862 results about "Cardiac Ventricle" patented technology

The present disclosure provides a method and system for analyzing unipolar electrophysiological (EP) signals acquired by a multi-electrode catheter placed in a ventricle of a patient's heart. The method includes receiving unipolar EP signals, extracting unipolar far-field signals from the unipolar EP signals, and analyzing the extracted unipolar far-field signals to estimate the distribution of scar regions across a thickness of wall tissue of the ventricle. Using the estimated distribution, a unipolar far-field EP map showing the scar regions is generated. The method further includes displaying the unipolar far-field EP map including the scar regions to a user. The system comprises a display device and a processor configured to perform the steps of the method.

The invention relates to an electronics module (102) for a ventricular assist device, wherein the ventricular assist device has a motor housing for accommodating a pump motor. The electronics module (102) comprises an electronics section (204) for accommodating at least one electronic component (206) and / or at least one electrically conductive contacting element (208), and a coupling section (202) designed as a joint between the motor housing (104) and the electronics section (204) or as a separate component to be joined, wherein the motor housing (104) and the electronics section (204) are combined or can be combined via the coupling section (202) with one another to form a fluid-tight module housing (104) to be arranged in a blood vessel.

Apparatus and methods are described including delivering a left-ventricular assist device to a subject's aorta. The device including a distal-tip element that defines a straight proximal portion, and a curved distal portion, the curved distal portion defining first and second curves with an elongated straight portion between the first and second curves. The distal-tip element is centered with respect to the aortic valve using the curved distal portion of the distal-tip element, to thereby guide the device through the subject's aortic valve atraumatically. A pump pumps blood through from the subject's left ventricle to the subject's aorta. Other applications are also described.

Apparatus and methods are described including delivering a left-ventricular assist device to a subject's left ventricle. A tube is positioned such that a proximal portion of the tube traverses an aortic valve of the subject, and a distal portion of the tube is disposed within a left ventricle of the subject. A pump pumps blood through the tube from the subject's left ventricle to the subject's aorta such as to cause the proximal portion of the tube to be maintained in an open state, and to cause at least a portion of the tube to become curved. Other applications are also described.

The invention relates to a sensor head device for a heart support system, wherein the sensor head device has at least one sensor carrying element, wherein the sensor carrying element has at least one sensor cavity for accommodating at least one sensor and / or at least one signal transmitter cavity for accommodating at least one signal transmitter.

Apparatus and methods are described including a ventricular assist device that includes an impeller configured to be placed inside a left ventricle of a subject. A driving magnet is coupled to a motor and is rotated by the motor. A driven magnet is magnetically coupled to the driving magnet and is rotated by the driving magnet. A drive cable extends from the driven magnet and imparts rotational motion from the driven magnet to the impeller. A set of sensors is configured to detect a magnetic phase difference between the driven magnet and the driving magnet. A computer processor receives the detected magnetic phase difference and determines a physiological parameter of the subject, at least partially in response thereto. Other applications are also described.

The invention relates to an apparatus (100) for anchoring a ventricular assist system in a blood vessel, the apparatus (100) being able to assume an insertion state for insertion of the ventricular assist system into the blood vessel, and the apparatus (100) being able to assume an anchoring state in order to anchor the ventricular assist system in the blood vessel. The apparatus (100) has at least one fixing means (105) for fixing the apparatus (100) to the ventricular assist system (205), a crown (110) and a connection means (115). The crown (110) is formed from at least one unfolding element (120). The unfolding element (120) is designed to unfold during the transfer from the insertion state into the anchoring state in order to enlarge the diameter of the crown (110) so as to anchor the apparatus (100) in the blood vessel. The connection means (115) is designed to connect the crown (110) to the fixing means (105).

The invention provides an echocardiogram video abstraction method based on a hierarchical space-time attention mechanism, and the method comprises the steps: obtaining an echocardiogram, inputting the echocardiogram into an anatomy and physiological basic model of a key frame recognition task, and obtaining key frame information; inputting the key frame information into a multi-dimensional spatial-temporal feature extraction model to obtain feature information and frequency domain information; fusing the feature information and the frequency domain information; performing key frame enhancement processing on the fusion information by adopting an SE channel attention mechanism to obtain key frame anatomical feature expression; processing the key frame anatomical feature expression by adopting a key frame backtracking strategy and a classification network to obtain a key frame identification classification result; performing left ventricle segmentation on the classified image by adopting an improved U-Net left ventricle region segmentation network; estimating the area and volume of the left ventricle based on a segmentation result; fusing the estimated left ventricular area and volume by adopting a hierarchical attention mechanism and a cross-layer information fusion strategy to obtain a ventricular volume result; according to the method, through abstract extraction of the key information of the ultrasonic cardiac video, the clinical practicability of intelligent screening and auxiliary diagnosis of cardiovascular diseases based on ultrasonic is improved.

A prosthetic heart valve for treatment of a diseased heart valve having native anterior and posterior leaflets that move between an open configuration and a closed position to regulate blood flow through the heart valve during a cardiac cycle of a heart. The prosthetic heart valve having a crescent shaped stent, at least one prosthetic leaflet mounted on an inner surface of the stent, and at least one prong structure coupling a portion of the at least one prosthetic leaflet to a lower ventricular portion of the stent frame. The prosthetic heart valve further having systems for anchoring the upper flared portion of the stent to a posterior portion of the native valve annulus.

The invention provides a left heart data analysis method and system based on image segmentation, and relates to the technical field of medical image processing. Comprising the following steps: acquiring cardiac ultrasound image data and preprocessing; performing image segmentation on the preprocessed image data to obtain a segmentation result including a left ventricle, a left ventricular wall and a left atrium; searching a boundary line of the left ventricle and the left atrium, selecting two boundary points corresponding to the minimum and maximum abscissas in the boundary line as left and right mitral valve ring points respectively, and establishing a long axis based on the mitral valve ring midpoint and the cardiac apex point; modeling the ventricle into a structure formed by superposing a plurality of discs along the long axis direction, and obtaining the diameter of the corresponding disc; based on the obtained diameters of the corresponding discs, the left ventricular volumes in the diastolic period and the systolic period are calculated respectively, and the left ventricular ejection fraction is calculated. According to the method, image segmentation and geometric modeling are fused to achieve accurate calculation of the cardiac ejection fraction, meanwhile, the accuracy of cardiac structure image segmentation is improved, and an interpretable ejection fraction estimation process is achieved.

A control device (100) for controlling the rotational speed (nVAD(t)) of a non-pulsatile ventricular assist device, VAD, (50) uses an event-based within-a-beat control strategy, wherein the control device is configured to alter the rotational speed of the VAD within the cardiac cycle of the assisted heart and to synchronize the alteration of the rotational speed with the heartbeat by at least one sequence of trigger signals (σ(t)) that is related to at least one predetermined characteristic event in the cardiac cycle. Further, a VAD (50) for assistance of a heart comprises the control device (100) for controlling the VAD, wherein the VAD is preferably a non-pulsatile rotational, for example catheter-based, blood pump.

A valve frame includes a tubular portion defining a plurality of valve-frame coupling elements disposed circumferentially around a longitudinal axis of the valve frame, and a plurality of arms, extending radially outward from an upstream portion of the tubular portion to define an arm span, and configured to engage tissue in the atrium. An outer frame is coupled to the valve frame, and includes a ring circumscribing the tubular portion, and a plurality of flanges that extend radially outward from the ring to define a flange span, and are configured to engage ventricular tissue. Each arm defines a rigid portion and a flexible portion that is disposed radially outward from the rigid portion, and is more flexible than the rigid portion. The majority of the flexible portion is disposed further radially outward than the flange span. Other embodiments are also described.

An implant for implantation at a native atrioventricular valve of a subject, includes a frame assembly, including a valve frame and an outer frame coupled to each other. The valve frame includes a tubular portion that circumscribes a longitudinal axis of the valve frame so as to define a lumen along the axis, and an upstream support portion including a plurality of arms. Each arm extends radially outward from the tubular portion to engage tissue in the atrium. The outer frame includes a ring that circumscribes the tubular portion, and a plurality of ventricular anchors that extend radially outward from the ring and are configured to anchor the implant to tissue of the ventricle. In an expanded state of the frame assembly, the implant defines a toroidal space between the plurality of ventricular anchors and the upstream support portion. Other embodiments are also described.

The invention discloses a cardiac ultrasound image optimization enhancement method based on image filtering, and belongs to the technical field of cardiac ultrasound images. The invention discloses a cardiac ultrasound image optimization enhancement method based on image filtering. The method comprises the following steps: S1, obtaining a cardiac ultrasound binary image; s2, obtaining a to-be-processed cardiac ultrasound image; s3, highlighting the edge characteristics of the vascular wall and the myocardial tissue; s4, obtaining an enhanced cardiac ultrasound image; and S5, obtaining an optimized and enhanced cardiac ultrasound image. According to the method, the problem that the overall consistency judgment of structures such as heart chambers and valves is easily affected in the prior art is solved, the heart disease change area can be displayed more visually, misjudgment caused by noise or low contrast of medical staff is reduced, texture information of different levels can be effectively captured, the recognition capacity of a complex heart structure is enhanced, and the recognition efficiency is improved. Furthermore, the myocardial strain rate, the ventricular volume and other parameters are more accurately quantified, and a reliable basis is provided for evaluating the cardiac function.

A method for providing a treatment recommendation to a physician for treating a patient is disclosed. The method comprises determining, from a processor in communication with a patient data repository, a first treatment recommendation based on a combination of selected patient demographics from the patient data repository applicable to the patient, and operational parameters of a plurality of ventricular assist devices (VADs) suitable for treating the patient, the first treatment recommendation having a first survival rate and comprising the use of a first VAD. The method then obtains a first signal from using the first VAD on the patient. The method then determines a second treatment recommendation based on the first signal and the first treatment recommendation, the second treatment recommendation having a second survival rate. The method then provides the second treatment recommendation to the physician if the second survival rate is higher than the first survival rate.

The invention provides a method for constructing a CT-MRI (Computed Tomography-Magnetic Resonance Imaging) personalized three-dimensional heart model based on multi-modal imaging, which comprises the following steps of: firstly, carrying out myocardial and infarction region segmentation on a CMR-LGE image, and carrying out myocardial and intramyocardial adipose tissue segmentation on a CE-CT image to generate a corresponding Label image; then, a high-precision three-dimensional volume mesh model of the corresponding ventricle is constructed based on the segmentation results of the two types of images; and then, mapping the corresponding Label image with the tissue type to a corresponding finite element model according to the coordinates of the grid, and obtaining a corresponding personalized ventricular model with the tissue type. An interpolation method based on a general ventricular coordinate system is adopted, data of an MR ventricular model with infarct tissue attributes is transferred to a CT ventricular model, and therefore a mixed CT-MRI ventricular model is constructed. And finally, storing the constructed CT-MRI ventricular model data with the integrated tissue attributes as a standard geometric and topological file format.

Apparatus and methods are described including a valve frame configured to support a prosthetic valve within a native atrio-ventricular valve. The valve frame includes an atrial part comprising a disc-shaped portion configured to be deployed on an atrial side of the valve annulus, and a frustoconical portion, and a cylindrical part to which the prosthetic valve leaflets are coupled. The cylindrical part configured to be deployed such that a ventricular end of the cylindrical part is disposed within the ventricle. A plurality of protruding struts are configured to protrude from outside the cylindrical part, the frustoconical portion of the atrial part being coupled to the cylindrical part via the protruding struts. Other applications are also described.

A method for assisting a heart ventricle can comprise providing a longitudinally expandable member that is reversibly expandable along a longitudinal dimension, wherein the longitudinally expandable member can include adjacent abutting portions meeting at respective bends that form acute angles along the longitudinal dimension. The method can include securing a first end portion of the longitudinally expandable member to a first wall portion of the heart ventricle via a first anchor engagement feature associated with the first end portion. The method can include securing a second end portion of the longitudinally expandable member to a second wall portion of the heart ventricle via a second anchor engagement feature associated with the second end portion, the plurality of bends between the first and second end portions allowing augmenting expansion of the heart ventricle using spring force of the longitudinally expandable member to thereby improve heart function.

A method is provided that includes inserting an inflow cannula of a left ventricular assist device (LVAD) of a LVAD system into a left chamber of a heart of a patient transeptally via a right atrium and a superior vena cava (SVC). An outflow cannula of the LVAD is coupled to a left subclavian artery or a left axillary artery. Other embodiments are also described.

The invention relates to a heart premature beat detection device and method, a ventricular assist system, a storage medium and equipment, and the detection device comprises a first sampling module which is configured to collect operation data of a drive motor in a ventricular assist device, and the operation data at least comprise rotation speed data; the calculation module is configured to determine a current rotating speed maximum value and a historical average maximum value according to the rotating speed data; the judgment module is configured to judge that premature beat occurs when the current rotating speed maximum value is larger than the gear rotating speed and smaller than the historical average maximum value. Compared with a traditional premature beat detection mode, premature beat detection can be carried out in real time in the operation process of the percutaneous ventricular auxiliary device, and traditional external monitoring equipment such as electrocardiogram or color Doppler ultrasound does not need to be relied on any more.

The invention discloses a method and device for training a percutaneous ventricular assist device control model, and the method comprises the steps: obtaining a multi-mode real-time physiological signal of the cardiovascular state of a monitored user through simulation of a simulation platform; real-time physiological signals are used as input data to be input into the deep reinforcement learning model for training, and a control model of the percutaneous ventricular assist device capable of achieving pump speed real-time decision control is obtained; the control model is trained according to the real-time input data, so that the adaptivity of the control model is improved; performing reinforcement learning training of the control model through a reward function comprising the first reward sub-function item and the second reward sub-function item; after the percutaneous ventricular assist device is loaded with the obtained control model, the percutaneous ventricular assist device has the capability of recovering dynamic characteristics and pulsation characteristics of cardiac output and aortic pressure of a user, so that the cardiac output and the aortic pressure of a heart failure user are close to a normal physiological state, and the control model provides a basis for improving the operation quality of the percutaneous ventricular assist device; and technical guarantee is provided for cardiovascular health of the user.

A control method and control apparatus for a ventricular auxiliary apparatus and a ventricular auxiliary apparatus. The present invention pertains to the field of medical instruments. The ventricular auxiliary apparatus comprises a first component and is provided with a first control mode and a second control mode. The method comprises: acquiring a control operation for the first component, and controlling, in response to the control operation, the operation of the first component in a manner not restricted by constraints, wherein the constraints are constraints that apply when the first component operates in the second control mode. In the second control mode, the operation of the first component is restricted by the constraints, while in the first control mode, the operation of the first component is not restricted by the constraints. Compared to the second control mode, the first control mode masks the restriction of the operation parameters of the first component by the constraints, so that the degree of freedom of controlling the first component is improved, facilitating the adjustment and testing of the operation of the first component.

The invention discloses an air supply method and an air supply system for a pulsating type ventricular assist device. The air supply method comprises the following steps: setting working parameters of the pulsatile ventricular assist device; the stroke range of the piston in the air pump is determined according to the working parameters; obtaining a piston position piecewise function based on the stroke range; the piston is driven to be at the working zero point, the air pump communicates with the pre-inflation equipment through the pre-inflation pipeline, the air pump is inflated through the pre-inflation equipment, and air pump pressure initialization is completed; and the pre-inflation equipment is disconnected, the air pump is communicated with the pneumatic execution part through the air supply pipeline, a piston in the air pump reciprocates according to the determined piston position piecewise function, the pressure in the air pump is periodically changed, and the pneumatic execution part is periodically and intermittently driven to work according to the sequence of inflation, high-pressure keeping, deflation and low-pressure keeping. The problem of air supply of a balloon, an extracorporeal membrane cavity and the like of an existing pulsatile ventricular assist device is solved.

The invention discloses a magnetic-coupling-driven auxiliary pressurization system for a paddle in a ventricle, relates to the technical field of medical instruments, and can solve a series of problems caused by integrated design of a motor and a paddle of an existing auxiliary pressurization device for the ventricle. The embodiment of the invention discloses a magnetic coupling driven heart chamber inner paddle auxiliary pressurization system which comprises a paddle part used for being sewn and fixed to the inner wall of a heart chamber and a driving part used for being sewn and fixed to the outer wall of the heart, and the paddle part comprises an inner sleeve, a paddle structure and a driven magnetic disc coaxially and fixedly connected with the paddle structure. The paddle structure is rotationally connected into the inner sleeve; the driving part comprises an outer sleeve, a driving motor and a driving magnetic disc coaxially and fixedly connected with an output shaft of the driving motor, and the driving motor is fixed in the outer sleeve; when the paddle part and the driving part are in a sewed and fixed state, the driven magnetic disk and the driving magnetic disk are coaxial and are magnetically coupled, and the paddle structure is driven by the driving motor to rotate through the driving magnetic disk and the driven magnetic disk which are magnetically coupled.

A ventricular assist device and a control system thereof, a console, an alarm method and a detection method. The ventricular assist device comprises a blood pump (1) and a control device (2) that are detachably connected. The control system comprises: a blood pump monitoring module (10) provided on the blood pump (1) and used for monitoring blood pump sensing data corresponding to the blood pump (1); a motor monitoring module (20) used for monitoring blood pump driving data corresponding to the blood pump (1), the blood pump monitoring module (10) being detachably connected to the motor monitoring module (20); a pump system control module (40) at least used for controlling the operation of the blood pump (1) and determining ventricular assist data corresponding to the blood pump (1) on the basis of the blood pump sensing data and / or the blood pump driving data; and a console control module (30) connected to the pump system control module (40) and used for processing a human-machine interaction operation and a system control operation of the control device (2). By simplifying the structure of consumables, the use cost of products is reduced.

Cardiac pacemaker for a patient's heart including a processing unit with a data memory, further including a first detector, and a second detector, a pacing signal generator, which are all electrically connected to the processing unit, wherein the first detector is configured to detect time-dependent electrical signals of the heart, wherein the second detector is configured to detect time-dependent bodily signals of the patient different from the signals detected by the first detector, wherein the first detector and the second detector are configured to transmit the detected and, if applicable, pre-processed signals to the processing unit, wherein the processing unit is configured to process the signals received from the first detector and the signals from the second detector and to detect from the received signals of the first detector intrinsic atrial events, intrinsic ventricular events and pacing events and to determine an actual cardiac rate.

The invention provides a stepped ventricle auxiliary circulating pump device, relates to the technical field of heart blood pumps, and provides a structure that a heart blood pump is arranged in a heart chamber and below an aortic valve or a pulmonary valve, and a stepped motor and an axial flow channel are designed on the basis, so that a blood flow channel is formed between the motor and the axial flow channel; the blocking influence of the size of the motor above the aortic valve or the pulmonary valve on the blood circulation process can be effectively avoided, and the amount of blood pumped out of the aortic valve or the pulmonary valve is effectively increased.

Methods and devices for reducing ventricle filling volume are disclosed. In some embodiments, an electrical stimulator may be used to stimulate a patient's heart to reduce ventricle filling volume or even blood pressure. When the heart is stimulated in a consistent way to reduce blood pressure, the cardiovascular system may over time adapt to the stimulation and revert back to the higher blood pressure. In some embodiments, the stimulation pattern may be configured to be inconsistent such that the adaptation response of the heart is reduced or even prevented. In some embodiments, an electrical stimulator may be used to stimulate a patient's heart to cause at least a portion of an atrial contraction to occur while the atrioventricular valve is closed. Such an atrial contraction may deposit less blood into the corresponding ventricle than when the atrioventricular valve is opened throughout an atrial contraction.

A method and apparatus for treatment of heart failure by increasing secretion of endogenous naturetic hormones ANP and BNP such as by stimulation of the heart atria. Heart pacing is done at an atrial contraction rate that is increased and can be higher than the ventricular contraction rate. Pacing may include mechanical distension of the right atrial appendage. An implantable device is used to periodically cyclically stretch the walls of the appendage with an implanted balloon.