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Biosense Webster Israel. A Bit About Us. Founded 1994 - Shlomo Ben-Haim, M.D. Acquired by J&J - 1997. A Bit About Us. Our headquarters – Tirat HaCarmel. A Bit About Us. Biosense Webster – about 700 employees worldwide About 100 employees in Israel (mostly R&D)
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A Bit About Us • Founded 1994 - Shlomo Ben-Haim, M.D. • Acquired by J&J - 1997
A Bit About Us Our headquarters – Tirat HaCarmel
A Bit About Us • Biosense Webster – about 700 employees worldwide • About 100 employees in Israel (mostly R&D) • Worldwide sales of about 300 million USD • Profits of about 40 million USD • Commands about 80% of the intracardiac navigation devices market
What Are We Doing It all began with an EP catheter …
EP Overview Typical EP procedure consists of: Inserting catheter Reaching the heart
EP Overview And … Navigating inside the heart
However … The main (and only) instrument for knowing what’s going on inside the heart is fluoro.
In addition to emitting harmful radiation, it produces images that are hard to interpret However …
However … Especially when the heart is beating
Location Technology We place a number of transmitters under the patient table …
Location Technology … and a receiver in the catheter tip …
Location Technology … and triangulate our position!
Mapping Now we know the location of the catheter tip with respect to the table. So what? X = 11.34 Y = 533.89 Z = 45.78
Mapping We can map the heart from the inside and find the location of the catheter tip with respect to the map.
Mapping The map is also very useful in displaying electrical activity of the heart.
Mapping Still there is one problem left: heartbeat. We can either synchronize with ECG …
Mapping … or try to build a dynamic model of the heart
Questions So Far Any Questions?
What Else Are We Doing Remote Magnetic Navigation - Stereotaxis
What Else Are We Doing Stereotaxis: performing EP procedure
What Else Are We Doing Integration of pre-acquired images (MRI, CT, etc).
What Else Are We Doing Ultrasound catheter
What Else Are We Doing • Different catheters (Quick, Flower, etc). • Research versions • Trying to analyze heart’s electrical activity • Etc, etc, etc.
What Else Are We Doing Orthopedic solutions
What Else Are We Doing Orthopedic solutions
And Last But Not Least (well, maybe…)