A system for applying a series of pulse field ablation (PFA) pulse trains to tissue of a heart includes energy-generating circuitry and a processor. The processor is configured to apply one of the pulse trains using the energy-generating circuitry and a catheter in the heart, to store a location of the catheter at which the one of the pulse trains is applied, to track a position of the catheter following the application of the one of the pulse trains, to detect, based on the tracking, that the catheter is within a predefined distance from the location following a predefined minimum duration from a most recent one of the pulse trains, and to apply another one of the pulse trains, in response to the detecting, using the energy-generating circuitry and the catheter. Other examples are also described.
A system, includes (i) a processor, which is configured to receive, in a zone between first and second regions of an organ of a patient, one or more signals, at least a signal among the signals includes first and second components indicative of an electrophysiological (EP) property of the organ, and based on a relation between the first and second components, the processor is configured to estimate a location of at least a transition zone between the first and second regions, and (ii) a display, configured to display at least the estimated transition zone over a map of the organ.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61N 1/00 - SCIENCES MÉDICALE OU VÉTÉRINAIRE; HYGIÈNE ÉLECTROTHÉRAPIE; MAGNÉTOTHÉRAPIE; THÉRAPIE PAR RADIATIONS; THÉRAPIE PAR ULTRASONS Électrothérapie; Circuits à cet effet
3.
MEDICAL INSTRUMENT WITH INTEGRAL NAVIGATION CONTROL FEATURES
Variations of integral navigation controls may be used in conjunction with a medical instrument to provide navigation functions for an image guided surgery (IGS) system that is in communication with the integral navigation controls. In some variations, a medical instrument with integrated navigation wheels allows movement of a cursor of the IGS system along the x and y axis by scrolling the wheel, or allows selection, zooming, or other controls by combined clicking and/or scrolling of wheels, and may be sterilized or discarded along with the device. In some other variations, a control overlay may be temporarily attached to the medical instrument to provide additional controls, such as buttons or a pointing stick, and then removed and sterilized or discarded after a procedure. In each variation, inputs may be communicated via wire or wirelessly to an IGS system to provide navigation of images during a surgical procedure.
A61B 17/24 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour la cavité buccale, le larynx, les conduits des bronches ou le nez; Grattoirs pour la langue
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A system, includes (i) a processor, which is configured to receive, in a zone between first and second regions of an organ of a patient, one or more signals, at least a signal among the signals includes first and second components indicative of an electrophysiological (EP) property of the organ, and based on a relation between the first and second components, the processor is configured to estimate a location of at least a transition zone between the first and second regions, and (ii) a display, configured to display at least the estimated transition zone over a map of the organ.
Described embodiments include apparatus that includes a catheter and a tip electrode, at a distal end of the catheter, shaped to define a plurality of microelectrode apertures. The apparatus further includes at least one printed circuit board (PCB) disposed within a lumen of the catheter, and a plurality of microelectrodes coupled to the PCB and at least partly situated within the microelectrode apertures, the PCB being configured to carry signals from the microelectrodes. Other embodiments are also described.
A method includes obtaining an electroanatomical map, which maps a portion of a heart while the heart experiences an arrhythmia, obtaining a sequence of images of the heart acquired by an ultrasonic probe, the sequence including one or more arrhythmic images acquired while the heart experiences the arrhythmia and one or more rhythmic images acquired while the heart is in sinus rhythm, the ultrasonic probe including a sensor that outputs, during the acquisition of the sequence of images, a signal indicating a location and an orientation of the probe in a coordinate system of the electroanatomical map, based on the signal, identifying, in one of the arrhythmic images, an anatomical portion represented by a particular portion of the electroanatomical map, by tracking the anatomical portion through the sequence of images, identifying the anatomical portion in at least one of the rhythmic images, and displaying an output in response thereto.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A stabilized coronary sinus catheter system having a proximal section and a distal section with a memory shape portion, and a tip, distal of the memory shape portion. A handle having a body, a tip deflection actuator, a memory shape portion deployment actuator, and an axis. The tip is in line with the axis and the tip deflection actuator is at a first position. The tip is deflected out of alignment with the axis when the tip deflection actuator is at a second position. A third position is a delivery configuration where the memory shape portion and the tip are in line with the axis. The memory shape portion deployment actuator is at a first location. A deployed configuration allows the memory shape portion to form a predetermined shape conforming to the shape of the coronary sinus when the memory shape portion deployment actuator is at a second location.
A delivery sheath to catheter coupler includes a cylindrical shaft and a coupling member. The cylindrical shaft extends along an axis and is configured for longitudinal alignment with an insertion port of a catheter delivery sheath. The cylindrical shaft includes a proximal end, a distal end, and a lumen extending from the proximal end to the distal end along the axis. The lumen is sized to receive an end effector of a catheter. The coupling member is attached to the cylindrical shaft and is configured for selective securement to the catheter delivery sheath. The coupling member is configured to align the axis of the lumen with a longitudinal axis of the insertion port when the coupling member is selectively secured to the catheter delivery sheath.
A system includes an interface and a processor. The interface is configured to receive multiple electrophysiological (EP) signals from a tissue area along an ablation curve inside a cardiac chamber of a heart of a patient. The processor is configured to (i) generate local conduction vectors (LCVs) for the area based on the multiple EP signals, (ii) estimate a level of change between sets of LCVs along the ablation curve within the tissue area, and (iii) based on the level of change, identify a presence of a conduction gap in the ablation curve.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
10.
DETECTION OF ELECTROPHYSIOLOGICAL (EP) CONDUCTION GAPS IN ABLATION LINE
A system includes an interface and a processor. The interface is configured to receive multiple electrophysiological (EP) signals from a tissue area along an ablation curve inside a cardiac chamber of a heart of a patient. The processor is configured to (i) generate local conduction vectors (LCVs) for the area based on the multiple EP signals, (ii) estimate a level of change between sets of LCVs along the ablation curve within the tissue area, and (iii) based on the level of change, identify a presence of a conduction gap in the ablation curve.#
A method includes obtaining an electroanatomical map, which maps a portion of a heart while the heart experiences an arrhythmia, obtaining a sequence of images of the heart acquired by an ultrasonic probe, the sequence including one or more arrhythmic images acquired while the heart experiences the arrhythmia and one or more rhythmic images acquired while the heart is in sinus rhythm, the ultrasonic probe including a sensor that outputs, during the acquisition of the sequence of images, a signal indicating a location and an orientation of the probe in a coordinate system of the electroanatomical map, based on the signal, identifying, in one of the arrhythmic images, an anatomical portion represented by a particular portion of the electroanatomical map, by tracking the anatomical portion through the sequence of images, identifying the anatomical portion in at least one of the rhythmic images, and displaying an output in response thereto.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 5/339 - Affichages spécialement adaptés à cet effet
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
G06T 7/73 - Détermination de la position ou de l'orientation des objets ou des caméras utilisant des procédés basés sur les caractéristiques
12.
Display screen or portion thereof with computer icon
A surgical instrument and related method includes an instrument body, a guide shaft distally projecting from the instrument body, and a first surgical tool. The guide shaft has a guide sidewall, a guide lumen, and a clearance opening radially extending through the guide sidewall in communication with the guide lumen. The first surgical tool has an elongate body and a distal head configured to deflect relative to the elongate body from a first position to a second position. The distal head in the first position is positioned within the guide lumen along the central axis. The distal head in the second position is deflected from the central axis and extends at least partially through the clearance opening thereby vacating at least a portion of the guide lumen for introducing a second surgical tool through the guide lumen.
A61B 17/24 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour la cavité buccale, le larynx, les conduits des bronches ou le nez; Grattoirs pour la langue
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p.ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A system includes an interface and a processor. The interface is configured to receive a lesion parameter indicative of a specification of a lesion intended to be formed in tissue of an organ using at least one of first and second ablation modes intended to be applied sequentially to multiple sections of the tissue. The processor is configured to (i) select, for the first and second ablation modes, first and second sets of parameters, respectively, that when applied to the tissue, form the lesion having the lesion parameter, (ii) detect, for a section selected among the multiple sections, whether the first or second ablation mode has been selected, and (iii) control a catheter having at least an ablation electrode, to apply to the section ablation signals that are based on the selected ablation mode and are corresponding to the first or second ablation modes.
An apparatus includes a frame and a plurality of magnetic field generators. The frame is configured to be secured to a patient's head. The frame includes a plurality of housings. Each housing of the plurality of housings is configured to securely engage a corresponding portion of the patient's head. The plurality of magnetic field generators is operable to generate a magnetic field around at least a portion of the patient's head. Each magnetic field generator of the plurality of magnetic field generators is securely retained by a corresponding housing of the plurality of housings.
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
16.
TWO-SEGMENT DEFLECTIN CATHETER WITH SIDE EXIT GUIDWIRE LUMEN
An apparatus includes a body, a catheter, and a deflection assembly. The catheter includes a proximal segment defining a first longitudinal axis, a medial segment defining a second longitudinal axis, and a distal segment. The deflection assembly is configured to deflect the medial segment away from the first longitudinal axis and to deflect the distal segment away from the second longitudinal axis. The deflection assembly includes first and second input members associated with the body. The deflection assembly also includes a first translating assembly coupled to the medial segment. The first input member is configured to drive the first translating assembly to deflect the medial segment away from the first longitudinal axis. The deflection assembly further includes a second translating assembly coupled to the distal segment. The second input member is configured to drive the second translating assembly to deflect the distal segment away from the second longitudinal axis.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A pump for use with a tube, having a rotor having an axis of rotation and a plurality of rollers configured to define an orbital path about the axis of rotation, the orbital path defined by a radius, and a roller bed having a surface adapted to support the tube for peristaltic compression by one or more rollers, wherein the surface has a predetermined profile comprising a circular arc segment and at least one side segment, the arc segment having a first curvature defined by the radius, and the at least one side segment having a second curvature lesser than the first curvature.
In one embodiment, a catheter alignment system includes a catheter to be inserted into a body part, and including catheter electrodes to contact tissue at respective locations within the body part, a display, and processing circuitry to receive signals provided by the catheter, assess respective levels of contact of ones of the catheter electrodes with the tissue of the body part responsively to the received signals, find a direction in which the catheter should be moved to improve at least one of the respective levels of contact of at least one of the catheter electrodes responsively to the respective levels of contact of the ones of the catheter electrodes, and render to the display a representation of the catheter responsively to the received signals, and a direction indicator indicating the direction in which the catheter should be moved responsively to the found direction.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A spring assembly usable with an intravascular catheter can include a tubular body, two mounting surfaces, and a compressible framework. The tubular body extends along a longitudinal axis and is sized to traverse vasculature. Each mounting surface can be configured to engage a substantially planar electrical circuit and is positioned in the tubular body each in a respective plane perpendicular to the longitudinal axis. The mounting surfaces face toward each other in opposite directions. The compressible framework extends between the first and second mounting surfaces. The spring assembly can further include a pair of electrical circuits mounted to the pair mounting surfaces. Each electrical circuit can include an inductive coil such that the pair of electrical circuits is a distance transducer. A change in distance between the pair of electrical circuits can be detected when the compressible framework is compressed and/or bent.
A medical system includes a catheter, a light source, a detector, a circulator, and a processor. The catheter includes a distal-end assembly for performing a medical operation on tissue in a cavity of an organ of a patient, the distal-end assembly including an optical fiber configured to guide transmitted light to interact with the tissue of the cavity, and to guide returned light that interacted with the tissue. The light source is configured to produce the transmitted light. The detector is configured to measure the returned light. The circulator is configured to couple the transmitted light from the light source to the optical fiber, and to couple the returned light from the optical fiber to the detector. The processor is configured to identify a contact of the distal-end assembly with the tissue based on the returned light measured by the detector, and to indicate the identified contact to a user.
An apparatus includes a body, a catheter, an end effector, a first actuator, and a second actuator. The catheter extends distally from the body and defines a longitudinal axis. The end effector defines an end effector plane. The first actuator is operable to rotate the end effector about the longitudinal axis between a first angular position and a second angular position. The second actuator is operable to deflect the end effector away from the longitudinal axis along a deflection plane that is parallel with the end effector plane when the end effector is in the first angular position about the longitudinal axis. The second actuator is operable to deflect the end effector away from the longitudinal axis along a deflection plane that is offset from the end effector plane when the end effector is in the second angular position about the longitudinal axis.
A catheter for electrophysiology applications is disclosed herein that includes a tubular member and an end effector. The end effector is coupled to a distal portion of the tubular member. The end effector includes first, second, and third loop members configured so that the first loop member defines a first plane, the second loop member defines a second plane at an angle to the first plane, and the third loop member defines a third plane at an angle to the first plane and at an angle to the second plane. Each of the first, second, and third loop members are configured as a respective single axis magnetic coil, and the first, second, and third loop members are collectively configured to function as a three axis magnetic sensor.
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/283 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG] invasives
A flexible circuit including a first segment including a base section of the flexible circuit; a second segment including a lateral wall section; a transition section between the base and lateral wall sections, the transition section being at least partially positioned adjacent a shared region of the base and lateral wall sections; and one or more electrode regions including a respective electrode, the one or more electrode regions being positioned at least partially in the transition section and the second segment.
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
24.
SAFETY ALERT BASED ON 4D INTRACARDIAC ECHO (ICE) CATHETER TRACKING
A medical system includes an ultrasound probe, a treatment probe, and processor. Ultrasound probe and treatment probe are configured for insertion into an organ, to, respectively, image a volume of the organ, and introduce a treatment device therein. The probes respectively include first sensor configured to output first signals indicative of first positions of an ultrasound transducer array of the probe inside the organ, and second sensor configured to output second signals indicative of second positions of the treatment device inside the organ. The processor is configured to receive tags added to ultrasound images acquired using the ultrasound probe and mark tissue regions of the organ, register first positions of ultrasound transducer array and second positions of treatment device with one another, using registration, track relative position between treatment device and tagged tissue regions, and (iv) alert user when treatment device is within predefined proximity to tagged tissue region.
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A method includes assigning, to first voxels in a model of tissue of a chamber of a heart, respective first values of a parameter at respective locations on the tissue, the first voxels representing the locations, respectively. Some of the locations are on an endocardial surface of the tissue, and others of the locations are on an epicardial surface of the tissue. The method further includes assigning respective second values to second voxels in the model, a subset of which represent a portion of the tissue between the endocardial surface and the epicardial surface, by interpolating the first values. Other embodiments are also described.
G06T 7/33 - Détermination des paramètres de transformation pour l'alignement des images, c. à d. recalage des images utilisant des procédés basés sur les caractéristiques
G06T 17/00 - Modélisation tridimensionnelle [3D] pour infographie
G16H 50/50 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour la simulation ou la modélisation des troubles médicaux
A medical device includes a QR generator and a user access/activity log. The QR generator generates a QR code at least from a username of a user and at least one OTP (one-time password) for the user and enables access of the user to the medical device upon receiving an OTP from the user. The user sends the QR code to an online authorization server for the medical device for decryption upon authentication of the user. The log lists user activity once the user is authenticated by the server. The server receives the QR code, which includes at least an encrypted text containing at least the OTP and a user identification, and decrypts the encrypted text using a private key associated with the medical device. The authorization server enables the user to log in for authentication and, if authenticated, displays the at least one OTP to the user.
G16H 40/20 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour la gestion ou l’administration de ressources ou d’établissements de soins de santé, p.ex. pour la gestion du personnel hospitalier ou de salles d’opération
A medical system includes an ultrasound probe, a treatment probe, and processor. Ultrasound probe and treatment probe are configured for insertion into an organ, to, respectively, image a volume of the organ, and introduce a treatment device therein. The probes respectively include first sensor configured to output first signals indicative of first positions of an ultrasound transducer array of the probe inside the organ, and second sensor configured to output second signals indicative of second positions of the treatment device inside the organ. The processor is configured to receive tags added to ultrasound images acquired using the ultrasound probe and mark tissue regions of the organ, register first positions of ultrasound transducer array and second positions of treatment device with one another, using registration, track relative position between treatment device and tagged tissue regions, and (iv) alert user when treatment device is within predefined proximity to tagged tissue region.
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A medical device includes a QR generator and a user access/activity log. The QR generator generates a QR code at least from a username of a user and at least one OTP (one-time password) for the user and enables access of the user to the medical device upon receiving an OTP from the user. The user sends the QR code to an online authorization server for the medical device for decryption upon authentication of the user. The log lists user activity once the user is authenticated by the server. The server receives the QR code, which includes at least an encrypted text containing at least the OTP and a user identification, and decrypts the encrypted text using a private key associated with the medical device. The authorization server enables the user to log in for authentication and, if authenticated, displays the at least one OTP to the user.
The disclosed methods and systems provide for working with the ever-increasing features of electroanatomical maps, displayed for use in various medical procedures. The features are represented, for example, as “map layers” or “layers” (these terms used interchangeably herein), and allow the operator of the electroanatomical mapping system to define and control all of the layers of the electroanatomical map being displayed from a single form.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
G06F 3/04847 - Techniques d’interaction pour la commande des valeurs des paramètres, p.ex. interaction avec des règles ou des cadrans
Catheters are presented herein having planar end effectors of various configurations, generally providing a two-sided and multi-layered platform for electrodes and sensors. In some examples, the end effector has a support frame (e.g. nitinol) between a pair of flexible circuits. The end effector can also include a polymer (e.g. silicone, LCP, etc.) between the flexible circuits and encapsulating the support frame. This platform facilitates positioning of electrodes on either side (including both sides) of the end effector in a variety of spacings and facilitates ultra-tight electrode spacing and/or a large area electrode. Sensors (ultrasound transducers, navigation coils, etc.) can be layered within the end effector between outer surfaces of the flexible circuits in a variety of configurations.
A radio frequency (RF) ablation system is disclosed including signal generator circuitry and control circuitry. The signal generator circuitry is configured to generate a plurality of RF ablation current signals each having a respective phase and a respective amplitude. The control circuitry is configured to reduce crosstalk between a first RF ablation signal of the plurality of RF ablation current signals and a second RF ablation signal of the plurality of RF ablation current signals by adjusting the respective phase of the first RF ablation signal in relation to the respective phase of the second RF ablation signal such that the respective phase of the first RF ablation signal is different than the respective phase of the second RF ablation signal.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
The disclosed methods and systems provide for working with the ever- increasing features of electroanatomical maps, displayed for use in various medical procedures. The features are represented, for example, as "map layers" or "layers" (these terms used interchangeably herein), and allow the operator of the electroanatomical mapping system to define and control all of the layers of the electroanatomical map being displayed from a single form.
G16H 30/20 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le maniement d’images médicales, p.ex. DICOM, HL7 ou PACS
G16H 10/00 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
33.
ANATOMICAL MODELING WITH THE BALL-PIVOTING ALGORITHM
A system includes a display and a processor. The processor is configured to obtain a point cloud including multiple points representing different respective locations in a body of a subject, the points being labeled as corresponding to respective anatomical structures to which the locations, respectively, belong. The anatomical structures including a first structure and multiple second structures. The processor is further configured to compute a mesh including multiple triangles representing the anatomical structures, by applying a ball-pivoting algorithm to the point cloud with a constraint that none of the triangles include two of the points labeled as corresponding to different respective ones of the second structures. Other examples are also described.
A system includes a catheter and a processor. The catheter includes (i) a shaft for insertion into a cavity of an organ of a patient, (ii) an expandable distal-end assembly coupled to a distal end of the shaft and comprising splines fitted with spline-electrodes, (iii) a proximal position sensor and a respective proximate proximal electrode located both at a proximal end of the distal-end assembly, and (iv) an independent wire that extends at the distal tip, with a distal position sensor and a respective proximate distal electrode located both at a distal end of the independent wire. The processor is configured to estimate locations of one or more of the spline-electrodes by performing impedance measurements on the one or more of the electrodes, and to calibrate the impedance measurements based on signals received from the proximal position sensor and the distal position sensor and the respective proximal and distal electrodes.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A system includes a display and a processor. The processor is configured to obtain a point cloud including multiple points representing different respective locations in a body of a subject, the points being labeled as corresponding to respective anatomical structures to which the locations, respectively, belong. The anatomical structures including a first structure and multiple second structures. The processor is further configured to compute a mesh including multiple triangles representing the anatomical structures, by applying a ball-pivoting algorithm to the point cloud with a constraint that none of the triangles include two of the points labeled as corresponding to different respective ones of the second structures. Other examples are also described.
A system includes a display and a processor. The processor is configured to: (i) estimate, based on signals, multiple regions of tissue on a surface of an organ, which are affected by multiple respective electrodes positioned in the organ, (ii) calculate, for at least a subset of the electrodes, a unified region of the tissue affected by the subset, and (iii) display a mark indicative of the unified region on the display.
A61B 5/339 - Affichages spécialement adaptés à cet effet
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A method includes emitting an ultrasound beam from an array of ultrasound transducers in a catheter placed in a blood pool in an organ. Echo signals reflected in response to the ultrasound beam are received in the array. Distinction is made in the echo signals between (i) first spectral signal components having Doppler shifts characteristic of blood and (ii) second spectral signal components having Doppler shifts characteristic of tissue of the organ. The first spectral signal components are suppressed relative to the second spectral signal components in the echo signals. An ultrasound image of at least a portion of the organ is reconstructed from the echo signals having the suppressed first spectral signal components. The reconstructed image is displayed to a user.
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A technique is described herein. The technique includes receiving endpoint location data in a geometry shader; processing the endpoint location data to calculate Bezier curve control points; and based on the Bezier curve control points, determining estimated electrode positions for the catheter.
A technique is described herein. The technique includes receiving endpoint location data and spline tangent data from a pair of position sensors mounted on opposite ends of a distal tip of a catheter, wherein said distal tip includes a plurality of flexible splines and a plurality of electrodes disposed on each of the flexible splines and wherein said endpoint location data and spline tangent data is received while said distal tip is positioned within a heart chamber; based on said endpoint location data and spline tangent data, calculating Bezier curve control points; based on the Bezier curve control points, determining estimated positions of said plurality of electrodes; and updating an electro-anatomical map of said heart chamber that is rendered on a display based on the estimated positions determined.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
40.
CATHETER WITH IMPROVED IRRIGATED TIP ELECTRODE HAVING TWO-PIECE CONSTRUCTION, AND METHOD OF MANUFACTURING THEREFOR
A catheter has a two-piece tip electrode with a shell and a support structure that are secured to each other by multiple redundant mechanisms in order to reduce the risk of tip detachment during a procedure. The tip electrode includes at least two different welds attaching the shell to the support structure to provide a dual failure mode. One weld includes a seam weld and another weld includes a penetration weld.
A method, apparatus and computer program product, the method comprising obtaining a first electrical signal from a catheter comprising a first electrode distally disposed thereon, when the catheter is inserted into a heart chamber of a heart and the first electrode does not touch a chamber wall; performing statistical analysis of the first electrical signal to obtain a first characteristic of the first electrical signal; obtaining a second electrical signal from the catheter, when a second electrode touches a point on the chamber wall; performing statistical analysis of the second electrical signal to obtain a second characteristic of the second electrical signal; determining a similarity measure between the first characteristic and the second characteristic; and subject to the similarity being below a predetermined threshold, indicating the region as potentially belonging to an arrhythmogenic region of the heart.
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A61B 5/339 - Affichages spécialement adaptés à cet effet
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
42.
REFERENCE WIRES TO REMOVE NOISE AND ARTIFACTS IN CARDIAC MAPPING CATHETER
An apparatus includes a catheter, a sensor, a first pair of wire segments, an artifact reduction feature, and a correction module. The sensor is positioned at a distal end of the catheter and is configured to generate a sensor signal. The first pair of wire segments is coupled with the sensor and extends along the length of the catheter. The artifact reduction feature is positioned proximate to the sensor and includes a second pair of wire segments. The correction module is configured to subtract motion-induced artifacts from signals received from the first pair of wire segments, based on motion-induced artifacts from signals received from the second pair of wire segments, to thereby provide a corrected sensor signal.
A method includes receiving multiple electrophysiological (EP) signals acquired by multiple electrodes of a multi-electrode catheter that are in contact with tissue in a region of a cardiac chamber, and respective tissue locations at which the electrodes acquired the EP signals. The region is divided into two sections. Using the EP signals acquired by the electrodes, local activation times (LAT) are calculated for the respective tissue locations, and found are: a first section of the two sections having a smaller average LAT value, and a second section of the two sections having a higher average value. Determined are a first representative location in the first section, and a second representative location in the second section. A propagation vector is calculated between the first and second representative locations, that is indicative of propagation of an EP wave that has generated the EP signals. The propagation vector is presented to a user.
A catheter is disclosed comprising: a connector including a plurality of first contacts and one or more second contacts; a shaft including a plurality of electrodes, each electrode being coupled to a different one of the plurality of first contacts; a memory coupled to at least one of the second contacts, wherein the memory is configured to: store a pinout map identifying an order in which the plurality of electrodes is coupled to the plurality of first contacts; and provide the pinout map to an external device via one or more of the second contacts after the connector is coupled to the external device.
A system (20) for tissue ablation includes a probe (22), an expandable capsule (50), a voltage discharge device (210), and a generator (49). The probe is configured to be inserted into a cavity of an organ of a patient. The expandable capsule is fitted at a distal end of the probe and configured to be expanded within the cavity and to be filled with a gas (250). The voltage discharge device is fitted inside the expandable capsule and is configured to create plasma by electrical excitation of the gas that fills the expandable capsule, the plasma emitting X-rays (270), so as to ablate tissue in the cavity using the X-rays. The generator is wired to the voltage discharge device to apply electrical signals that electrically excite the plasma.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/18 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p.ex. de micro-ondes
A61N 5/10 - Radiothérapie; Traitement aux rayons gamma; Traitement par irradiation de particules
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
46.
LOOP CONFIGURATION FOR CARDIAC CATHETER END EFFECTOR
A catheter for electrophysiology includes a shaft extending along a longitudinal axis to a distal end and an end effector coupled to the distal end of the shaft. The end effector includes a first loop member disposed on a first side of the longitudinal axis, a second loop member disposed on a second side of the longitudinal axis, and a third loop member. The third loop member includes a first spine disposed on the first side of the longitudinal axis. The first spine includes a first plurality of electrodes. The first spine is positioned radially outwardly of the first loop member relative to the longitudinal axis. The third loop member further includes a second spine disposed on the second side of the longitudinal axis. The second spine includes a second plurality of electrodes and is positioned radially outwardly of the second loop member relative to the longitudinal axis.
A61B 5/279 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
Methods, apparatus and computer software products implement embodiments of the present invention that include applying energy to a probe that is in contact with tissue in a body cavity so as to ablate the tissue. While applying the energy, signals are received from a location transducer in the probe, which are indicative of a location of the probe in the cavity. The signals are processed so as to derive 3D location coordinate points corresponding to the location of the probe at a sequence of times during which the energy was applied. While applying the energy, a 3D representation of the body cavity is rendered to a display, and visual indicators are superimposed on the 3D representation, the visual indicators corresponding to the 3D location coordinate points at the sequence of times. Finally, a linear trace connecting the coordinate points in accordance with the sequence is superimposed on the 3D representation.
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A method of body tissue ablation includes defining an ultrahigh-power ultrashort-duration (UPUD) ablation protocol that specifies an ablation signal having (i) a target ablation power of at least 400 Watts and (ii) a pulse duration that does not exceed three seconds, for creating a specified lesion in tissue in a body of a patient. Contact is made between an ablation probe and the tissue. Using the ablation probe, the ablation signal is applied to the tissue according to the UPUD protocol, which delivers the ablation signal having the specified target ablation power and duration.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
A method includes, during arrhythmia occurrence, acquiring multiple sets of reference coronary sinus electrophysiological (CS-EP) signals with a first catheter in coronary sinus (CS) of a heart of a patient, while measuring multiple respective reference CS locations of the first catheter. One or more intra-cardiac electrophysiological (IC-EP) signals are acquired with a second catheter located in a cardiac chamber of the heart, while acquiring actual CS-EP signal with first catheter, and while measuring an actual CS location of first catheter. Using reference CS locations, reference CS-EP signal is identified. A signal-stability measure between actual CS-EP signal and identified reference CS-EP signal is estimated. If signal-stability measure is above given threshold, identified reference CS-EP is utilized to verify whether the one or more IC-EP signals acquired by the second catheter are acquired during occurrence of the arrhythmia.
A method includes, during arrhythmia occurrence, acquiring multiple sets of reference coronary sinus electrophysiological (CS-EP) signals with a first catheter in coronary sinus (CS) of a heart of a patient, while measuring multiple respective reference CS locations of the first catheter. One or more intra-cardiac electrophysiological (IC-EP) signals are acquired with a second catheter located in a cardiac chamber of the heart, while acquiring actual CS-EP signal with first catheter, and while measuring an actual CS location of first catheter. Using reference CS locations, reference CS-EP signal is identified whose reference CS location is nearest to actual CS location of the first catheter. A signal-stability measure between actual CS-EP signal and identified reference CS-EP signal is estimated. If signal-stability measure is above given threshold, identified reference CS-EP is utilized to verify whether the one or more IC-EP signals acquired by the second catheter are acquired during occurrence of the arrhythmia.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 5/35 - Détection de paramètres spécifiques du cycle de l'électrocardiogramme par comparaison à des gabarits
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
51.
CORRECTING A SEGMENTATION CURVE IN AN ANATOMICAL MODEL
A system includes a display and a processor. The processor obtains a three-dimensional mesh representing a first anatomical portion and a second anatomical portion, which is connected to the first anatomical portion. The processor receives, from a user, an input indicating a boundary between the first and second anatomical portions, fits a closed curve to multiple points on the mesh based on the input, and performs an iterative process, in response to the curve not segmenting the mesh into two separate parts, until the curve segments the mesh into two separate parts. Each iteration includes moving each of the points to another location on the mesh, and subsequently to moving each point, refitting the curve to the points. The processor is further configured to display the mesh on the display, based on the curve, so as to demarcate the first anatomical portion from the second anatomical portion.
A catheter probe configured with a capability to present a larger tissue contact area or “footprint” for larger, deeper lesions, without increasing the french size of the catheter, especially its distal section, includes an elastically deformable electrode configured to adopt a neutral configuration and a tissue contact configuration. The deformable electrode comprising a hollow porous tube with a distal portion having a closed distal end, and a proximal portion defining an opening to an interior of the tube, where the distal tip end is received in the tube through the opening and the distal section is generally surrounded by tube, with the proximal portion being affixed to an outer surface of the distal section. In some embodiments, the closed distal end is shaped with a bulbous portion that can spread and widen to provide a larger surface contact area.
A system includes a display and a processor. The processor obtains a three-dimensional mesh representing a first anatomical portion and a second anatomical portion, which is connected to the first anatomical portion. The processor receives, from a user, an input indicating a boundary between the first and second anatomical portions, fits a closed curve to multiple points on the mesh based on the input, and performs an iterative process, in response to the curve not segmenting the mesh into two separate parts, until the curve segments the mesh into two separate parts. Each iteration includes moving each of the points to another location on the mesh, and subsequently to moving each point, refitting the curve to the points. The processor is further configured to display the mesh on the display, based on the curve, so as to demarcate the first anatomical portion from the second anatomical portion.
G06T 19/20 - Transformation de modèles ou d'images tridimensionnels [3D] pour infographie Édition d'images tridimensionnelles [3D], p.ex. modification de formes ou de couleurs, alignement d'objets ou positionnements de parties
A disposable single-piston dual-action reciprocating pump part includes a single piston, an output port, and a balloon damper. The output port is configured for outputting fluid pumped by the single piston. The balloon damper is fitted in the output port, and the balloon damper is configured to suppress a pulsation in a flow rate of the outputted fluid.
In one embodiment, a catheter apparatus is configured to be inserted into a body part of a living subject, and including an elongated deflectable element including a distal end, an expandable basket assembly disposed at the distal end and comprising a plurality of splines and a plurality of electrodes disposed on the splines, an irrigation channel disposed in the elongated deflectable element, and an inflatable balloon disposed in the expandable basket assembly and including a plurality of irrigation holes in fluid connection with the irrigation channel.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
56.
SYSTEM AND METHOD TO DETERMINE THE LOCATION OF A CATHETER
Systems, devices, and techniques are disclosed for automatically generating CPM matrices. The system includes a processor configured to receive a plurality of historical, sparse CPM matrices and a plurality of historical, supplemented CPM matrices, wherein each sparse CPM matrix is associated with a respective supplemented CPM matrix; train a learning system based on the plurality of historical, sparse CPM matrices and the plurality of historical, supplemented CPM matrices, wherein the learning system is trained so as to generate a supplemented CPM matrix given a sparse CPM matrix; receive, by the trained learning system, a new, sparse CPM matrix; and generate, with the trained learning system, a new supplemented CPM matrix.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p.ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p.ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santé; TIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
G16H 50/70 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour extraire des données médicales, p.ex. pour analyser les cas antérieurs d’autres patients
A medical probe, including a flexible insertion tube having a proximal segment and a deflectable distal segment, and containing first and second proximal tubular structures, first and second distal lumens, and first and second wires. The first and second proximal tubular structures are twisted around each other in the proximal segment. The first and lumens are parallel to each other in the deflectable distal segment. The first and second wires run respectively through the first and second proximal tubular structures and the first and second distal lumens. The first and second wires have respective first and second proximal ends which deflect the deflectable distal segment when the respective proximal ends are pulled.
A system includes a display and a processor a display and a processor. The display is configured to display multiple pixels of an image of an organ having a cavity and tissue surrounding the cavity. The processor is configured to: (1) receive an ultrasound (US) signal of at least the cavity and the tissue and one or more position signals in the organ indicative of one or more positions of one or more catheters having a known geometry, respectively, and (2) based on the one or more position signals, the known geometry, and the US signal: (i) identify in the image a given pixel at a given position, and (ii) display the given pixel as: (a) a first pixel indicative of the cavity responsively to identifying that the given position corresponds to the one or more positions, or (b) a second pixel indicative of the tissue.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
59.
SYSTEMS AND METHODS FOR CAVITY IMAGING IN PATIENT ORGAN BASED ON POSITION OF 4D ULTRASOUND CATHETER
A system includes a display and a processor a display and a processor. The display is configured to display multiple pixels of an image of an organ having a cavity and tissue surrounding the cavity. The processor is configured to: (1) receive an ultrasound (US) signal of at least the cavity and the tissue and one or more position signals in the organ indicative of one or more positions of one or more catheters having a known geometry, respectively, and (2) based on the one or more position signals, the known geometry, and the US signal: (i) identify in the image a given pixel at a given position, and (ii) display the given pixel as: (a) a first pixel indicative of the cavity responsively to identifying that the given position corresponds to the one or more positions, or (b) a second pixel indicative of the tissue.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p.ex. en utilisant des cathéters
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 8/08 - Détection de mouvements ou de changements organiques, p.ex. tumeurs, kystes, gonflements
An apparatus includes a body assembly, a shaft, and at least one tip member. The shaft extends distally from the body assembly and includes a distal end. The at least one tip member is secured at the distal end of the shaft. The at least one tip member and the distal end of the shaft are sized and configured to fit within a chamber of a heart of a human subject. The at least one tip member includes an atraumatic distal tip and an exterior dilation surface adjacent to the atraumatic distal tip. The atraumatic hollow distal tip may present an angled profile to minimize risk of coring tissue and is configured to deliver electrical energy to tissue for forming an opening through the tissue. The exterior dilation surface is configured to enlarge the opening formed by the atraumatic distal tip.
A transseptal puncture system and method uses a guiding instrument, and an atraumatic puncture instrument longitudinally movable therein, with a first electrode configured for ablation and a second electrode electrically insulated from the first electrode. An impedance monitoring module is configured to measure at least an impedance at the second electrode, and an electrical generator is configured to selectively apply electrical energy to the first electrode based at least in part on the measured impedance at the second electrode. Moreover, impedance measurements at the first and second electrodes are used to determine relative positions of the instruments in the approach, contact, ablation and puncture of the septum.
A catheter with a variable circular loop is responsive to a contraction wire for increasing the coiling of the circular loop. The shape of the loop is supported by an elongated member, wherein a radially constrictive sleeve confines the contraction wire to extends immediately alongside the length of elongated member so as to improve uniformity and minimize misshaping of the loop during contraction.
An apparatus for medical treatment includes a probe including multiple electrodes and configured to be inserted in a body cavity of a patient so as to bring the multiple electrodes into contact with tissue in the body cavity. A processor is configured to assess one or more individual contact quality indicators with respect to the contact between each of the multiple electrodes and the tissue, to compute one or more global contact quality measures based on the individual contact quality indicators of the multiple electrodes, to compare the one or more global contact quality measures to a predefined global contact quality criterion, and to display on a display screen an icon indicating whether the global contact quality measures satisfy the predefined global contact quality criterion.
A disposable dual-action reciprocating pump part includes a piston and a cylinder, and multiple silicone O-rings. The piston is configured to move bi-directionally inside the cylinder. The multiple silicone O-rings are configured to seal the piston against the cylinder.
F04B 53/14 - Pistons, tiges de piston ou liaisons piston-tige
F16J 9/28 - Segments de piston, leurs logements; Segments d'étanchéité de structure similaire en général caractérisés par l'emploi de matériaux particuliers de matériaux non métalliques
65.
CONFIGURING PERIMETER OF BALLOON ELECTRODE AS LOCATION SENSOR
An expandable balloon, which is coupled to a distal end of a shaft for insertion into an organ of a patient, includes an expandable membrane, one or more electrodes and one or more respective conductive coils. The one or more electrodes are disposed over an external surface of the membrane. The one or more respective conductive coils are each disposed proximate a respective RF ablation electrode. The one or more conductive coils are configured as magnetic sensors.
A system includes a display and a processor. The display is configured to display at least a map of an organ having tissue including first and second surfaces that are facing one another. The processor is configured to: (i) receive a first position of a first lesion formed by ablating the first surface, (ii) calculate on the second surface, a second position that is facing the first position, and (iii) display, over the map, a marker indicative of the second position for guiding a user to produce in the tissue a second lesion facing the first lesion.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
67.
CATHETER, SYSTEM AND METHOD FOR COMBINED ABLATION MODALITIES
The disclosed technology includes a method of ablating tissue including positioning an electrode into contact with tissue and applying a first ablation signal to the tissue. The method can include forming a first lesion comprising a first depth with little or no first temperature change in a temperature of the tissue. The method can include applying a second ablation signal to the tissue different from the first ablation signal. Applying the second ablation signal to the tissue can include forming a second lesion comprising a second depth and generating a second temperature change in the tissue different from the first temperature change by at least 10° C. The method can include forming a combined lesion comprising the first lesion and the second lesion and comprising a combined size. The combined depth can be about 20% to about 40% greater than either of the first depth and the second size.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
A method is provided. The method includes pacing, by electrodes of a catheter, a heart tissue with pulses. The method includes observing, by the electrodes, a period of electrophysiological repolarization for the heart tissue. The period of electrophysiological repolarization is caused by the pacing. The method also includes measuring, by the electrodes, an electrical signal within the heart tissue after the period of electrophysiological repolarization.
A system including a display and a processor. The processor is configured to: (i) receive multiple position measurements indicative of respective positions of an ablation electrode at respective times during an ablation procedure at an ablation site in an organ of a patient, (ii) estimate, based at least on the multiple position measurements, a quality index indicative of a stability of the ablation procedure at the ablation site, and (iii) visualize the quality index to a user on the display.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A switching assembly for transferring trains of pulses, including a first terminal and a second terminal. A first plurality of first relays is connected in parallel, and have first contacts connected to the first assembly terminal, and second contacts. A first capacitor is connected in parallel with the first relays. A second plurality of second relays is connected in parallel, and have third contacts, and fourth contacts connected to the second assembly terminal. A second capacitor is connected in parallel with the second relays. A connection connects the second contacts to the third contacts. The pulses have amplitudes of at least 2 kilovolts. On activation of the first and second relays the first and second contacts connect and the third and fourth contacts connect, so that the first and second assembly terminals connect. On deactivation of the first and second relays the first and second assembly terminals disconnect.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
H03K 17/62 - Dispositifs de commutation comportant plusieurs bornes d'entrée et de sortie, p.ex. multiplexeurs, distributeurs
A system includes a display and a processor. The display is configured to display at least a map of an organ having tissue including first and second surfaces that are facing one another. The processor is configured to: (i) receive a first position of a first lesion formed by ablating the first surface, (ii) calculate on the second surface, a second position that is facing the first position, and (iii) display, over the map, a marker indicative of the second position for guiding a user to produce in the tissue a second lesion facing the first lesion.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A dual-action pump includes a cylinder, a piston and a controller. The cylinder includes first and second inlet-outlet ports, each of the first and second inlet-outlet ports is configured to alternately intake a fluid to the cylinder and output the fluid from the cylinder. The piston is configured to be moved within the cylinder in a periodic cycle that alternately reverses a direction of movement of the piston, so as to pump the fluid through the first and second inlet-outlet ports. The controller is configured to control the movement of the piston within the cylinder, including setting to the piston: (a) a first speed, during a first predefined interval that precedes reversing the direction of movement, (b) a second speed, larger than the first speed, during a second predefined interval that follows reversing the direction, and (c) a baseline speed, smaller than the first speed, outside the first and second intervals.
An apparatus includes a handle, a catheter, extending distally from the handle, an end effector extending distally from the catheter, a deflection assembly, and a load limiting assembly. The deflection assembly is configured to deflect the end effector away from a longitudinal axis of the catheter. The deflection assembly includes an input member and a translating assembly. The input member is configured to drive the translating assembly to deflect the end effector away from the longitudinal axis. The load limiting assembly is configured to decouple the input member from the translating assembly at a predetermined load such that the input member is inhibited from driving the translating assembly when the input member is decoupled by the load limiting assembly.
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
A system for improving a cardiac ablation procedure includes a recommendation unit configured to provide an initial recommendation for at least one proposed ablation line for an ablation procedure on an anatomy of a patient. The system displays the at least one proposed ablation line on an anatomical map of the anatomy. The recommendation unit comprises a first and a second trained machine-learning model. Both the first and second trained machine-learning models have the same structure.
G16H 50/20 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicales; TIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le diagnostic assisté par ordinateur, p.ex. basé sur des systèmes experts médicaux
A catheter has a composite and segmented construction in a distal section that includes deflectable members and support member arranged in alternating sequence, with each support member carrying a ring electrode and the deflectable members being flexible to allow deflection of the distal section as a whole. Carried on an outer surface of the support member is a coil location sensor. The distal section is configured with a distal irrigation fluid path extending axially through the deflectable members and the support members to deliver irrigation fluid to the ring electrode and the tip electrode. A method of constructing a catheter includes building a section of the catheter from the inside out by mounting the support members on a tubing at predetermined locations and filling gaps in between with a more flexible material to form the deflectable members by extrusion segments or injection molding over assembled components internal to the catheter.
In one embodiment, a system includes a catheter including an insertion tube and a first position sensor, a pusher including a second position sensor, and an expandable assembly including flexible strips disposed circumferentially around a distal portion of the pusher, with first ends of the strips connected to the distal end of the insertion tube and second ends of the strips connected to the distal portion of the pusher, the flexible strips bowing radially outward when the pusher is retracted, processing circuitry to receive a respective position signal from the first and second position sensors, compute location and orientation coordinates for the position sensors subject to a constraint that the position sensors are coaxial and have a same orientation, compute a distance between the computed location coordinates of the position sensors, and find position coordinates of the flexible strips responsively to at least the computed distance.
A system (10) for improving a cardiac ablation procedure includes a recommendation unit (14) configured to provide an initial recommendation for at least one proposed ablation line (4) for an ablation procedure on an anatomy of a patient. The system displays the at least one proposed ablation line on an anatomical map of the anatomy. The recommendation unit comprises a first and a second trained machine-learning model. Both the first and second trained machine-learning models have the same structure.
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
78.
Display screen or portion thereof with computer icon
An endoscope assembly includes a shaft assembly, an endoscopic camera assembly, and an anatomy elevation assembly. The shaft assembly includes a flexible outer shaft defining a lumen, a first electrical communication line, and a first fluid communication line. The endoscopic camera assembly is in communication with the first electrical communication line. The anatomy elevation assembly includes an inflatable member coupled to the flexible outer shaft. The inflatable member includes an interior surface. The first fluid communication line is in fluid communication with the inflatable member. The inflatable member is configured to transition between a deflated configuration and an inflated configuration. The interior surface is configured to define a viewing path distal to the endoscopic camera assembly while the inflatable member is in the inflated configuration.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p.ex. endoscopes; Dispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
80.
REGISTRATION PROBE FOR IMAGE GUIDED SURGERY SYSTEM
Tools used within a surgical area may be equipped with sensors that allow them to be tracked within the magnetic field of an image guided surgery (IGS) system. The IGS system may be configured to detect various movement patterns of the tools, which may be mapped to and associated with corresponding actions or inputs to the IGS system. In one example, a registration probe may be moved along the x-axis and y-axis, with detected movements identified and received by the IGS system as movements of a mouse cursor on a display of the IGS system. In another example, the registration probe may be moved in a circular pattern, or quickly moved along any of the x-axis, y-axis, or z-axis, with each being configured to cause the IGS system to zoom a display, change a view, record video, or other actions.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
A61B 34/00 - Chirurgie assistée par ordinateur; Manipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
81.
TRANSSEPTAL TISSUE PUNCTURE APPARATUSES, SYSTEMS, AND METHODS
A tissue puncture system includes a guidewire and a handle. The guidewire is configured to be inserted into an organ of a patient and to puncture tissue of the organ by conducting an electrical signal from a power source and applying to the tissue electrical current induced between a distal surface of the guidewire and the tissue. The handle is configured to: (i) electrically connect between the power source and a proximal surface of the guidewire, and (ii) move the distal surface to the tissue.
A transeptal apparatus includes a body assembly, a shaft assembly, and a tip member. The shaft assembly extends distally from the body assembly and includes a distal end and a lumen. The tip member is secured at the distal end of the shaft. The tip member and the distal end of the shaft are sized and configured to fit within a chamber of a heart of a human subject. The tip member includes a distal tip and at least one fluid passageway. The distal tip is configured to deliver electrical energy to tissue. The at least one fluid passageway is in fluid communication with the lumen of the shaft. At least a portion of the fluid passageway of the tip member is positioned proximally in relation to the distal end of the shaft.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
83.
CATHETER END EFFECTOR PROVIDING MAPPING GRID WITH HIGH DENSITY ELECTRODE ARRAY AND STRAIN REDUCTION
The disclosed technology includes a catheter for electrophysiology applications. The catheter can comprise a shaft extending along a longitudinal axis to a distal end and an end effector coupled to the distal end of the shaft. The end effector can include a plurality of loop members. Each loop member of the plurality of loop members can include a corresponding stress distribution node positioned at a distal portion of the respective loop member and a plurality of electrodes affixed to the plurality of loop members.
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
84.
DISPLAYING ORTHOGRAPHIC AND ENDOSCOPIC VIEWS OF A PLANE SELECTED IN A THREE-DIMENSIONAL ANATOMICAL IMAGE
A method includes inserting a catheter into an organ of a patient and selecting, in a three-dimensional (3D) image of the organ, a plane of interest (POI). A first image, which includes an endoscopic view of the 3D image from a direction facing the POI, is produced. A second image, which includes a sectional view of the 3D image that is clipped by the POI, is produced, and the first and second images are displayed to a user.
A61B 34/20 - Systèmes de navigation chirurgicale; Dispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p.ex. pour la stéréotaxie sans cadre
G06T 19/20 - Transformation de modèles ou d'images tridimensionnels [3D] pour infographie Édition d'images tridimensionnelles [3D], p.ex. modification de formes ou de couleurs, alignement d'objets ou positionnements de parties
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
85.
VISUALIZING A QUALITY INDEX INDICATIVE OF ABLATION STABILITY AT ABLATION SITE
A system including a display and a processor. The processor is configured to: (i) receive multiple position measurements indicative of respective positions of an ablation electrode at respective times during an ablation procedure at an ablation site in an organ of a patient, (ii) estimate, based at least on the multiple position measurements, a quality index indicative of a stability of the ablation procedure at the ablation site, and (iii) visualize the quality index to a user on the display.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p.ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p.ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A medical apparatus includes a probe, which includes an insertion tube configured for insertion into a body cavity of a patient, and a distal assembly, which is connected distally to the insertion tube and includes a plurality of electrodes, which are configured to contact tissue within the body cavity. The apparatus further includes an electrical signal generator, which is configured to apply electrical pulses to a group of two or more of the electrodes with an amplitude sufficient to irreversibly electroporate the tissue contacted by the electrodes in the group, and a controller, which is coupled to measure a change in an electrical impedance between an electrode in the group and a further electrode as a result of application of the electrical pulses and to output a measure of ablation of the tissue responsively to the measured change in the electrical impedance.
A method includes inserting a catheter into an organ of a patient and selecting, in a three-dimensional (3D) image of the organ, a plane of interest (POI). A first image, which includes an endoscopic view of the 3D image from a direction facing the POI, is produced. A second image, which includes a sectional view of the 3D image that is clipped by the POI, is produced, and the first and second images are displayed to a user.
A jig for inspecting a tip of a catheter at a first facility of at least two facilities at which the catheter is processed during manufacturing. The jig includes a housing, at least one clamp, a plurality of cameras mounted in the housing, a plurality of illuminators mounted in the housing and a processor. The processor operates the plurality of cameras and the plurality of illuminators for capturing a plurality of images, and transfers respective copies of the plurality of images to a second facility, separate from the first facility. The processor is additionally configured to generated a report generate a report of the inspection from the first facility and the second facility based on annotations received from the first facility and the second facility.
G06V 10/764 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant la classification, p.ex. des objets vidéo
G06V 10/82 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant les réseaux neuronaux
G06V 10/774 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant l’intégration et la réduction de données, p.ex. analyse en composantes principales [PCA] ou analyse en composantes indépendantes [ ICA] ou cartes auto-organisatrices [SOM]; Séparation aveugle de source méthodes de Bootstrap, p.ex. "bagging” ou “boosting”
Systems and methods are disclosed for generating an electro-anatomical map of the heart. Techniques disclosed include measuring groups of activation signals. The activation signals of each group are measured by respective electrodes of a mapping catheter that is placed at a respective position in the heart. Where at least one electrode of the mapping catheter that measured an activation signal of one group spatially overlapped with a respective electrode of the mapping catheter that measured an activation signal of another group. Techniques disclosed further include obtaining, based on the groups of activation signals, respective sets of time measurements, utilizing the overlapping electrodes. And, constructing the electro-anatomical map based on the obtained sets of time measurements.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
90.
HIGH VOLTAGE IRREVERSABLE ELECTROPORATION (IRE) CONNECTOR
Electrical connectors for carrying high voltages for Irreversible Electroporation (IRE) include a main connector which supports electrical contacts at two or more different elevations on the connector body.
H01R 13/53 - Socles ou boîtiers pour dures conditions de service; Socles ou boîtiers avec des moyens pour éviter l'effet couronne ou l'amorçage d'un arc
91.
ELECTRO-ANATOMICAL MAPPING WITHOUT ACQUIRING A REFERENCE SIGNAL
Systems and methods are disclosed for generating an electro-anatomical map of the heart. Techniques disclosed include measuring groups of activation signals. The activation signals of each group are measured by respective electrodes of a mapping catheter that is placed at a respective position in the heart. Where at least one electrode of the mapping catheter that measured an activation signal of one group spatially overlapped with a respective electrode of the mapping catheter that measured an activation signal of another group. Techniques disclosed further include obtaining, based on the groups of activation signals, respective sets of time measurements, utilizing the overlapping electrodes. And, constructing the electro-anatomical map based on the obtained sets of time measurements.
A61B 5/283 - Détection, mesure ou enregistrement de signaux bioélectriques ou biomagnétiques du corps ou de parties de celui-ci Électrodes bioélectriques à cet effet spécialement adaptées à des utilisations particulières pour l’électrocardiographie [ECG] invasives
An aspiration catheter for assisting in the retrieval of a clot from a vessel of a patient including at least one electrode pair and a first pressure sensor positioned within an inner lumen of the aspiration catheter and a second and third pressure sensor positioned on an exterior surface of the aspiration catheter. The electrode pair and pressure sensors are in electrical communication with a control console. The control console is configured to modulate an aspiration vacuum pressure waveform pattern applied through the aspiration catheter based on electrical and pressure inputs from the one or more sensors, and optionally based on a blood pressure waveform pattern of the patient.
A61M 1/00 - Dispositifs de succion ou de pompage à usage médical; Dispositifs pour retirer, traiter ou transporter les liquides du corps; Systèmes de drainage
93.
SYNCHRONIZED ASPIRATION SYSTEM WITH CATHETER SENSORS FOR REMOVAL OF ACUTE BLOCKAGES FROM BLOOD VESSELS
An aspiration catheter (102) for assisting in the retrieval of a clot from a vessel of a patient including at least one electrode pair (202) and a first pressure sensor (204) positioned within an inner lumen of the aspiration catheter and a second and third pressure sensor (206, 208) positioned on an exterior surface of the aspiration catheter. The electrode pair and pressure sensors are in electrical communication with a control console. The control console is configured to modulate an aspiration vacuum pressure waveform pattern applied through the aspiration catheter based on electrical and pressure inputs from the one or more sensors, and optionally based on a blood pressure waveform pattern of the patient.
A61B 17/22 - Instruments, dispositifs ou procédés chirurgicaux, p.ex. tourniquets pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
94.
DETECTING POTENTIAL SLOW-CONDUCTION CARDIAC TISSUE AREAS IN STABLE ARRHYTHMIAS
A method for identifying candidate locations for ablation includes receiving an electrophysiological (EP) map comprising anatomical surface of cardiac chamber overlaid with (i) activation wave velocity vectors, (ii) data points comprising positions on surface and respective local activation times (LAT), and (iii) areas designated by early meet late (EML) LAT range. Set of shortest paths on cardiac surface is identified between different EML areas. One or more ranges of LAT values are selected, being characterized by lowest prevalence over data points of EP map. Complex tags are generated for positions having the LAT values within the one or more ranges of LAT values having lowest prevalence. Subset of the shortest paths is selected based on (i) density of complex tags along shortest paths and (ii) directions of activation wave velocity vectors relative to each of shortest paths. Selected subset of shortest paths are presented as candidate slow-conduction areas for ablation.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/308 - Circuits d’entrée à cet effet spécialement adaptés à des utilisations particulières pour l’électrocardiographie [ECG]
A61B 5/363 - Détection de la tachycardie ou de la bradycardie
A61B 5/339 - Affichages spécialement adaptés à cet effet
95.
Multi-Purpose Sensing and Radiofrequency (RF) Ablation Spiral Electrode for Catheter
An electrical apparatus includes a spiral electrode and an interface circuit. The spiral electrode is disposed on a distal end of a probe for insertion into a body of a patient. The interface circuit is configured to (a) transfer a radiofrequency (RF) ablation signal to the electrode for ablating tissue in the body, (b) output a voltage that develops across the electrode in response to an external magnetic field, for measuring a position of the distal end in the body, and (c) transfer electrical current through the electrode for measuring a resistivity that is indicative of tissue temperature in a vicinity of the electrode.
A method for identifying candidate locations for ablation includes receiving an electrophysiological (EP) map comprising anatomical surface of cardiac chamber overlaid with (i) activation wave velocity vectors, (ii) data points comprising positions on surface and respective local activation times (LAT), and (iii) areas designated by early meet late (EML) LAT range. Set of shortest paths on cardiac surface is identified between different EML areas. One or more ranges of LAT values are selected, being characterized by lowest prevalence over data points of EP map. Complex tags are generated for positions having the LAT values within the one or more ranges of LAT values having lowest prevalence. Subset of the shortest paths is selected based on (i) density of complex tags along shortest paths and (ii) directions of activation wave velocity vectors relative to each of shortest paths. Selected subset of shortest paths are presented as candidate slow-conduction areas for ablation.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
An atrial flutter identification method includes placing a catheter comprising multiple electrodes in a coronary sinus (CS) of a heart of a patient, so that some of the electrodes overlap a left atrium (LA) of the heart and some of the electrodes overlap a right atrium (RA) of the heart. Intra cardiac (IC) electrophysiological (EP) signals are acquired with the electrodes. Respective signal-stability measures are estimated over the signals acquired by the electrodes overlapping the LA and over the signals acquired by the electrodes overlapping the RA. When one of the signal-stability measures is above a first threshold while the other of the signal-stability measures is below a second threshold, an atrium is indicated, that corresponds to a highest among the signal-stability measures as a source of atrial flutter.
A61B 5/367 - Modalités électriques se rapportant au cœur, p.ex. électrocardiographie [ECG] Études électrophysiologiques [EEP], p.ex. cartographie de l’activation électrique ou cartographie électroanatomique
A61B 5/287 - Supports pour électrodes multiples, p.ex. cathéters à électrode pour des études électrophysiologiques [EEP]
A61B 5/363 - Détection de la tachycardie ou de la bradycardie
A61B 5/00 - Mesure servant à établir un diagnostic ; Identification des individus
98.
IRREVERSIBLE-ELECTROPORATION (IRE) WORKFLOW TO REDUCE TIME BETWEEN ABLATIONS
An irreversible electroporation (IRE) method includes receiving a total number of IRE pulses to be applied by one or more electrodes of a catheter placed in proximity to a tissue in an organ. An IRE protocol is defined by defining a partitioning of the total number of the IRE pulses into multiple pulse trains separated by pauses, the partitioning defined so as to reduce a total duration of the IRE protocol while meeting a safety criterion. The IRE protocol is applied to the tissue using the electrodes.
An example expandable basket assembly for a medical probe may include a plurality of spines extending along a longitudinal axis from a proximal central proximal spine portion to a distal spine portion. The distal spine portion may define a cloverleaf structure disposed radially around the longitudinal axis. The cloverleaf structure may define a central cutout with a central area disposed about the longitudinal axis. The cloverleaf structure may include a sinusoidal-like member extending from one spine to an adjacent spine in a direction around the longitudinal axis. The sinusoidal-like member may include a plurality of distal facing portions, a plurality of proximal facing portions, and at least one side connector connecting two adjacent distal facing portions to one another. The at least one side connector may strengthen a distal end of the expandable basket.
The disclosed technology includes a medical probe including a tubular shaft, a contact force sensor assembly, a spine retention hub, and an expandable basket assembly. The contact force sensor can include a first bayonet mount portion and the spine retention hub can include a second bayonet mount portion to couple the spine retention hub to the contact force sensor by interlocking with the first bayonet mount portion. The expandable basket assembly can include a plurality of spines and at least one electrode coupled to each of the plurality of spines. Each of the plurality of spines can be configured to bow radially outward from the longitudinal axis when the expandable basket assembly is transitioned from a collapsed form to an expanded form.
brevets
