Abstract:
Systems and methods acquire electrocardiograms using a first electrode (24) associated with a region of heart tissue and a second body surface electrode. An analog or digital processing element (32) is coupled to the first and second electrodes for conditioning the first electrode to emit a pacing signal (48) and for conditioning the second electrode to sense paced electrocardiograms occurring as a result of the pacing signal. The systems and methods also employ a template of an electrocardiogram of a cardiac event of known diagnosis; for example an arrhythmia that the physician seeks to treat. The systems and methods compare this event-specific template to a sample of a paced electrocardiogram. The comparison yields a matching coefficient indicating how alike the input sample is to the input template. The matching coefficient can be used by the physician, for example to aid in the location of sites that are potentially appropriate for ablation (46).
Abstract:
A system and method for cardiac diagnosis and treatment inserts the distal end of a catheter (18) into a heart chamber. The distal end of the catheter (18) supports at least one electrode (22). The catheter (18) has a fluid flow conduit (62) extending through it. The conduit (62) has a valve (156) that prevents fluid flow from the heart chamber into the conduit (62) in response to in vivo pressure generated during heart systole and diastole. The valve (156) permits fluid flow from the conduit (62) into the heart at a pressure above the in vivo pressure. In use, the catheter (18) locates the electrode (22) in contact with a portion of the endocardium, and fluid is conducted from an external source through the conduit (62) at a pressure above the in vivo pressure to flush the area surrounding the electrode (22).
Abstract:
What is provided herein is an electrically conductive gel composition for use in establishing a low resistance contact between an electrode and a biological body, comprising a clear, aqueous solution of about 0.1 to 3 % by weight of a crosslinked, neutralized copolymer of maleic anhydride and a C1-C5 alkyl vinyl ether. In the preferred form of the invention, the composition contains about 0.1 to 3 % by weight of the crosslinked, neutralized copolymer which contains about 1 to 5 mole % based on the alkyl vinyl ether of a crosslinking agent.
Abstract:
The present invention is directed to an electrode (1) for use in measuring low level signals amidst competing noise signals. The electrode (1) includes an electrically non-conductive substrate (2) having a closed loop (3) of electrical conductive and adhesive material carried by the substrate (2) which defines therein an open area on the substrate (2). A first electrically conductive terminal (4) is embedded within the closed loop (3) of electrically conductive and adhesive material. Within the open area is an inner mass (6) of electrically conductive and adhesive material. The inner mass (6) of electrically conductive and adhesive material is spaced from the closed loop (3). The electrode (1) also includes a second electrically conductive terminal (5) which is embedded with the inner mass (6) of electrically conductive and adhesive material. The electrode (1) includes a first contract device (3) for making electrical contact with the first terminal (4) and a second contact device (7) for making electrical contact with the second terminal (5).
Abstract:
Methods and apparatus are disclosed for use in procedures related to the electrophysiology of the heart, such as identifying or evaluating the electrical activity of the heart, diagnosing and/or treating conditions associated with the electrophysiology of the heart. An apparatus (200) having thermocouple elements (206, 208) of different electromotive potential conductively connected at a junction (210) is introduced into the interior of the heart and a section of heart tissue is contacted with the junction (210). An electrical current is passed through the thermocouple elements (206, 208) to reduce the temperature of the junction in accordance with the Peltier effect and thereby cool contacted heart tissue. The effect of the cooling may be monitored and, if desired, the section of heart tissue may be treated.
Abstract:
Systems and methods of conditioning skin (10) by passing electrical energy through a medical electrode (12A, 12B, 12C). A method of reconditioning a medical electrode by passing electric energy through the electrode. An electrode having electrolyte including an agent to reduce skin discomfort.
Abstract:
Analog or digital systems (10) and methods generate a composite signal derived from a biological event in a time sequential fashion. A first set of signals derived from a biological event using a first group of sensors (20) during a first time interval is input. A second set of signals derived from the biological event during a second time interval sequentially after the first time interval using a second group of sensors (36) is input. The second group of sensors has at least one common sensor that is part of the first group and other sensors that are not part of the first group. The first and second sets of signals are time aligned using signals sensed by the at least one common sensor, thereby generating the composite signal. The time alignment is done by shifting the first and second sets of signals either with or without computing a time difference between them.
Abstract:
An electrode assembly for use in inter-ventricular cardiac mapping includes one or more elongated splines (76) each of which carries a plurality of spaced apart electrodes (22) thereon. The body of each spline is formed of a plurality of alternating electrically conductive layers (86, 98) and the electrically nonconductive layers (88, 100). A separate electrically conductive pathway (94, 102) is provided to connect each of the electrodes to a different one of the conductive layers. Each of the layers is electrically connected to an electrical signal processing device (92) so that signals provided by each of the electrodes can be processed.
Abstract:
A disposable electro-dermal connector device (10) comprising a flexible non-conductive sheet (11) having a fixed array of electrical strips (12) affixed thereon, and positioned in a specific size configuration normally used for electro-cardia recording, is disclosed. The connector strips (12) have a receptor pad end (22) adapted for electrical connection with the skin for receiving electrical impulses, and a terminal connection end (23) which is adapted for connection with an electrocardiology measuring apparatus. Receptor pads (V1)(V2) are attached approximately over the sternum at the fourth intercostal space, and receptor pads (V3)(V4) are attached over the ribs, the distance between (V1)(V2), (V2)(V3)(V4) is 1.75 inches plus or minus 0.56 inch.