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公开(公告)号:US10918299B2
公开(公告)日:2021-02-16
申请号:US16013809
申请日:2018-06-20
Applicant: Boston Scientific Scimed Inc.
Inventor: Sarah R. Gutbrod , Jacob I. Laughner , Allan C. Shuros , Matthew S. Sulkin
Abstract: Methods and systems for cardiac mapping are disclosed. An example system includes a catheter shaft with one or more electrodes coupled to a distal end of the catheter shaft. Electrodes sense electrical signals at anatomical locations within a heart. A processor coupled to the catheter shaft acquires electrogram signals of the heart using the electrodes. Each electrogram signal relates to three-dimensional positional data corresponding to the anatomical locations. The processor also store the electrogram signals of the heart corresponding to electrical activities sensed at corresponding anatomical locations, calculate an activation recovery interval associated with each of the corresponding anatomical locations, determine spatial gradient data of the activation recovery interval based on a distance between at least two neighboring anatomical locations. The system also includes a display device to display a three-dimensional graphical representation of the spatial gradient data between the at least two neighboring anatomical.
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2.
公开(公告)号:US20190239764A1
公开(公告)日:2019-08-08
申请号:US16270483
申请日:2019-02-07
Applicant: Boston Scientific Scimed Inc.
Inventor: Matthew S. Sulkin , Allan C. Shuros
CPC classification number: A61B5/042 , A61B5/0044 , A61B5/0422 , A61B5/044 , A61B5/0538 , A61B5/062 , A61B5/063 , A61B5/065 , A61B5/489 , A61B5/6852 , A61B5/7425 , A61B5/743 , A61B18/1492 , A61B2017/00243 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00839 , A61B2034/2051 , A61B2034/2053 , A61B2034/2072 , A61B2562/0209 , A61B2576/023
Abstract: A system includes a display device configured to present an epicardial vascular map. The system also includes a processing unit configured to: receive electrical signals obtained from a vascular mapping catheter and/or a magnetically tracked catheter; determine, from the electrical signals, a plurality of impedance measurements associated with one or more electrodes of the vascular mapping catheter; access a field map, the field map having expected impedance measurements determined based on determined positions of the one or more additional electrodes of the magnetically tracked catheter; determine, based on the plurality of impedance measurements and the field map, positions of the electrodes of the vascular mapping catheter; generate, based on the positions, the epicardial vascular structure; access the epicardial cardiac map; annotate the epicardial cardiac map with the representation of the epicardial vascular structure to generate the epicardial vascular map; and facilitate display of the epicardial vascular map.
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3.
公开(公告)号:US20170354357A1
公开(公告)日:2017-12-14
申请号:US15619410
申请日:2017-06-09
Applicant: Boston Scientific Scimed Inc.
Inventor: Jacob I. Laughner , Sarah R. Gutbrod , Jason J. Hamann , Matthew S. Sulkin , Mary M. Byron , Devon N. Arnholt
Abstract: A catheter system includes a catheter with an elongate catheter body, a catheter tip coupled to a distal end of the catheter body, and at least one light-emitting element configured to emit light to excite flavin adenine dinucleotide (FAD) molecules. The catheter system further including at least one light sensor configured to sense a light emitted by the excited FAD molecules.
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公开(公告)号:US10827978B2
公开(公告)日:2020-11-10
申请号:US16111385
申请日:2018-08-24
Applicant: Boston Scientific Scimed Inc.
Inventor: Allan C. Shuros , Matthew S. Sulkin , Jacob I. Laughner , Vasiliy E. Buharin
Abstract: A medical system for removing far-field signals from a unipolar electrical signal is disclosed. In embodiments, the medical system comprises a catheter and a processing device communicatively coupled to the catheter. The catheter comprises a plurality of electrodes configured to sense a plurality of unipolar signals transmitted through tissue. The processing device is configured to: receive the sensed unipolar electrical signals, determine an electrode having a high level of contact with the tissue, and determine an electrode having a lower level of contact with the tissue than the electrode having the high level of contact with the tissue. Further, the processing device is configured to determine a sensed near-field electrical signal based on the unipolar electrical signal received from the electrode having the high level of contact and the unipolar electrical signal received from the electrode having the lower level of contact.
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5.
公开(公告)号:US20190150842A1
公开(公告)日:2019-05-23
申请号:US16111385
申请日:2018-08-24
Applicant: Boston Scientific Scimed Inc.
Inventor: Allan C. Shuros , Matthew S. Sulkin , Jacob I. Laughner , Vasiliy E. Buharin
IPC: A61B5/00 , A61B18/14 , A61B5/0245 , A61B5/024
Abstract: A medical system for removing far-field signals from a unipolar electrical signal is disclosed. In embodiments, the medical system comprises a catheter and a processing device communicatively coupled to the catheter. The catheter comprises a plurality of electrodes configured to sense a plurality of unipolar signals transmitted through tissue. The processing device is configured to: receive the sensed unipolar electrical signals, determine an electrode having a high level of contact with the tissue, and determine an electrode having a lower level of contact with the tissue than the electrode having the high level of contact with the tissue. Further, the processing device is configured to determine a sensed near-field electrical signal based on the unipolar electrical signal received from the electrode having the high level of contact and the unipolar electrical signal received from the electrode having the lower level of contact.
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公开(公告)号:US20180368714A1
公开(公告)日:2018-12-27
申请号:US16013809
申请日:2018-06-20
Applicant: Boston Scientific Scimed Inc.
Inventor: Sarah R. Gutbrod , Jacob I. Laughner , Allan C. Shuros , Matthew S. Sulkin
Abstract: Methods and systems for cardiac mapping are disclosed. An example system includes a catheter shaft with one or more electrodes coupled to a distal end of the catheter shaft. Electrodes sense electrical signals at anatomical locations within a heart. A processor coupled to the catheter shaft acquires electrogram signals of the heart using the electrodes. Each electrogram signal relates to three-dimensional positional data corresponding to the anatomical locations. The processor also store the electrogram signals of the heart corresponding to electrical activities sensed at corresponding anatomical locations, calculate an activation recovery interval associated with each of the corresponding anatomical locations, determine spatial gradient data of the activation recovery interval based on a distance between at least two neighboring anatomical locations. The system also includes a display device to display a three-dimensional graphical representation of the spatial gradient data between the at least two neighboring anatomical.
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公开(公告)号:US20180368713A1
公开(公告)日:2018-12-27
申请号:US16013146
申请日:2018-06-20
Applicant: Boston Scientific Scimed Inc.
Inventor: Sarah R. Gutbrod , Jacob I. Laughner , Allan C. Shuros , Matthew S. Sulkin
IPC: A61B5/044 , A61B5/042 , A61B5/0452 , A61B5/0432 , A61B5/00
Abstract: Methods and systems for cardiac mapping are disclosed. An example system includes a catheter shaft with one or more electrodes coupled to a distal end of the catheter shaft. Electrodes sense electrical signals at anatomical locations within a heart. A processor coupled to the catheter shaft acquires electrogram signals of the heart using the electrodes. Each electrogram signal relates to three-dimensional positional data corresponding to the anatomical locations. The processor also store the electrogram signals of the heart corresponding to electrical activities sensed at corresponding anatomical locations, calculate an activation recovery interval associated with each of the corresponding anatomical locations, determine spatial gradient data of the activation recovery interval based on a distance between at least two neighboring anatomical locations. The system also includes a display device to display a three-dimensional graphical representation of the spatial gradient data between the at least two neighboring anatomical.
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公开(公告)号:US20180338793A1
公开(公告)日:2018-11-29
申请号:US15986505
申请日:2018-05-22
Applicant: Boston Scientific Scimed Inc.
Inventor: Matthew S. Sulkin , Jacob I. Laughner , Allan C. Shuros , Jason J. Hamann
Abstract: Embodiments of the present invention facilitate real-time ablation lesion characteristic analysis. In an embodiment, an electrophysiology system comprises a catheter, a signal generator and a mapping processor. The catheter includes a flexible catheter body having a distal portion and a plurality of electrodes disposed on the distal portion. The signal generator is configured to generate an electrical signal by driving one or more currents between a first set of the plurality of electrodes, wherein a second set of the plurality of electrodes is configured to obtain an impedance measurement based on the electrical signal. Furthermore, the mapping processor configured to: receive the impedance measurement from the second set of electrodes; determine at least one impedance metric; and determine, based on the at least one impedance metric, a likelihood of an occurrence of a steam pop.
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公开(公告)号:US20180338703A1
公开(公告)日:2018-11-29
申请号:US15986588
申请日:2018-05-22
Applicant: Boston Scientific Scimed Inc.
Inventor: Matthew S. Sulkin , Jacob I. Laughner , Allan C. Shuros , Mary M. Byron , Jason J. Hamann
Abstract: An electrophysiology system includes a catheter having a flexible catheter body with a distal portion; and electrodes disposed on the distal portion. The system includes a signal generator configured to generate an electrical signal by driving one or more currents between a first set of the electrodes, where a second set of the electrodes is configured to obtain an impedance measurement based on the electrical signal. A mapping processor is configured to receive the impedance measurement from the second set of electrodes; determine at least one impedance metric; and determine at least one lesion characteristic based on the at least one impedance metric.
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