JPWO2019152986A5 - - Google Patents
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- JPWO2019152986A5 JPWO2019152986A5 JP2020539714A JP2020539714A JPWO2019152986A5 JP WO2019152986 A5 JPWO2019152986 A5 JP WO2019152986A5 JP 2020539714 A JP2020539714 A JP 2020539714A JP 2020539714 A JP2020539714 A JP 2020539714A JP WO2019152986 A5 JPWO2019152986 A5 JP WO2019152986A5
- Authority
- JP
- Japan
- Prior art keywords
- repolarization
- signal
- map
- electrode
- 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.)
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- 230000002336 repolarization Effects 0.000 claims 25
- 238000000034 method Methods 0.000 claims 12
- 238000004520 electroporation Methods 0.000 claims 6
- 238000001914 filtration Methods 0.000 claims 3
- 238000013507 mapping Methods 0.000 claims 2
- 206010003119 arrhythmia Diseases 0.000 claims 1
- 230000000694 effects Effects 0.000 claims 1
- 230000002427 irreversible effect Effects 0.000 claims 1
- 230000035772 mutation Effects 0.000 claims 1
- 230000010287 polarization Effects 0.000 claims 1
- 230000002441 reversible effect Effects 0.000 claims 1
- 230000004936 stimulating effect Effects 0.000 claims 1
Claims (13)
マッピングカテーテルの遠位部分が患者の心臓に挿入されて、第１の電極が第１の位置に置かれている間に、前記マッピングカテーテルの前記遠位部分上の前記第１の電極から再分極信号を受信することと、
前記第１の電極から受信した前記再分極信号をフィルタリングすることと、
前記第１の電極を介して前記心臓に刺激を与えることと、
前記心臓の再分極マップを作成することと、
前記第１の電極を介して心臓に電気穿孔を与えることであって、前記電気穿孔を与えることは、不可逆的な電気穿孔、又は、可逆的な電気穿孔を与えることを含む、前記電気穿孔を与えることと、
前記心臓に対して外部にある、第２の位置の第２の電極から外部信号を受信することと、
前記第１の電極からの前記再分極信号によって前記外部信号を較正することであって、前記外部信号を較正することは、基線と交差するＴ波の下に向かう傾斜を測定することを含む、前記外部信号を較正することと、
を含む方法。 A way to treat cardiac arrhythmias
Repolarization from the first electrode on the distal portion of the mapping catheter while the distal portion of the mapping catheter is inserted into the patient's heart and the first electrode is placed in the first position. Receiving a signal and
Filtering the repolarization signal received from the first electrode and
Stimulating the heart through the first electrode and
Creating the repolarization map of the heart and
To provide an electroporation to the heart via the first electrode, wherein providing the electroporation comprises providing an irreversible or reversible electroporation. Giving and
Receiving an external signal from the second electrode at the second position, which is external to the heart.
To calibrate the external signal with the repolarization signal from the first electrode, calibrating the external signal comprises measuring the downward slope of the T wave intersecting the baseline. Calibrating the external signal and
How to include.
前記再分極信号の微分を計算することと、
前記再分極信号から派生信号を除去することと、
を含む、請求項１に記載の方法。 Filtering the repolarization signal
Computing the derivative of the repolarization signal and
Removing the derivative signal from the repolarization signal and
The method according to claim 1 .
Determining the variation of the repolarization map is to compare the repolarization map with the normal repolarization map and to detect the difference between the repolarization map and the normal repolarization map. , The method of claim 12 .
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201862626448P | 2018-02-05 | 2018-02-05 | |
| US62/626,448 | 2018-02-05 | ||
| PCT/US2019/016644 WO2019152986A1 (en) | 2018-02-05 | 2019-02-05 | Systems and methods for mapping and modulating repolarization |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2021512663A JP2021512663A (en) | 2021-05-20 |
| JPWO2019152986A5 true JPWO2019152986A5 (en) | 2022-02-08 |
| JP7396988B2 JP7396988B2 (en) | 2023-12-12 |
Family
ID=67478538
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2020539714A Active JP7396988B2 (en) | 2018-02-05 | 2019-02-05 | Systems and methods for mapping and adjusting repolarization |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US11000202B2 (en) |
| EP (1) | EP3723649A4 (en) |
| JP (1) | JP7396988B2 (en) |
| KR (1) | KR20200118472A (en) |
| CN (1) | CN111867506A (en) |
| WO (1) | WO2019152986A1 (en) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20170189097A1 (en) | 2016-01-05 | 2017-07-06 | Iowa Approach Inc. | Systems, apparatuses and methods for delivery of ablative energy to tissue |
| US9987081B1 (en) | 2017-04-27 | 2018-06-05 | Iowa Approach, Inc. | Systems, devices, and methods for signal generation |
| JP7396988B2 (en) | 2018-02-05 | 2023-12-12 | マヨ ファウンデーション フォー メディカル エデュケーション アンド リサーチ | Systems and methods for mapping and adjusting repolarization |
| CN115836908A (en) | 2018-05-07 | 2023-03-24 | 波士顿科学医学有限公司 | Systems, devices, and methods for delivering ablation energy to tissue |
| CN112118798A (en) | 2018-05-07 | 2020-12-22 | 法拉普尔赛股份有限公司 | Systems, devices, and methods for filtering high voltage noise induced by pulsed electric field ablation |
| US10625080B1 (en) | 2019-09-17 | 2020-04-21 | Farapulse, Inc. | Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation |
| US11497541B2 (en) | 2019-11-20 | 2022-11-15 | Boston Scientific Scimed, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
| US11065047B2 (en) | 2019-11-20 | 2021-07-20 | Farapulse, Inc. | Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses |
| US20220401146A1 (en) * | 2019-11-22 | 2022-12-22 | Acutus Medical, Inc. | Tissue treatment systems, devices, and methods |
| US10842572B1 (en) | 2019-11-25 | 2020-11-24 | Farapulse, Inc. | Methods, systems, and apparatuses for tracking ablation devices and generating lesion lines |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US5813991A (en) * | 1997-04-25 | 1998-09-29 | Cardiac Pathways Corporation | Endocardial mapping system and method |
| US7215993B2 (en) * | 2002-08-06 | 2007-05-08 | Cardiac Pacemakers, Inc. | Cardiac rhythm management systems and methods for detecting or validating cardiac beats in the presence of noise |
| US6970743B2 (en) * | 2002-08-30 | 2005-11-29 | Pacesetter, Inc. | System and method for treating abnormal ventricular activation-recovery time |
| US7813792B2 (en) * | 2006-04-17 | 2010-10-12 | General Electric Company | Method and apparatus for analyzing and editing ECG morphology and time series |
| US10018613B2 (en) | 2006-11-16 | 2018-07-10 | General Electric Company | Sensing system and method for analyzing a fluid at an industrial site |
| CZ2007376A3 (en) * | 2007-05-30 | 2008-12-10 | Ústav prístrojové techniky AV CR, v.v.i. | Analysis method of ventricular repolarization |
| US8504144B2 (en) | 2007-07-11 | 2013-08-06 | Pacesetter, Inc. | Systems and methods for employing multiple filters to detect T-wave oversensing and to improve tachyarrhythmia detection within an implantable medical device |
| US9037239B2 (en) * | 2007-08-07 | 2015-05-19 | Cardiac Pacemakers, Inc. | Method and apparatus to perform electrode combination selection |
| CN104840197B (en) * | 2008-10-09 | 2018-04-17 | 加利福尼亚大学董事会 | Machine and process for the source for being automatically positioned biological rhythm disorder |
| EP2345024B1 (en) * | 2008-11-10 | 2017-11-08 | Cardioinsight Technologies, Inc. | Visualization of electrophysiology data |
| US8285377B2 (en) * | 2009-09-03 | 2012-10-09 | Pacesetter, Inc. | Pacing, sensing and other parameter maps based on localization system data |
| US9931049B2 (en) * | 2009-11-13 | 2018-04-03 | The General Hospital Corporation | Method and apparatus for the detection and control of repolarization alternans |
| US20110190763A1 (en) * | 2010-01-29 | 2011-08-04 | Medtronic, Inc. | Needle Design for Recording Monophasic Action Potential and Delivery of Therapy |
| US8452396B2 (en) * | 2010-12-30 | 2013-05-28 | Medtronic, Inc. | Synchronization of electrical stimulation therapy to treat cardiac arrhythmias |
| US8838224B2 (en) * | 2012-03-30 | 2014-09-16 | General Electric Company | Method, apparatus and computer program product for predicting ventricular tachyarrhythmias |
| US20140052120A1 (en) * | 2012-08-17 | 2014-02-20 | Medtronic Ablation Frontiers Llc | Electrophysiology catheter design |
| US9265954B2 (en) * | 2013-07-26 | 2016-02-23 | Medtronic, Inc. | Method and system for improved estimation of time of left ventricular pacing with respect to intrinsic right ventricular activation in cardiac resynchronization therapy |
| US9132274B2 (en) * | 2013-07-26 | 2015-09-15 | Medtronic, Inc. | Determining onsets and offsets of cardiac depolarization and repolarization waves |
| US10085659B2 (en) * | 2014-10-03 | 2018-10-02 | Boston Scientific Scimed, Inc. | Medical system for mapping cardiac tissue |
| US9737223B2 (en) * | 2015-05-13 | 2017-08-22 | Medtronic, Inc. | Determining onset of cardiac depolarization and repolarization waves for signal processing |
| CN108289631B (en) * | 2015-10-07 | 2021-03-02 | 圣犹达医疗用品心脏病学部门有限公司 | Method and system for mapping cardiac repolarization |
| US20170189097A1 (en) | 2016-01-05 | 2017-07-06 | Iowa Approach Inc. | Systems, apparatuses and methods for delivery of ablative energy to tissue |
| EP3451916A4 (en) * | 2016-05-03 | 2019-10-16 | Acutus Medical Inc. | Cardiac information dynamic display system and method |
| US10918299B2 (en) * | 2017-06-21 | 2021-02-16 | Boston Scientific Scimed Inc. | Dynamic repolarization substrate mapping |
| JP7396988B2 (en) | 2018-02-05 | 2023-12-12 | マヨ ファウンデーション フォー メディカル エデュケーション アンド リサーチ | Systems and methods for mapping and adjusting repolarization |
-
2019
- 2019-02-05 JP JP2020539714A patent/JP7396988B2/en active Active
- 2019-02-05 CN CN201980011735.5A patent/CN111867506A/en active Pending
- 2019-02-05 KR KR1020207025706A patent/KR20200118472A/en not_active Application Discontinuation
- 2019-02-05 WO PCT/US2019/016644 patent/WO2019152986A1/en unknown
- 2019-02-05 EP EP19748294.6A patent/EP3723649A4/en active Pending
-
2020
- 2020-02-28 US US16/805,094 patent/US11000202B2/en active Active
-
2021
- 2021-04-07 US US17/224,647 patent/US11771905B2/en active Active
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