CN118557279A - 用于标测和调制复极化的系统和方法 - Google Patents

用于标测和调制复极化的系统和方法 Download PDF

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Publication number
CN118557279A
CN118557279A CN202410641204.7A CN202410641204A CN118557279A CN 118557279 A CN118557279 A CN 118557279A CN 202410641204 A CN202410641204 A CN 202410641204A CN 118557279 A CN118557279 A CN 118557279A
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CN
China
Prior art keywords
cases
repolarization
signal
electrode
heart
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Pending
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CN202410641204.7A
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English (en)
Chinese (zh)
Inventor
C·J·麦克劳德
S·J·阿斯瓦泰姆
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Mayo Clinic in Florida
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Mayo Clinic in Florida
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Publication of CN118557279A publication Critical patent/CN118557279A/zh
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/3621—Heart stimulators for treating or preventing abnormally high heart rate
    • 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
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    • A61B5/024—Measuring pulse rate or heart rate
    • A61B5/02405—Determining heart rate variability
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    • 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
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    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1495—Calibrating or testing of in-vivo probes
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    • 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]
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    • A61B5/6867—Arrangements 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 specially adapted to be attached or implanted in a specific body part
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    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
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    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B5/7225—Details of analogue processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation
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    • A—HUMAN NECESSITIES
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    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/056—Transvascular endocardial electrode systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
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    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/327—Applying electric currents by contact electrodes alternating or intermittent currents for enhancing the absorption properties of tissue, e.g. by electroporation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
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    • A—HUMAN NECESSITIES
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    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
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    • A61N1/36592—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by the heart rate variability
    • A—HUMAN NECESSITIES
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    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
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    • A61N1/3956—Implantable devices for applying electric shocks to the heart, e.g. for cardioversion
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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Physiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Signal Processing (AREA)
  • Radiology & Medical Imaging (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Power Engineering (AREA)
  • Optics & Photonics (AREA)
  • Vascular Medicine (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
CN202410641204.7A 2018-02-05 2019-02-05 用于标测和调制复极化的系统和方法 Pending CN118557279A (zh)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201862626448P 2018-02-05 2018-02-05
US62/626,448 2018-02-05
CN201980011735.5A CN111867506A (zh) 2018-02-05 2019-02-05 用于标测和调制复极化的系统和方法
PCT/US2019/016644 WO2019152986A1 (en) 2018-02-05 2019-02-05 Systems and methods for mapping and modulating repolarization

Related Parent Applications (1)

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CN118557279A true CN118557279A (zh) 2024-08-30

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CN201980011735.5A Pending CN111867506A (zh) 2018-02-05 2019-02-05 用于标测和调制复极化的系统和方法

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US (2) US11000202B2 (https=)
EP (1) EP3723649A4 (https=)
JP (1) JP7396988B2 (https=)
KR (3) KR20200118472A (https=)
CN (2) CN118557279A (https=)
WO (1) WO2019152986A1 (https=)

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