IBHRE国际心律失常考官委员会英文资料：C3 CHN

1、March 2009 CARTO System Platform Evolution 1995 1996 2001 2008 2002 2003 2004 2005 2006 2007 1997 1998 1999 2000 CARTO SystemCARTO XP System CFAE Software CARTO RMT Module CARTOMERGE Software Module NAVISTAR THERMOCOOL Catheter CARTOSYNC Software Module Electroanatomical Color Coded 3D Maps NAVISTAR

2、 Catheter ESOPHASTAR Catheter CARTOSOUND Software Module XP PlatformUNIX Platform Whats Important Evaluation of mapping system attributes Accuracy, catheter visualization and creating fast maps are the most important factors in the evaluation of mapping systems. Q9. Please rate the mapping/navigatio

3、n systems that you are currently using for atrial fibrillation with a checkmark on the column that best represents your rating for that attribute? Base: n= 251 Next generation platform Redesigned hardware and accessories New enhanced software Key Features Visualization Speed Streamlined Workflow The

4、 New Vision in AF Ablation 新的核心功能 先先进导进导管定位管定位 CHOICE连连接接 快速解剖快速解剖标测标测 成像准确 速度 工作流程化 Visualize any catheter Non-uniform field Low accuracy Sensitive to biological changes 基于Sensor-based navigation Gold standard in accuracy (+1mm) Not affected by biological changes 准确成像准确成像 定位磁技定位磁技术术电场电场定位技定位技术术集成技集

5、成技术术 采用集成技采用集成技术导术导航成像航成像 BWI ACL_2009_final.avi Advanced Catheter Location Current Data Each electrode emits unique current. Patches receive current, relative strength of current at each patch and a current ratio calculated. During calibration, each current ratio calibrated with a CARTO System magn

6、etic location Advanced Catheter Location (ACL) Hybrid technology that combines the accurate magnetic-based technology of CARTO with current-based data. The result is an accurate visualization. Current-based data is automatically calibrated by sensor catheter as it moves about chamber. Each electrode

7、 emits current at a unique frequency for distinct electrode visualization 25 30 35 40 45 50 55 135 140 145 150 155 160 165 295 300 305 310 315 320 325 330 335 X mm ACL Position vs. Estimated Electrodes Y mm Z mm OPTICALACL ACL Validation Source: BWI Bench Test Study Accuracy shown in optical compari

8、son testing testing ACL Outcomes Accurate location and orientation No location shifts over time* Eliminates interference between catheters* * BWI Pre-clinical studies LASSO Visualization “Click-and-See” feature Sensor in Lasso provides magnetic accuracy Distinct Electrodes Click and see.avi ACL Case

9、 5 No Ablation LassoNav.avi External Evaluation 1 Multi-Catheter Visualization Visualize up to 5 catheters/80 electrodes simultaneously All electrodes can be seen (tip and curve) Realistic visualization Maintain linear space (scale is not distorted within space) Speed BWI FAM_2009.avi Fast Anatomica

10、l Mapping Fast Anatomical Mapping (FAM) Uses a sensor-based catheter for accuracy No editing required Create a map as fast as you can move the catheter. High resolution CT-like images. Electroanatomical points can be acquired during fast mapping, one step with Acquire button. Uniform set-up for pati

11、ent and lab * Compared to CARTO XP System Quick Connects: Plug & Play* Improved signal quality* CONNECTION OF CHOICETM Testing shows less noise than CARTO XP and equal noise reduction as leading recording systems. PIU Serves as “Faraday Box” to isolate circuits and minimize noise. Quick-Connects fur

12、ther reduce potential noise Improved Signal Quality Simplified Graphic User Interface (GUI) Uniform set-up for patient and lab * Compared to CARTO XP System Quick Connects: Plug & Play* Improved signal quality* CONNECTION OF CHOICETM CONNECTION OF CHOICETM Uniform set-up for patient and lab * Compared to CARTO XP System Quick Connects: Plug & Play* Enlarged mapping zone* Improved signal quality* Improved patient movement compensation* Simplified Graphic User Interface (GUI) CONNECTION OF CHOICETM 3 Sites in Europe