CARDIAC CONDUCTION SYSTEM THERAPY BENEFIT DETERMINATION

    公开(公告)号:US20210307670A1

    公开(公告)日:2021-10-07

    申请号:US17193801

    申请日:2021-03-05

    申请人: Medtronic, Inc.

    发明人: Subham Ghosh

    摘要: Systems and methods are described herein for determining whether cardiac conduction system pacing therapy may be beneficial and/or determining how proximal or distal a cardiac conduction system block may be using external cardiac signals. To do so, one or more left-sided metrics of electrical heterogeneity information may be generated based on left-sided surrogate cardiac electrical measured using a plurality of left external electrodes

    MULTIDIRECTIONAL BALLOON TIPPED CATHETER SYSTEM FOR CONDUCTING HIS BUNDLE SENSING AND PACING

    公开(公告)号:US20210251553A1

    公开(公告)日:2021-08-19

    申请号:US17173513

    申请日:2021-02-11

    摘要: The adoption of His Bundle Pacing (HBP) has been hindered by the procedural difficulty of achieving good lead position without causing cardiac damage or perforation. The procedural success rates are much lower when compared to traditional right ventricle (RV) pacing procedures due to the difficulty in mapping the His potential with the exposed helix and maintaining position while the pacing helix is fixated. The use of multidirectional balloon tipped catheter system that includes a catheter body with curls and flexion points and anchor balloon mounted to a distal end of the catheter body increases positional precision and an improved procedural success rate when compared to the conventional system.

    Visual Guidance for Positioning a Distal End of a Medical Probe

    公开(公告)号:US20210212591A1

    公开(公告)日:2021-07-15

    申请号:US16896099

    申请日:2020-06-08

    摘要: A method, including receiving, from electrodes positioned within a heart, first signals from at least three of the electrodes indicating electrical activity in tissue with which the at least three of the electrodes engage, and second signals indicating locations of the at least three electrodes. The second signals are processed to compute the locations of the at least three electrodes and to determine a geometric center of the locations. Based on the signals, an electroanatomical map is generated for an area of the tissue including the geometric center, and an arrhythmia focus is determined in the map. A circle is presented, and within the circle, a region of the map is presented including the geometric center and the focus so that the geometric center on the map aligns with a center of the circle, the region within the circle indicating a spatial relationship between the geometric center and the focus.

    SYSTEM, METHOD, AND APPARATUS FOR MAPPING LOCAL ACTIVATION TIMES

    公开(公告)号:US20230119399A1

    公开(公告)日:2023-04-20

    申请号:US17911605

    申请日:2020-12-22

    摘要: An electroanatomical mapping system graphically represents local activation time (LAT) information contained in data set including a plurality of electrophysiology (EP) data points. The system computes a spatial gradient over a spatial kernel centered at an EP data point and a plurality of temporal gradients for the EP data points set. Using the gradients, the electroanatomical mapping system can detect spatial outlier EP data points and temporal outlier EP data points. These outlier EP data points can then be corrected prior to outputting a graphical representation of the LAT map on a model of a cardiac surface.

    SYSTEMS AND METHODS FOR MAPPING LOCAL ACTIVATION TIMES

    公开(公告)号:US20230073299A1

    公开(公告)日:2023-03-09

    申请号:US17802273

    申请日:2020-12-09

    摘要: The present disclosure provides systems and methods for generating a local activation time (LAT) map. A method includes receiving at least one reference electrogram, receiving at least one roving electrogram, detecting cardiac activations in the at least one reference electrogram, detecting roving cardiac activations in the at least one roving electrogram, identifying, at a trigger time, a most recent reference cardiac activation of the detected reference cardiac activations, identifying, a corresponding roving cardiac activation of the detected roving cardiac activations that is closest in time to the most recent reference cardiac activation, the corresponding roving cardiac activation identified independent of any roving activation interval (RAI), computing, a LAT as a time difference between the most recent reference cardiac activation and the corresponding roving cardiac activation, and generating and displaying, a LAT map based on the computed LAT.

    VISUAL GUIDANCE FOR POSITIONING A DISTAL END OF A MEDICAL PROBE

    公开(公告)号:US20230055089A1

    公开(公告)日:2023-02-23

    申请号:US17851196

    申请日:2022-06-28

    摘要: A method, including receiving, from electrodes positioned within a heart, first signals from at least three of the electrodes indicating electrical activity in tissue with which the at least three of the electrodes engage, and second signals indicating locations of the at least three electrodes. The second signals are processed to compute the locations of the at least three electrodes and to determine a geometric center of the locations. Based on the signals, an electroanatomical map is generated for an area of the tissue including the geometric center, and an arrhythmia focus is determined in the map. A circle is presented, and within the circle, a region of the map is presented including the geometric center and the focus so that the geometric center on the map aligns with a center of the circle, the region within the circle indicating a spatial relationship between the geometric center and the focus.

    SYSTEMS AND METHODS FOR TREATING CARDIAC ARRHYTHMIA

    公开(公告)号:US20230019503A1

    公开(公告)日:2023-01-19

    申请号:US17745342

    申请日:2022-05-16

    IPC分类号: A61B5/367 A61B5/00 A61B5/287

    摘要: Apparatus for monitoring activation in a heart comprises a probe 101, a plurality of electrodes 102 supported on the probe and extending over a detection area of the probe, the detection area being arranged to contact a detection region of the heart. Each of the electrodes 102 is arranged to detect electrical potential at a respective position in the heart during movement of a series of activation wave fronts across the detection region. A processor is arranged to analyse the detected electrical potentials to identify a propagation direction of at least one of the wave fronts, and to generate an output indicative of that direction.