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Title:
APPARATUS FOR DETERMINING ABNORMAL ELECTRIC POTENTIALS IN VENTRICULAR MYOCARDIUM
Document Type and Number:
WIPO Patent Application WO/2017/213533
Kind Code:
A4
Abstract:
The invention refers to an apparatus that determines the abnormal electrical potential points which appear in the ventricular myocardium, particularly the left ventricle, which are capable of generating arrhythmias with a serious impact. The apparatus may assist the physician in objectively identifying, in real time, of the points which require ablating. The apparatus to determine the points of abnormal electrical potential from the ventricular myocardium contains an amplification and analogue filtering module, an analogue to digital signal converter, a hardware device which contains a microchip for digital processing, by means of a software, of signals received from an EKG and a catheter, with a display for the visualization of the signals received from the EKG and the catheter, as well as the abnormal electrical potentials found in the ventricular myocardium, identified via the software. The software analyzes the received signal from the catheter, referring to the amplitude, duration and synchronization with the QRS complex of the signal received from the EKG, as well as the degree of spectral fragmentation.

Inventors:
CHIRIAC HORIA (RO)
GRECU MIHAELA (RO)
CORODEANU SORIN (RO)
TIBU MIHAI (RO)
LUPU NICOLETA (RO)
Application Number:
PCT/RO2017/000010
Publication Date:
February 22, 2018
Filing Date:
June 06, 2017
Export Citation:
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Assignee:
INSTITUTUL NAT DE CERCETARE DEZVOLTARE PENTRU FIZICA TEHNICA IFT IASI (RO)
International Classes:
A61B5/00; A61B5/363; A61B5/366
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Claims:
AMENDED CLAIMS

received by the International Bureau on 08 January 2018 (08.01.2018)

1. Apparatus (1 ) for determining the abnormal electrical potential points from the ventricular myocardium that requires ablation, comprising: a module (2) for amplification and analogue filtering, an analogue - digital signal converter (5), a hardware device (6), such as a computer, microcontroller or any other equivalent device, for the digital processing of data, by means of a software (7), of the signals received from an EKG device (3) and from a catheter (4), a display (8) for displaying the signals received from the EKG device (3) and from the catheter (4), as well as the abnormal electrical potentials from the ventricular myocardium, identified by the software (7), characterized in that the software (7) is suitable for analyzing the signal received from the catheter, respectively the amplitude, duration,

synchronization with the QRS complex of the.signal coming from the EKG surface electrodes, as well as the spectral fragmentation (FFT analysis).

2. Apparatus (1 ), according to claim 1 , characterized in that it further comprises a device (9) for generating an acoustic or luminous visual signal when the catheter reaches a abnormal electrical potential from the ventricular myocardium.

3. Apparatus (1 ), according to claim 1 or 2, characterized in that it may connect to an EKG device (3) and a catheter (4).

4. Apparatus (1 ), according to claim 1 or 2, characterized in that it comprises a built- in EKG device (3) and a connection for a catheter (4).

5. Apparatus (1 ) according to claim 1 , characterized in that the software (7) is suitable for activating the exclusion condition for the eventual artifact signals, the signal being considered normal and the other search intervals being automatically ignored if the level of the catheter signal exceeds the first voltage threshold, in a search interval of up to 50 ms after the beginning of the QRS complex, the Q point respectively, and by that it activates the condition for the detection of the abnormal signal, if the level of the catheter signal has an amplitude over the second voltage threshold that was established, and is situated in a search interval of up to 50 ms before and up to 100 ms after the end of the QRS complex, the S point respectively.

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6. Apparatus (1), according to claim 5, characterized in that the reference for the search intervals for abnormal signals is adjustable and is singularized for each case.

7. Use of the apparatus (1 ) according to any of the previous claims, in the ventricular myocardium ablation procedure, the abnormal electrical potential points detected by the apparatus, being able to be simultaneously or latterly ablated.

8. Use of the apparatus (1 ) according to any of claims 1-6, together with a 2D or 3D mapping system (10), on cardiac level, or with any system that allows the

cartography and highlighting of the used signals.

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