103 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 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 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 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.

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 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.

An ICE imaging system is disclosed that includes an intracardiac echocardiography (ICE) catheter having a longitudinal axis, a proximal end, and a distal end. The ICE catheter corresponds to a micro-electro-mechanical (MEMS) or other transducer-based phased array ultrasound catheter with an outer diameter of 6 French or less for delivery through the internal jugular vein, subclavian vein, axillary vein, unknown vein system to the heart chamber for lead placement for pacemaker or other implantable cardioverter defibrillator (ICD) devices. Further, the catheter shaft accommodates an electronic flexible cable in communication with the at least one signal trace and configured to direct the plurality of transducer array elements to transmit and receive an ultrasound beam, receive at least one signal from the plurality of transducer array elements, and transmit the ultrasound beam to the catheter shaft. And constructing at least one image of at least a portion of the heart based on the at least one signal.

A system and method for enhancing visual accuracy comprising a computer processor and memory that executes software to capture the 3D map of the heart images, heart valves, and electro-anatomic data of the heart chambers, and project it into a 3D monitor instead of a 2D monitor, where in the displayed 3D map of the heart images, heart valves, heart chambers anatomy and catheters, is still rendered as a 2D map, which then can be visualized as a real 3D images and map by using / wearing special glasses (3D glasses) designed to view the 3D map of the heart chambers and catheters as 3D in real time.

An intraluminal imaging device includes a flexible elongate member that can be positioned within a patient. The device includes an ultrasound imaging assembly coupled to a distal portion of the flexible elongate member. The ultrasound imaging assembly includes an expandable support member with a first state and a second state. The ultrasound imaging assembly includes a transducer array coupled to the expandable support member. In the first state of the expandable support member, the transducer array has a first shape. such as a substantially cylindrical shape suitable for intravascular ultrasound (IVUS) imaging within a blood vessel. In the second state of the expandable support member. the transducer array has a second shape. such as a substantially planar or hemicylindrical shape suitable for intracardiac echography (ICE) imaging within a heart chamber.

At least some embodiments of the present disclosure are directed to a system for processing cardiac information. The system includes a processing unit configured to: receive one or more cardiac electrical signals from one or more electrodes disposed within a cardiac chamber, wherein the cardiac electrical signals are acquired during a cardiac beat; receive an indication of a measurement location corresponding to each of the cardiac electrical signals; analyze the one or more cardiac electrical signals to compute a plurality of duty cycle values, the computed duty cycle values corresponding to a plurality of preselected cycle length windows; and compute an average duty cycle value of the computed duty cycle values over the plurality of preselected cycle length windows.

A system comprising: an implantable medical device (IMD) 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; and an elongated body extending distally from the distal end of the elongated housing and defining a helix, the helix defining an electrode at or proximate a distal end of the helix; and a sheath disposed around a distal portion of the IMD, the sheath defining one or more tracks extending along a surface of the sheath, wherein the one or more tracks are configured to interface with the IMD to facilitate distal movement of the elongated body through the sheath and into wall tissue of the chamber in response to rotation of the IMD about the longitudinal axis.

An access device for a heart chamber, a removable hemostatic valve unit, and a system including a cardiac assist unit are disclosed. In examples, the access device includes an apical base plate and a sealing unit configured to provide a separation of a wet zone from a heart chamber and a dry zone with a gaseous environment outside of said heart chamber inside a patient body at the same time.

Various embodiments of the present invention comprise a single-chamber collapsible and expandable prosthetic valve implant device with an elevated valve section and comprising the following capabilities: (1) preservation of native valve functionality; (2) initial preservation of native valve functionality with subsequent full replacement of native valve functionality; (3) full replacement of native valve functionality; and / or (4) mitigation of the prolapsing distance of the dysfunctional leaflets by preventing the anterior excursion of the prolapsing leaflets above the upper annular surface and into the left atrial chamber in order to preserve native leaflet functionality for as long as possible. The expanded and implanted device does not extend beyond the boundaries of the subject heart chamber, e.g., the left atrium, thereby enabling the preservation of any remaining native valve functionality with subsequent full replacement of native valve functionality if and when needed.

A method and ultrasound imaging system includes generating a cine including a plurality of heart views based on cardiac ultrasound data, segmenting a plurality of heart chambers from each of the plurality of heart images, and automatically determining a heart chamber area for each of the plurality of heart chambers. The method and ultrasound imaging system includes displaying the cine on a display device and simultaneously displaying a plurality of single trace curves on the display device with the cine to provide feedback regarding acquisition quality of the cine, where each of the single trace curves represents the heart chamber area for a different one of the plurality of heart chambers over a plurality of cardiac cycles.