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    • 6. 发明申请
    • OPTIMIZATION METHOD FOR CARDIAC RESYNCHRONIZATION THERAPY
    • 心脏再同步治疗的优化方法
    • WO2005011475A2
    • 2005-02-10
    • PCT/US2004/024469
    • 2004-07-28
    • MARCUS, Frank, I.HE, Ding, Sheng
    • MARCUS, Frank, I.HE, Ding, Sheng
    • A61B
    • A61B5/1107A61B5/6869A61B5/7217A61N1/3627A61N1/36542A61N1/3682A61N1/3684
    • The patterns of contraction and relaxation of the heart before and during left ventricular or biventricular pacing are analyzed and displayed in real time mode to assist physicians to screen patients for cardiac resynchronization therapy, to set the optimal AN or right ventricle to left ventricle interval delay, and to select the site(s) of pacing that result in optimal cardiac performance. The system includes an accelerometer sensor (40); a programmable pace maker (35, 41), a computer data analysis module (32), and may also include a 2D and 3D visual graphic display of analytic results (43, 44), i.e. a Ventricular Contraction Map. A feedback network (32) provides direction for optimal pacing leads placement. The method includes selecting a location to place the leads of a cardiac pacing device, collecting seismocardiographic (SCG) data corresponding to heart motion during paced beats of a patient's heart, determining hemodynamic and electrophysiological parameters based on the SCG data, repeating the preceding steps for another lead placement location, and selecting a lead placement location that provides the best cardiac performance by comparing the calculated hemodynamic and electrophysiological parameters for each different lead placement location.
    • 在实时模式下分析和显示左心室或双心室起搏之前和期间的心脏收缩和舒张模式,以帮助医生筛选患者进行心脏再同步治疗,设置最佳的AN或 右心室至左心室间隔延迟,并选择导致心脏性能最佳的起搏部位。 该系统包括加速计传感器(40); 可编程起搏器(35,41),计算机数据分析模块(32),并且还可以包括分析结果(43,44)的2D和3D视觉图形显示,即心室收缩图。 反馈网络(32)为最佳起搏引线放置提供指导。 该方法包括选择放置心脏起搏装置的导线的位置,在患者心脏的起搏节拍期间收集与心脏运动对应的心震波(SCG)数据,基于SCG数据确定血液动力学和电生理参数,重复前述步骤 另一导联放置位置,并通过比较针对每个不同导联放置位置计算的血液动力学和电生理学参数来选择提供最佳心脏表现的导联放置位置。
    • 7. 发明申请
    • MAPPING AND ABLATION METHOD FOR THE TREATMENT OF VENTRICULAR TACHYCARDIA
    • 用于治疗静脉曲霉的映射和排列方法
    • WO2005115226A2
    • 2005-12-08
    • PCT/US2005/017081
    • 2005-05-17
    • C.R.BARD, INC.MacADAM, DavidHE, Ding, Sheng
    • MacADAM, DavidHE, Ding, Sheng
    • A61B5/00
    • A61B18/1492A61B5/042A61B2018/00214A61B2018/00839
    • An apparatus for mapping and/or ablating tissue includes a braided conductive member that that may be inverted to provide a ring-shaped surface. When a distal tip of the braided conductive member is retracted within the braided conductive member, the lack of a protrusion allows the ring-shaped surface to contact a tissue wall such as a cardiac wall. In an alternative configuration, the braided conductive member may be configured with the distal portion forming a proboscis that can be used to stably position the braided conductive member relative to a blood vessel, such as a ventricular outflow tract. The braided conductive member has a plurality of electronically active sites that may be accessed individually for stable mapping over a broad area for stable mapping or ablation to form broad and deep lesions.
    • 一种用于测绘和/或消融组织的装置包括可被倒置以提供环形表面的编织导电构件。 当编织导电构件的远侧末端缩回到编织导电构件内时,缺少凸起允许环形表面接触诸如心脏壁的组织壁。 在替代配置中,编织导电构件可以被构造成具有形成长鼻的远端部分,其可用于相对于诸如心室流出道的血管来稳定地定位编织导电构件。 编织导电构件具有多个电子活性位点,其可以单独访问以用于在广泛区域上的稳定映射以用于稳定的映射或消融以形成宽而深的损伤。