1. Biosense Webster Israel

2. A Bit About Us Founded 1994 - Shlomo Ben-Haim, M.D.
Acquired by J&J

3. Our headquarters – Tirat HaCarmel
A Bit About Us
Our headquarters – Tirat HaCarmel

4. 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

5. What Are We Doing
It all began with an EP catheter …

6. EP Overview Typical EP procedure consists of: Inserting catheter
Reaching the heart

7. Navigating inside the heart
EP Overview
And …
Navigating inside the heart

8. However …
The main (and only) instrument for knowing what’s going on inside the heart is fluoro.

9. However … In addition to emitting harmful radiation, it
produces images that are hard to interpret

10. However …
Especially when the heart is beating

11. Location Technology We place a number of transmitters under the
patient table …

12. Location Technology
… and a receiver in the catheter tip …

13. Location Technology
… and triangulate our position!

14. Mapping Now we know the location of the catheter tip with
respect to the table. So what?
X = 11.34
Y =
Z = 45.78

15. Mapping We can map the heart from the inside and find the
location of the catheter tip with respect to the map.

16. Mapping The map is also very useful in displaying
electrical activity of the heart.

17. Mapping Still there is one problem left: heartbeat. We
can either synchronize with ECG …

18. Mapping
… or try to build a dynamic model of the heart

19. Questions So Far
Any Questions?

20. What Else Are We Doing
Remote Magnetic Navigation - Stereotaxis

21. What Else Are We Doing
Stereotaxis: performing EP procedure

22. What Else Are We Doing
Integration of pre-acquired images (MRI, CT, etc).

23. What Else Are We Doing
Ultrasound catheter

24. What Else Are We Doing Different catheters (Quick, Flower, etc).
Research versions
Trying to analyze heart’s electrical activity
Etc, etc, etc.

25. What Else Are We Doing
Orthopedic solutions

26. What Else Are We Doing
Orthopedic solutions

27. And Last But Not Least
(well, maybe…)