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磁共振成像引导的磁驱动可控导管设计

Design of a Magnetic Resonance Imaging Guided Magnetically Actuated Steerable Catheter.

作者信息

Liu Taoming, Lombard Poirot Nate, Greigarn Tipakorn, Cenk Çavuşoğlu M

机构信息

Department of Electrical Engineering and Computer Science, Case Western Reserve University, Cleveland, OH 44106 e-mail:

Department of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, OH 44106 e-mail:

出版信息

J Med Device. 2017 Jun;11(2):0210041-2100411. doi: 10.1115/1.4036095. Epub 2017 May 3.

Abstract

This paper presents design optimization of a magnetic resonance imaging (MRI) actuated steerable catheter for atrial fibrillation ablation in the left atrium. The catheter prototype, built over polymer tubing, is embedded with current-carrying electromagnetic coils. The prototype can be deflected to a desired location by controlling the currents passing through the coils. The design objective is to develop a prototype that can successfully accomplish the ablation task. To complete the tasks, the catheter needs to be capable of reaching a set of desired targets selected by a physician on the chamber and keeping a stable contact with the chamber surface. The design process is based on the maximization of the steering performance of the catheter by evaluating its workspace in free space. The selected design is validated by performing a simulation of an ablation intervention on a virtual model of the left atrium with a real atrium geometry. This validation shows that the prototype can reach every target required by the ablation intervention and provide an appropriate contact force against the chamber.

摘要

本文介绍了一种用于左心房房颤消融的磁共振成像(MRI)驱动可控导管的设计优化。该导管原型基于聚合物管材构建,内嵌载流电磁线圈。通过控制流经线圈的电流,该原型可偏转至期望位置。设计目标是开发出一款能够成功完成消融任务的原型。为完成这些任务,导管需要能够到达医生在心房上选定的一组期望靶点,并与心房表面保持稳定接触。设计过程基于通过评估导管在自由空间中的工作空间来最大化其操控性能。通过在具有真实心房几何形状的左心房虚拟模型上进行消融干预模拟,对选定设计进行了验证。该验证表明,该原型能够到达消融干预所需的每个靶点,并为心房提供适当的接触力。

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本文引用的文献

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Circ Arrhythm Electrophysiol. 2012 Feb;5(1):220-8. doi: 10.1161/CIRCEP.111.962720.

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