JP6531170B2 - 心不整脈に対する統合された基質マップを生成する方法及びシステム - Google Patents

心不整脈に対する統合された基質マップを生成する方法及びシステム Download PDF

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JP6531170B2
JP6531170B2 JP2017520533A JP2017520533A JP6531170B2 JP 6531170 B2 JP6531170 B2 JP 6531170B2 JP 2017520533 A JP2017520533 A JP 2017520533A JP 2017520533 A JP2017520533 A JP 2017520533A JP 6531170 B2 JP6531170 B2 JP 6531170B2
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electrophysiological
data points
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JP2017530830A5 (enExample
JP2017530830A (ja
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リー ウェンウェン
リー ウェンウェン
エルデミル エルハン
エルデミル エルハン
アフォンソ バルティノ
アフォンソ バルティノ
パッポーネ カルロ
パッポーネ カルロ
モーガン デニス
モーガン デニス
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セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0536Impedance imaging, e.g. by tomography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A61B5/053Measuring electrical impedance or conductance of a portion of the body
    • A61B5/0538Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
    • 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
    • A61B5/251Means for maintaining electrode contact with the body
    • A61B5/257Means for maintaining electrode contact with the body using adhesive means, e.g. adhesive pads or tapes
    • A61B5/259Means for maintaining electrode contact with the body using adhesive means, e.g. adhesive pads or tapes using conductive adhesive means, e.g. gels
    • 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
    • A61B5/287Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7225Details of analogue processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/7475User input or interface means, e.g. keyboard, pointing device, joystick
    • A61B5/748Selection of a region of interest, e.g. using a graphics tablet
    • A61B5/7485Automatic selection of region of interest
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/725Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/742Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Signal Processing (AREA)
  • Radiology & Medical Imaging (AREA)
  • Psychiatry (AREA)
  • Power Engineering (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Chemical & Material Sciences (AREA)
  • Dispersion Chemistry (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2017520533A 2014-10-15 2015-10-15 心不整脈に対する統合された基質マップを生成する方法及びシステム Active JP6531170B2 (ja)

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US201462063989P 2014-10-15 2014-10-15
US62/063,989 2014-10-15
PCT/US2015/055794 WO2016061387A1 (en) 2014-10-15 2015-10-15 Methods and systems for generating integrated substrate maps for cardiac arrhythmias

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JP2017530830A JP2017530830A (ja) 2017-10-19
JP2017530830A5 JP2017530830A5 (enExample) 2018-09-06
JP6531170B2 true JP6531170B2 (ja) 2019-06-12

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US (3) US9788751B2 (enExample)
EP (1) EP3166483B1 (enExample)
JP (1) JP6531170B2 (enExample)
CN (1) CN107072573B (enExample)
WO (1) WO2016061387A1 (enExample)

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107072573B (zh) 2014-10-15 2018-11-16 圣犹达医疗用品心脏病学部门有限公司 用于生成针对心律失常的集成的基质标测图的方法和系统
WO2017222634A2 (en) * 2016-06-22 2017-12-28 St. Jude Medical, Cardiology Division, Inc. System and method for electrophysiology procedures
US10258302B2 (en) 2017-04-13 2019-04-16 Apn Health, Llc Rapid 3D cardiac parameter mapping
US11646113B2 (en) * 2017-04-24 2023-05-09 Biosense Webster (Israel) Ltd. Systems and methods for determining magnetic location of wireless tools
US10561380B2 (en) 2017-05-02 2020-02-18 Apn Health, Llc Determining and displaying the 3D location and orientation of a cardiac-ablation balloon
JP6868712B2 (ja) 2017-05-10 2021-05-12 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. 心臓情報の表示を支援するためのシステム及び心臓情報を表す方法
JP6883117B2 (ja) * 2017-05-17 2021-06-09 セント・ジュード・メディカル,カーディオロジー・ディヴィジョン,インコーポレイテッド 局所活動時間(lat)をマッピングするためのシステム、及び、方法
US10856759B2 (en) * 2018-11-08 2020-12-08 Biosense Webster (Israel) Ltd. Iterative coherent mapping of cardiac electrophysiological (EP) activation including reentry effects
US10842400B2 (en) * 2018-11-08 2020-11-24 Biosense Webster (Israel) Ltd. Iterative coherent mapping of cardiac electrophysiological (EP) activation including scar effects
US11123004B2 (en) * 2018-12-20 2021-09-21 Biosense Webster (Israel) Ltd. Electrophysiological ripple mapping visualization method
WO2020142165A1 (en) * 2019-01-03 2020-07-09 St. Jude Medical, Cardiology Division, Inc. System and method for mapping cardiac activation wavefronts
US10905349B1 (en) * 2019-07-16 2021-02-02 Biosense Webster (Israel) Ltd. Mapping atrial fibrillation using fragmentation index
US11844616B2 (en) * 2019-08-13 2023-12-19 Biosense Webster (Israel) Ltd. Enhanced visualization of organ electrical activity
US11684302B2 (en) * 2019-12-13 2023-06-27 Biosense Webster (Israel) Ltd. Automated graphical presentation of electrophysiological parameters
WO2021216589A1 (en) * 2020-04-21 2021-10-28 St. Jude Medical, Cardiology Division, Inc. System and method for mapping cardiac activity
US20220047220A1 (en) * 2020-08-17 2022-02-17 Biosense Webster (Israel) Ltd. Real-time assessment of rejection filters during cardiac mapping
US12471828B2 (en) 2020-09-30 2025-11-18 Boston Scientific Scimed, Inc. Electrophysiology system and method for determining local cycle length and local duty cycle
WO2022072452A1 (en) 2020-09-30 2022-04-07 Boston Scientific Scimed Inc Interactive 2d scatter plot of egm characteristic metrics
US20250204831A1 (en) * 2023-12-21 2025-06-26 Biosense Webster (Israel) Ltd. Method and system for displaying information during a cardiac operation
US20250344983A1 (en) * 2024-05-10 2025-11-13 Biosense Webster (Israel) Ltd. Cardiac map advanced ripple mode with gui

Family Cites Families (42)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2447239C (en) 1992-09-23 2010-10-19 Endocardial Therapeutics, Inc. Endocardial mapping system
US5662108A (en) 1992-09-23 1997-09-02 Endocardial Solutions, Inc. Electrophysiology mapping system
US6939309B1 (en) 1993-09-23 2005-09-06 Endocardial Solutions, Inc. Electrophysiology mapping system
US5697377A (en) 1995-11-22 1997-12-16 Medtronic, Inc. Catheter mapping system and method
JP4208275B2 (ja) * 1997-10-30 2009-01-14 株式会社東芝 心臓内電気現象の診断装置およびその現象の表示方法
US7263397B2 (en) 1998-06-30 2007-08-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and apparatus for catheter navigation and location and mapping in the heart
US6301496B1 (en) 1998-07-24 2001-10-09 Biosense, Inc. Vector mapping of three-dimensionally reconstructed intrabody organs and method of display
US6368285B1 (en) 1999-09-21 2002-04-09 Biosense, Inc. Method and apparatus for mapping a chamber of a heart
US6690397B1 (en) 2000-06-05 2004-02-10 Advanced Neuromodulation Systems, Inc. System for regional data association and presentation and method for the same
US8611632B2 (en) * 2005-04-08 2013-12-17 361° Systems, Inc. Method of selecting and visualizing findings within medical images
US8657814B2 (en) 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
US7885707B2 (en) 2005-09-15 2011-02-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Method of scaling navigation signals to account for impedance drift in tissue
US9629567B2 (en) 2006-01-12 2017-04-25 Biosense Webster, Inc. Mapping of complex fractionated atrial electrogram
US7729752B2 (en) 2006-06-13 2010-06-01 Rhythmia Medical, Inc. Non-contact cardiac mapping, including resolution map
US7515954B2 (en) 2006-06-13 2009-04-07 Rhythmia Medical, Inc. Non-contact cardiac mapping, including moving catheter and multi-beat integration
US7996060B2 (en) 2006-10-09 2011-08-09 Biosense Webster, Inc. Apparatus, method, and computer software product for registration of images of an organ using anatomical features outside the organ
US10433929B2 (en) 2007-03-09 2019-10-08 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for local deformable registration of a catheter navigation system to image data or a model
US8224453B2 (en) 2007-03-15 2012-07-17 Advanced Neuromodulation Systems, Inc. Spinal cord stimulation to treat pain
ES2764964T3 (es) 2008-04-30 2020-06-05 Nanosys Inc Superficies resistentes al ensuciamiento para esferas reflectivas
US20090275828A1 (en) 2008-05-01 2009-11-05 Magnetecs, Inc. Method and apparatus for creating a high resolution map of the electrical and mechanical properties of the heart
WO2009139119A1 (ja) 2008-05-15 2009-11-19 パナソニック株式会社 脳波信号の識別方法を調整する装置、方法およびプログラム
WO2010054320A1 (en) 2008-11-07 2010-05-14 Cardioinsight Technologies, Inc. Visualization of physiological data for virtual electrodes
JP5347448B2 (ja) * 2008-11-20 2013-11-20 株式会社島津製作所 生体測定装置
US8103338B2 (en) 2009-05-08 2012-01-24 Rhythmia Medical, Inc. Impedance based anatomy generation
US20110118590A1 (en) 2009-11-18 2011-05-19 Siemens Medical Solutions Usa, Inc. System For Continuous Cardiac Imaging And Mapping
US20110144510A1 (en) 2009-12-16 2011-06-16 Pacesetter, Inc. Methods to identify damaged or scarred tissue based on position information and physiological information
US8340766B2 (en) * 2010-10-07 2012-12-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Method and system for identifying cardiac arrhythmia driver sites
US20120108992A1 (en) 2010-10-29 2012-05-03 Patel Amisha S Morphology change detection for cardiac signal analysis
US9186081B2 (en) * 2010-12-30 2015-11-17 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for diagnosing arrhythmias and directing catheter therapies
US9002442B2 (en) 2011-01-13 2015-04-07 Rhythmia Medical, Inc. Beat alignment and selection for cardiac mapping
US9277872B2 (en) 2011-01-13 2016-03-08 Rhythmia Medical, Inc. Electroanatomical mapping
US9901303B2 (en) 2011-04-14 2018-02-27 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for registration of multiple navigation systems to a common coordinate frame
US20130241929A1 (en) * 2012-03-13 2013-09-19 Fady Massarwa Selectably transparent electrophysiology map
JP6556624B2 (ja) * 2012-09-21 2019-08-07 カーディオインサイト テクノロジーズ インコーポレイテッド 不整脈用の生理学的マッピング
US9737267B2 (en) 2013-01-17 2017-08-22 Cardioinsight Technologies, Inc. Composite singularity mapping
US10482680B2 (en) 2013-01-17 2019-11-19 Cardioinsight Technologies, Inc. Ablation therapy control based on multi-parameter graphical maps
US9220435B2 (en) 2013-10-09 2015-12-29 St. Jude Medical, Cardiology Division, Inc. System and method for generating electrophysiology maps
US9572535B2 (en) 2013-12-05 2017-02-21 Biosense Webster (Israel) Ltd. Dynamic mapping point filtering using a pre-acquired image
US20150228254A1 (en) 2014-02-07 2015-08-13 St. Jude Medical, Cardiology Division, Inc. Systems and Methods for Generating, Storing, and Displaying Anatomical Maps
WO2016061384A1 (en) 2014-10-15 2016-04-21 St. Jude Medical, Cardiology Division, Inc. Methods and systems for mapping local conduction velocity
CN107072573B (zh) 2014-10-15 2018-11-16 圣犹达医疗用品心脏病学部门有限公司 用于生成针对心律失常的集成的基质标测图的方法和系统
CN107223034B (zh) 2015-02-20 2020-12-11 波士顿科学医学有限公司 使用医疗设备的组织接触感测

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US9788751B2 (en) 2017-10-17
EP3166483A1 (en) 2017-05-17
US10624557B2 (en) 2020-04-21
CN107072573B (zh) 2018-11-16
CN107072573A (zh) 2017-08-18
WO2016061387A1 (en) 2016-04-21
JP2017530830A (ja) 2017-10-19
US20200214588A1 (en) 2020-07-09
US20160106336A1 (en) 2016-04-21
US20180028093A1 (en) 2018-02-01
US11375916B2 (en) 2022-07-05
EP3166483B1 (en) 2018-08-01

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