Duke University

Pacesetter, Inc.

Other

Patrick D Wolf

Rajesh Pendekanti

Stephen W Smith

Rose Province

James C Morizio

Peter J Hollender

Miguel A L Nicolelis

John K Chapin

Daniel Friedman

Iyad Obeid

Matthew Fronheiser

Rebecca Booi

Tristram Bahnson

Deborah S Won

Aspects of the present disclosure describe systems, methods, and structures for pulmonary vein isolation lesion evaluation that advantageously determine lesion durability.

Systems, methods, and structures for pulmonary vein isolation lesion evaluation

Systems, Methods, and Computer Program Products for Transmitting Neural Signal Information. Systems, method, and computer program products are provided for neural signal transmission. A system according to one embodiment can include a signal receiver operable to receive a neural signal comprising an action potential. The system can also include an action potential detector operable to communicate with the signal receiver and detect when the action potential occurs. In addition, the system can include a transmitter in communication with the action potential detector and operable to transmit an information signal indicating the time when the action potential occurs and, in addition, can transmit samples associated with a detected action potential.

Systems, methods, and computer program products for transmitting neural signal information

An oscillating shaft is scanned to provide images including the oscillating shaft in vivo in real-time with a real-time three-dimensional (3D) ultrasound scanner. An interventional device can be guided in vivo using an ultrasound scanner and includes a sheath having a bore therethrough from a proximal portion to a spaced-apart distal portion. A shaft has a proximal portion and a spaced-apart distal portion and is configured for insertion into the bore of the sheath. A vibrator is coupled to the proximal portion of the shaft and is configured to cause the distal portion of the shaft to oscillate at a shaft frequency. An isolator is coupled to the proximal portion of the sheath and to the vibrator, wherein the isolator is configured to reduce damping of an oscillation of the shaft by the sheath.

Methods, devices, systems and computer program products for oscillating shafts using real time 3D ultrasound

Methods, systems, and computer program products for transmitting neural signal information. Methods, systems, and computer programs products are disclosed for neural channel selection in a multi-channel system. A method according to one embodiment can include a step for receiving a plurality of neural signals on a first plurality of channels. The method can also include a step for calculating criterion variable value for the neural signal on each of the channels. In addition, the method can include a step for ranking the channels by the criterion variable value. The method can also include a step for calculating mutual information between a measured output and a total population activity for the first plurality of channels. Further, the method can include a step for determining a second plurality of channels that encodes a predetermined amount of the mutual information.

Methods, systems, and computer program products for neural channel selection in a multi-channel system

Neurochip for Neuroprosthetic Control. According to one embodiment, a neural spike detection system is provided. The neural spike detection system can include a signal receiver operable to receive a plurality of neural signals including neural spikes. The system can also include a neural spike detector adapted to communicate with the signal receiver and detect neural spikes in the plurality of neural signals. Further, the system can include a transmitter connected to the neural spike detector and operable to transmit an information signal when a neural spike is detected.

Apparatus for acquiring and transmitting neural signals and related methods

An implantable cardiac stimulation device is equipped with a sensor to obtain information indicative of tissue depolarization. The device's processor is programmed to analyze the information to determine a suitable pacing pulse regimen and/or to trigger a cardioversion level stimulus.

Reduction of defibrillation requirements through active pre-shock pacing with depolarization verification

A system and method for providing improved defibrillation thresholds. In one embodiment of the invention, following the detection of fibrillation, a pacing pulse train is applied to a pacing electrode placed in the low gradient region of the left ventricular freewall to capture the tissue. In one embodiment, a pacing rate of about 80-95% of the VF cycle length is applied to achieve capture. Once capture of the tissue of the critical region is achieved, a high energy shock is delivered when the captured tissue is in the process of activation. The defibrillation shock is delivered at the end of the pacing train, with a coupling interval of either about 80-95% of the pacing rate (i.e., about 64-90% of the VF cycle length), or, alternatively, about 5-20% of the pacing rate (i.e., about 4-19% of the VF cycle length). In an alternative embodiment of the invention, a sensing electrode array is placed in the low gradient region of the left ventricular freewall to monitor such time as a substantial percentage of the tissue of the low gradient region is in the process of activation, i.e., on the downstroke of the respective EGMs, and then delivering the defibrillation shock at that instant.

Method and apparatus for improving the probability of success of defibrillation shocks

Methods and apparatus for achieving atrial defibrillation in a heart. Atrial pacing is first conducted from multiple pacing sites in an independent (asynchronous) manner so as to have the desired effect of maximizing the extent of phase-locked area of atrial tissue. Next, an ADF shock is introduced, if still needed, to achieve atrial defibrillation. ADFT energy requirements have been shown to be dramatically reduced on account of using pacing rates set proportionally to the sensed local atrial fibrillation cycle lengths such that large areas of atrial tissues are phase-locked, and consequently atrial defibrillation can be effected in the patient with greatly reduced energy requirements for ADFTs.

Atrial defibrillation methods and apparatus

Method and apparatus for improving the probability of success of

Methods and apparatus for achieving atrial defibrillation in a heart. Atrial pacing is first conducted from a single pacing site so as to have the desired effect of maximizing the extent of phase-locked area of atrial tissue. Next, an ADF shock is introduced, if still needed, to achieve atrial defibrillation. ADFT energy requirements have been shown to be dramatically reduced on account of using a pacing rate set proportionally to the atrial fibrillation cycle length such that large areas of atrial tissues are phase-locked, and consequently atrial defibrillation can be effected in the patient with greatly reduced energy requirements for ADFTs.

Methods and apparatus for achieving atrial defibrillation in a heart. Atrial pacing is first conducted from multiple pacing sites in a synchronous manner so as to have the desired effect of maximizing the extent of phase-locked area of atrial tissue. Next, an ADF shock is introduced, if still needed, to achieve atrial defibrillation. ADFT energy requirements have been shown to be dramatically reduced on account of using pacing rates set proportionally to the sensed atrial fibrillation cycle length(s) such that large areas of atrial tissues are phase-locked, and consequently atrial defibrillation can be effected in the patient with greatly reduced energy requirements for ADFTs.

Growing community of inventors

Durham, NC, United States of America

Patrick D Wolf