Abstract: A plurality of systems and methods for improving a cardiac ablation procedure are disclosed. The systems and methods include a cloud server that includes a database containing information about previously performed cardiac ablations, a local server that is communicatively coupled to the cloud server via first network, and a surgical system that is communicatively coupled to the local server via second network. The cloud server is configured to receive, via the local server, electrical and anatomical data of a heart of a patient from the surgical system, perform a comparison of the electrical and anatomical data of the heart to the database information, generate a surgical treatment plan for the heart based on the comparison, wherein the surgical treatment plan includes a grid of the heart, and transmit, via the local server, the surgical treatment plan to the surgical system.

Abstract: The disclosed technology includes an electrode comprising a body including a first end and a second end. The body can extend along a longitudinal axis from the first end to the second end. The body can be configured for attachment to a spine of an expandable basket assembly such that the first end is oriented for contacting tissue when the expandable basket assembly is in an expanded configuration. The first end can comprise a conductive surface forming a generally triangular shape and an area that is greater than the second end. The body can converge from the first end to the second end along the longitudinal axis.

Abstract: Systems, devices, and techniques are disclosed for automatically generating CPM matrices. The system includes a plurality of body surface electrodes configured to sense electric signals and a processor comprising a neural network. The processor is configured to receive a plurality of historical CPM matrices, patient properties, and corresponding catheter locations, train a learning system based on the plurality of CPM matrices, patient properties, and corresponding catheter locations, generate a model based on the learning system, receive new patient properties at least in part from the plurality of body surface electrodes and generate new CPM matrices based on new patient properties at least in part from the plurality of body surface electrodes.

Abstract: An integrated guidewire includes a wire and an optical fiber. The wire is sized and shaped to move in an anatomical material transportation system of a patient. The optical fiber has proximal and distal ends, the proximal-end is coupled to a device external to the patient, the optical fiber is configured to transfer optical signals between the distal-end and the device, and the wire and the optical fiber are intertwined with respect to one another.

Abstract: A method and apparatus for electrophysiological assessment, including acquiring electrical signals from tissue at locations in a heart chamber and a computer processor automatically deriving from the electrical signals annotations indicative of times within a heart cycle at which a conduction wave traversed the locations. The method includes receiving an input from a processor user indicating, for a first location in the tissue where the electrical signals include a double-potential signal, a first annotation as a valid annotation. The processor automatically identifies second locations, within a predefined distance from the first location, where the electrical signals include double-potential signals, each having two respective annotations.

Abstract: A catheter comprising an elongated catheter body, and an electrode assembly distal of the catheter body, the assembly comprising a plurality of spines, wherein each spine has a distal end that is connected to the distal end of at least one other spine, wherein each spine has an electrode-carrying portion, the electrode-carrying portions of all spines of the assembly being in a single common plane, and wherein all spines of the assembly have a uniform exposed total length.

Abstract: The disclosed technology includes a medical probe comprising a tubular shaft including a proximal end and a distal end and an expandable basket assembly coupled to the distal end of the tubular shaft. The basket assembly can comprise a first plurality of spines coupled to the distal end of the tubular shaft and a second plurality of spines, each spine of the second plurality of spines rotatably coupled to a respective spine of the first plurality of spines. The basket assembly can include a plurality of electrodes attached to at least the second plurality of spines and a push rod connected to a distal end of the second plurality of spines. The push rod can be configured to slide longitudinally between a proximal position and a distal position to transition the expandable basket assembly between an expanded configuration and a collapsed configuration.

Abstract: A method includes receiving time-varying boundary condition values measured for a probe inside a cavity of an organ of a patient. A time-dependent shape of the probe is calculated by (a) representing sections of the probe as first springs, (b) representing external forces acting on the sections as second springs, and (c) solving a set of coupled equations of motion, for the first springs and the second springs, so as to meet the time-varying boundary condition values. The shape is presented to a user.

Abstract: Embodiments of the present invention include generating a 3D model of a body cavity, and receiving, from a position transducer associated with a medical probe configured to be inserted into the cavity and having at least one elongated electrode disposed along a distal end of the probe, signals indicating orientation and location coordinates of the distal end within the body cavity. Based on the model and the signals, while parts of the given electrode other than the identified segment are not in contact with the inner surface of the cavity, a segment along a length of a given electrode that is in contact with tissue at a site on an inner surface of the cavity is identified. A graphical representation of the model with a visual marker at a location on the model corresponding to the site contacted by the segment of the given electrode is rendered to a display.

Abstract: A medical probe, including a flexible insertion tube having a proximal segment and a deflectable distal segment, and containing first and second proximal tubular structures, first and second distal lumens, and first and second wires. The first and second proximal tubular structures are twisted around each other in the proximal segment. The first and lumens are parallel to each other in the deflectable distal segment. The first and second wires run respectively through the first and second proximal tubular structures and the first and second distal lumens. The first and second wires have respective first and second proximal ends which deflect the deflectable distal segment when the respective proximal ends are pulled.

Abstract: A method for producing an image of a body tissue surface. The method includes transforming a source 3-D model of the body tissue surface into a flattened model comprising details of the body tissue surface represented visually on an unwrapped and flattened surface, wherein the flattened model represents transformed positions of the source 3-D model of the body tissue surface defined between a first edge and a second edge. The first edge is formed about a lumen defined by the body tissue surface, and the body tissue surface projects about the lumen to the second edge. The method further includes producing an image from the flattened model.

Abstract: In one embodiment, a medical system includes a catheter configured to be inserted into a body part of a living subject, and including an elongated deflectable element including a distal end, a proximal coupler connected to the distal end, an expandable assembly comprising a plurality of flexible polymer circuit strips, the flexible polymer circuit strips having respective proximal ends connected to, and disposed circumferentially around, the proximal coupler, respective ones of the flexible polymer circuit strips including respective multiple strip electrodes, respective contact arrays disposed at the respective proximal ends, and respective multiple circuit traces electrically connecting the respective multiple strip electrodes with the respective contact arrays, and a plurality of surface mountable electrodes mounted on, and bulging over respective ones of the flexible polymer circuit strips.

Abstract: 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.

Abstract: A method, includes receiving an anatomical map of a patient organ, the anatomical map including properties obtained at respective locations on a first surface of the organ. A design line produced on a second surface of the anatomical map, is received. One or more of the properties that, when falling along the design line, will be visualized thereon, are selected, and the one or more properties falling along the design line, are visualized.

Abstract: A catheter has a distal assembly with at least one loop with ring electrodes. A single continuous puller wire for bidirectional deflection is pre-bent into two long portions and a U-shape bend therebetween. The U-shape bend is anchored at a distal end of a deflectable section which is reinforced by at least one washer having at least two holes, each hole axially aligned with a respective lumen in the deflectable section. Each hole is centered with a lumen so that each puller wire portion therethrough is straight and subjected to tensile force only. A proximal end of the support member is flattened and serrated to provide a better bonding to the distal end of the deflectable section.

Abstract: In one embodiment, a system includes a catheter including an insertion tube and a first position sensor, a pusher including a second position sensor, and an expandable assembly including flexible strips disposed circumferentially around a distal portion of the pusher, with first ends of the strips connected to the distal end of the insertion tube and second ends of the strips connected to the distal portion of the pusher, the flexible strips bowing radially outward when the pusher is retracted, processing circuitry to receive a respective position signal from the first and second position sensors, compute location and orientation coordinates for the position sensors subject to a constraint that the position sensors are coaxial and have a same orientation, compute a distance between the computed location coordinates of the position sensors, and find position coordinates of the flexible strips responsively to at least the computed distance.

Abstract: A method for calibrating a medical device is provided. The method implemented by a calibration engine executed by one or more processors. The method includes capturing one or more voltage measurements by one or more components of a catheter, estimating calibration data based on the one or more voltage measurements, and outputting the calibration data to the catheter.

Abstract: The disclosed technology includes a method of treating atrial fibrillation in a predetermined group of patients meeting predetermined inclusion and exclusion criteria, including delivering a catheter into a pulmonary vein of each patient of the predetermined group of patients, ablating one or more locations of targeted tissues of the pulmonary vein using the catheter, determining an ablation index as a function of the measured contact force and number of pulsed electric field applications for each location of the one or more locations from the pulsed electric field ablation, and achieving a predetermined effectiveness rate of pulmonary vein isolation in the group of patients within an effectiveness evaluation period. The catheter can include a tip electrode configured to emit either a pulsed electric field or a radiofrequency signal to cardiac tissue and measure a contact force experienced by the tip electrode against cardiac tissue during pulsed electric field ablation.

Abstract: Embodiments of methods and systems for determining electrocardiogram (ECG) depth of electrical activity. Electrical activity from a plurality of electrodes of a catheter is received; and within the electrical activity, an electrical signal originating from a depth within cardiac tissue is identified. In some embodiments, spatial electrode signal analysis of the electrical activity may be performed for each electrode of the plurality of electrodes. In some embodiments, a linear and/or non-linear combination of signal components within the electrical activity may be calculated. In some embodiments, a neural network may be provided with the electrical signals and may determine an estimated distance to the nearest activation for at least one of the plurality of electrodes. A visualization of the identified electrical signals at a specified depth within the cardiac tissue may be provided for display.

Abstract: A method is provided. The method is implemented by a mapping engine. The mapping engine includes processor executable code stored on a memory and executed by a processor. The method includes acquiring catheter trajectories in real-time during an ablation procedure and training a pre-trained neural network based on a dataset and the catheter trajectories to provide a trained neural network. The method includes approximating an atrium shape utilizing the trained neural network and portions of a catheter traversal path and generating a three-dimensional model output from the trained neural network and the atrium shape. The method also includes displaying the three-dimensional model output as an early visualization in the ablation procedure.