# US 12,178,619 B2 · Percutaneous coronary intervention (PCI) planning interface with pressure data and vessel data and associated devices, systems, and methods

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- Number: US 12,178,619 B2
- Document ID: US12178619B2
- Status: Granted
- Kind: B2
- Application number: 18/376,165
- Filed: 2023-10-03
- Published: 2024-01-25
- Granted: 2024-12-31
- Earliest claimed: 2014-11-14
- Assignees: Philips Image Guided Therapy Corporation
- Applicants: Philips Image Guided Therapy Corporation
- Inventors: David Anderson; Andrew Tochterman
- Web page: https://patentgrep.com/patent/US12178619B2

## CPC

- A61B 5/743: {Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots}
- A61B 5/0215: by means inserted into the body
- A61B 5/7475: {User input or interface means, e.g. keyboard, pointing device, joystick}
- A61B 6/504: {for diagnosis of blood vessels, e.g. by angiography}
- G16H 50/50: for simulation or modelling of medical disorders
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

Devices, systems, and methods directed to evaluating a vessel of a patient are provided. The method includes outputting, to a display, a screen display including: a visual representation of a pressure ratio of pressure measurements obtained by first and second instruments positioned within a vessel while the second instrument is moved longitudinally through the vessel and the first instrument remains stationary within the vessel; and a visual representation of the vessel; receiving a user input to modify one of the visual representations of the pressure ratio and the vessel to simulate a therapeutic procedure; and updating the screen display, in response to the user input, including: modifying the selected one of the visual representation of the pressure ratio and the vessel based on the received user input; and correspondingly modifying the unselected one of the visual representation of the pressure ratio and the vessel.

## Claims

### Claim 1

An intravascular system, comprising:
an intravascular catheter or guidewire configured to be positioned within a blood vessel of a patient, wherein the intravascular catheter or guidewire comprises an intravascular imaging sensor configured to obtain a plurality of intravascular images at a plurality of locations along the blood vessel; and
a processor configured for communication with the intravascular catheter or guidewire, wherein the processor is configured to:
co-register the plurality of intravascular images with an extraluminal image of the blood vessel;
provide, on a display in communication with the processor, a graphical user interface (GUI) for planning a treatment to the blood vessel, wherein the GUI comprises a first screen display comprising:
the extraluminal image of the blood vessel; and
at least one of the plurality of intravascular images;
determine a simulated effect of the treatment to the blood vessel at one or more of the plurality of locations; and
modify the GUI based on the determination such that the GUI comprises a second screen display based on the simulated effect.

### Claim 2 (depends on 1)

The intravascular system of claim 1, wherein the extraluminal image of the blood vessel comprises an angiographic image of the blood vessel.

### Claim 3 (depends on 1)

The intravascular system of claim 1, wherein the second screen display comprises a graphical representation associated with the treatment overlaid on the extraluminal image of the blood vessel.

### Claim 4 (depends on 3)

The intravascular system of claim 3, wherein the graphical representation associated with the treatment comprises a graphical representation of a treatment device.

### Claim 5 (depends on 4)

The intravascular system of claim 4, wherein the treatment device comprises a stent.

### Claim 6 (depends on 1)

The intravascular system of claim 1, wherein the plurality of intravascular images comprises intravascular ultrasound (IVUS) images.

### Claim 7 (depends on 1)

The intravascular system of claim 1, wherein the plurality of intravascular images comprises optical coherence tomography (OCT) images.

### Claim 8 (depends on 1)

The intravascular system of claim 1, wherein the treatment comprises a positioning of a stent within the blood vessel.

### Claim 9 (depends on 8)

The intravascular system of claim 8, wherein the at least one of the plurality of intravascular images comprises:
a first intravascular image corresponding to a first end of the stent; and
a second intravascular image corresponding to a second end of the stent.

### Claim 10 (depends on 8)

The intravascular system of claim 8,
wherein the processor is configured to determine a diameter for the stent based on the plurality of intravascular images, and
wherein the processor is configured to determine the simulated effect based on the diameter for the stent.

### Claim 11 (depends on 10)

The intravascular system of claim 10, wherein, to determine the diameter for the stent, the processor is configured to select the larger of:
a first vessel diameter corresponding to a first end of the stent; or
a second vessel diameter corresponding to a second end of the stent.

### Claim 12 (depends on 1)

The intravascular system of claim 1,
further comprising the display,
wherein the display is touch sensitive, and
wherein the processor is configured to determine the simulated effect in response to a touch input received via the display.
