Methods, systems, and coaptation measurement devices as described herein include an elongate sensor body at the end of a proximal connecting member, and a plurality of sensors in an array across a face of the sensor body, wherein each sensor of the plurality of sensors is configured to detect if a portion of a heart valve is in contact with the sensor.

A computer implemented method for determining heart arrhythmias based on cardiac activity that includes under control of one or more processors of an implantable medical device (IMD) configured with specific executable instructions to obtain far field cardiac activity (CA) signals at electrodes located remote from the heart, and obtain acceleration signatures, at an accelerometer of the IMD, indicative of heart sounds generated during the cardiac beats. The IMD is also configured with specific executable instructions to declare a candidate arrhythmia based on a characteristic of at least one R-R interval from the cardiac beats, and evaluate the acceleration signatures for ventricular events (VEs) to re-assess a presence or absence of at least one R-wave from the cardiac beats and based thereon confirming or denying the candidate arrhythmia.

A system (102) includes a digital information repository(s) (104) configured to store an aortic valve area measurement, a mean transaortic pressure gradient measurement, and a peak aortic jet velocity measurement for a subject of interest. The system further includes a computing apparatus (106). The computing apparatus comprises a memory (110) configured to store instructions (120) for an aortic stenosis classifier (122). The computing apparatus further comprises a processor (108) configured to execute the stored instructions for the aortic stenosis classifier to classify a severity of an aortic stenosis of the subject of interest based at least on the aortic valve area measurement, the mean transaortic pressure gradient measurement, and the peak aortic jet velocity measurement for the subject of interest. The computing apparatus further comprises a display configured to display the severity.

Devices, systems, and methods are provided for image-guided interventional procedures and other uses. Nested articulated catheter shaft systems may have an imaging catheter with an ultrasound transducer supported by a fluid-driven articulated sheath portion. Drive fluid can be transmitted distally along an asymmetric sheath via eccentric passages to an articulated portion of the imaging catheter distal of a port. An articulated shaft supporting a therapeutic tool can be advanced within a working lumen of the imaging sheath to the port so that the tool is within a field of view of the transducer. The fluid transmission channels may take much less cross-sectional area of the sheath than a mechanical pull-wire system, allowing the nested sheath/shaft system to provide safer access to a chamber of the heart and to facilitate precise independent control over 3D ultrasound imaging and image-guided structural heart therapies or the like.

A catheter includes: a shaft for insertion into an organ of a patient, and first and second position sensors. The shaft includes: (a) an inner shaft, which is configured to be deflected relative to an axis of the shaft, and (b) an outer shaft, which is coupled to a distal tip of the catheter and is configured to be: (i) coaxially disposed around the inner shaft, (ii) deflected together with the inner shaft, and (iii) rotated about the axis relative to the inner shaft. The first position sensor is coupled to the distal tip and is configured to produce a first signal, and the second position sensor is coupled to the inner shaft, and is configured to produce a second signal.

An intravascular blood flow sensing system is provided. The system includes an intravascular catheter or guidewire with a flow sensor that obtains flow data of blood flow within a blood vessel. The system includes a processor circuit that communicates with the intravascular catheter or guidewire. The processor circuit receives the flow data from the intravascular catheter or guidewire, determine a plurality of values based on the flow data, and outputs a plot of the plurality of values to a display. The plot includes peak associated with coronary reactivity testing (CRT). The processor circuit can also automatically change between a louder volume and a softer volume for audio output of the flow data. The processor circuit can additional communicate with a device other than the flow sensor (e.g., ECG, pressure sensor, etc.), and graphical representations of the flow data and the data received from the other device can be independent scaled.

The present disclosure describes an ultrasound imaging system configured to identify a scan line pattern for imaging an object or feature thereof. The system may include a controller that controls a probe for imaging a volume of a subject by transmitting and receiving ultrasound signals in accordance with a plurality of scan line patterns. One or more processors communicating with the probe may generate a plurality of image data sets based on the signals received at the probe, each data set corresponding to a discrete scan line pattern. These data sets are assessed for a target characteristic specific to the object targeted for imaging. One the data set that includes the target characteristic is identified, the one or more processors select the scan line pattern that corresponds the identified image data set. This scan line pattern may then be used for subsequent imaging of the volume to view the object.

In one embodiment, a medical system includes a catheter configured to be inserted into a cavity of a body of a living subject, and including an inflatable balloon comprising electrodes, the inflatable balloon being configured to press the electrodes against tissue of the cavity and at least partially block blood flow in the cavity, an ultrasound probe configured to provide velocity measurements of the blood flow in the cavity over time, a processor configured to assess a quality of contact of the electrodes with the tissue responsively to at least one of the velocity measurements of the blood flow in the cavity, and output an indication of the quality of contact to an output device, and a power supply configured to provide at least one electrical signal to the electrodes in order to ablate the tissue of the cavity.

Systems and methods for augmenting image data during heart valve repair procedures, such as transcatheter mitral valve repair (TMVr) or transcatheter tricuspid valve repair (TTVr). Image data may be obtained from an imaging device, and may be output to a display with one or more reference markers overlaid on the image data to simplify the visual data. Image data may be augmented or replaced with the reference markers. In some cases, reference markers may provide information about objects that are difficult to see in the image data. In other cases, the reference markers may provide clinical recommendations or feedback.

The present disclosure provides imaging agents that are useful for the detection and evaluation of heart conditions, such as myocardial infarction. Upon activation, the imaging agents of the present disclosure may be detected using an ultrasound imaging device.