Abstract:
A method for mapping includes receiving electrical inputs measured by a probe at respective locations in a chamber of a heart of a subject. The electrical inputs are processed to identify complex fractionated electrograms. At each of the respective locations, a respective contact quality between the probe and a tissue in the chamber is measured. A map of the complex fractionated electrograms in the chamber is created using the electrical inputs and the measured contact quality.
Abstract:
An imaging system, including a capsule, configured to enter an esophagus of a patient, having an ultrasonic transducer configured to image tissue of the patient. The system further includes an applicator tube configured to enter the esophagus, the tube being attachable to the capsule for positioning the capsule within the esophagus, and being detachable from the capsule after positioning of the capsule so as to permit the tube to be withdrawn from the esophagus while the capsule remains in position in the esophagus.
Abstract:
Apparatus, including: a mockup probe, having a distal end and a proximal end adapted to be held by a human operator. The apparatus further includes a mockup patient, simulating an actual patient, the mockup patient having an aperture allowing penetration of the distal end of the mockup probe into the mockup patient. The apparatus includes a force generator, coupled to the mockup probe so as to apply a force to the proximal end that can be felt by the human operator, and a system controller. The controller is configured to: track a location of the distal end during the penetration thereof into the mockup patient, access an indication of a value of contractility of a region of an organ of the actual patient corresponding to the location, and activate the force generator so that the force applied to the proximal end corresponds to the indication.
Abstract:
Apparatus for performing a medical procedure on a tissue within a body of a subject includes a wireless tag configured to be fixed to the tissue and adapted to emit radiation, thereby causing first signals to be generated indicative of a location of the tag in the body. An invasive medical tool includes a probe, which is adapted to penetrate into the body so as to reach the tissue. A handle is fixed proximally to the probe, for manipulation by an operator of the tool. A display, mounted on the handle, presents a visual indication to the operator of an orientation of the probe relative to the tag. A processing unit processes the first signals so as to determine coordinates of the tag relative to the probe, and drives the display responsive to the coordinates.
Abstract:
A position sensing system includes a probe adapted to be introduced into a body cavity of a subject. The probe includes a magnetic field transducer and at least one probe electrodes. A control unit is configured to measure position coordinates of the probe using the magnetic field transducer. The control unit also measures an impedance between the at least one probe electrodes and one or more points on a body surface of the subject. Using the measured position coordinates, the control unit calibrates the measured impedance.
Abstract:
A method for imaging an anatomical structure on a display, including acquiring an initial spatial representation of the anatomical structure and positioning an instrument in proximity to the anatomical structure. The method further includes determining a location of the instrument, and generating, in response to the location, an image of a part of the anatomical structure. The method includes appending the image to the initial spatial representation to display a combined spatial representation.
Abstract:
A reliable endocardial map is obtained by constructing a matrix relationship between a small number of endocardial points and a large number of external receiving points using a multi-electrode chest panel. Inversion of the matrix yields information allowing the endocardial map to be constructed. Subsequent maps are obtained noninvasively using the multi-electrode chest panel, applying new electrical signals to the matrix relationship, and again inverting the matrix to generate new endocardial electrical maps.
Abstract:
Apparatus is provided for performing ablation of cardiac tissue using ultrasound. The apparatus includes a beacon, adapted to be placed at a cardiac site in a body of a subject. The apparatus further includes a set of ultrasound transducers, each transducer adapted to detect a respective ultrasound signal coming from the beacon. Each transducer is adapted to output a time-reversed ultrasound signal, reversed in time with respect to a property of at least one of the beacon signals, and configured to ablate the cardiac tissue.
Abstract:
A method for pre-planning and performing a cardiac procedure on a heart includes acquiring an image or map of the heart; displaying the image or map of the heart; marking at least one feature on the image or map; calculating dimensions of the at least one feature; identifying one or more points on or within the heart for treatment; determining paths to the one or more points on or within the heart for treatment; simulating insertion of a sheath into the heart; simulating insertion of a medical device through the sheath and within the heart; verifying that the one or more points on or within the heart can be accessed for treatment; and performing a medical procedure on or within the heart.
Abstract:
A method for treating atrial fibrillation in an atrium of a heart includes (a) acquiring an image or map of the atrium; (b) displaying the image or map of the atrium; (c) marking at least one feature on the image or map; (d) calculating dimensions of the at least one feature; (e) identifying one or more points on or within the atrium for treatment as part of a treatment plan; (f) determining paths to the one or more points on or within the atrium for treatment; (g) simulating insertion of a sheath into the atrium; (h) simulating insertion of a medical device through the sheath and into the atrium; (i) verifying that the one or more points on or within the atrium can be accessed for treatment; (j) computing an overall surface area of the atrium; (k) calculating an estimated area not treated in the atrium based on the treatment plan; (l) assessing whether macro-reentrant circuits can exist in the estimated area not treated in the atrium; (m) repeating steps (e)-(l) in the event step (l) indicates that macro-reentrant circuits can exist in the estimated area not treated in the atrium; and (n) implementing the treatment plan.