System for carrying out and monitoring minimally-invasive interventions

A method of treating tachycardial arrhythmias of a heart, comprising:

• providing a system for carrying out and monitoring a minimally-invasive intervention,
• having:
• an x-ray device having an x-ray emitter and an x-ray detector, a multi-axis articulated-arm robot, wherein the x-ray emitter and the x-ray detector are attached to at least one robotic arm of the multi-axis articulated-arm robot, wherein the x-ray emitter and the x-ray detector are moveable for recording images from different projection directions on a predetermined path around a patient support facility, and
• a control and evaluation unit with interfaces for catheters and devices to be used for the minimally-invasive intervention, wherein the control and evaluation unit processes data selected from the group consisting of measurement data, image data and a combination thereof, wherein the control and evaluation unit receives the data from the catheters and devices, and wherein the control and evaluation unit controls the catheters and devices for the detection of the data;
• using high-resolution 3D-images, wherein the high-resolution 3D-images are recorded before the minimally-invasive intervention, and wherein the high-resolution 3D images are updated while the minimally-invasive intervention is carried out with current 3D data of the x-ray device,
• wherein the system has a position determination device connected for an exchange of data to the control and evaluation unit for a determination of a three-dimensional position of one or more of the catheters in the space which are equipped with position sensors for detection of the three-dimensional position, wherein at least one catheter has at least two coils or antennas arranged at an angle to each other as position sensors, and
• wherein a navigation device is connected for the exchange of data with the control mid evaluation unit for a magnetic navigation of one or more of the catheters, wherein the catheters have magnets for magnetic navigation using an external magnetic field generated by the navigation device.

A method of operating a system for carrying out and monitoring a minimally-invasive intervention:

• providing the system having:
• an x-ray device having an x-ray emitter and an x-ray detector,
• a multi-axis articulated-arm robot, wherein the x-ray emitter and the x-ray detector are attached to at least one robotic arm of the multi-axis articulated-arm robot, wherein the x-ray emitter and the x-ray detector are moveable for recording images from different projection directions on a predetermined path around a patient support facility, and
• a control and evaluation unit with interfaces for catheters and devices to be used for the minimally-invasive intervention, wherein the control and evaluation unit processes data selected from the group consisting of measurement data, image data and a combination thereof, wherein the control and evaluation unit receives the data from the catheters and devices, and wherein the control and evaluation unit controls the catheters and devices for the detection of the data;
• inputting demographic data of a patient in a hospital information system;
• transmitting the patient information to a high-resolution 3D examination unit;
• recording and reconstruction of the high-resolution 3D images or datasets;
• transmitting patient information data and high-resolution 3D datasets to the system;
• recording and reconstruction of the high-resolution 3D images or datasets with the x-ray device, updating the high-resolution 3D images created before a procedure;
• calibrating the ultrasound catheter with position sensors and registration with the available high-resolution 3D images;
• introducing a ultrasound catheter under control, wherein the control comprises a combination of an x-ray control, a positioning system, and a location from at least 2 projections in an x-ray image wherein a navigation device is connected for the exchange of data with the control and evaluation unit for a magnetic navigation of one or more catheters, wherein the catheters have magnets for magnetic navigation using an external magnetic field generated by the navigation device;
• updating the high-resolution 3D imaged with current 3D ultrasound data in a target area;
• introducing a mapping catheter;
• recording an intracardial ECG under control, wherein the control is selected from the group consisting of an x-ray control, a positioning system, a location from at least 2 projections in an x-ray image, and a combination thereof;
• updating the available high-resolution 3D image with current 3D ultrasound data in the target area;
• overlaying the mapping images with an anatomical image of heart chambers;
• introducing a ablation catheter under control, wherein the control is selected from the group consisting of an x-ray control, a positioning system, a location from at least 2 projections in an x-ray image, and a combination thereof;
• updating high-resolution 3D image with current 3D ultrasound data in the target area of the available high-resolution 3D image;
• ablating selected tissue locations;
• checking the ablation based upon a method selected from the group consisting of an OCT catheter use, a temperature measurement, a pressure measurement, a renewed mapping, and a combination thereof;
• removing medical instruments and aids from the target area;
• documentating and archiving the procedure in a Hospital Information system;
• discharging the patient;
• creating a bill;
• and
• billing by the Hospital Information system.