AU2017370535B2 - Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation - Google Patents

Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation Download PDF

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Publication number
AU2017370535B2
AU2017370535B2 AU2017370535A AU2017370535A AU2017370535B2 AU 2017370535 B2 AU2017370535 B2 AU 2017370535B2 AU 2017370535 A AU2017370535 A AU 2017370535A AU 2017370535 A AU2017370535 A AU 2017370535A AU 2017370535 B2 AU2017370535 B2 AU 2017370535B2
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Australia
Prior art keywords
tissue
electrode
ablation
electrodes
electrogram
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AU2017370535A
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English (en)
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AU2017370535A1 (en
Inventor
Peter S. Spector
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
University of Vermont
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University of Vermont
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Priority claimed from US15/369,483 external-priority patent/US10912476B2/en
Application filed by University of Vermont filed Critical University of Vermont
Publication of AU2017370535A1 publication Critical patent/AU2017370535A1/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283Invasive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361Detecting fibrillation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00039Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A61B2017/00044Sensing electrocardiography, i.e. ECG
    • A61B2017/00048Spectral analysis
    • A61B2017/00053Mapping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • A61B2018/00708Power or energy switching the power on or off
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00898Alarms or notifications created in response to an abnormal condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00904Automatic detection of target tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Cardiology (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
AU2017370535A 2016-12-05 2017-11-29 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation Active AU2017370535B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/369,483 US10912476B2 (en) 2013-01-16 2016-12-05 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation
US15/369,483 2016-12-05
PCT/US2017/063747 WO2018106496A1 (en) 2016-12-05 2017-11-29 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Publications (2)

Publication Number Publication Date
AU2017370535A1 AU2017370535A1 (en) 2019-07-04
AU2017370535B2 true AU2017370535B2 (en) 2023-06-29

Family

ID=62491310

Family Applications (1)

Application Number Title Priority Date Filing Date
AU2017370535A Active AU2017370535B2 (en) 2016-12-05 2017-11-29 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Country Status (5)

Country Link
EP (1) EP3547910A4 (de)
AU (1) AU2017370535B2 (de)
CA (1) CA3045988A1 (de)
IL (1) IL267047B2 (de)
WO (1) WO2018106496A1 (de)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3340916B1 (de) 2015-10-21 2020-12-02 St. Jude Medical, Cardiology Division, Inc. Hochdichter elektrodenmapping-katheter
US11844616B2 (en) 2019-08-13 2023-12-19 Biosense Webster (Israel) Ltd. Enhanced visualization of organ electrical activity

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160045123A1 (en) * 2014-08-12 2016-02-18 Biosense Webster (Israel) Ltd. Line of block detection
US20170079542A1 (en) * 2013-01-16 2017-03-23 University Of Vermont Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6243603B1 (en) * 1998-09-15 2001-06-05 Uab Research Foundation Methods and apparatus for detecting medical conditions of the heart
WO2004026134A1 (en) * 2002-08-24 2004-04-01 Krishnan Subramaniam C Method and apparatus for locating the fossa ovalis and performing transseptal puncture
US8880158B2 (en) * 2013-01-16 2014-11-04 University Of Vermont Methods and systems for determining spatiotemporal variability for mapping cardiac fibrillation

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20170079542A1 (en) * 2013-01-16 2017-03-23 University Of Vermont Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation
US20160045123A1 (en) * 2014-08-12 2016-02-18 Biosense Webster (Israel) Ltd. Line of block detection

Also Published As

Publication number Publication date
EP3547910A4 (de) 2020-07-15
CA3045988A1 (en) 2018-06-14
WO2018106496A1 (en) 2018-06-14
AU2017370535A1 (en) 2019-07-04
IL267047B (en) 2022-10-01
IL267047A (en) 2019-08-29
IL267047B2 (en) 2023-02-01
EP3547910A1 (de) 2019-10-09

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