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    • 6. 发明授权
    • Comparative analysis of body surface potential distribution during
cardiac pacing
    • 心脏起搏期间体表电势分布的比较分析
    • US5311873A
    • 1994-05-17
    • US937487
    • 1992-08-28
    • Pierre SavardReginald NadeauMarc Dubuc
    • Pierre SavardReginald NadeauMarc Dubuc
    • A61N1/08A61N1/36A61N1/372A61N1/00
    • A61N1/36014A61N1/08A61N1/372A61B2034/2053
    • Body surface potential map (BSPM) pace-mapping is a system and method that can be used in medicine to localize with precision the site of origin of abnormal cardiac electrical activity and to guide the positioning of a catheter over this site of origin, such as the site of ventricular preexcitation in patients with the Wolff-Parkinson-White syndrome or the focus of ectopic activity in patients with tachycardia. Body surface potential distributions are measured with a large number of electrodes, e.g. 24 to 128, distributed over the entire torso surface. The electrical signals are first amplified, converted into digital data and treated to remove electrical or muscle artifacts. Data recorded during abnormal activation (reference beat) are aligned with data recorded during cardiac pacing (paced beat) so as to maximize the average value of the correlation coefficient between the reference and the paced potential distributions during a preset time interval following the beginning of the QRS complex. Reference and paced maps showing color-coded isopotential contour lines are displayed side by side for the same time instant. Visual analysis of these maps according to previously published criteria determines the relative position of the pacing catheter with respect to the focus of abnormal activation, and gives information so as to guide the catheter toward the focus.
    • 身体表面电位图(BSPM)速度绘图是一种可用于医学中的系统和方法,用于精确定位异常心脏电活动的原点,并引导导管在该原点位置的定位,例如 患有Wolff-Parkinson-White综合征患者心室预激的部位或心动过速患者异位活动的重点。 用大量的电极测量体表面电位分布,例如, 24到128,分布在整个躯干表面。 电信号首先被放大,转换成数字数据并被处理以去除电或肌肉伪像。 在异常激活期间记录的数据(参考拍子)与在心脏起搏(起搏节拍)期间记录的数据对准,以便在开始之后的预设时间间隔期间使参考和起搏电位分布之间的相关系数的平均值最大化 QRS综合 显示彩色等电位轮廓线的参考和节奏地图在同一时刻并排显示。 根据先前发布的标准的这些图的视觉分析确定起搏导管相对于异常激活的焦点的相对位置,并且给出信息以引导导管朝向焦点。
    • 7. 发明授权
    • Mapping electrode balloon
    • 映射电极气球
    • US5255678A
    • 1993-10-26
    • US719006
    • 1991-06-21
    • Antoine DeslauriersPierre SavardPierre PageRene CardinalJosee Rousseau
    • Antoine DeslauriersPierre SavardPierre PageRene CardinalJosee Rousseau
    • A61B5/042A61B5/04
    • A61B5/6853A61B5/042A61B5/0422A61B2562/0209A61B2562/046A61M2025/1086
    • An electrode balloon for use in anatomical cavities, such as cardiac chambers, to pick up bioelectrical signals from the walls thereof simultaneously in a multitude of sites for the mapping of the activation potentials thereof comprises an inflated tight rubber balloon having an opening at a proximal end thereof communicating with a filling tube which defines apertures for dispensing fluid in the rubber balloon. An extensible knitting which covers the rubber balloon is provided with a plurality of electrode heads distributed thereon to contact the walls of the cavity when the rubber balloon is inflated by a fluid conveyed therein through the tube. Insulated electrical conductors connect the electrodes to a signal recording and processing device. A tutor extending longitudinally through the rubber balloon and further extending therefrom to form a handle includes two separate longitudinal compartments which constitute the filling tube and a compartment for receiving an intubation guide which serves to guide the knitting covered rubber balloon into the cavity. The electrodes are hollow balls sewn to the knitting and joined to the conducting wires with weldless joints. The knitting is patterned in order to confer to the inflated rubber balloon the shape of the cavity being studied. The electrode balloon is adapted, for instance, to study the left and right ventricles by way of its the insertion through an incision in their respective auricles and through the mitral and tricuspid valves thereof, respectively.
    • 用于解剖腔体(例如心脏腔室)的电极球囊,用于在多个位置同时从其壁拾取生物电信号以用于映射其活化电位,其包括充气的紧密橡胶球囊,其在近端具有开口 其与填充管连通,该填充管限定用于分配橡胶气囊中的流体的孔。 覆盖橡胶球囊的可伸展针织物设置有多个分布在其上的电极头,当橡胶球囊被其中通过管输送的流体膨胀时,其与腔体的壁接触。 绝缘电导体将电极连接到信号记录和处理装置。 纵向延伸穿过橡胶球并形成手柄的导师包括构成灌装管的两个独立的纵向隔室和用于接纳用于将针织被覆盖的橡胶气球引导到空腔中的插管引导件的隔间。 电极是缝制到针织上的中空球,并且用无焊缝接合到导线上。 对编织进行图案化以赋予膨胀的橡胶球囊所研究的空腔的形状。 例如,电极球适合于通过其通过其各自耳廓中的切口插入并分别穿过其二尖瓣和三尖瓣来研究左心室和右心室。