Pulse wave velocity measurement system

Patent metadata

Field	Value
Publication number	US-11918325-B2
Application number	US-201917288101-A
Country	US
Kind code	B2
Filing date	Oct 25, 2019
Priority date	Oct 26, 2018
Publication date	Mar 5, 2024
Grant date	Mar 5, 2024

Abstract

A system and method is disclosed for measurement of pulse wave velocity of a vessel. An intravascular device comprises a first and a second marker provided at different locations along the length of the intravascular device of which positions are localizable by a tracking apparatus. The intravascular device provides plurality of measurements along the length of the vessel, while the intravascular device is moved from a first position to a second position, corresponding to a first and a second time. At the second time the position of the first marker in the vessel corresponds to the position of the second marker at the first time. The pulse wave velocity value of the vessel is ascertained based on measurements associated for the first time and the second time from the plurality of measurements and based on the distance between the locations of the two markers along the length of the intravascular device.

First claim

The invention claimed is:

1. A system for measurement of pulse wave velocity of a vessel, comprising:
an intravascular device configured to provide plurality of measurements along the length of the vessel, wherein the intravascular device comprises two markers provided at different locations along the length of the intravascular device of which positions are localizable by a tracking apparatus;
an apparatus configured to:
receive the plurality of measurements from the intravascular device;
receive position information of the two markers from the tracking apparatus;
associate for a first time a measurement of the plurality of measurements with the positions of the markers, wherein the first marker is in a first position and the second marker is in a second position;
detect upon movement of the intravascular device from the position information when the first marker reaches the second position and associate a second time;
ascertain the pulse wave velocity value of the vessel based on measurements associated for the first time and the second time from the plurality of measurements and based on the distance between the locations of the two markers along the length of the intravascular device.

2. The system according to claim 1 , wherein the intravascular device comprises a sensor at its distal portion, in proximity of one of the two markers, configured to provide the plurality of measurements along the length of the vessel.

3. The system of claim 1 , wherein the apparatus is further configured to:
ascertain an apparent distance between the first marker and the second marker at the first time from the position information received from the tracking apparatus;
compare the apparent distance with the physical distance between the locations of the markers on the intravascular device;
ascertain a local correction factor based on the apparent distance and the physical distance;
ascertain a corrected pulse wave velocity value based on the pulse wave velocity value and the correction factor.

4. The system of claim 1 , wherein the intravascular device comprises a plurality of markers localizable by the tracking apparatus and provided at different locations along the length of the intravascular device, wherein the plurality of markers form a ruler.

5. The system of claim 1 , further comprising a user interface configured to display the pulse wave velocity value.

6. The system of claim 1 , further comprising the tracking apparatus configured to localize the positions of the markers.

7. The system of claim 6 , wherein the tracking apparatus is a radiology apparatus and the markers comprise radiopaque material.

8. The system of claim 1 , wherein the plurality of measurements along the length of the vessel comprise at least one of the types of pressure measurements, flow measurements, vessel diameter measurements and vessel cross-section measurements.

9. The system of claim 6 , wherein the tracking apparatus is an ultrasound probe and wherein the markers are active or passive ultrasound transducers that emit or receive, respectively, ultrasound waves to or from the ultrasound probe.

10. The system of claim 9 , wherein the ultrasound probe is an extracorporeal ultrasound probe.

11. The system of claim 9 , wherein at least one of the marker is used as the sensor to provide the plurality of measurements along the length of the vessel.

12. The system of claim 11 , wherein the sensor is configured to provide the plurality of measurements comprising flow measurements.

13. The system of claim 11 , wherein the sensor is configured to provide the plurality of measurements comprising vessel diameter or cross-section measurements.

14. The system of claim 6 , wherein the tracking apparatus is electromagnetic tracking apparatus and wherein the markers comprise permanent magnetic material or electromagnetic coils.

15. A method of measurement of pulse wave velocity of a vessel, comprising:
receiving plurality of measurements along the length of the vessel from an intravascular device, the intravascular device comprising two markers provided at different locations along the length of the intravascular device of which positions are localizable by a tracking apparatus;
receiving position information of the two markers from the tracking apparatus;
associating for a first time a measurement of the plurality of measurements with the positions of the markers, wherein the first marker is in a first position and the second marker is in a second position;
detecting upon movement of the intravascular device from the position information when the first marker reaches the second position and associating a second time;
ascertaining the pulse wave velocity value of the vessel based on measurements associated for the first time and the second time from the plurality of measurements and based on the distance between the locations of the two markers along the length of the intravascular device.

Assignees

• Koninklijke Philips Nv

Inventors

• Mueller Manfred
• Van Der Horst Arjen

Classifications

• A61B5/062

  using magnetic field · CPC title

• A61B5/0215

  by means inserted into the body · CPC title

• A61B5/7264

  Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems · CPC title

• A61B5/4848

  Monitoring or testing the effects of treatment, e.g. of medication · CPC title

• A61B5/7275

  Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor · CPC title