JP6517277B2 - マッピング中の電極接触のリアルタイムフィードバック - Google Patents
マッピング中の電極接触のリアルタイムフィードバック Download PDFInfo
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- JP6517277B2 JP6517277B2 JP2017130259A JP2017130259A JP6517277B2 JP 6517277 B2 JP6517277 B2 JP 6517277B2 JP 2017130259 A JP2017130259 A JP 2017130259A JP 2017130259 A JP2017130259 A JP 2017130259A JP 6517277 B2 JP6517277 B2 JP 6517277B2
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- 210000001519 tissue Anatomy 0.000 description 12
- 230000000747 cardiac effect Effects 0.000 description 7
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- 238000007792 addition Methods 0.000 description 1
- 230000002763 arrhythmic effect Effects 0.000 description 1
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- 230000008859 change Effects 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 238000013480 data collection Methods 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
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- 230000000977 initiatory effect Effects 0.000 description 1
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- 238000012423 maintenance Methods 0.000 description 1
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- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
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- 229920002379 silicone rubber Polymers 0.000 description 1
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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]
- A61B5/339—Displays 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
- A61B5/05—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
- 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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/276—Protection against electrode failure
-
- 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
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—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
- A61B5/6847—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 mounted on an invasive device
- A61B5/6852—Catheters
- A61B5/6858—Catheters with a distal basket, e.g. expandable basket
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—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
- A61B5/6885—Monitoring or controlling sensor contact pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
- A61B2017/00044—Sensing electrocardiography, i.e. ECG
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
- A61B2017/00044—Sensing electrocardiography, i.e. ECG
- A61B2017/00048—Spectral analysis
- A61B2017/00053—Mapping
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- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
-
- 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
- A61B2018/00666—Sensing and controlling the application of energy using a threshold value
- A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
- A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- Public Health (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Physiology (AREA)
- Radiology & Medical Imaging (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Surgical Instruments (AREA)
- Electrotherapy Devices (AREA)
Description
実施例7において、実施例1〜6のいずれか1つに係るカテーテルシステムでは、前記プロセッサは、単極信号を検知及び特徴づけるように構成されている。
実施例12において、実施例10又は11に係る方法は、閾値振幅よりも大きい振幅を有する信号を検知した電極だけに基づいて前記解剖学的構造のマップを生成することを更に含む。
実施例18において、実施例16又は17に係る方法では、前記検知するステップは、前記複数のマッピング電極のそれぞれによって単極信号を検知することを含む。
Claims (9)
- 複数のマッピング電極を有するマッピングカテーテルであって、各マッピング電極は、解剖学的構造に関連する信号を検知するように構成されている、マッピングカテーテルと、
前記複数のマッピング電極に動作可能に結合されたプロセッサと
を備えたカテーテルシステムであって、前記プロセッサは、
前記複数のマッピング電極によって検知される前記信号を受信するように、かつ、
前記複数のマッピング電極の接触特性をその受信された信号の周波数分布に基づいて特定するように、かつ、
その特定された接触特性に基づいて前記解剖学的構造と前記複数のマッピング電極の接触特性についての出力を生成するように構成されている、カテーテルシステム。 - 前記複数のマッピング電極の前記接触特性を表すグラフ表示を提供するように構成されているディスプレイ装置を更に備える、請求項1に記載のカテーテルシステム。
- 前記ディスプレイ装置は、異なる接触特性を表す複数の色によって前記複数のマッピング電極の前記接触特性を表すように構成されている、請求項2に記載のカテーテルシステム。
- 前記プロセッサは、前記複数のマッピング電極の前記接触特性の出力をリアルタイムに更新するように構成されている、請求項1〜3のいずれか一項に記載のカテーテルシステム。
- 前記プロセッサは、閾値振幅よりも大きい振幅を有する信号を検知した電極に基づいて前記解剖学的構造のマップを生成するように更に構成されている、請求項1〜4のいずれか一項に記載のカテーテルシステム。
- 前記プロセッサは、双極信号を検知及び特徴づけるように構成されている、請求項1〜5のいずれか一項に記載のカテーテルシステム。
- 前記プロセッサは、単極信号を検知及び特徴づけるように構成されている、請求項1〜6のいずれか一項に記載のカテーテルシステム。
- 前記プロセッサは、前記複数のマッピング電極の前記接触特性に基づいて前記解剖学的構造の外形を特定するように更に構成されている、請求項1〜7のいずれか一項に記載のカテーテルシステム。
- 前記プロセッサは、前記複数のマッピング電極の前記接触特性に基づいて前記複数のマッピング電極の向きを特定するように更に構成されている、請求項1〜8のいずれか一項に記載のカテーテルシステム。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US201261739980P | 2012-12-20 | 2012-12-20 | |
US61/739,980 | 2012-12-20 |
Related Parent Applications (1)
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JP2015549789A Division JP2016502885A (ja) | 2012-12-20 | 2013-12-20 | マッピング中の電極接触のリアルタイムフィードバック |
Publications (2)
Publication Number | Publication Date |
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JP2017200598A JP2017200598A (ja) | 2017-11-09 |
JP6517277B2 true JP6517277B2 (ja) | 2019-05-22 |
Family
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2015549789A Pending JP2016502885A (ja) | 2012-12-20 | 2013-12-20 | マッピング中の電極接触のリアルタイムフィードバック |
JP2017130259A Active JP6517277B2 (ja) | 2012-12-20 | 2017-07-03 | マッピング中の電極接触のリアルタイムフィードバック |
Family Applications Before (1)
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JP2015549789A Pending JP2016502885A (ja) | 2012-12-20 | 2013-12-20 | マッピング中の電極接触のリアルタイムフィードバック |
Country Status (5)
Country | Link |
---|---|
US (2) | US9427167B2 (ja) |
EP (1) | EP2934288A1 (ja) |
JP (2) | JP2016502885A (ja) |
CN (1) | CN104869889B (ja) |
WO (1) | WO2014100631A1 (ja) |
Families Citing this family (40)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104869889B (zh) | 2012-12-20 | 2017-10-10 | 波士顿科学医学有限公司 | 用于映射期间的电极接触的实时反馈 |
CN105960201B (zh) * | 2014-02-25 | 2020-03-17 | 圣犹达医疗用品心脏病学部门有限公司 | 用于使用多电极导管的心脏基底的局部电生理表征的系统和方法 |
AU2015349961A1 (en) | 2014-11-19 | 2017-06-29 | Epix Therapeutics, Inc. | Ablation devices, systems and methods of using a high-resolution electrode assembly |
JP6673598B2 (ja) | 2014-11-19 | 2020-03-25 | エピックス セラピューティクス,インコーポレイテッド | ペーシングを伴う組織の高分解能マッピング |
US20160242667A1 (en) * | 2015-02-20 | 2016-08-25 | Boston Scientific Scimed Inc. | Tissue contact sensing using a medical device |
US10507056B2 (en) * | 2015-10-01 | 2019-12-17 | General Electric Company | System and method for representation and visualization of catheter applied force and power |
SG11201807618QA (en) | 2016-03-15 | 2018-10-30 | Epix Therapeutics Inc | Improved devices, systems and methods for irrigated ablation |
US20170312008A1 (en) * | 2016-05-02 | 2017-11-02 | Affera, Inc. | Pulsed radiofrequency ablation |
US10905329B2 (en) | 2016-06-09 | 2021-02-02 | Biosense Webster (Israel) Ltd. | Multi-function conducting elements for a catheter |
US10420612B2 (en) * | 2016-12-22 | 2019-09-24 | Biosense Webster (Isreal) Ltd. | Interactive anatomical mapping and estimation of anatomical mapping quality |
US11000193B2 (en) | 2017-01-04 | 2021-05-11 | Livemetric (Medical) S.A. | Blood pressure measurement system using force resistive sensor array |
US20180184920A1 (en) * | 2017-01-05 | 2018-07-05 | Livemetric (Medical) S.A. | System and method for providing user feeedback of blood pressure sensor placement and contact quality |
EP3614946B1 (en) * | 2017-04-27 | 2024-03-20 | EPiX Therapeutics, Inc. | Determining nature of contact between catheter tip and tissue |
US12029545B2 (en) | 2017-05-30 | 2024-07-09 | Biosense Webster (Israel) Ltd. | Catheter splines as location sensors |
WO2019018182A1 (en) * | 2017-07-19 | 2019-01-24 | St. Jude Medical, Cardiology Division, Inc. | SYSTEM AND METHOD FOR ELECTROPHYSIOLOGICAL CARTOGRAPHY |
US10959635B2 (en) * | 2017-10-02 | 2021-03-30 | Biosense Webster (Israel) Ltd. | Random pinout catheter |
WO2019126260A1 (en) * | 2017-12-19 | 2019-06-27 | St. Jude Medical, Cardiology Division, Inc. | Methods of assessing contact between an electrode and tissue using complex impedance measurements |
US10856768B2 (en) * | 2018-01-25 | 2020-12-08 | Biosense Webster (Israel) Ltd. | Intra-cardiac scar tissue identification using impedance sensing and contact measurement |
US20190314083A1 (en) | 2018-04-11 | 2019-10-17 | Biosense Webster (Israel) Ltd. | Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes |
US11045628B2 (en) | 2018-12-11 | 2021-06-29 | Biosense Webster (Israel) Ltd. | Balloon catheter with high articulation |
US11850051B2 (en) | 2019-04-30 | 2023-12-26 | Biosense Webster (Israel) Ltd. | Mapping grid with high density electrode array |
US11426126B2 (en) * | 2019-05-23 | 2022-08-30 | Biosense Webster (Israel) Ltd. | Indicating electrode contact |
US11950930B2 (en) | 2019-12-12 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Multi-dimensional acquisition of bipolar signals from a catheter |
US11517218B2 (en) | 2019-12-20 | 2022-12-06 | Biosense Webster (Israel) Ltd. | Selective graphical presentation of electrophysiological parameters |
US11987017B2 (en) | 2020-06-08 | 2024-05-21 | Biosense Webster (Israel) Ltd. | Features to assist in assembly and testing of devices |
US12048479B2 (en) | 2020-09-10 | 2024-07-30 | Biosense Webster (Israel) Ltd. | Surface mounted electrode catheter |
US11950840B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes |
US11950841B2 (en) | 2020-09-22 | 2024-04-09 | Biosense Webster (Israel) Ltd. | Basket catheter having insulated ablation electrodes and diagnostic electrodes |
US12082875B2 (en) | 2020-09-24 | 2024-09-10 | Biosense Webster (Israel) Ltd | Balloon catheter having a coil for sensing tissue temperature and position of the balloon |
US11974803B2 (en) | 2020-10-12 | 2024-05-07 | Biosense Webster (Israel) Ltd. | Basket catheter with balloon |
US11918383B2 (en) | 2020-12-21 | 2024-03-05 | Biosense Webster (Israel) Ltd. | Visualizing performance of catheter electrodes |
EP4319673A1 (en) | 2021-04-07 | 2024-02-14 | BTL Medical Development A.S. | Pulsed field ablation device and method |
US12064170B2 (en) | 2021-05-13 | 2024-08-20 | Biosense Webster (Israel) Ltd. | Distal assembly for catheter with lumens running along spines |
IL309432A (en) | 2021-07-06 | 2024-02-01 | Btl Medical Dev A S | Apparatus and method for ablation (burning) by electric pulse field |
US12004804B2 (en) | 2021-09-09 | 2024-06-11 | Biosense Webster (Israel) Ltd. | Basket catheter with mushroom shape distal tip |
US12011280B2 (en) | 2021-10-04 | 2024-06-18 | Biosense Webster (Israel) Ltd. | Electrophysiological mapping in the presence of injury current |
US20230157616A1 (en) * | 2021-11-22 | 2023-05-25 | Biosense Webster (Israel) Ltd. | Transient Event Identification |
US20230210437A1 (en) * | 2021-12-30 | 2023-07-06 | Biosense Webster (Israel) Ltd. | Intuitive Mapping System |
WO2024075034A1 (en) | 2022-10-05 | 2024-04-11 | Btl Medical Technologies S.R.O. | Pulsed field ablation device and method |
US20240215897A1 (en) * | 2022-12-28 | 2024-07-04 | Biosense Webster (Israel) Ltd. | Method and system for displaying ecg signals from multiple channels |
Family Cites Families (105)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2109793A1 (en) | 1991-05-24 | 1992-12-10 | Stuart D. Edwards | Combination monophasic action potential/ablation catheter and high-performance filter system |
US5383874A (en) | 1991-11-08 | 1995-01-24 | Ep Technologies, Inc. | Systems for identifying catheters and monitoring their use |
US6233491B1 (en) | 1993-03-16 | 2001-05-15 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
CA2158453C (en) | 1993-03-16 | 1999-11-16 | Thomas F. Kordis | Multiple electrode support structures |
US5840031A (en) | 1993-07-01 | 1998-11-24 | Boston Scientific Corporation | Catheters for imaging, sensing electrical potentials and ablating tissue |
US5437664A (en) | 1994-01-18 | 1995-08-01 | Endovascular, Inc. | Apparatus and method for venous ligation |
US5447529A (en) | 1994-01-28 | 1995-09-05 | Philadelphia Heart Institute | Method of using endocardial impedance for determining electrode-tissue contact, appropriate sites for arrhythmia ablation and tissue heating during ablation |
US5598848A (en) * | 1994-03-31 | 1997-02-04 | Ep Technologies, Inc. | Systems and methods for positioning multiple electrode structures in electrical contact with the myocardium |
US5876336A (en) | 1994-10-11 | 1999-03-02 | Ep Technologies, Inc. | Systems and methods for guiding movable electrode elements within multiple-electrode structure |
US5722401A (en) * | 1994-10-19 | 1998-03-03 | Cardiac Pathways Corporation | Endocardial mapping and/or ablation catheter probe |
US6690963B2 (en) | 1995-01-24 | 2004-02-10 | Biosense, Inc. | System for determining the location and orientation of an invasive medical instrument |
WO1996034570A1 (en) | 1995-05-01 | 1996-11-07 | Ep Technologies, Inc. | Systems and methods for obtaining desired lesion characteristics while ablating body tissue |
US5820568A (en) * | 1996-10-15 | 1998-10-13 | Cardiac Pathways Corporation | Apparatus and method for aiding in the positioning of a catheter |
US6063078A (en) | 1997-03-12 | 2000-05-16 | Medtronic, Inc. | Method and apparatus for tissue ablation |
US6050267A (en) | 1997-04-28 | 2000-04-18 | American Cardiac Ablation Co. Inc. | Catheter positioning system |
US5836990A (en) | 1997-09-19 | 1998-11-17 | Medtronic, Inc. | Method and apparatus for determining electrode/tissue contact |
US6950689B1 (en) | 1998-08-03 | 2005-09-27 | Boston Scientific Scimed, Inc. | Dynamically alterable three-dimensional graphical model of a body region |
US6183468B1 (en) | 1998-09-10 | 2001-02-06 | Scimed Life Systems, Inc. | Systems and methods for controlling power in an electrosurgical probe |
US6391024B1 (en) | 1999-06-17 | 2002-05-21 | Cardiac Pacemakers, Inc. | RF ablation apparatus and method having electrode/tissue contact assessment scheme and electrocardiogram filtering |
US20020068934A1 (en) | 1999-06-23 | 2002-06-06 | Edwards Stuart D. | Thin layer ablation apparatus |
US6711428B2 (en) | 2000-01-27 | 2004-03-23 | Biosense Webster, Inc. | Catheter having mapping assembly |
US6628976B1 (en) | 2000-01-27 | 2003-09-30 | Biosense Webster, Inc. | Catheter having mapping assembly |
US6569160B1 (en) | 2000-07-07 | 2003-05-27 | Biosense, Inc. | System and method for detecting electrode-tissue contact |
US6408199B1 (en) | 2000-07-07 | 2002-06-18 | Biosense, Inc. | Bipolar mapping of intracardiac potentials with electrode having blood permeable covering |
US6546270B1 (en) | 2000-07-07 | 2003-04-08 | Biosense, Inc. | Multi-electrode catheter, system and method |
US6752804B2 (en) | 2000-12-28 | 2004-06-22 | Cardiac Pacemakers, Inc. | Ablation system and method having multiple-sensor electrodes to assist in assessment of electrode and sensor position and adjustment of energy levels |
US6584345B2 (en) | 2001-03-13 | 2003-06-24 | Biosense, Inc. | Apparatus and method for measuring a plurality of electrical signals from the body of a patient |
US6735465B2 (en) | 2001-10-24 | 2004-05-11 | Scimed Life Systems, Inc. | Systems and processes for refining a registered map of a body cavity |
US20090281541A1 (en) | 2008-05-09 | 2009-11-12 | Estech, Inc. | Conduction block systems and methods |
US6780182B2 (en) | 2002-05-23 | 2004-08-24 | Adiana, Inc. | Catheter placement detection system and operator interface |
US7938828B2 (en) | 2003-03-28 | 2011-05-10 | Boston Scientific Scimed, Inc. | Cooled ablation catheter |
US10863945B2 (en) | 2004-05-28 | 2020-12-15 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Robotic surgical system with contact sensing feature |
WO2007005976A1 (en) * | 2005-07-01 | 2007-01-11 | Hansen Medical, Inc. | Robotic catheter system |
EP1922005B1 (en) | 2005-08-25 | 2011-12-21 | Koninklijke Philips Electronics N.V. | System for electrophysiology regaining support to continue line and ring ablations |
US8679109B2 (en) | 2005-10-13 | 2014-03-25 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Dynamic contact assessment for electrode catheters |
US8672936B2 (en) | 2005-10-13 | 2014-03-18 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Systems and methods for assessing tissue contact |
JP4926183B2 (ja) | 2005-10-27 | 2012-05-09 | セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド | 組織接触検知システム |
US8403925B2 (en) | 2006-12-06 | 2013-03-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for assessing lesions in tissue |
US10362959B2 (en) | 2005-12-06 | 2019-07-30 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for assessing the proximity of an electrode to tissue in a body |
US8406866B2 (en) | 2005-12-06 | 2013-03-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for assessing coupling between an electrode and 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 |
US8998890B2 (en) | 2005-12-06 | 2015-04-07 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Assessment of electrode coupling for tissue ablation |
US8317783B2 (en) | 2005-12-06 | 2012-11-27 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Assessment of electrode coupling for tissue ablation |
EP1962945B1 (en) | 2005-12-06 | 2016-04-20 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Assessment of electrode coupling for tissue ablation |
US9254163B2 (en) | 2005-12-06 | 2016-02-09 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Assessment of electrode coupling for tissue ablation |
US20090177111A1 (en) | 2006-12-06 | 2009-07-09 | Miller Stephan P | System and method for displaying contact between a catheter and 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 |
US7879029B2 (en) | 2005-12-30 | 2011-02-01 | Biosense Webster, Inc. | System and method for selectively energizing catheter electrodes |
US9629567B2 (en) | 2006-01-12 | 2017-04-25 | Biosense Webster, Inc. | Mapping of complex fractionated atrial electrogram |
US7976541B2 (en) | 2006-02-15 | 2011-07-12 | Boston Scientific Scimed, Inc. | Contact sensitive probes with indicators |
US7662151B2 (en) | 2006-02-15 | 2010-02-16 | Boston Scientific Scimed, Inc. | Contact sensitive probes |
CA2905086C (en) | 2006-05-12 | 2021-03-30 | Hira V. Thapliyal | Device for ablating body tissue |
US8048063B2 (en) * | 2006-06-09 | 2011-11-01 | Endosense Sa | Catheter having tri-axial force sensor |
JP2008052181A (ja) | 2006-08-28 | 2008-03-06 | Brother Ind Ltd | 定着装置および画像形成装置 |
US10085798B2 (en) | 2006-12-29 | 2018-10-02 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Ablation electrode with tactile sensor |
US7894871B2 (en) | 2006-12-29 | 2011-02-22 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Filtering method for surface modeling |
US8265745B2 (en) | 2006-12-29 | 2012-09-11 | St. Jude Medical, Atrial Fibillation Division, Inc. | Contact sensor and sheath exit sensor |
KR101490374B1 (ko) | 2007-03-26 | 2015-02-05 | 보스톤 싸이엔티픽 리미티드 | 고해상도 전기 생리학 카테터 |
US8622935B1 (en) * | 2007-05-25 | 2014-01-07 | Endosense Sa | Elongated surgical manipulator with body position and distal force sensing |
US20080312521A1 (en) | 2007-06-14 | 2008-12-18 | Solomon Edward G | System and method for determining electrode-tissue contact using phase difference |
US8160690B2 (en) | 2007-06-14 | 2012-04-17 | Hansen Medical, Inc. | System and method for determining electrode-tissue contact based on amplitude modulation of sensed signal |
US8131379B2 (en) | 2007-08-27 | 2012-03-06 | St. Jude Medical Atrial Fibrillation Division, Inc. | Cardiac tissue elasticity sensing |
JP5400784B2 (ja) | 2007-10-09 | 2014-01-29 | ボストン サイエンティフィック リミテッド | 電気生理学電極および電気生理学電極を含む装置 |
US8906011B2 (en) | 2007-11-16 | 2014-12-09 | Kardium Inc. | Medical device for use in bodily lumens, for example an atrium |
US10660690B2 (en) | 2007-12-28 | 2020-05-26 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for measurement of an impedance using a catheter such as an ablation catheter |
US8290578B2 (en) | 2007-12-28 | 2012-10-16 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Method and apparatus for complex impedance compensation |
US8103327B2 (en) | 2007-12-28 | 2012-01-24 | Rhythmia Medical, Inc. | Cardiac mapping catheter |
US8961417B2 (en) | 2008-01-04 | 2015-02-24 | Texas Heart Institute | Catheter with electrodes for impedance and/or conduction velocity measurement |
WO2009105720A2 (en) | 2008-02-20 | 2009-08-27 | Guided Delivery Systems, Inc. | Electrophysiology catheter system |
US20090306643A1 (en) | 2008-02-25 | 2009-12-10 | Carlo Pappone | Method and apparatus for delivery and detection of transmural cardiac ablation lesions |
US8494608B2 (en) * | 2008-04-18 | 2013-07-23 | Medtronic, Inc. | Method and apparatus for mapping a structure |
US8340751B2 (en) * | 2008-04-18 | 2012-12-25 | Medtronic, Inc. | Method and apparatus for determining tracking a virtual point defined relative to a tracked member |
WO2010020958A1 (en) | 2008-08-22 | 2010-02-25 | Koninklijke Philips Electronics N.V. | Sensing apparatus for sensing an object |
US8400164B2 (en) | 2008-11-12 | 2013-03-19 | Biosense Webster, Inc. | Calibration and compensation for errors in position measurement |
US7996085B2 (en) | 2008-11-12 | 2011-08-09 | Biosense Webster, Inc. | Isolation of sensing circuit from pace generator |
US20100168557A1 (en) | 2008-12-30 | 2010-07-01 | Deno D Curtis | Multi-electrode ablation sensing catheter and system |
US8326419B2 (en) | 2009-04-07 | 2012-12-04 | Pacesetter, Inc. | Therapy optimization via multi-dimensional mapping |
US8571647B2 (en) * | 2009-05-08 | 2013-10-29 | Rhythmia Medical, Inc. | Impedance based anatomy generation |
US8103338B2 (en) * | 2009-05-08 | 2012-01-24 | Rhythmia Medical, Inc. | Impedance based anatomy generation |
US9572624B2 (en) | 2009-08-05 | 2017-02-21 | Atricure, Inc. | Bipolar belt systems and methods |
RU2556975C2 (ru) * | 2009-09-15 | 2015-07-20 | Конинклейке Филипс Электроникс Н.В. | Медицинское ультразвуковое устройство с определением усилия |
US8583215B2 (en) | 2009-11-05 | 2013-11-12 | Biosense Webster (Israel) Ltd. | Reduction of catheter electrode loading |
US8454589B2 (en) | 2009-11-20 | 2013-06-04 | St. Jude Medical, Atrial Fibrillation Division, Inc. | System and method for assessing effective delivery of ablation therapy |
US10624553B2 (en) | 2009-12-08 | 2020-04-21 | Biosense Webster (Israel), Ltd. | Probe data mapping using contact information |
US9820695B2 (en) | 2010-03-29 | 2017-11-21 | St. Jude Medical International Holding S.àr.l. | Method for detecting contact with the wall of a region of interest |
US8380276B2 (en) * | 2010-08-16 | 2013-02-19 | Biosense Webster, Inc. | Catheter with thin film pressure sensing distal tip |
WO2012047563A1 (en) | 2010-09-27 | 2012-04-12 | Bailin Steven J | Method for determining the location of regions in tissue relevant to electrical propagation |
US9504518B2 (en) | 2010-11-29 | 2016-11-29 | Medtronic Ablation Frontiers Llc | System and method for adaptive RF ablation |
US8315696B2 (en) | 2010-12-09 | 2012-11-20 | Biosense Webster (Israel), Ltd. | Identifying critical CFAE sites using contact measurement |
US9149327B2 (en) * | 2010-12-27 | 2015-10-06 | St. Jude Medical Luxembourg Holding S.À.R.L. | Prediction of atrial wall electrical reconnection based on contact force measured during RF ablation |
US8948837B2 (en) | 2011-01-13 | 2015-02-03 | Rhythmia Medical, Inc. | Electroanatomical mapping |
US9265557B2 (en) | 2011-01-31 | 2016-02-23 | Medtronic Ablation Frontiers Llc | Multi frequency and multi polarity complex impedance measurements to assess ablation lesions |
US9510786B2 (en) * | 2011-06-22 | 2016-12-06 | Biosense Webster (Israel) Ltd. | Optical pressure measurement |
US10201385B2 (en) | 2011-09-01 | 2019-02-12 | Biosense Webster (Israel) Ltd. | Catheter adapted for direct tissue contact |
CA2848513C (en) | 2011-09-13 | 2020-07-21 | Quest Medical, Inc. | Cardioplegia apparatus and method |
CN104023663B (zh) | 2011-12-29 | 2018-12-21 | 圣犹达医疗用品电生理部门有限公司 | 用于最优化耦合消融导管至身体组织以及评估由导管形成的损伤的系统 |
US9687289B2 (en) | 2012-01-04 | 2017-06-27 | Biosense Webster (Israel) Ltd. | Contact assessment based on phase measurement |
JP2015506234A (ja) | 2012-01-10 | 2015-03-02 | 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. | 電気生理学システム |
US9168004B2 (en) | 2012-08-20 | 2015-10-27 | Biosense Webster (Israel) Ltd. | Machine learning in determining catheter electrode contact |
WO2014031865A1 (en) | 2012-08-22 | 2014-02-27 | Boston Scientific Scimed, Inc | High resolution map and ablate catheter |
US10004459B2 (en) | 2012-08-31 | 2018-06-26 | Acutus Medical, Inc. | Catheter system and methods of medical uses of same, including diagnostic and treatment uses for the heart |
US11096741B2 (en) | 2012-10-10 | 2021-08-24 | Biosense Webster (Israel) Ltd. | Ablation power control based on contact force |
US8849393B2 (en) | 2012-11-30 | 2014-09-30 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Correction of shift and drift in impedance-based medical device navigation using measured impedances at external patch electrodes |
CN104869889B (zh) | 2012-12-20 | 2017-10-10 | 波士顿科学医学有限公司 | 用于映射期间的电极接触的实时反馈 |
US20160242667A1 (en) | 2015-02-20 | 2016-08-25 | Boston Scientific Scimed Inc. | Tissue contact sensing using a medical device |
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WO2014100631A1 (en) | 2014-06-26 |
CN104869889A (zh) | 2015-08-26 |
US10172536B2 (en) | 2019-01-08 |
JP2016502885A (ja) | 2016-02-01 |
US20160331267A1 (en) | 2016-11-17 |
US20140180152A1 (en) | 2014-06-26 |
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