IL267047B2 - 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

Info

Publication number
IL267047B2
IL267047B2 IL267047A IL26704719A IL267047B2 IL 267047 B2 IL267047 B2 IL 267047B2 IL 267047 A IL267047 A IL 267047A IL 26704719 A IL26704719 A IL 26704719A IL 267047 B2 IL267047 B2 IL 267047B2
Authority
IL
Israel
Prior art keywords
tissue
electrode
ablation
fibrillation
circuit
Prior art date
Application number
IL267047A
Other languages
English (en)
Hebrew (he)
Other versions
IL267047B (en
IL267047A (en
Original Assignee
Univ Vermont
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
Priority claimed from US15/369,483 external-priority patent/US10912476B2/en
Application filed by Univ Vermont filed Critical Univ Vermont
Publication of IL267047A publication Critical patent/IL267047A/en
Publication of IL267047B publication Critical patent/IL267047B/en
Publication of IL267047B2 publication Critical patent/IL267047B2/en

Links

Classifications

    • 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
    • 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
    • A61B5/24Detecting, 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
    • 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)
IL267047A 2016-12-05 2019-06-03 Catheters, systems and related methods for mapping, minimizing and treating cardiac fibrillation IL267047B2 (en)

Applications Claiming Priority (2)

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
PCT/US2017/063747 WO2018106496A1 (en) 2016-12-05 2017-11-29 Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Publications (3)

Publication Number Publication Date
IL267047A IL267047A (en) 2019-08-29
IL267047B IL267047B (en) 2022-10-01
IL267047B2 true IL267047B2 (en) 2023-02-01

Family

ID=62491310

Family Applications (1)

Application Number Title Priority Date Filing Date
IL267047A IL267047B2 (en) 2016-12-05 2019-06-03 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 (1)

* 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

Family Cites Families (4)

* 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
US10912476B2 (en) * 2013-01-16 2021-02-09 University Of Vermont Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation

Patent Citations (1)

* 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

Also Published As

Publication number Publication date
EP3547910A4 (de) 2020-07-15
CA3045988A1 (en) 2018-06-14
WO2018106496A1 (en) 2018-06-14
AU2017370535B2 (en) 2023-06-29
AU2017370535A1 (en) 2019-07-04
IL267047B (en) 2022-10-01
IL267047A (en) 2019-08-29
EP3547910A1 (de) 2019-10-09

Similar Documents

Publication Publication Date Title
US20220015678A1 (en) Catheters, systems, and related methods for mapping, minimizing, and treating cardiac fibrillation
AU2019204963B2 (en) Systems, catheters, and related methods for mapping, minimizing, and treating cardiac fibrillation
US20230329620A1 (en) Methods and systems for wavelength mapping cardiac fibrillation and optimizing ablation lesion placement
Benharash et al. Quantitative analysis of localized sources identified by focal impulse and rotor modulation mapping in atrial fibrillation
Narayan et al. Treatment of atrial fibrillation by the ablation of localized sources: CONFIRM (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation) trial
De Bakker et al. The pathophysiologic basis of fractionated and complex electrograms and the impact of recording techniques on their detection and interpretation
Kalifa et al. Mechanisms of wave fractionation at boundaries of high-frequency excitation in the posterior left atrium of the isolated sheep heart during atrial fibrillation
Lin et al. Frequency analysis in different types of paroxysmal atrial fibrillation
EP3886694A1 (de) Verfahren und systeme zur wellenlängenkartierung von herzflimmern und zur optimierung der platzierung von ablationsläsionen
IL267047B2 (en) Catheters, systems and related methods for mapping, minimizing and treating cardiac fibrillation
Guillem et al. Noninvasive identification of atrial fibrillation drivers: Simulation and patient data evaluation
Vila Atrial Complex Networks in Endocavitary Recordings During Atrial Fibrillation