WO2008035070A3 - Atrial fibrillation analysis - Google Patents

Atrial fibrillation analysis Download PDF

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Publication number
WO2008035070A3
WO2008035070A3 PCT/GB2007/003558 GB2007003558W WO2008035070A3 WO 2008035070 A3 WO2008035070 A3 WO 2008035070A3 GB 2007003558 W GB2007003558 W GB 2007003558W WO 2008035070 A3 WO2008035070 A3 WO 2008035070A3
Authority
WO
WIPO (PCT)
Prior art keywords
atrial fibrillation
cardiac area
dominant frequency
patient
frequency spectrum
Prior art date
Application number
PCT/GB2007/003558
Other languages
French (fr)
Other versions
WO2008035070A2 (en
Inventor
Julian William Ernest Jarman
Darrel Parthipan Francis
Nicholas Simon Peters
Justin Edgar Rees Davies
Original Assignee
Imp Innovations Ltd
Julian William Ernest Jarman
Darrel Parthipan Francis
Nicholas Simon Peters
Justin Edgar Rees Davies
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Imp Innovations Ltd, Julian William Ernest Jarman, Darrel Parthipan Francis, Nicholas Simon Peters, Justin Edgar Rees Davies filed Critical Imp Innovations Ltd
Publication of WO2008035070A2 publication Critical patent/WO2008035070A2/en
Publication of WO2008035070A3 publication Critical patent/WO2008035070A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/7253Details of waveform analysis characterised by using transforms
    • A61B5/7257Details of waveform analysis characterised by using transforms using Fourier transforms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346Analysis of electrocardiograms
    • A61B5/349Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361Detecting fibrillation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1492Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345Vascular system
    • A61B2018/00351Heart
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00839Bioelectrical parameters, e.g. ECG, EEG
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/3621Heart stimulators for treating or preventing abnormally high heart rate
    • A61N1/3624Heart stimulators for treating or preventing abnormally high heart rate occurring in the atrium, i.e. atrial tachycardia

Abstract

A method of generating a dominant frequency map of a cardiac area in a patient. The method comprises the steps of: (i) processing a plurality of electrograms from the patient by Fourier transformation to generate a power frequency spectrum. Each electrogram corresponds to a portion of the cardiac area measured substantially simultaneously. Step (ii) comprises selecting the highest value from each power frequency spectrum as the dominant frequency at the corresponding portion of the cardiac area. Each dominant frequency is determined in respect of a period of at least 7 seconds.
PCT/GB2007/003558 2006-09-20 2007-09-20 Atrial fibrillation analysis WO2008035070A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GBGB0618522.7A GB0618522D0 (en) 2006-09-20 2006-09-20 Atrial fibrillation analysis
GB0618522.7 2006-09-20

Publications (2)

Publication Number Publication Date
WO2008035070A2 WO2008035070A2 (en) 2008-03-27
WO2008035070A3 true WO2008035070A3 (en) 2008-09-18

Family

ID=37421310

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2007/003558 WO2008035070A2 (en) 2006-09-20 2007-09-20 Atrial fibrillation analysis

Country Status (2)

Country Link
GB (1) GB0618522D0 (en)
WO (1) WO2008035070A2 (en)

Cited By (9)

* Cited by examiner, † Cited by third party
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CN104287715A (en) * 2013-07-19 2015-01-21 韦伯斯特生物官能(以色列)有限公司 Cardiac activity visualization with frequency discrimination
US9050006B2 (en) 2011-05-02 2015-06-09 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9055877B2 (en) 2011-05-02 2015-06-16 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9107600B2 (en) 2011-05-02 2015-08-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9241667B2 (en) 2010-04-08 2016-01-26 The Regents Of The University Of California System and method for reconstructing cardiac signals associated with a complex rhythm disorder
US9282910B2 (en) 2011-05-02 2016-03-15 The Regents Of The University Of California System and method for targeting heart rhythm disorders using shaped ablation
US9332915B2 (en) 2013-03-15 2016-05-10 The Regents Of The University Of California System and method to identify sources associated with biological rhythm disorders
US9392948B2 (en) 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US9439573B2 (en) 2008-10-09 2016-09-13 The Regents Of The University Of California Method for analysis of complex rhythm disorders

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US8989860B2 (en) 2007-03-03 2015-03-24 Max-Planck-Gesellschaft Zur Foerderung Der Wissenschaften E.V. Multisite heart pacing with adjustable number of pacing sites for terminating high frequency cardiac arrhythmias
US8676303B2 (en) 2008-05-13 2014-03-18 The Regents Of The University Of California Methods and systems for treating heart instability
US10434319B2 (en) 2009-10-09 2019-10-08 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
US10398326B2 (en) 2013-03-15 2019-09-03 The Regents Of The University Of California System and method of identifying sources associated with biological rhythm disorders
CN104623807B (en) * 2011-06-15 2017-04-12 马克思-普朗克科学促进协会 Apparatus and method for terminating a high frequency arrhythmic electric state of a biological tissue
WO2014121110A1 (en) 2013-02-01 2014-08-07 Northwestern University Contribution of oxidative stress to af electrograms
EP2856935A1 (en) * 2013-09-26 2015-04-08 Biotronik AG Medical device for evaluating a temperature signal
US10111598B2 (en) 2014-03-31 2018-10-30 University Health Network System and method for focal source identification
EP3125756A4 (en) * 2014-04-01 2017-12-13 The Regents of the University of California System and method of identifying sources associated with biological rhythm disorders
EP3139827A1 (en) * 2014-05-09 2017-03-15 Boston Scientific Scimed, Inc. Medical devices for mapping cardiac tissue
JP2017514597A (en) 2014-05-09 2017-06-08 ボストン サイエンティフィック サイムド,インコーポレイテッドBoston Scientific Scimed,Inc. Medical device for mapping heart tissue
CN107072566A (en) 2014-10-03 2017-08-18 波士顿科学医学有限公司 Medical treatment device for mapping heart tissue
EP3200689B1 (en) 2014-10-03 2021-01-13 Boston Scientific Scimed Inc. Medical system for mapping cardiac tissue
US10512505B2 (en) 2018-05-07 2019-12-24 Farapulse, Inc. Systems, apparatuses and methods for delivery of ablative energy to tissue
US11164371B2 (en) 2017-12-20 2021-11-02 Biosense Webster (Israel) Ltd. Marking a computerized model of a cardiac surface
CN111629662A (en) * 2018-03-15 2020-09-04 科迪影技术股份有限公司 Detection and location of rapid heart firing
EP3790483A1 (en) 2018-05-07 2021-03-17 Farapulse, Inc. Systems, apparatuses, and methods for filtering high voltage noise induced by pulsed electric field ablation
US10625080B1 (en) * 2019-09-17 2020-04-21 Farapulse, Inc. Systems, apparatuses, and methods for detecting ectopic electrocardiogram signals during pulsed electric field ablation
DE102019216780A1 (en) * 2019-10-30 2021-05-06 Neuroloop GmbH Device and method for the detection of a medical active implant located within an individual
US11065047B2 (en) 2019-11-20 2021-07-20 Farapulse, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
US11497541B2 (en) 2019-11-20 2022-11-15 Boston Scientific Scimed, Inc. Systems, apparatuses, and methods for protecting electronic components from high power noise induced by high voltage pulses
CN111297474B (en) * 2019-12-19 2022-11-08 成都迈格因科技有限公司 Individualized positioning and mapping system for auricular fibrillation focus
ES2964930T3 (en) * 2020-12-07 2024-04-10 Cathvision Aps Method for classifying atrial fibrillation
WO2023031415A1 (en) 2021-09-03 2023-03-09 Corify Care, S.L. Method for analyzing arrhythmia

Citations (4)

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US5772604A (en) * 1997-03-14 1998-06-30 Emory University Method, system and apparatus for determining prognosis in atrial fibrillation
WO1999023943A1 (en) * 1997-11-11 1999-05-20 Fachhochschule Offenburg Device for detecting and storing electrocardiogram signals
US20050240112A1 (en) * 2003-08-28 2005-10-27 Fang Dan O System and method for detecting and locating heart disease
WO2005115232A1 (en) * 2004-05-17 2005-12-08 C.R. Bard, Inc. High density atrial fibrillation cycle length (afcl) detection and mapping system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5772604A (en) * 1997-03-14 1998-06-30 Emory University Method, system and apparatus for determining prognosis in atrial fibrillation
WO1999023943A1 (en) * 1997-11-11 1999-05-20 Fachhochschule Offenburg Device for detecting and storing electrocardiogram signals
US20050240112A1 (en) * 2003-08-28 2005-10-27 Fang Dan O System and method for detecting and locating heart disease
WO2005115232A1 (en) * 2004-05-17 2005-12-08 C.R. Bard, Inc. High density atrial fibrillation cycle length (afcl) detection and mapping system

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
LANGLEY P ET AL: "Frequency analysis of atrial fibrillation", COMPUTERS IN CARDIOLOGY 2000 CAMBRIDGE, MA, USA 24-27 SEPT. 2000, PISCATAWAY, NJ, USA,IEEE, US, 24 September 2000 (2000-09-24), pages 65 - 68, XP010528497, ISBN: 0-7803-6557-7 *
PRASHANTHAN SANDERS, OMER BERENFELD, MÉLÈZE HOCINI, PIERRE JAÏS, RAVI VAIDYANATHAN, LI-FERN HSU, STÉPHANE GARRIGUE: "Spectral Analysis Identifies Sites of High-Frequency Activity Maintaining Atrial Fibrillation in Humans Spectral Analysis Identifies Sites of High-Frequency Activity Maintaining Atrial Fibrillation in Humans", CIRCULATION, vol. 112, 2005, pages 789 - 797, XP002477672, Retrieved from the Internet <URL:http://circ.ahajournals.org/cgi/reprint/112/6/789> [retrieved on 20080422] *

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9439573B2 (en) 2008-10-09 2016-09-13 The Regents Of The University Of California Method for analysis of complex rhythm disorders
US9241667B2 (en) 2010-04-08 2016-01-26 The Regents Of The University Of California System and method for reconstructing cardiac signals associated with a complex rhythm disorder
US9549684B2 (en) 2010-04-08 2017-01-24 The Regents Of The University Of California System and method for reconstructing cardiac signals associated with a complex rhythm disorder
US9055878B2 (en) 2011-05-02 2015-06-16 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9107600B2 (en) 2011-05-02 2015-08-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9220427B2 (en) 2011-05-02 2015-12-29 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9055876B2 (en) 2011-05-02 2015-06-16 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9282910B2 (en) 2011-05-02 2016-03-15 The Regents Of The University Of California System and method for targeting heart rhythm disorders using shaped ablation
US9398883B2 (en) 2011-05-02 2016-07-26 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9055877B2 (en) 2011-05-02 2015-06-16 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9468387B2 (en) 2011-05-02 2016-10-18 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9050006B2 (en) 2011-05-02 2015-06-09 The Regents Of The University Of California System and method for reconstructing cardiac activation information
US9392948B2 (en) 2011-12-09 2016-07-19 The Regents Of The University Of California System and method of identifying sources for biological rhythms
US9332915B2 (en) 2013-03-15 2016-05-10 The Regents Of The University Of California System and method to identify sources associated with biological rhythm disorders
CN104287715A (en) * 2013-07-19 2015-01-21 韦伯斯特生物官能(以色列)有限公司 Cardiac activity visualization with frequency discrimination
CN104287715B (en) * 2013-07-19 2018-09-28 韦伯斯特生物官能(以色列)有限公司 It is visualized using the cardiomotility that frequency differentiates

Also Published As

Publication number Publication date
WO2008035070A2 (en) 2008-03-27
GB0618522D0 (en) 2006-11-01

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