CN112566552B - 用于映射心律异常的方法和系统 - Google Patents

用于映射心律异常的方法和系统 Download PDF

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CN112566552B
CN112566552B CN201980040549.4A CN201980040549A CN112566552B CN 112566552 B CN112566552 B CN 112566552B CN 201980040549 A CN201980040549 A CN 201980040549A CN 112566552 B CN112566552 B CN 112566552B
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activation
signal
location
electrogram
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CN112566552A (zh
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马尔科姆·芬利
肖莱·霍纳尔巴卡什
理查德·席林
罗斯·亨特
瓦康斯·乌拉
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Ba Cijiankangnhsxintuo
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Ba Cijiankangnhsxintuo
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • 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
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02028—Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/0245—Measuring pulse rate or heart rate by using sensing means generating electric signals, i.e. ECG signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/333—Recording apparatus specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/339—Displays specially adapted therefor
    • A61B5/341—Vectorcardiography [VCG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • 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
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • 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
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/04—Arrangements of multiple sensors of the same type
    • A61B2562/046—Arrangements of multiple sensors of the same type in a matrix array
    • 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
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7275—Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • 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
    • A61B5/7271—Specific aspects of physiological measurement analysis
    • A61B5/7282—Event detection, e.g. detecting unique waveforms indicative of a medical condition

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Physiology (AREA)
  • Artificial Intelligence (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Signal Processing (AREA)
  • Evolutionary Computation (AREA)
  • Fuzzy Systems (AREA)
  • Mathematical Physics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Surgical Instruments (AREA)
CN201980040549.4A 2018-04-23 2019-04-23 用于映射心律异常的方法和系统 Active CN112566552B (zh)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1806580.5 2018-04-23
GB1806580.5A GB2573109B (en) 2018-04-23 2018-04-23 Methods and systems useful in mapping heart rhythm abnormalities
PCT/EP2019/060367 WO2019206908A1 (en) 2018-04-23 2019-04-23 Methods and systems useful in mapping heart rhythm abnormalities

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CN112566552A CN112566552A (zh) 2021-03-26
CN112566552B true CN112566552B (zh) 2024-03-08

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US (1) US10912472B2 (https=)
EP (1) EP3784126B1 (https=)
JP (1) JP7421495B2 (https=)
CN (1) CN112566552B (https=)
GB (1) GB2573109B (https=)
WO (1) WO2019206908A1 (https=)

Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11445935B2 (en) * 2018-11-26 2022-09-20 Biosense Webster (Israel) Ltd. Finding the origin of an arrythmia
GB201915680D0 (en) 2019-10-29 2019-12-11 Rhythm A1 Ltd Method and system for aiding mapping heart rhythm abnormalities
US11607272B2 (en) * 2019-11-12 2023-03-21 Biosense Webster (Israel) Ltd. Visual route indication for activation clusters
US11278233B2 (en) * 2019-11-15 2022-03-22 Biosense Webster (Israel) Ltd. Method and apparatus to find abnormal activations in intra-cardiac electrocardiograms based on specificity and sensitivity
CN115334989A (zh) * 2020-01-24 2022-11-11 阿弗拉公司 用于心脏消融的系统和相关方法
US20220175302A1 (en) * 2020-12-04 2022-06-09 Biosense Webster (Israel) Ltd. Generating electrocardiograms from multiple references
CA3211922A1 (en) 2021-04-16 2022-10-20 Miguel Rodrigo Bort Personalized heart rhythm therapy
CA3228337A1 (en) * 2021-08-09 2023-02-16 Vektor Medical, Inc. Tissue state graphic display system
TW202320716A (zh) 2021-08-10 2023-06-01 美商菲斯凱德股份有限公司 用於治療心律不整之具有感測及燒灼導管之治療系統
US11564591B1 (en) 2021-11-29 2023-01-31 Physcade, Inc. System and method for diagnosing and treating biological rhythm disorders
GB2630761A (en) 2023-06-06 2024-12-11 Rhythm Ai Ltd Computer implemented method and system for aiding mapping heart rhythm abnormalities
US12290370B1 (en) 2024-01-19 2025-05-06 Physcade, Inc. System and method for mapping activation waves to guide treatment of biological rhythm disorders

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105592787A (zh) * 2013-10-30 2016-05-18 圣犹达医疗用品心脏病学部门有限公司 用于电描记图的双向激活检测的心脏标测系统和方法
CN106413527A (zh) * 2014-01-13 2017-02-15 波士顿科学医学有限公司 心脏组织标测医疗装置

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8509897B2 (en) * 2002-09-19 2013-08-13 Cardiac Pacemakers, Inc. Morphology-based diagnostic monitoring of electrograms by implantable cardiac device
CA2942986A1 (en) * 2008-10-09 2010-04-15 The Regents Of The University Of California Methods, system and apparatus for the detection, diagnosis and treatment of biological rhythm disorders
US10398326B2 (en) 2013-03-15 2019-09-03 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US9392948B2 (en) * 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
JP5768670B2 (ja) * 2011-11-09 2015-08-26 株式会社島津製作所 ターボ分子ポンプ装置
EP2819570B1 (en) 2012-03-02 2021-11-17 Koninklijke Philips N.V. Apparatus and method for visualizing a conduction tract of heart
US9668664B2 (en) * 2013-01-17 2017-06-06 Cardioinsight Technologies, Inc. Focal point identification and mapping
AU2014210346B2 (en) * 2013-01-24 2018-07-26 Dalhousie University Computer-aided localization of site of origin of cardiac activation with discriminator leads
JP6386024B2 (ja) 2013-03-15 2018-09-05 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 心臓活性化情報を再構築するシステム及び方法
CN105307561B (zh) * 2013-05-07 2017-12-05 波士顿科学医学有限公司 用于标识转子传播矢量的系统
US10582894B2 (en) 2016-01-14 2020-03-10 Biosense Webster (Israel) Ltd. Region of interest rotational activity pattern detection
US10517496B2 (en) * 2016-01-14 2019-12-31 Biosense Webster (Israel) Ltd. Region of interest focal source detection
US11058342B2 (en) 2016-08-11 2021-07-13 Biosense Webster (Israel) Ltd. Classifying ECG signals

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105592787A (zh) * 2013-10-30 2016-05-18 圣犹达医疗用品心脏病学部门有限公司 用于电描记图的双向激活检测的心脏标测系统和方法
CN106413527A (zh) * 2014-01-13 2017-02-15 波士顿科学医学有限公司 心脏组织标测医疗装置

Also Published As

Publication number Publication date
GB201806580D0 (en) 2018-06-06
GB2573109A (en) 2019-10-30
EP3784126A1 (en) 2021-03-03
JP2021521995A (ja) 2021-08-30
GB2573109B (en) 2022-09-14
WO2019206908A1 (en) 2019-10-31
JP7421495B2 (ja) 2024-01-24
US10912472B2 (en) 2021-02-09
EP3784126B1 (en) 2023-08-09
CN112566552A (zh) 2021-03-26
US20200359924A1 (en) 2020-11-19

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