COMPUTING LOCAL PROPAGATION VELOCITIES IN REAL-TIME

    公开(公告)号:EP4094687A3

    公开(公告)日:2023-01-11

    申请号:EP22174769.4

    申请日:2022-05-23

    摘要: A method includes, based on respective signals acquired by a plurality of electrodes on an anatomical surface of a heart, computing respective local activation times (LATs) at respective locations of the electrodes. The method further includes, based on the LATs, computing respective directions of electrical propagation at the locations. The method further includes selecting pairs of adjacent ones of the electrodes such that, for each of the pairs, a vector joining the pair is aligned, to within a predefined threshold degree of alignment, with the direction of electrical propagation at the location of one of the electrodes belonging to the pair. The method further includes associating respective bipolar voltages measured by the pairs of electrodes with a digital model of the anatomical surface. Other examples are also described.

    SYSTEM AND METHOD TO DETECT AND IDENTIFY CARDIAC PACE-MAPPING SITES AND PACING MANEUVERS

    公开(公告)号:EP3951788A1

    公开(公告)日:2022-02-09

    申请号:EP21190023.8

    申请日:2021-08-06

    摘要: Systems and methods are disclosed for generating a pace-mapping prediction model. Techniques are provided that utilize a training dataset associated with biometrics of patients' hearts, including electrophysiological data associated with cardiac arrhythmia, pace-mapping datasets, and correlation data measuring the degree of correlation between the pace-mapping datasets and the electrophysiological data. Based on the training dataset, the pace-mapping prediction model is trained to predict a degree of correlation between a patient's electrophysiological data and a pace-mapping dataset. Based on the predicted degree of correlation, a cardiac location in the heart of a patient is predicted as the location for the next pace-mapping. Further systems and methods are disclosed for generating a pacing maneuver prediction model. The pacing maneuver prediction model is trained to predict interval measurement based on a pacing maneuver obtained during cardiac pace-mapping.

    PROPAGATION MAP OF A HEART CHAMBER WITH AREAS DEMONSTRATING FRACTIONATED ELECTROGRAMS

    公开(公告)号:EP3888553A1

    公开(公告)日:2021-10-06

    申请号:EP21166138.4

    申请日:2021-03-31

    IPC分类号: A61B5/341 A61B5/00

    摘要: A method includes storing an anatomical map of at least a portion of a surface of a heart. Respective electrogram (EGM) signal amplitudes measured at respective positions on the surface of the heart are stored. Based on the on the EGM signal amplitudes, defined are: one or more first regions of the surface in which the EGM signal amplitudes are fractionated, and one or more second regions of the surface in which the EGM signal amplitudes are non-fractionated. A first surface representation is generated for the fractionated EGM signal amplitudes in the first regions. Propagation times are extracted from the non-fractionated EGM signal amplitudes in the second regions, and a second surface representation of the propagation times is derived. The first and second surface representations of the respective first and second regions of the surface are simultaneously presented, overlaid on the anatomical map.

    A METHOD TO FIND ABNORMAL ACTIVATIONS IN INTRA-CARDIAC ELECTROCARDIOGRAMS

    公开(公告)号:EP3821808A1

    公开(公告)日:2021-05-19

    申请号:EP20207557.8

    申请日:2020-11-13

    IPC分类号: A61B5/349

    摘要: Methods, apparatus, and systems for medical procedures are disclosed herein and include detecting points of an intra-cardiac area that exhibits abnormal activations, such as local abnormal ventricular activations (LAVAs). Points that exhibit such abnormal activations may be referred to as seed points that are identified during a first step of the process disclosed herein. The seed points may be identified using one or more inputs such as unipolar and bipolar mapping channels, body surface ECGs, past activations, neighboring points and the like during the first step which prioritizes high specificity over sensitivity. During a second step which prioritizes high sensitivity, electrical activations of neighboring points near the seed points are analyzed to determine if the activations are similar (e.g., have a similar time) as the abnormal activations corresponding to the corresponding seed points.

    OCCLUSION DETECTION VIA FLUID DILUTION
    5.
    发明公开

    公开(公告)号:EP3682799A2

    公开(公告)日:2020-07-22

    申请号:EP19220231.5

    申请日:2019-12-31

    摘要: A method of occlusion detection is disclosed. The method comprises the steps of positioning a medical tool coupled to a distal portion of a distal end of a delivery catheter at a target cavity within a patient. The medical tool includes an expandable balloon, and at least one sensor. The expandable balloon is expanded when positioned at the target cavity. The expandable balloon includes a membrane formed of a plurality of irrigation pores. Fluid is introduced into the target cavity either by injection or through the pores, or both. Using a sensor, a characteristic of blood is detected with the target cavity. The characteristic of blood is processed to determine the presence or absence of an occlusion within the cavity.