1087 results about "Cardiac Ventricle" patented technology

The invention relates to a method for operating an implanted, ventricular assist system (2), comprising the following steps: a) determine a first impedance parameter at a first point in time by means of the assist system (2), b) determine a second impedance parameter at a second point in time by means of the assist system (2), c) at least determine a change of the impedance parameter using the first impedance parameter and the second impedance parameter, or compare at least the first or second impedance parameter to a threshold value.

Apparatus and methods are described including a ventricular assist device that includes a frame having struts that define a plurality of cells. In its non-radially-constrained configuration, the frame includes a generally cylindrical portion. A tube defines blood outlet openings, and a portion of the tube is disposed outside the frame and is coupled to the generally cylindrical portion of the frame, such that the portion of the tube conforms with a structure of struts of the frame. An inner lining is coupled to an inside of the generally cylindrical portion of the frame, such as to provide the generally cylindrical portion of the frame with a smooth inner surface. An impeller is disposed at least partially inside the generally cylindrical portion of the frame and is configured to pump blood through the tube and out of the one of more blood outlet openings. Other applications are also described.

Physiological monitoring can be provided through a lightweight wearable monitor that includes two components, a flexible extended wear electrode patch and a reusable monitor recorder that removably snaps into a receptacle on the electrode patch. The wearable monitor sits centrally on the patient's chest along the sternum oriented top-to-bottom. The placement of the wearable monitor in a location at the sternal midline, with its unique narrow “hourglass”-like shape, significantly improves the ability of the wearable monitor to cutaneously sense cardiac electrical potential signals, particularly the P-wave and the QRS interval signals indicating ventricular activity in the ECG waveforms. In particular, the ECG electrodes on the electrode patch are tailored to be positioned axially along the midline of the sternum for capturing action potential propagation in an orientation that corresponds to the aVF lead used in a conventional 12-lead ECG that is used to sense positive or upright P-waves.

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 the technical field of heart blood pumps, in particular to a passive ventricular auxiliary circulation device. Comprising a motor body shell, a stator and a rotor are arranged in the motor body shell, and one of the stator and the rotor comprises a coil; the axial flow channel shell is sleeved; the upper end of the axial flow channel shell is configured to face the aortic valve to the lower part of the ventricle, and a power supply configured to be operably coupled to the coil; and the controller is configured to be operated and coupled to the power supply to select and control the power supply to change the rotor to a certain rotating speed in a manual selection mode, then the rotor keeps working in a certain rotating speed mode, and corresponding auxiliary pressure output by the fluid outlet interface is configured at a different rotating speed. The device is controlled to be in a rotating speed state, and when systolic pressure smaller than normal systolic pressure is provided for cardiac pulsation of a heart failure patient, the normal systolic pressure is provided when the systolic pressure and auxiliary pressure are overlapped together, so that the heart failure patient maintains the normal systolic pressure.

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.

Method and systems are provided for characterizing blood flow in an atrioventricular valve of the human heart, the atrioventricular valve connecting an atrium with a corresponding ventricle of the heart, the ventricle being fluidly coupled to a particular vessel that transports blood outside the ventricle blood, which involve obtaining image data of the heart and identifying contours of the atrium and a region within the particular vessel within the image data. A time-density curve for the atrium can be calculated from the contour of the atrium and densitometric image data derived from the image data. A time-density curve for the region of the particular vessel can be calculated from the contour of the vessel region and the densitometric image data. Data that characterizes at least one regurgitation fraction related to the atrioventricular valve can be calculated from such time-density curves.

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 relates to the technical field of heart blood pumps, in particular to a valve and pump integrated tandem type ventricular auxiliary circulation device. Comprising a ventricular auxiliary circulating pump device and a ventricular auxiliary circulating valve device, the ventricular auxiliary circulating pump device is provided with an axial flow channel shell (3) and a power part arranged in the axial flow channel shell (3); the ventricular auxiliary circulation valve device is provided with a tubular metal support body (100), and the metal support body comprises a plurality of longitudinal supporting columns; the upper end of the axial flow channel shell (3) is provided with a flanging part (31) which is outward in the radial direction, and the longitudinal supporting column lower tail end (101) of the longitudinal supporting column is assembled, contacted and fixed to the flanging part (31). A supporting system and a heat dissipation system are constructed to be of the same path structure, and the heat dissipation effect is improved on the basis that the structure is reduced.

To provide a system for transmitting blood pressure reduction electrical stimulation to the heart of a patient capable of determining a desirable AV delay.SOLUTION: The atrium is paced and the ventricle is paced with a given (arbitrary) delay to obtain a desired blood pressure change. Then, the atrium is sensed, the ventricle is paced, the blood pressure change is observed, and the resulting blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. In the case where the blood pressure changes are not substantially equal, the timing of the sensed-atrium-paced-ventricle stimulation is adjusted on the basis of the comparison. The new modified resulting blood pressure change is observed, and the modified blood pressure change is compared with the paced-atrium-paced-ventricle desired blood pressure change. Adjustment and observation may be repeated until the timing of the sensed-atrium-paced-ventricle stimulation achieves the same blood pressure change as the desired blood pressure change of the paced-atrium-paced-ventricle stimulation.SELECTED DRAWING: Figure 9

The present disclosure provides systems and methods for a replacement mitral valve. The replacement valve may be made of a less rigid material thereby allowing the packed diameter of the replacement valve to be decreased. The less rigid replacement mitral valve may include a ventricular portion and a central portion. The ventricular portion may include a guide channel. A wire may be advanced into the guide channel. The wire in the guide channel may increase the stiffness on the ventricular side of the replacement valve. The increased stiffness may prevent the replacement valve from collapsing through a native valve annulus.

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 includes a collapsible and expandable outer frame, a collapsible and expandable inner frame, and a prosthetic valve assembly. The outer frame may be configured to engage tissue of a native heart valve, and may have (i) an atrial portion adapted to be positioned on an atrial side of the native heart valve; (ii) a ventricle portion adapted to be positioned on a ventricle side of the native heart valve; and (iii) a narrowed waist portion between the atrial portion and the ventricle portion. The inner frame may be positioned radially inward of the outer frame and may be coupled to the outer frame. A constraining band may extend around a circumference of the inner frame. The prosthetic valve assembly may be coupled to, and positioned radially inward of, the inner frame.

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 two-way valve and a pulsatile percutaneous ventricular assist device using same. The two-way valve comprises: a valve body (1) with an inner cavity (10) passing through, the inner cavity being provided with a proximal port (1a) and a distal port (1b), and the valve body (1) being provided with an open window (1c) in communication with the inner cavity (10) and the outside of the valve body (1); and a valve flap (2) arranged in the inner cavity (10) and rotationally connected to the valve body (1), the valve flap (2) comprising a first valve leaf (21), a second valve leaf (22), and a third valve leaf (23), which are connected at an obtuse angle, the first valve leaf (21) being arranged at the open window (1c), the second valve leaf (22) being arranged on one side close to the inner cavity (10) at one end of the first valve leaf (21) close to the proximal port (1a), and the third valve leaf (23) being arranged on one side close to the inner cavity at one end of the first valve leaf close to the distal port (1b). The valve flap (2) is impacted by blood flow axially flowing in the inner cavity (10) and is rotationally switched back and forth between an open position and a closed position. In the open position, the three valve leaves together partition the proximal port (1a) and the distal port (1b), and the open window (1c) is opened and in communication with the distal port (1b). In the closed position, the first valve leaf (21) closes the open window (1c), and the proximal port (1a) is in communication with the distal port (1b), thereby achieving better switching response and sealing effects.

The invention relates to an adapter, a connecting assembly and a ventricular assist system. The adapter comprises a shell, a circuit board and a cable assembly. The shell is provided with an accommodating cavity and two connecting ends positioned on the shell, and the two connecting ends can be connected with a connector; the circuit board is arranged in the accommodating cavity of the shell, the circuit board comprises two side plate bodies which are spaced from each other, and the two side plate bodies correspond to the two connecting ends respectively and can be electrically connected with the connectors connected to the connecting ends; the cable assembly is fixedly connected with the shell, the cable assembly comprises a connecting line, and the connecting line is electrically connected with the circuit board. The adapter has high signal transmission performance, the operation stability of the ventricular auxiliary system can be improved, and then the operation reliability of the ventricular auxiliary system is improved.

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 lantern-shaped variable-diameter transcatheter artificial mitral valve stent, and belongs to the technical field of medical instruments. Comprising a lantern-shaped outer stent body and an outer stent covering film, the outer stent covering film is arranged close to an aorta side semi-open window, and the outer stent covering film is arranged close to the aorta side semi-open window. The grid lantern-shaped support body comprises an atrial side umbrella disc, a ventricular side variable diameter structure and a negative pressure suction cup which is connected with the atrial side umbrella disc and the ventricular side variable diameter structure and used for strengthening anchoring. The valve inner frame comprises a grid barrel-shaped inner frame body and an inner frame covering film, and the inner side of the inner frame body is connected with an artificial valve leaflet. By means of the lantern-shaped design of the outer stent and the valve ring suction cup for assisting anchoring, the problem that an artificial mitral valve replaced through a catheter is difficult to anchor is solved, and the problem that a left ventricular outflow tract is prone to being blocked after a covered stent is implanted is solved through the design that the single side of the dynamically-changeable valve outer stent is not covered with a film.

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.

The invention discloses a pulsating pump system, a medical device implantation intervention simulation system and a control method, and relates to the technical field of medical device tests.The pulsating pump system comprises a ventricular simulation cavity, a ventricular intervention simulation cavity, a ventricular intervention simulation cavity, a ventricular intervention simulation cavity, a ventricular intervention simulation cavity and a ventricular intervention simulation cavity, a liquid inlet and a liquid outlet of the ventricular simulation cavity are respectively connected with a liquid inlet pipe and a liquid outlet pipe through one-way valves; the driving assembly is relatively and fixedly connected with the ventricular simulation cavity and is used for driving the diaphragm to do regular reciprocating motion; the flow sensor is connected to the liquid outlet pipe in series and used for detecting the flow velocity of the liquid medium of the circulating system; the pressure sensor is connected to the liquid outlet pipe in series and used for detecting the pressure of liquid at the designated position of the circulating system; according to the pulsating pump system, the medical instrument implantation intervention simulation system and the control method, the physiological waveform in the blood vessel of the human body can be accurately reproduced through closed-loop control.

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.