AUTOMATIC DETECTION OF THE HIS BUNDLE DURING ELECTROPHYSIOLOGICAL MAPPING

    公开(公告)号:US20230087423A1

    公开(公告)日:2023-03-23

    申请号:US17481600

    申请日:2021-09-22

    摘要: A method includes receiving intracardiac electrogram (IEGM) signals measured at a plurality of locations in a region of a heart that contains a His bundle of the heart. The IEGM signals are processed to find respective local activation time (LAT) values. A cluster of the locations is identified at which peaks associated with the LAT values occur later than a defined time. Respective time differences are calculated between times of occurrence of the associated peaks and a reference time. The time differences are compared to a threshold value to retain locations for which the time differences are below the threshold value. The respective IEGM signals are filtered to identify respective high-frequency peaks in the IEGM signals. The high-frequency peaks are cross-corelated to identify a subset of the locations whose high-frequency peaks meet a predefined cross-correlation level. The high-frequency peaks are tagged as His peaks and indicated on a cardiac map.

    REDUCING PERCEIVED LATENCY OF CATHETERS

    公开(公告)号:US20230061165A1

    公开(公告)日:2023-03-02

    申请号:US17462206

    申请日:2021-08-31

    摘要: In one embodiment, a system includes a catheter, at least one position sensor to provide position signal(s) indicative of a position of a distal end of the catheter over time, a first smoothing filter to provide first filtered position signal(s) responsively to the position signal(s) and a first filtering level, a second smoothing filter to provide second filtered position signal(s) responsively to the position signal(s) and a second filtering level, wherein the second filtering level provides more smoothing than the first filtering level, and processing circuitry to find first and second position coordinates of the distal end responsively to the first and second filtered position signal(s), respectively, generate, and render to a display, an anatomical map of a body part responsively to the second position coordinates, and render a representation of the distal end to the display while showing movement of the distal end responsively to the first position coordinates.

    Systems and Methods for Electrocardiographic Mapping and Target Site Identification

    公开(公告)号:US20230036977A1

    公开(公告)日:2023-02-02

    申请号:US17840256

    申请日:2022-06-14

    摘要: In an example, a signal segment evaluator can be programmed to evaluate a morphology of at least one electrophysiological signal to identify a signal segment of interest. The morphology of the signal segment of interest can be indicative of an electrophysiological event of a patient during a respective time interval. A reconstruction engine can be programmed to reconstruct electrophysiological signals on a surface of interest within a body of the patient based on the electrophysiological signals measured from an outer surface of the patient and geometry data representing an anatomy of the patient. A map generator can be programmed to generate a map representing the reconstructed electrophysiological signals on the surface of interest for the respective time interval of the signal segment of interest. A target generator can be programmed to identify a target site within the patient's body based on the map for the electrophysiological event.

    MEASURING TIME TO FUSION AS A MEANS OF DETERMINING DEGREE OF PARALLEL ACTIVATION OF THE HEART

    公开(公告)号:US20220233082A1

    公开(公告)日:2022-07-28

    申请号:US17607713

    申请日:2020-04-30

    申请人: PACERTOOL AS

    摘要: A method for determining the degree of parallel activation of a heart undergoing pacing includes calculating vectorcardiogram (VCG), or electrocardiogram (ECG), or electrogram (EGM) waveforms from right ventricular pacing (RVp) and left ventricular pacing (LVp). A synthetic biventricular pacing (BIVP) waveform is generated by summing the VCG of the RVp and LVp, or by summing the ECG of the RVp and the LVp, or by summing the EGM of the RVp and the LVp. A corresponding EGM or ECG or VCG waveform from real BIVP is calculated. The method includes comparing the synthetic BIVP waveform and the real BIVP waveform and calculating time to fusion by determining the point in time in which the activation from RVp and LVp meets and the synthetic and the real BIVP curves start to deviate. A delay in time to fusion indicates a higher degree of parallel activation.

    SYSTEMS AND METHODS FOR TREATING CARDIAC ARRHYTHMIA

    公开(公告)号:US20220183609A1

    公开(公告)日:2022-06-16

    申请号:US17437469

    申请日:2020-03-11

    IPC分类号: A61B5/367 A61B5/361

    摘要: Apparatus for monitoring activation in a heart comprises a probe (100), a plurality of electrodes (102) supported at respective electrode positions on the probe and each arranged to contact a respective detection position on the heart. Each of the electrodes (102) is arranged to detect electrical potential at the respective detection position during movement of a series of activation wavefronts across the heart and to produce a respective electrode signal. Processing means is arranged to analyse the electrode signals to: identify pairs of the electrode signals between which there is a degree of Granger causality; define a causality vector between the electrode positions of each of the pairs of electrodes; identify a potential driver location; and analyse the direction of a plurality of the causality vectors around the potential driver position to generate an indicator of the presence of a driver at the potential driver location.