JP7421495B2 - 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 - Google Patents

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 Download PDF

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JP7421495B2
JP7421495B2 JP2020560270A JP2020560270A JP7421495B2 JP 7421495 B2 JP7421495 B2 JP 7421495B2 JP 2020560270 A JP2020560270 A JP 2020560270A JP 2020560270 A JP2020560270 A JP 2020560270A JP 7421495 B2 JP7421495 B2 JP 7421495B2
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マルコム フィンレイ，
ショレイ ホーナーバクシュ，
リチャード シリング，
ロス ハンター，
ワクアス アラー，
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Barts and London NHS Trust
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    • 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
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    • 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
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    • 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
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    • 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
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    • 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
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • 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
    • 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
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    • 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
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    • 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
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    • 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
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    • 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

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  • 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)
JP2020560270A 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 Active JP7421495B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB1806580.5 2018-04-23
GB1806580.5A GB2573109B (en) 2018-04-23 2018-04-23 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

Publications (4)

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JP2021521995A JP2021521995A (ja) 2021-08-30
JP2021521995A5 JP2021521995A5 (https=) 2022-05-09
JPWO2019206908A5 JPWO2019206908A5 (https=) 2022-05-09
JP7421495B2 true JP7421495B2 (ja) 2024-01-24

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US (1) US10912472B2 (https=)
EP (1) EP3784126B1 (https=)
JP (1) JP7421495B2 (https=)
CN (1) CN112566552B (https=)
GB (1) GB2573109B (https=)
WO (1) WO2019206908A1 (https=)

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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
CN115334989A (zh) * 2020-01-24 2022-11-11 阿弗拉公司 用于心脏消融的系统和相关方法
US20220175302A1 (en) * 2020-12-04 2022-06-09 Biosense Webster (Israel) Ltd. Generating electrocardiograms from multiple references
CA3211922A1 (en) 2021-04-16 2022-10-20 Miguel Rodrigo Bort Personalized heart rhythm therapy
CA3228337A1 (en) * 2021-08-09 2023-02-16 Vektor Medical, Inc. Tissue state graphic display system
TW202320716A (zh) 2021-08-10 2023-06-01 美商菲斯凱德股份有限公司 用於治療心律不整之具有感測及燒灼導管之治療系統
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

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JP2016518166A (ja) 2013-03-15 2016-06-23 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 心臓活性化情報を再構築するシステム及び方法
JP2017124176A (ja) 2016-01-14 2017-07-20 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 関心領域の回転性活動パターンの検出
JP2017140381A (ja) 2016-01-14 2017-08-17 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 関心領域の局所性発生源の検出
JP2018023788A (ja) 2016-08-11 2018-02-15 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． Ｅｃｇ信号の分類化

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JP2015516824A (ja) 2012-03-02 2015-06-18 コーニンクレッカ フィリップス エヌ ヴェ 心臓の伝導路を可視化するための装置および方法
JP2016518166A (ja) 2013-03-15 2016-06-23 ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア 心臓活性化情報を再構築するシステム及び方法
JP2017124176A (ja) 2016-01-14 2017-07-20 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 関心領域の回転性活動パターンの検出
JP2017140381A (ja) 2016-01-14 2017-08-17 バイオセンス・ウエブスター・(イスラエル)・リミテッドBiosense Webster (Israel), Ltd. 関心領域の局所性発生源の検出
JP2018023788A (ja) 2016-08-11 2018-02-15 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． Ｅｃｇ信号の分類化

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GB201806580D0 (en) 2018-06-06
GB2573109A (en) 2019-10-30
EP3784126A1 (en) 2021-03-03
JP2021521995A (ja) 2021-08-30
GB2573109B (en) 2022-09-14
WO2019206908A1 (en) 2019-10-31
CN112566552B (zh) 2024-03-08
US10912472B2 (en) 2021-02-09
EP3784126B1 (en) 2023-08-09
CN112566552A (zh) 2021-03-26
US20200359924A1 (en) 2020-11-19

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