A catheter system to record and map electrical signals by cardiac tissues before, during, and/or after the treatment of cardiac arrhythmias in a group of patients. The system can include an elongated body; a distal electrode assembly comprising a proximal stem, a plurality of spines emanating from the stem; and a plurality of nonconductive spine covers, each surrounding a respective spine. Each spine can cover one or more tensile members of the respective spine cover. The system can be configured to achieve clinically improved performance and safety of catheter configurations as to accessibility into target areas of a beating heart.

The disclosure relates generally to applications of Orientation Independent Sensing (OIS) and Omnipolar mapping Technology (OT) to various system, device and method embodiments as recited herein. Similarly, systems and methods suitable for supporting OIS and OT systems and methods are disclosed. Further, OIS and OT implementations that provide end user interfaces, diagnostic indicia and visual displays generated, in part, based on measured data or derived from measured data are also disclosed. Embodiments also describe applying optimization techniques to determine the greatest voltage difference of a local electric field associated with an electrode-based diagnostic procedure and a vector representation thereof. Various graphic user interface related features are also described to facilitate orientation and electrode clique signal display.

The present invention concerns a method for identifying areas of the heart of a patient able to be involved in the perpetuation of atrial fibrillation. This method takes into account the reference cycle of the arrhythmia and has two variants: a local variant in which the areas of the heart are each analysed separately and a regional variant in which several areas of the heart are analysed together. The invention also concerns device for implementing said method a program and the medium thereof.

A medical device system and method for detecting dislodgement of a lead determines one or more characteristics of a cardiac signal received via the lead that are associated with dislodgement of the lead during atrial fibrillation, and detects dislodgement of the ventricular lead based on the determined characteristics. The medical device and system provides a lead dislodgment alert in response to detecting dislodgement. In some examples, an implantable medical device withholds delivery of a defibrillation therapy based on detecting dislodgement of the lead.

Current technologies analyze electrocardiogram (ECG) signals for a long duration, which is not always a practical scenario. Moreover the current scenarios perform a binary classification between normal and Atrial Fibrillation (AF) only, whereas there are many abnormal rhythms apart from AF. Conventional systems/methods have their own limitations and may tend to misclassify ECG signals, thereby resulting in an unbalanced multi-label classification problem. Embodiments of the present disclosure provide systems and methods that are robust and more efficient for classifying rhythms for example, normal, AF, other abnormal rhythms and noisy ECG recordings by implementing a spectrogram based noise removal that obtains clean ECG signal from an acquired single-lead ECG signal, an optimum feature selection at each layer of classification that selects optimum features from a pool of extracted features, and a multi-layer cascaded binary classifier that identifies rhythms in the clean ECG signal at each layer of the classifier.

Apparatus and methods remove a voltage offset from an electrical signal, specifically a biomedical signal. A signal is received at a first operational amplifier and is amplified by a gain. An amplitude of the signal is monitored, by a first pair of diode stages coupled to an output of the first operational amplifier, for the voltage offset. The amplitude of the signal is then attenuated by the first pair of diode stages and a plurality of timing banks. The attenuating includes limiting charging, by the first pair of diode stages, of the plurality of timing banks and setting a time constant based on the charging. The attenuating removes the voltage offset persisting at a threshold for a duration of at least the time constant. Saturation of the signal is limited to a saturation recovery time while the saturated signal is gradually pulled into monitoring range over the saturation recovery time.

Systems and methods for detecting cardiac arrhythmias such as an atrial fibrillation (AF) are described herein. The AF detection system includes a sensor circuit to sense a physiological signal, a heartbeat processor to recognize a plurality of beat patterns using cycle length of two more consecutive cardiac cycles. The beat patterns can be indicative of temporal relationship between the consecutive cardiac cycles. The heartbeat processor may generate a repetitiveness indictor based on a statistical measurement of various beat patterns. The AF detection system includes an arrhythmia detector to detect an episode of AF based on the repetitiveness indictor, and to discriminate the AF from other arrhythmias of atrio-ventricular conduction abnormalities.

A defibrillator for guiding a rescuer based on a probability of defibrillation success includes at least one output device and a processor and associated memory, the processor being configured to receive at least two ECG signals over time for a cardiac arrest victim, the at least two ECG signals including at least a first ECG signal at a first point in time and a second ECG signal at a second point in time, process the at least two ECG signals to determine at least two parameters related to the at least two ECG signals, the at least two parameters forming a sequence of parameter sets, analyze a trajectory of the sequence of parameter sets, determine the probability of defibrillation success based on the analysis of the trajectory, and control the at least one output device to provide one or more caregiver prompts based on the probability of defibrillation success.

A system and method for facilitating a cardiac rhythm disorder diagnosis with the aid of a digital computer is provided. A plurality of R-wave peaks are identified in a set of ECG data and a difference between recording times of successive pairs of the R-wave peaks are calculated as R-R intervals. A heart rate associated with each time difference is determined. An R-R interval plot of the ECG data is formed. The R-R intervals are plotted along an x-axis of the R-R interval plot and the heart rates associated with the R-R intervals are plotted along a y-axis of the R-R interval plot. A diagnostic composite plot is generated, including the R-R interval plot, a near field view of a portion of the ECG data, and an intermediate field view of a different portion of the ECG data for diagnosis of a cardiac event.

A system for monitoring the status and/or performance of one or more hearing devices is disclosed. The system comprises a number of access points configured to receive wireless signals transmitted by the hearing devices, wherein the access points are connected to a central unit communicatively connected to the Internet/cloud, wherein the system is configured to automatically monitor the status and/or performance of one or more parameter of the one or more hearing devices received by access points, wherein the monitored parameters are accessible from the central unit and/or from a cloud service.