Abstract: An auditory guidance system and method for medical systems and procedures are disclosed. A method for providing auditory guidance during a medical procedure includes selecting a song for playing during the medical procedure. At least a portion of the song is assigned to the medical procedure. Parameter information for at least one parameter associated with the medical procedure is obtained during the medical procedure. The obtained parameter information is compared against predetermined thresholds for each parameter. The portion of the song associated with the parameter information is modified in accordance with the comparison and the modified portion of the song is played to provide auditory guidance during the medical procedure.

Abstract: A 3-dimensional image is displayed in high resolution colors by generating a 3-dimensional model as a triangular mesh, converting the mesh into a grid of voxels, and assigning attribute values to a portion of the voxels. Laplacian interpolation based on the portion of the voxels is applied for iteratively calculating interpolated attribute values of other voxels. The voxels are rendered as a colored image according to the attribute values on a display.

Abstract: A catheter comprises an elongated catheter body, a control handle, and a hollow tip electrode having a radially-symmetrical shell defining a cavity surrounding a center inner location from which light is emitted to pass through a plurality of openings formed in the shell for interaction with tissue and/or fluid, such as blood, outside of and in contact with the shell. Light interacting with tissue is reflected back into the cavity for collection whereas light interacting with fluid, such as blood, is absorbed. By analyzing the light collected in the cavity, a determination is made as to a ratio of light reflected by tissue versus light absorbed by fluid for indicating the amount of contact between the tip electrode and tissue. Alternatively, fluorescence may similarly be employed (light is emitted at one wavelength and detected at one or more different wavelengths) since tissue and blood have different fluorescence properties at various wavelengths.

Abstract: Cardiac catheterization is facilitated by generating first and second electroanatomic maps of a heart of a subject and designating common spatial locations that correspond to first electrical events on the first electroanatomic map and second electrical events on the second electroanatomic map. The common spatial locations of the first electroanatomic map and the second electroanatomic map are aligned to establish an aligned map, and using the location data on the aligned map to guide a probe to a point of interest.

Abstract: A system for cardiac treatment includes a monitoring probe having a probe distal end, a magnetic field generator coupled to the probe distal end, a catheter having a catheter distal end, a magnetic sensor coupled to the catheter distal end, and a console. The monitoring probe is configured for insertion into an esophagus of a patient. The catheter is configured for insertion into a heart of a patient. The console is configured to drive the magnetic field generator to emit magnetic fields, to receive signals from the magnetic sensor in response to the magnetic fields, and to estimate respective distances between the catheter distal end and the probe distal end based on the signals.

Abstract: Medical catheterization is carried out by introducing a catheter into a heart, sliding the catheter through a sheath that encloses a multi-electrode probe into a chamber of the heart. The sheath is retracted to expose the probe. As the sheath is retracted the exposed probe expands into a spiral configuration, and the electrodes contact the endocardial surface of the chamber at multiple contact points.

Abstract: Described herein is a method and system for gap detection in ablation lines. Microelectrodes are implemented at a distal tip of a catheter to provide localized gap detection along an ablation line. A pacing protocol is used to sequence through each of the microelectrode pairs for a tissue location. If living tissue is present, the pacing signal travels through the living tissue to pulse the heart. An operator will see a capture signal and know that there is a gap in the ablation line. The ablation electrode is then used to ablate the tissue in the gap. Pacing and ablation are therefore performed at the same place without the need to switch between instruments and/or catheters. In an implementation, a force sensor can automate the pacing protocol by determining which microelectrode pair is contacting the tissue. Moreover, signaling between microelectrode pairs can determine contact between the catheter and the tissue.

Abstract: A catheter is responsive to external and internal magnetic field generators for generating position data of the catheter position and pressure data to determine pressured exerted on a distal end of the catheter when engaged with tissue, with a reduced number of sensing coils and reduced number of sensing coil leads for minimizing lead breakage and failure. The catheter includes a distal section adapted for engagement with patient tissue, where the distal section has a proximal portion, a distal portion and a flexible joint with a resilient member adapted to allow axial displacement and angular deflection between the proximal and distal portions of the distal section. The catheter may have three or less sensing coils with three or less leads, each transmitting signals between a respective sensing coil and the signal processor.

Abstract: A method for guiding a procedure is provided. A volumetric map of an interior portion of a body of a subject is presented, and, during the procedure, in response to movements of a sensor with respect to the portion, the presented volumetric map is updated, by changing a manner in which the presented volumetric map shows areas of the portion from which material was removed by the procedure. Other embodiments are also described.

Abstract: A medical system includes a shaft, an inflatable balloon, a radial array of ultrasound transducers and a processor. The shaft is configured for insertion into a body of a patient. The inflatable balloon is coupled to a distal end of the shaft and configured to perform a treatment to surrounding anatomy. The ultrasound transducers are distributed circumferentially around the distal end of the shaft inside the balloon, and configured to transmit ultrasound waves at respective radial directions and receive respective ultrasound reflections. The processor is configured to estimate and output to a user, based on the ultrasound reflections received from the ultrasound transducers, an extent of mechanical contact between the balloon and the surrounding anatomy.

Abstract: A distal-end assembly of a medical device, the distal-end assembly includes a flexible substrate and electrical conductors. The flexible substrate is configured to be coupled to a distal end of an insertion tube. The electrical conductors are disposed on the flexible substrate and are shaped to form: (i) one or more electrodes, configured to exchange electrical signals with a proximal end of the medical device, and (ii) one or more printed filters, which are disposed adjacently to at least one of the electrodes and are configured to filter signals in a predefined frequency range from the electrical signals exchanged between the at least one of the electrodes and the proximal end.

Abstract: Methods and systems of catheterization include a flexible catheter adapted for insertion into a heart of a living subject. The catheter has a lumen for passing an electrically conductive fluid therethrough, which is propelled by a peristaltic pump. A fluid reservoir connected to the lumen supplies the fluid to the catheter. Electrocardiogram circuitry is connectable to the subject for monitoring electrical activity in the heart. An electrically conductive cable diverts induced charges in the fluid from the catheter electrodes, for example by shorting to a rotating element in the peristaltic pump.

Abstract: Apparatus, including a tube having a proximal end, and a distal end for insertion into a body cavity including anatomical structures, and a blade mounted at the distal end. The apparatus also includes a handle at the proximal end and including a device which generates sensible outputs upon receiving activation signals, and a position sensor fixed in a predefined disposition relative to the tube. The apparatus additionally includes a processor configured to acquire an image of the cavity, to determine, in the image, locations for each of the structures, to receive, from the sensor, a position signal indicative of a blade location of the blade within the cavity, to determine, based on the blade location and the respective structure locations, a proximity of the blade to a given structure, and to convey, to the warning device, a given activation signal in response to the proximity to the given structure.

Abstract: A cardiac electrophysiology system including a means for identifying the source of an arrhythmia in the heart is disclosed. The disclosed system may be an electrocardiograph device and may generate an enhanced electrocardiogram (EKG) of a cardiac structure. The disclosed system may include a disclosed catheter inserted into a chamber of the cardiac structure. The disclosed catheter may include electrodes configured to measure an analog electrical signal of the electrical activity of the cardiac structure over time, and a transformer configured to remove a direct current (DC) offset of the analog electrical signal to generate an analog electrical signal centered at 0 volts (V), which may be sampled by an analog-to-digital converter (ADC) and gain adjusted to a maximum resolution of the ADC to produce an enhanced digital electrocardiogram (EKG) signal.

Abstract: An ECG signal correlation and display system is provided which includes memory configured to store ECG data corresponding to electrical signals, acquired over time, from different areas of a heart and location data corresponding to acquired location signals indicating locations of the different areas of the heart from which the electrical signals are acquired. The system also includes a processing device configured to generate, from the ECG data and the location data, mapping information for displaying a map of the heart and determine a location of an anatomical region of the heart on the map. The processing device is also configured to determine which of the plurality of electrical signals are acquired from the anatomical region of the heart and generate correlated ECG signal information for displaying the electrical signals determined to be acquired from the anatomical region of the heart.

Abstract: A system for visually representing estimated ablation size is provided which includes sensors that acquire location signals indicating locations of an ablation device during an ablation of an organ and ablation parameters signals indicating ablation parameters during the ablation. The system also includes memory which stores location data and ablation parameter data corresponding to the location signals and ablation parameters signals. The system also includes a processing device which generates mapping information for displaying a map of the organ and first object information for displaying a first geometrical object having a first size which represents an estimated depth of the ablation of the organ. The processing device also generates second object information for displaying, concurrently with the first geometrical object, a second geometrical object having a second size which represents an estimated width of the ablation of the organ.

Abstract: A catheter is disclosed comprising: a connector including a plurality of first contacts and one or more second contacts; a shaft including a plurality of electrodes, each electrode being coupled to a different one of the plurality of first contacts; a memory coupled to at least one of the second contacts, wherein the memory is configured to: store a pinout map identifying an order in which the plurality of electrodes is coupled to the plurality of first contacts; and provide the pinout map to an external device via one or more of the second contacts after the connector is coupled to the external device.

Abstract: While a catheter that includes (i) a catheter body, and (ii) a catheter shaft, which includes a sensor and which is disposed inside a lumen of the catheter body, is inside a body of a subject, a position and an orientation of a distal end of the catheter body with respect to the sensor are ascertained, based on (a) a calibration image, acquired by an imaging system, that shows an indication of the distal end of the catheter body, and (b) a signal from the sensor, but not based on any indication of the sensor shown in the calibration image. Using the ascertained position and orientation of the distal end of the catheter body with respect to the sensor, a visual output is generated. Other embodiments are also described.

Abstract: Catheterization of the heart is carried out by inserting a probe having electrodes into a heart of a living subject, recording a bipolar electrogram and a unipolar electrogram from one of the electrodes at a location in the heart, and defining a window of interest wherein a rate of change in a potential of the bipolar electrogram exceeds a predetermined value. An annotation is established in the unipolar electrogram, wherein the annotation denotes a maximum rate of change in a potential of the unipolar electrogram within the window of interest. A quality value is assigned to the annotation, and a 3-dimensional map is generated of a portion of the heart that includes the annotation and the quality value thereof.