148 results about "Heart chamber" patented technology

In one embodiment, a medical system includes a catheter configured to be inserted into a chamber of a heart of a living subject, and including multiple electrodes configured to capture electrical activity from electrical activation signals propagating in tissue of the chamber, a display, and processing circuitry configured to automatically select bipolar signals to be captured into an electro-anatomical map from respective electrode pairs of the multiple electrodes responsively to an alignment of the respective electrode pairs with a direction of propagation of the electrical activation signals, and render the electro-anatomical map to the display.

Loading systems for prosthetic heart valve devices are disclosed. A loading funnel is provided within a watertight interior space that is at least partially filled or fillable with biocompatible fluid. Funnel may have a cylindrical end to which is connected a delivery catheter having a lumen that will receive the collapsed prosthetic heart valve device. An expanded prosthetic heart valve device may be placed within the funnel and pushed or pulled into the funnel which provides a predictable, reliable and repeatable surface for collapsing the prosthetic heart valve device. Ultimately the prosthetic heart valve device is collapsed and translated into the lumen of the delivery catheter for further translation therealong and release into the heart chamber of interest.

A device for providing a passage between a first and second heart chamber is provided. The device includes a middle region having first and second ends, a lumen extending therethrough having a longitudinal axis, a first end region coupled to the first end, and a second end region coupled to the second end. The first end region may be delivered in the first heart chamber in a compressed state and transitioned to a deployed state, the first end region being deformable such that portions of the first end region are expandable to different angles relative to the longitudinal axis. The second end region may be delivered in the second heart chamber in a compressed state and transitioned to a deployed state therein, the second end region being deformable such that portions of the second end region are expandable to different angles relative to the longitudinal axis.

A system to perform electroporation ablation of target tissue in a chamber of a patient's heart, the system comprising a catheter and a controller. The catheter includes an electrode assembly having a plurality of ablation electrodes, wherein the catheter is adapted to position the electrode assembly in contact with the target tissue. The controller is configured to identify, from among the plurality of ablation electrodes, a first subset of ablation electrodes that are in contact with the target tissue, and a second subset of ablation electrodes that are not in contact with the target tissue, and to apply a pulsed electrical signal to the first subset of ablation electrodes and not to the second subset of ablation electrodes.

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 remodeling a heart chamber. A catheter system can be used to deliver implants to the heart chamber. A user can use a handle to adjust the tension of sutures between the implants to adjust the size of the heart chamber. The heart chamber can be remodeled at specific dimensions to address cardiomyopathy in a patient-specific manner.

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 catheter body control system is provided that includes a first and a second robotic module and a manipulator device. The first robotic module is configured to couple with a guide catheter manipulator device to control advancement or angulation of the guide catheter within a heart chamber or to couple with a first control dial of a handle of a TEE probe to control advancement or angulation of a flexible shaft of a TEE probe within an esophagus. The second robotic module is configured to couple with a device catheter angulator to alter an angle of a tip of the device catheter within a heart chamber during a procedure or to couple with a second control dial of a handle of a TEE probe to control advancement or angulation of the flexible shaft of the TEE probe. The manipulator device is configured to advance a tip of the device catheter or TEE probe relative to anatomy of the patient.

Disclosed are devices, systems, and methods for in vivo monitoring of biological fluid flow within anatomical structures, such as blood flow through heart valves (e.g., mitral, tricuspid, and / or aortic valves) or heart chambers. The disclosed devices, systems, and methods can continuously measure and evaluate blood flow back and forth at the inlet of a heart valve to determine cardiac function or dysfunction and / or to compile with other monitored data that can be used to measure or predict secondary factors.

A collapsible and expandable prosthetic mitral valve stent is provided with improved recapture into a distal lumen of a delivery sheath. Various embodiments comprise a valve support within the interior of a stent frame and defining a flow channel therethrough, wherein the top or upstream of the valve support comprises a row, or a plurality, of stent cells that are bent radially inward at least partially over the flow channel. Some embodiments may comprise a recapture assist mechanism, such as an open paddle, attached to one or more of the inwardly bent stent cells and adapted to receive and / or engage a wire to aid in positioning, expansion, recapture and / or implanting the device in a patient's heart chamber.

A device for providing a passage between a first and second heart chamber is provided. The device includes a middle region having first and second ends, a lumen extending therethrough having a longitudinal axis, a first end region coupled to the first end, and a second end region coupled to the second end. The first end region may be delivered in the first heart chamber in a compressed state and transitioned to a deployed state, the first end region being deformable such that portions of the first end region are expandable to different angles relative to the longitudinal axis. The second end region may be delivered in the second heart chamber in a compressed state and transitioned to a deployed state therein, the second end region being deformable such that portions of the second end region are expandable to different angles relative to the longitudinal axis.

Provided in the present application are a biomagnetic signal-based four-dimensional cardiac function imaging method and device. The method comprises: acquiring a cardiac magnetic signal of a subject to be tested and dynamic structure information of a target torso part within a full cardiac cycle, wherein the target torso part at least comprises two lungs, a torso, and a heart chamber and a pericardium structure thereof, and the dynamic structure information comprises a contour structure and a plurality of frames of dynamic images; performing spatial registration on the dynamic structure information and a sensor acquiring the cardiac magnetic signal to obtain coordinates of the sensor in a coordinate system of the dynamic structure information; calculating and reconstructing a cardiac electrical excitation activity based on the dynamic structure information, the coordinates of the sensor, and the cardiac magnetic signal to obtain a calculation and reconstruction result; and converting the calculation and reconstruction result into a four-dimensional visualization image.

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.

The present invention is directed to a system for monitoring and evaluating electrogram signals representing electric activities of a heart chamber by computing the entropy of the electrogram signals, said system comprising a signal input that is connected to a mapping catheter comprising at least one electrode pole for picking up electric potentials and generating electrogram signals from the picked up electric potentials, along with the 3D location of the catheter at the time of recording and a signal processing and evaluation unit for processing and evaluating electrogram signals received at the signal input. The invention is further to a non-transitory computer readable medium for use in a system for monitoring and evaluating electrogram signals representing electric activities of a heart.

The invention provides a processing method and device based on a heart three-dimensional image, equipment and a medium. The processing method comprises the steps of obtaining three-dimensional image data of a heart; performing heart chamber segmentation according to the three-dimensional image data to obtain structure information of each area of the heart; determining the long axis of the left ventricle and the inner diameter and the outer diameter of the cardiac muscle according to the structural information; constructing a three-dimensional mapping of the myocardial wall thickness, and reflecting the form distribution of the myocardium in the space; segmenting the myocardium according to the three-dimensional mapping of the myocardial wall thickness and the long axis to generate segmented region data; and training and outputting a cardiomyopathy classification model through a pre-trained classification model in combination with the segmented region data. According to the method, feature vectors after dimension reduction are utilized to train a cardiomyopathy classification model. By generating a detection report containing an abnormal region position and classification confidence, the method improves the accuracy and efficiency of cardiomyopathy auxiliary detection by fusing image processing, feature extraction and machine learning technologies.

A collapsible and expandable prosthetic mitral valve stent is provided with improved recapture into a distal lumen of a delivery sheath. Various embodiments comprise a valve support within the interior of a stent frame and defining a flow channel therethrough, wherein the top or upstream of the valve support comprises a row, or a plurality, of stent cells that are bent radially inward at least partially over the flow channel. Some embodiments may comprise a recapture assist mechanism, such as an open paddle, attached to one or more of the inwardly bent stent cells and adapted to receive and / or engage a wire to aid in positioning, expansion, recapture and / or implanting the device in a patient's heart chamber.

The invention relates to a prosthetic heart valve (100) for an endoprosthesis (1) used in the treatment of a stenotic cardiac valve and / or a cardiac valve insufficiency. The prosthetic heart valve (100) comprises of a plurality of leaflets (102), which consist of a natural and / or synthetic material and have a first opened position for opening the heart chamber and a second closed position for closing the heart chamber, the leaflets (102) being able to switch between their first and second position in response to the blood flow through the heart. In addition, the prosthetic heart valve (100) comprises a leaflet support portion (103), consisting of biological and / or synthetic material for mounting of the prosthetic heart valve (100) to a stent (10), and a bendable transition area (104) which forms a junction between the leaflets (102) and the leaflet support portion (103), the transition area (104) progressing essentially in a U-shaped manner similar to a cusp shape of a natural aortic or pulmonary heart valve for reducing tissue stresses during opening and closing motion of the leaflets (102). The invention further relates to an endoprosthesis (1) comprising a prosthetic heart valve (100) and a stent (10).

A device comprising: an elongated housing extending from a proximal end to a distal end along a longitudinal axis, the elongated housing being configured to be implanted wholly within a chamber of a heart; a first electrode extending distally from the distal end of the elongated housing, the first electrode comprising an elongated body defining a helix; a second electrode disposed on the distal end of the elongated housing, wherein the second electrode is configured to contact wall tissue of the chamber without penetrating the wall tissue; and one or more fixation features disposed on or about the distal end of the elongated housing, each fixation feature of the one or more fixation features defining a textured outer surface configured to interface with the wall tissue of the chamber to inhibit unintended movement of the elongated housing relative the wall tissue.

A medical system including a receptacle device configured to hold an implantable medical device (IMD) within a receptacle volume. The receptacle device is supported by a delivery catheter configured to position the receptacle device within an anatomical volume of a patient, such as a heart chamber. The receptacle device includes a receptacle electrode configured to conduct a signal from an environment surrounding the receptacle device to the receptacle volume such that, for example, the signal may communicate to an electrode positioned within the receptacle volume. The signal may be an intrinsic cardiac electrical signal produced by the patient's heart. The electrode may be configured to communicate the signal to processing circuitry for evaluation (e.g., by a clinician) of the positioning and / or proximity of the IMD relative to a target site, a suitability of the target site, a deployment of the IMD, and / or for other reasons.

The application discloses a heart chamber pressure regulating device, which is a cylindrical structure and comprises, in the axial direction of the cylindrical structure, an atrial septum passage and an outflow tract arranged in sequence along the blood flow direction; the side of the atrial septum passage, which is opposite to the outflow tract, is provided with an inflow port; a one-way open valve is arranged in the outflow tract; and the cylindrical structure is provided with a first positioning part and a second positioning part which are respectively arranged on the two sides of the atrial septum. The heart chamber pressure regulating device can form a one-way open valve structure on the atrial septum, is stable in position when cooperating with the atrial septum, can be recycled when the release position is improper, and can be released again.

An implantable circulatory support system, configured to connect a ventricular chamber of a heart, including a valveless displacement blood pump, a deformable polymeric flow cannula, a pair of male and female fasteners, a coupler, a driveline assembly, and a co-pulsatile driver. Forward and backward flow communication between the blood pump and the heart chamber is accomplished using the present flow cannula invention which is anastomosed to the heart chamber in a sutureless manner. When providing circulatory support, the co-pulsatile driver ejects blood out of the blood pump during systolic ventricular contraction and fills the blood pump with blood during diastolic ventricular relaxation.

The application discloses an ultrasonic probe capable of directly reaching into a heart chamber in a heart operation and relates to the technical field of medical devices. The ultrasonic probe comprises a fixing frame arranged around the heart chamber, the fixing frame being connected with the skin of a patient; a telescopic rod being perpendicular to the fixing frame and being connected with the fixing frame through a spherical hinge, the telescopic rod being capable of extending into the heart chamber of the patient; an ultrasonic probe being arranged on the side wall of the end of the telescopic rod away from the fixing frame, the ultrasonic probe being arranged in the circumference of the telescopic rod, and the ultrasonic probe being provided with a plurality of ultrasonic probes; and a camera being arranged at the end of the telescopic rod away from the fixing frame. The length of the ultrasonic probe extending into the heart chamber of the patient can be changed through the arrangement of the telescopic rod, and the different heart chambers of different patients can be detected. The ultrasonic probe can be fixed on the skin of the patient through the arrangement of the fixing frame. The telescopic rod can be rotated according to the different positions of the diseased parts of different patients through the spherical hinge connection between the fixing frame and the telescopic rod, so that the ultrasonic probe can be in a better detection position.

The disclosure provides systems, methods, and non-transitory computer readable media for non-invasively assessing cardiac pressure and efficiency. An example computer implemented method includes: receiving patient-specific image data of a cardiac chamber of a patient, the patient-specific image data acquired from an imaging modality over a cardiac cycle; receiving patient-specific vitals data; deriving non-invasive cardiac parameters from the patient-specific image data and the patient-specific vitals data; applying the non-invasive cardiac parameters to a trained model to generate: a total energy output for blood flow out of the cardiac chamber during the cardiac cycle, and a total energy input for blood flow into the cardiac chamber during the cardiac cycle; and generating, in real time, based on a ratio of the total energy output to the total energy input, a patient-specific cardiac efficiency value for the cardiac chamber, the patient-specific cardiac efficiency value classifying a severity of a heart disease of the patient.

A system for performing electroporation ablation of target tissue in a chamber of a patient's heart is disclosed. The system includes a catheter including an electrode assembly having a plurality of electrodes, the catheter adapted to position the electrode assembly at a plurality of locations proximate the target tissue, a graphical display, and a controller. The controller is configured to generate a graphical representation of the electrode assembly on the graphical display. The controller is configured to generate a graphical representation of a model of an electric field generated in response to delivery of a pulsed electrical signal to selected electrodes of the plurality of electrodes.

An apparatus includes a processor configured for communication with an ultrasound transducer. The processor is configured to control the ultrasound transducer to obtain a first plurality of ultrasound images of a first heart valve of a heart chamber of a patient. The first plurality of ultrasound images may be a plurality of Doppler ultrasound frames. The processor is further configured to determine a first plurality of volume measurements of the heart chamber based on the first plurality of ultrasound images, wherein each volume measurement of the first plurality of volume measurements corresponds to an ultrasound image of the first plurality of ultrasound images. The processor is also configured to generate a pressure-volume (PV) loop of the heart chamber based on the first plurality of volume measurements without using a PV loop catheter and output the PV loop.

The present invention is entitled "Grading of Pacing-Induced Electrical Activation." In one embodiment, a medical procedure system includes: a probe for insertion into a cardiac chamber of a living subject and including a first electrode for applying a pacing pulse sequence at a location in the chamber; a second electrode for sensing an electrical activation signal in response to capturing electrical activation induced by the pacing pulse in myocardium of the chamber; a display; and processing circuitry for assessing successful acquisition of the induced electrical activation by the second electrode in response to the electrical activation signal, the successful acquisition indicating successful capture of the pacing pulse by the myocardium, calculating a capture grade in response to the assessment of successful acquisition of the induced electrical activation, the capture grade indicating a count of the induced electrical activations assessed as successfully acquired, and presenting the capture grade to the display.

A system includes an interface and a processor. The interface is configured to receive multiple electrophysiological (EP) signals from a tissue area along an ablation curve inside a cardiac chamber of a heart of a patient. The processor is configured to (i) generate local conduction vectors (LCVs) for the area based on the multiple EP signals, (ii) estimate a level of change between sets of LCVs along the ablation curve within the tissue area, and (iii) based on the level of change, identify a presence of a conduction gap in the ablation curve.#

A loading system for an artificial heart valve device is disclosed. A loading funnel is disposed within a watertight interior space that is at least partially filled with or fillable with a biocompatible fluid. The funnel may have a cylindrical end to which a delivery catheter is connected, the delivery catheter having a lumen that will receive a collapsed artificial heart valve device. The expanded artificial heart valve device may be placed within the funnel and pushed or pulled into the funnel, the funnel providing a predictable, reliable, and repeatable surface for collapsing the artificial heart valve device. Ultimately, the artificial heart valve device is collapsed and translated into the lumen of the delivery catheter for further translation therealong and release into the heart chamber of interest.

A method includes receiving a plurality of data points including electrical activation (EA) values measured at respective positions in at least a portion of a surface of a cardiac chamber of a heart of a patient. Using a predefined EA value criterion, the EA values in a given region of the cardiac surface are classified into multiple distinct EA wave-fronts, and multiple layers of EA values are calculated for the given region, wherein each EA layer includes the EA values found to belong to a respective and contiguous EA wave-front. The multiple EA layers are overlayed on a graphical representation of the surface. The graphical representation with the multiple overlaid EA layers is displayed to a user, with a graphical indication distinguishing between the multiple EA layers.

The invention discloses a scalpel facilitating waste discharge, and relates to the field of medical instruments. The scalpel facilitating waste discharge comprises a scalpel holder, an outer scalpel assembly and an inner scalpel assembly. The outer cutter assembly comprises an outer cutter pipe, an inner cavity, a waste containing opening, a waste discharging opening and a water spraying module. The inner knife assembly comprises an inner knife tube, a driving module, a first communicating port and a second communicating port; the inner cutter pipe can shield the waste containing opening or be separated from the waste containing opening in the sliding stroke of the inner cutter pipe, and when the inner cutter pipe shields the waste containing opening, the second communicating opening communicates with the waste discharging opening. According to the scalpel, cut tissue chips can be directly discharged from the waste discharge port, the whole scalpel does not need to be taken out, the operation efficiency is improved, and secondary injury to a patient can be prevented; meanwhile, before the scalpel extends into the body of a patient, air in the inner cavity can be emptied through normal saline sprayed out of the water spraying module, and air blockage caused by the fact that the air enters the ventricle is effectively prevented.