CN104023621B - 用于组织爆裂的自动监视和检测 - Google Patents

用于组织爆裂的自动监视和检测 Download PDF

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Publication number
CN104023621B
CN104023621B CN201280065203.8A CN201280065203A CN104023621B CN 104023621 B CN104023621 B CN 104023621B CN 201280065203 A CN201280065203 A CN 201280065203A CN 104023621 B CN104023621 B CN 104023621B
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CN
China
Prior art keywords
ecu
signal
tissue
ablation
transducer
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201280065203.8A
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English (en)
Chinese (zh)
Other versions
CN104023621A (zh
Inventor
I·A·伯德
J·M·菲什
L·E·克拉克
S·保罗
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.)
St Jude Medical Atrial Fibrillation Division Inc
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St Jude Medical Atrial Fibrillation Division Inc
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Publication of CN104023621A publication Critical patent/CN104023621A/zh
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Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A61B7/02—Stethoscopes
    • A61B7/04—Electric stethoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0033—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room
    • A61B5/0036—Features or image-related aspects of imaging apparatus, e.g. for MRI, optical tomography or impedance tomography apparatus; Arrangements of imaging apparatus in a room including treatment, e.g., using an implantable medical device, ablating, ventilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4848—Monitoring or testing the effects of treatment, e.g. of medication
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/725—Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/7405—Details of notification to user or communication with user or patient; User input means using sound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/0069—Sensing and controlling the application of energy using fuzzy logic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/0088—Vibration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
    • H04R17/00—Piezoelectric transducers; Electrostrictive transducers
    • H04R17/02—Microphones

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Acoustics & Sound (AREA)
  • Cardiology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Radiology & Medical Imaging (AREA)
  • Artificial Intelligence (AREA)
  • Signal Processing (AREA)
  • Psychiatry (AREA)
  • Physiology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Surgical Instruments (AREA)
CN201280065203.8A 2011-12-30 2012-10-02 用于组织爆裂的自动监视和检测 Expired - Fee Related CN104023621B (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201161582004P 2011-12-30 2011-12-30
US61/582004 2011-12-30
US61/582,004 2011-12-30
PCT/US2012/058427 WO2013101321A1 (en) 2011-12-30 2012-10-02 Automatic monitoring for and detection of tissue pop

Publications (2)

Publication Number Publication Date
CN104023621A CN104023621A (zh) 2014-09-03
CN104023621B true CN104023621B (zh) 2016-06-29

Family

ID=48698496

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201280065203.8A Expired - Fee Related CN104023621B (zh) 2011-12-30 2012-10-02 用于组织爆裂的自动监视和检测

Country Status (5)

Country Link
US (1) US10194885B2 (enExample)
EP (1) EP2797500A4 (enExample)
JP (1) JP6370710B2 (enExample)
CN (1) CN104023621B (enExample)
WO (1) WO2013101321A1 (enExample)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9241756B2 (en) * 2013-07-01 2016-01-26 Biosense Webster (Israel) Ltd. Real-time prediction of steam-pop events during ablation
US11406347B2 (en) 2014-10-23 2022-08-09 Medtronic, Inc. Acoustic monitoring to detect medical condition
WO2016109207A1 (en) * 2014-12-31 2016-07-07 St. Jude Medical, Cardiology Division, Inc. Filter circuit for electrophysiology system
US10463425B2 (en) * 2015-05-04 2019-11-05 Biosense Webster (Israel) Ltd. RF ablation with acoustic feedback
CN109328029B (zh) * 2016-09-05 2022-03-08 深圳迈瑞生物医疗电子股份有限公司 生命体征数据统计系统和监护仪
US10828008B2 (en) * 2017-03-13 2020-11-10 Biosense Webster (Israel) Ltd. Steam pop detection
CA3075930A1 (en) * 2017-09-19 2019-03-28 Ausculsciences, Inc. System and method for detecting decoupling of an auscultatory sound sensor from a test-subject
EP4048387A1 (en) * 2019-10-24 2022-08-31 BIOTRONIK SE & Co. KG Implantable medical device having a his bundle electrode lead port
US20210169559A1 (en) * 2019-12-06 2021-06-10 Board Of Regents, The University Of Texas System Acoustic monitoring for electrosurgery

Citations (2)

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CN101370554A (zh) * 2005-12-09 2009-02-18 麦德托尼克公司 引导医疗器械的方法
CN103209654A (zh) * 2010-11-16 2013-07-17 圣犹达医疗用品电生理部门有限公司 用于呈现消融术期间代表组织中损伤生成的信息的系统和方法

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US6690963B2 (en) 1995-01-24 2004-02-10 Biosense, Inc. System for determining the location and orientation of an invasive medical instrument
US5733281A (en) * 1996-03-19 1998-03-31 American Ablation Co., Inc. Ultrasound and impedance feedback system for use with electrosurgical instruments
ES2270502T3 (es) 1998-01-22 2007-04-01 Biosense Webster, Inc. Medicion intracorporal.
US7263397B2 (en) 1998-06-30 2007-08-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for catheter navigation and location and mapping in the heart
US7386339B2 (en) 1999-05-18 2008-06-10 Mediguide Ltd. Medical imaging and navigation system
US6233476B1 (en) 1999-05-18 2001-05-15 Mediguide Ltd. Medical positioning system
US6709432B2 (en) 2002-04-26 2004-03-23 Medtronic, Inc. Ablation methods and medical apparatus using same
US7306593B2 (en) * 2002-10-21 2007-12-11 Biosense, Inc. Prediction and assessment of ablation of cardiac tissue
US7275547B2 (en) * 2003-10-08 2007-10-02 Boston Scientific Scimed, Inc. Method and system for determining the location of a medical probe using a reference transducer array
US7197354B2 (en) 2004-06-21 2007-03-27 Mediguide Ltd. System for determining the position and orientation of a catheter
US7536218B2 (en) 2005-07-15 2009-05-19 Biosense Webster, Inc. Hybrid magnetic-based and impedance-based position sensing
US7885707B2 (en) 2005-09-15 2011-02-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Method of scaling navigation signals to account for impedance drift in tissue
US8603084B2 (en) 2005-12-06 2013-12-10 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing the formation of a lesion in tissue
US8449535B2 (en) 2005-12-06 2013-05-28 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for assessing coupling between an electrode and tissue
US20080013747A1 (en) * 2006-06-30 2008-01-17 Bao Tran Digital stethoscope and monitoring instrument
US7996055B2 (en) 2006-12-29 2011-08-09 St. Jude Medical, Atrial Fibrillation Division, Inc. Cardiac navigation system including electrode array for use therewith
US20080177258A1 (en) * 2007-01-18 2008-07-24 Assaf Govari Catheter with microphone
US8911383B2 (en) 2007-12-20 2014-12-16 Acarix A/S Adhesive patch for monitoring acoustic signals
US20100168572A1 (en) * 2008-12-30 2010-07-01 Sliwa John W Apparatus and Methods for Acoustic Monitoring of Ablation Procedures
US20100168568A1 (en) * 2008-12-30 2010-07-01 St. Jude Medical, Atrial Fibrillation Division Inc. Combined Diagnostic and Therapeutic Device Using Aligned Energy Beams
WO2010082146A1 (en) * 2009-01-14 2010-07-22 Koninklijke Philips Electronics N.V. Monitoring apparatus for monitoring an ablation procedure
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Patent Citations (2)

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Publication number Priority date Publication date Assignee Title
CN101370554A (zh) * 2005-12-09 2009-02-18 麦德托尼克公司 引导医疗器械的方法
CN103209654A (zh) * 2010-11-16 2013-07-17 圣犹达医疗用品电生理部门有限公司 用于呈现消融术期间代表组织中损伤生成的信息的系统和方法

Also Published As

Publication number Publication date
US20140358038A1 (en) 2014-12-04
CN104023621A (zh) 2014-09-03
US10194885B2 (en) 2019-02-05
JP2015504723A (ja) 2015-02-16
EP2797500A4 (en) 2015-12-02
WO2013101321A1 (en) 2013-07-04
JP6370710B2 (ja) 2018-08-08
EP2797500A1 (en) 2014-11-05

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Granted publication date: 20160629

Termination date: 20191002