Abstract:
Electrode structures (20) are formed from flexible, porous, or woven materials. One such structure is made by forming first and second body sections (225), each including a peripheral edge. The first and second body sections (225) are joined together about their peripheral edges with a seam (224), thereby forming a composite structure. Another one of such structures is made by forming a body having a three-dimensional shape and opposite open ends, and at least partially closing at least one of the opposite ends by forming a seam. Another one of such structures is formed from a sheet of material having peripheral edges. The sheet is placed on the distal end of a fixture, while the peripheral edges of the sheet are gathered about the proximal end of a fixture, thereby imparting to the sheet a desired shape. At least one pleat is formed to secure the gathered peripheral edges together. The seams or pleats are formed by thermal bonding, or ultrasonic welding, or laser welding, or adhesive bonding, or sewing.
Abstract:
This invention is a versatile electrophysiology system (10) including an amplification system (30), an ablation machine (80), a filter box (20), a display monitor (40), and a chart recorder (70), as well as an optional data management and analysis system (50), wehrein the amplification system receives endocardial signals from an ablation catheter (90) during both the electrophysiology study and the ablation procedure, and wherein the amplification system, ablation machine, and ablation catheter are interconnected with the filter box such that the endocardial signals and the high energy ablation signal pass therethrough and are filtered thereby.
Abstract:
A method for treating ventricular tachycardia comprises inserting an electrode catheter into the ventricule. The ventricular wall of the heart is contacted with an ablation electrode (20) at a site where an aberrant electrical pathway is located. Radiofrequency is delivered through the ablation electrode (20) to the tissue for a time sufficient to confirm the site of the aberrant electrical pathway and to preheat the tissue. Short high voltage electrical pulses are then delivered to the tissue through the same electrode (20) to thereby form a non-conductive lesion.
Abstract:
A recording apparatus for electroencephalogram and electrocardiogram, which can clearly display electroencephalogram and electrocardiogram waveforms on a CRT of a computer at the same time and directly compare electroencephalogram signals obtained from electrodes with those of a normal man to display the result with a polygonal line graph. The recording apparatus can amplify 12- or 16-channel electroencephalogram signals inputted from the electrodes and an electrocardiogram signal of at least one-channel to remove noises contained in the electroencephalogram signals and electrocardiogram signal for correction into signals of high purity, forward the signals to a personal computer through a digital signal processor for analysis, display electroencephalogram and electrocardiogram waveforms at the same time on the basis of the result, calculate captured measurement data of electroencephalogram and display electroencephalogram with a polygonal line graph where an axis of ordinates represents potential and an axis of abscissa represents portions of the respective electrodes.
Abstract:
This invention is systems and methods to examine heart tissue morphology using three or more spaced apart electrodes (38), at least two of which are located within the heart in contact with endocardial tissue. The systems and methods transmit electrical currents (64) through a region of heart tissue lying between selected pairs of the electrodes, at least one of the electrodes in each pair being located within the heart. The systems and methods derive the electrical characteristic of tissue lying between the electrode pairs based, at least in part, upon sensing tissue impedances. The systems and methods (206) also sense the timing of local depolarization events in the tissue in which impedance is sensed, and derive therefrom the propagation velocities of the sensed depolarization events.
Abstract:
A myocardial lead is provided with at least one sensor (52) for sensing at least one of heart rate, physiological demand, or arrhythmia. Preferably, the sensor (52) is a piezoelectric crystal, and is designed to flex with the beating of the human heart. Other suitable sensors (62) include accelerometers, hemo-reflectance sensors, and strain gauge sensors. Each sensor is provided on a separate conductive segment of the electrode assembly. The signals can be monitored by appropriate electronics to detect changes in heart rate or arrhythmias of the heart.
Abstract:
Apparatus for mapping a wall of a heart forming a chamber in the heart comprising a guiding catheter (21) having a lumen extending therethrough and a mapping catheter (51) having a shaft (52) that is slidably mounted in the lumen of the guiding catheter. A basket assembly (61) is provided and is comprised of a plurality of circumferentially spaced-apart longitudinally extending arms (62) having proximal and distal extremities (63, 64). The proximal extremities of the arms are secured to the distal extremity of the shaft of the mapping catheter. Each of the arms includes a member formed of a material having a recoverable strain in excess of 1 % and had an outwardly bowed shape memory. At least one electrode (68) is provided on each of the arms. Conductors (69) connected to the electrodes are carried by the arms.
Abstract:
An electrode construction comprising a support structure (32), a conductive electrode material (46) carried by the support structure and having a length and a width and having proximal and distal extremities, said support structure including a compliant sleeve (41) having an open end and surrounding the distal extremity of the conductive electrode material to protrude through the open end, and conductive contact means making contact with the proximal extremity of the conductive electrode material.
Abstract:
A method for express analysis of heart-beat rhythm in which the signal is picked up from a living being by means of electrodes (3, 4, 5) which in a preferred embodiment have a form of holding clips and can be connected to the patient's fingers or toes. The electrocardiogram (ECG) signal is converted to a digital signal which is then processed by a microprocessor and displayed in real time on a liquid crystal display (LCD) (2) placed on one of the sides of a casing (1). The ECG signal is stored and when a corresponding key is pushed on a keyboard (6) all the accumulated PQRST-complexes are shown on the LCD (2) page by page. The duration of R-R intervals is measured with assigned precision which corresponds to the characteristic scale of the heart-beat rhythm variations in the stationary phase. The results of these measurements are displayed in real time on the LCD (2) in the form of rhythmograms (RG) and histograms (HG) so that both RG and HG steps correspond to the said characteristic scale.
Abstract:
The invention relates to an elongated intrauterine electrode array that is not attached directly to the fetal scalp and can derive a fetal ECG signal indicating the fetal heart rate and beat-to-beat variability data. The invention has a mylar ribbon with copper track conductors on the ribbon, terminators connected to the conductors, and electrodes connected to the conductors at various locations for receiving the material and fetal ECG signals. The electrodes are gold-plated and spherical. The electrodes and conductors are embedded in a silicone coating and the electrodes are placed on opposite sides of the array.