GB2573109B - Methods and systems useful in mapping heart rhythm abnormalities - Google Patents

Methods and systems useful in mapping heart rhythm abnormalities Download PDF

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Publication number
GB2573109B
GB2573109B GB1806580.5A GB201806580A GB2573109B GB 2573109 B GB2573109 B GB 2573109B GB 201806580 A GB201806580 A GB 201806580A GB 2573109 B GB2573109 B GB 2573109B
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GB
United Kingdom
Prior art keywords
methods
heart rhythm
systems useful
rhythm abnormalities
mapping heart
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
GB1806580.5A
Other languages
English (en)
Other versions
GB2573109A (en
GB201806580D0 (en
Inventor
Hunter Ross
Ullah Waquas
Finlay Malcolm
Honarbakhsk Shohreh
Schilling Richard
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.)
Barts and London NHS Trust
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Barts and London NHS Trust
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Barts and London NHS Trust filed Critical Barts and London NHS Trust
Priority to GB1806580.5A priority Critical patent/GB2573109B/en
Publication of GB201806580D0 publication Critical patent/GB201806580D0/en
Priority to CN201980040549.4A priority patent/CN112566552B/zh
Priority to PCT/EP2019/060367 priority patent/WO2019206908A1/en
Priority to JP2020560270A priority patent/JP7421495B2/ja
Priority to EP19720103.1A priority patent/EP3784126B1/en
Publication of GB2573109A publication Critical patent/GB2573109A/en
Priority to US16/891,661 priority patent/US10912472B2/en
Application granted granted Critical
Publication of GB2573109B publication Critical patent/GB2573109B/en
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
    • 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
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—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
    • 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
    • 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

Landscapes

  • 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)
GB1806580.5A 2018-04-23 2018-04-23 Methods and systems useful in mapping heart rhythm abnormalities Expired - Fee Related GB2573109B (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
GB1806580.5A GB2573109B (en) 2018-04-23 2018-04-23 Methods and systems useful in mapping heart rhythm abnormalities
EP19720103.1A EP3784126B1 (en) 2018-04-23 2019-04-23 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
JP2020560270A JP7421495B2 (ja) 2018-04-23 2019-04-23 心臓の調律異常を識別するコンピュータ実装方法、コンピュータシステム及びコンピュータプログラム
CN201980040549.4A CN112566552B (zh) 2018-04-23 2019-04-23 用于映射心律异常的方法和系统
US16/891,661 US10912472B2 (en) 2018-04-23 2020-06-03 Methods and systems useful in mapping heart rhythm abnormalities

Applications Claiming Priority (1)

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

Publications (3)

Publication Number Publication Date
GB201806580D0 GB201806580D0 (en) 2018-06-06
GB2573109A GB2573109A (en) 2019-10-30
GB2573109B true GB2573109B (en) 2022-09-14

Family

ID=62236291

Family Applications (1)

Application Number Title Priority Date Filing Date
GB1806580.5A Expired - Fee Related GB2573109B (en) 2018-04-23 2018-04-23 Methods and systems useful in mapping heart rhythm abnormalities

Country Status (6)

Country Link
US (1) US10912472B2 (enExample)
EP (1) EP3784126B1 (enExample)
JP (1) JP7421495B2 (enExample)
CN (1) CN112566552B (enExample)
GB (1) GB2573109B (enExample)
WO (1) WO2019206908A1 (enExample)

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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
EP4093308A4 (en) * 2020-01-24 2024-02-14 Affera, Inc. Systems for cardiac ablation and associated methods
US20220175302A1 (en) * 2020-12-04 2022-06-09 Biosense Webster (Israel) Ltd. Generating electrocardiograms from multiple references
EP4555957A3 (en) 2021-04-16 2025-07-16 Physcade, Inc. Personalized heart rythm therapy
CA3228337A1 (en) * 2021-08-09 2023-02-16 Vektor Medical, Inc. Tissue state graphic display system
WO2023018741A1 (en) 2021-08-10 2023-02-16 Physcade, Inc. Treatment system with sensing and ablation catheter for treatment of heart rhythm disorders
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 (4)

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US20130150740A1 (en) * 2011-12-09 2013-06-13 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US20140336518A1 (en) * 2013-05-07 2014-11-13 Boston Scientific Scimed Inc. System for identifying rotor propagation vectors
US20140371616A1 (en) * 2008-10-09 2014-12-18 The Regents Of The University Of California Method for analysis of complex rhythm disorders
EP3192438A1 (en) * 2016-01-14 2017-07-19 Biosense Webster (Israel) Ltd. System and method for detecting atrial fibrillation focal sources

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US8509897B2 (en) * 2002-09-19 2013-08-13 Cardiac Pacemakers, Inc. Morphology-based diagnostic monitoring of electrograms by implantable cardiac device
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
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
EP2945531B1 (en) * 2013-01-17 2019-09-04 CardioInsight Technologies, Inc. Focal point identification and mapping
EP2948053B1 (en) * 2013-01-24 2018-03-28 Dalhousie University Computer-aided localization of site of origin of cardiac activation with discriminator leads
BR112015022401A2 (pt) * 2013-03-15 2017-07-18 Univ California método para reconstruir informações de ativação cardíaca, sistema para reconstruir informações de ativação cardíaca, e, método para tratar de um distúrbio de ritmo cardíaco
CN105592787B (zh) * 2013-10-30 2019-01-08 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
JP2017503590A (ja) * 2014-01-13 2017-02-02 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 心臓組織をマッピングする医療用デバイス
US10582894B2 (en) * 2016-01-14 2020-03-10 Biosense Webster (Israel) Ltd. Region of interest rotational activity pattern detection
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Patent Citations (4)

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Publication number Priority date Publication date Assignee Title
US20140371616A1 (en) * 2008-10-09 2014-12-18 The Regents Of The University Of California Method for analysis of complex rhythm disorders
US20130150740A1 (en) * 2011-12-09 2013-06-13 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US20140336518A1 (en) * 2013-05-07 2014-11-13 Boston Scientific Scimed Inc. System for identifying rotor propagation vectors
EP3192438A1 (en) * 2016-01-14 2017-07-19 Biosense Webster (Israel) Ltd. System and method for detecting atrial fibrillation focal sources

Also Published As

Publication number Publication date
JP7421495B2 (ja) 2024-01-24
GB2573109A (en) 2019-10-30
CN112566552A (zh) 2021-03-26
GB201806580D0 (en) 2018-06-06
JP2021521995A (ja) 2021-08-30
US20200359924A1 (en) 2020-11-19
EP3784126A1 (en) 2021-03-03
EP3784126B1 (en) 2023-08-09
US10912472B2 (en) 2021-02-09
CN112566552B (zh) 2024-03-08
WO2019206908A1 (en) 2019-10-31

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Effective date: 20240423