuration ', And four LEDs 96', as shown in FIG. The LED mount 94 'is typically configured to rest on the top surface of the camera 84' such that the LED 96 'is remote from or offset from the camera. The LED mount 94 'may include an aperture 95' aligned with a camera lens (not shown) such that the LED mount 94 'does not interfere with the view of the camera 84'. Figure 45 shows a flexible circuit 80 'in an unfolded or flat configuration. The flexible circuit may have other configurations and may provide an alternative location for mounting the camera and light source.
Referring to Figures 9 and 10, the
In some embodiments according to one or more aspects of the present invention, the
9, the interior of the
10, the
11 illustrates an electrical block diagram related to an exemplary
An
Fig. 14 shows a
The relative positions of the electrical components of the above-described exemplary
In one embodiment, the
In one embodiment, the
Referring to Figures 7, 8 and 14, the
Alignment of power supply-mounting
Figure 16 is a block diagram of an exemplary flexible circuit electrical system in accordance with an alternative embodiment of the present invention. As shown, the electrical conductor includes four cables that make up the four signal lines. In the illustrated embodiment, the four signal lines include two power supply lines, e.g., a power line 5V and a ground line GND, and a differential pair such as a low voltage differential signal positive line LVDS_P and a low voltage differential signal negative line LVDS_N. . The
In Fig. 17, the
Figure 18 shows another embodiment of an exemplary flexible circuit electrical system. As shown in Fig. 18, the
Reducing the number of signal lines as shown in Figs. 16-18 may reduce cost and improve reliability and ease of assembly, especially when combined with a flexible circuit. In addition, less conductors may inadvertently switch lines during assembly and reduce the likelihood of incorrectly connecting them.
2 and 4A, the
The
In another embodiment, a console connector may be formed or fixed on the inlet adapter. Referring to FIG. 4B, in one embodiment of the present invention, the housing 228 'of the console connector 22' is formed integrally with the inlet adapter 16 '. The console connector housing 228 'extends laterally outward from the outlet port 34' of the inlet adapter 16 '. As in the previous embodiment, the console connector 22 'optionally includes a PCB 230' having an edge connector 232 'for use in communicatively connecting the console and the imaging assembly. An electronic memory component, such as an EEPROM (not shown), may be mounted on the PCB 230 'as described above and described in more detail below. The supply tube assembly may include different types of connections for connecting the
3, the illustrated
3, the
3, the
4A, the
In a non-limiting example, data relating to the
In another non-limiting example, data indicative of the time associated with the
The
In another non-limiting example, a placement-confirmation timestamp or some other identifying identifier may be written to the
Figures 19-31 illustrate one or more features relating to an exemplary graphical user interface of a console. One or more of the features described herein may be incorporated into various embodiments of the invention. 19 is a flowchart showing the operation of the graphical user interface when the
As shown, the user interface screen prompts the user to indicate whether the user is the "first user" first user or less of the
If the user indicates that the user is not the first user of the
In one embodiment, the
When the user selects a utility function from the main selected user interface screen, a utility function user interface screen may be presented to the user. The options presented to the user on the utility function user interface screen are typically based on the class associated with the user, i.e., the status. If the user is an operator or an approver, the user may be presented with a utility function user interface screen. The console can then provide the user with the "language" option and the "video preview" feature described above. The utility function user interface screen may also provide the user with a "user manager" option that allows the user to navigate the user manager navigation user interface screen to allow him / her to change his or her password. If the user is an administrator, the utility function user interface screen presented to the user has the above-mentioned "language", "date / time", "time display" and "video preview" options. A "user manager" option may also be provided that allows the user to navigate to the user manager user interface screen. The User Manager user interface for the administrator allows the administrator to add the user through the user interface. The utility function user interface screen presented to the administrator may also include an option labeled "console reset / clear" for clearing the console, e.g., patient data, user data and device data, Quot; software update. ≪ / RTI > In addition to the options presented to the administrator user, the utility function user interface screen presented to the maintainer user additionally provides the administrator user with an option to perform the maintainer function (labeled "maintainer function") . For example, the "maintainer function" may include a software debugging function.
When the user selects the "procedure screen" option, the patient information user interface screen is displayed to the user via the
In one embodiment, the patient information may be entered manually by the user. In another embodiment, the
20 and 21, the alternative procedure main user interface screen may display video data or rendered or processed image data received by the
The file function user interface screen presents the user with a list of directories stored on the console and also includes the "video preview" feature described above. Each directory represents video data or rendered image data that is stored in association with a particular
The user may select a directory for viewing and / or editing from the file function user interface screen. When the directory is selected from the file function user interface screen, the user is guided to the file function directory selected user interface screen (an alternative embodiment shown in Figures 22 and 23). This user interface presents a list of files associated with the selected directory, e.g., an image file. The image file represents the image selected by the user via the snapshot option. The user may select at least one file from the image directory, export the file via the "export"
If the user selects the "export"
If the user selects the "rename"
DATE = the current date (e.g., year of the month) set in the console via the "date / time"
SUD-SN = single user device serial number (e.g., identifier retrieved by
PT-NAME = patient information As entered by the user through the user interface screen,
PT-ID = patient information as entered by the user via the patient information user interface screen
TIME = the current time (e.g., hours and minutes) set in the console via the "date / time"
SEQ # = image number as received from the imaging assembly, wherein the first image transmitted from the imaging assembly has a picture number of 1, and thereafter the picture number for each picture received is incremented by one.
In one embodiment, the "rename"
If the user selects the "delete"
When the user selects the "annotation / view"
The comparison user interface screen provides the user with a "comment"
If the user selects the "text"
If the user selects the "line"
If the user selects the "Accept"
USERNAME = User name of the current user as entered on the Approvers user interface screen
DATE = the current date (e.g., year of the month) set in the console via the "date / time"
TIME = the current time (e.g., hours and minutes) set in the console via the "date / time"
Once the approver user indicates that he / she is approving the placement of the tube, the patient is allowed to receive the nutrition via the
The order of execution or performance of the operations of the embodiments of the present invention shown and described herein is not essential unless otherwise specified. That is, operations may be performed in any order, unless otherwise specified, and embodiments of the invention may include more or fewer operations than those disclosed herein. For example, it is contemplated that it is within the scope of aspects of the present invention to perform or perform other operations before, concurrently with, or after.
Embodiments of the invention may be implemented as computer-executable instructions. Computer executable instructions may be organized into one or more computer executable components or modules. Aspects of the present invention may be implemented with any number and combination of such components or modules. For example, aspects of the invention are not limited to the particular computer-executable instructions or specific components or modules illustrated in the drawings and described herein. Other embodiments of the present invention may include different computer-executable instructions or components having more or less functionality than those illustrated and described herein.
32A-42, another embodiment of an image supply tube assembly is indicated generally at 510. This embodiment is similar to the various embodiments described above, and similar components are designated by corresponding reference numerals plus 500. 32A and 32B, the image
The
Referring to Figures 34-37, the
The electrical components for operating the
Referring to Figures 40 and 42, the
In another non-limiting example (FIG. 40), the
In another non-limiting example (Figure 41), the
Referring to Figures 32A, 32B, 38, and 39, like the previous
38 and 39, a first longitudinal end, e.g., a distal end, of the
42, the
The
Referring to FIG. 43, another embodiment of an interface cable for connecting the
In the illustrated embodiment, the
One or more aspects of the present invention may include a catheter, which may be a supply tube having an imaging assembly or imaging assembly with a sensor. The imaging assembly can generate and transmit image signals generated by the imaging device. The system may include a console configured to receive the image signal and present an image corresponding to the image signal on the display. In addition, the console can be configured to selectively present a reference menu on a display including a menu item. A menu item corresponds to a reference material that includes any one or more of a photograph, a video record, an audio record, a chart, an animation, and text. The data may include any of the following: anatomy, patient preparation, burn catheter preparation, burn catheter placement, burn catheter operation, burn catheter configuration, console preparation, console operation, console configuration, system operation, system configuration, contact information, And the like. One or more aspects of the present invention may relate to an image catheter system, wherein the system comprises, as a supply tube, an inlet that can be connected to a source of the supply fluid, a source located radially from the inlet through the supply passage, The imaging device being configured to generate and transmit an image signal corresponding to an image of a patient ' s anatomy; A console that includes a memory and a display that stores therein a plurality of reference data selected from the group consisting of audiovisual data such as video, audio and photographs, text data such as graphics, animation and text, and combinations thereof. In some cases, each of the plurality of baseline data may include at least one of anatomy, patient preparation, burn catheter preparation, burn catheter placement, burn catheter operation, burn catheter configuration, console preparation, console operation, console configuration, system operation, And may provide information about at least one. Preferably, the console receives the image signal, presents at least a portion of at least one image corresponding to the image signal on the display, and displays a reference menu on the display including menu items corresponding to at least one of the reference data . The at least one of the plurality of reference data may include a photograph showing an anatomical marker. The anatomical markers can be one of bronchial, laryngeal, tracheal ring, sputum, pyloric sphincter or nail, cartilage, bronchial branch, esophagogastric junction, gastric appendage, duodenal appendage and pyloric orifice.
One or more further aspects of the present invention may relate to a method of promoting or providing the use of a supply tube assembly. The method includes providing an inflow port connectable to a source of supply fluid, an outlet positioned above the inlet of the inflow port and connectable to fluid flow through the inflow port, and an outlet disposed proximate the outlet to correspond to an image of the anatomy of the patient Providing a supply tube having an imaging device configured to generate and transmit an image signal; Providing a console including a memory and a display storing therein a plurality of reference materials selected from the group consisting of photographs, video records, audio records, graphics, animations, text, and combinations thereof. According to some particular embodiments, each of the reference data may include anatomy, patient preparation, image catheter preparation, image catheter placement, image catheter operation, image catheter configuration, console preparation, console operation, console configuration, system operation, And information about at least one of the contact information. In some cases, the console receives an image signal, presents at least a portion of at least one image corresponding to the image signal on the display, and displays a reference menu containing menu items corresponding to at least one of the reference data, As shown in FIG. In some cases, the console may be configured to simultaneously present a photograph from a plurality of reference data and a video image corresponding to the image signal from the imaging assembly on a display, wherein the photograph provides a representative anatomical mark or mark . According to another aspect of the invention, the method further comprises the steps of storing additional reference data in the memory, deleting at least one reference data from the memory, and updating the updated reference data into at least one updated reference data And replacing the memory. According to yet another aspect, the method comprises the steps of receiving a console from a user, storing additional reference data in memory after accepting the console, deleting at least one reference data from the memory, And replacing the memory with an updated memory storing the updated reference data therein.
Referring to Figure 46, an image catheter system (broadly, a medical system) is generally indicated by
The console receives and converts signals from the imaging assembly and presents the images on the
Selection or
In some embodiments (not shown), it is contemplated that the
In some embodiments, the console may present the reference data as identified above simultaneously with the image generated from the image signal. 29, a photograph of a typical anatomical shape or mark may be displayed on a portion of the display and live video generated from the image signal transmitted by the image assembly may be displayed on a different portion of the display ≪ / RTI > Thus, the user can identify where the imaging assembly is located within the patient by comparing the live video generated from the imaging signal transmitted by the imaging assembly to a reference picture containing anatomical features or anatomical indicia. 31, reference data, e.g., photographs 864, may include one character reference or markup or a plurality of character references or marks 866 that provide identification of the information or description, e.g., May be presented on the display along with the name of the anatomical shape or anatomical marker. The anatomical marker may be any one of bronchial, larynx, organ, annulus, pyloric sphincter and pyloric orifice. 29 and 31, the visual reference material can be presented on the entire display or only on a part of the display. 422, 424, 426, 428) and one or more
The reference data may also provide guidance instructions. For example, the console may be configured to operate to display a schematic drawing that includes an exact path and an incorrect path, as shown in FIG. Another embodiment contemplates simultaneously presenting the schematic drawing of FIG. 48 adjacent to a live or live video image from an imaging device to provide additional guidance during use.
In some embodiments of the present invention, the data may be located or stored in a directory having a name corresponding to a particular reference data. For example, parts of the system operation manual can be stored in a directory named "system_operation_manual ". In some embodiments, the reference data can be stored as a read-only file, ensuring that the content remains unchanged. Alternatively, verbal commands, marginalia, and other annotations can be entered in the reference material with or without a specific association or link to any of one or more of each of the reference data in the reference library, Lt; / RTI >
It is further contemplated that the reference data file may change when updating the software. Thus, each software distribution can also be used to update and improve reference data for the system. In other cases, the system used in the field may be sent by the user to a service facility, a manufacturing facility, or a repair facility, where additional reference information may be stored in the memory or ≪ / RTI > In other cases, a system received at a service facility, manufacturing facility, or repair facility can be updated by replacing its internal memory components, thereby providing updated baseline data.
Depending on the particular procedure in which the burn catheter system is used, the system may include a conventional supply tube assembly having, for example, a supply tube for delivering the enteric feed to the patient. A typical conventional feed tube includes a feed passage extending between an inlet and an outlet. The burn catheter may be positioned adjacent an outlet of the supply tube to produce an image signal corresponding to a particular portion of the patient's digestive tract, e.g., a patient, above. In some cases, it may be desirable for the imaging assembly to be sealed from the supply passage of the supply tube to prevent intestinal supply fluid in the supply passage from entering the image assembly and causing potential damage. In use, reference data, such as video, photographs, or graphics, is periodically accessed on the display to confirm proper placement of the medical device within the patient.
One or more additional aspects of the present invention relate to a computer-readable medium having a plurality of data structures accessible by a console and corresponding to reference data in a reference library, each of the reference data including, for example, a photograph, a video file, Files, and combinations thereof, and may be text or graphic information, including, for example, graphics, sketches, and textual information. The reference data of the reference library in the computer-readable medium may comprise information about at least one of anatomical reference or shape or anatomical indicia and instructions for operating at least one of an image catheter, console, ≪ RTI ID = 0.0 > and / or < / RTI > Another aspect is a computer system for updating a reference library of reference data by storing a plurality of data structures including a reference library of reference data and replacing existing reference data with updated or modified reference data or adding additional reference data - < / RTI > Non-limiting examples of computer-readable media include memory devices, and may be any optical system and machine medium that may be erased, programmed, or permanent.
The reference data of the reference library can be any data such as aiff, wav, xmf, fits, tiff, avi, asf, wma, wmv, 3gp, flv, f4v, iff, jpg, bmp, mpeg, mp4, rm, ogg, pdf, rtf, and txt, but the format or file type may be any of a native form or a compressed form. Any of these reference materials may be protected from being altered or removed on site by a healthcare provider, but may be altered, modified or deleted, for example, by a skilled technician at a repair or manufacturing facility or service facility.
As described, the console can be configured to recognize a plurality of classes, i.e., the state of the user, and to limit the operations that can be performed by the console as a function of the class associated with each user. For example, the console is configured to recognize four user classes, such as operator, manager, approver, maintainer. Depending on the user class, the reference menu may be modified to suit the needs of the skilled user and the user. For example, the console may be configured to allow an administrator class user to view or create a user account or other operator account with an individually associated data storage structure. The console can be configured to allow an approver class user to view the video data and annotate the approval data on the video data. The console can be configured to allow the maintainer class user to perform maintenance functions on the console, such as software updates and time adjustments. The console can be programmed to only allow the maintainer class user to operate the console if patient data is not stored on the console.
Aspects of the invention have been described in detail, it will be obvious that modifications and variations are possible without departing from the scope of the invention as defined in the claims. As various changes may be made in the above constructions, products and methods without departing from the scope of the invention in its aspects, it is to be understood that all matter contained in the above description and shown in the accompanying drawings may be interpreted as illustrative rather than restrictive will be. For example, simultaneous display of a reference anatomical mark may be performed on the next or subsequent one that is predicted after the operator or the user indicates that the current reference anatomical mark has been identified by capturing a photo image from the imaging system and optionally annotating the photo image. And progressively displaying the markings to be displayed. When introducing elements or embodiments of aspects of the present invention, terms of the singular expressions are intended to mean that there are one or more of the elements. The word " comprising " and "comprising" are intended to be inclusive and mean that there may be additional elements other than those listed.
Claims (15)
An outlet port connectable to a source of the supply fluid and an outlet located on a circle of the inlet port and fluidly connected to the inlet port through a supply passage; and an image signal disposed in the vicinity of the outlet port and corresponding to an image of a patient anatomy Generating and transmitting a plurality of image data;
Providing a console including a memory and a display storing therein a plurality of reference data selected from the group consisting of a photograph, a video record, an audio record, a diagram, an animation, a text and a combination thereof,
Wherein each of the plurality of reference data comprises at least one of anatomy, patient preparation, image catheter preparation, image catheter placement, image catheter operation, image catheter configuration, console preparation, console operation, console configuration, system operation, Wherein the console receives the image signal, presents at least a portion of at least one image corresponding to the image signal on the display, and displays a reference menu containing menu items corresponding to at least one of the reference data And wherein at least one of the plurality of reference data includes images representative of representative anatomical indicia or indicia.
An image catheter having an imaging device for generating an imaging signal corresponding to an image of a patient's anatomy, the imaging catheter transmitting an imaging signal generated by the imaging device,
A console configured to receive the image signal transmitted by the imaging assembly and present an image generated from the image signal on the display,
The console is configured to selectively present a reference menu on a display, the menu including menu items corresponding to reference data selected from the group of reference data comprising at least one of a photograph, a video record, an audio record, a chart, an animation, Wherein each of said data comprises at least one of anatomy, patient preparation, image catheter preparation, image catheter placement, image catheter operation, image catheter configuration, console preparation, console operation, console configuration, system operation, Wherein at least one of the reference data comprises an image representative of a representative anatomical indicia or indicia.
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PCT/US2013/064070 WO2014070396A1 (en) | 2012-11-02 | 2013-10-09 | Catheter with imaging assembly and console with reference library and related methods therefor |
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TWI587828B (en) * | 2015-03-31 | 2017-06-21 | Grip type endoscopic camera with lens pivot structure | |
TWI683679B (en) * | 2018-11-08 | 2020-02-01 | 國立臺灣大學 | Miniature image connection device with guiding function |
DE112019005958T5 (en) | 2018-11-30 | 2021-08-26 | Hoya Corporation | INFORMATION PROCESSING METHOD, INFORMATION PROCESSING DEVICE AND INFORMATION PROCESSING SYSTEM |
AU2020206791A1 (en) * | 2019-01-11 | 2021-09-02 | Dragonfly Endoscopy Llc | Endoscopic device and methods of use thereof |
CN111839435B (en) * | 2019-04-30 | 2024-09-27 | 新儿护科技医疗器材股份有限公司 | Endoscope structure capable of changing air pipe sleeve |
CN114302679A (en) * | 2019-08-27 | 2022-04-08 | 富士胶片株式会社 | Ultrasonic endoscope system and method for operating ultrasonic endoscope system |
US11166622B2 (en) | 2020-02-21 | 2021-11-09 | Ambu A/S | Video processing apparatus |
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WO2007129493A1 (en) * | 2006-05-02 | 2007-11-15 | National University Corporation Nagoya University | Medical image observation support device |
JP2008194334A (en) * | 2007-02-15 | 2008-08-28 | Fujifilm Corp | Endoscope image display method, device, and program |
JP5028191B2 (en) * | 2007-09-03 | 2012-09-19 | オリンパスメディカルシステムズ株式会社 | Endoscope device |
US20090318757A1 (en) * | 2008-06-23 | 2009-12-24 | Percuvision, Llc | Flexible visually directed medical intubation instrument and method |
US8337397B2 (en) * | 2009-03-26 | 2012-12-25 | Intuitive Surgical Operations, Inc. | Method and system for providing visual guidance to an operator for steering a tip of an endoscopic device toward one or more landmarks in a patient |
MX350734B (en) * | 2010-09-08 | 2017-09-15 | Covidien Lp | Catheter with imaging assembly. |
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