Abstract: The epicardial pacing system and related method includes an epicardial catheter configured to be disposed in the middle mediastinum of the thorax of a subject for use in electrical pacing of the heart at one or more locations on the epicardial surface. The epicardial pacing catheter may include at least one electrode whereby the electrode is insulated on at least one side to allow pacing of the heart without damage to adjacent anatomical structures.

Abstract: An aspect of various embodiments of the present invention system and method provide, but not limited thereto, a novel means for epicardial ablation using a double-curve steerable sheath and a double-curve deflectable open irrigated-tip/suction catheter that can be guided around the apex of the heart and adjusted so as to position the distal tip optimally. The catheter can also both deliver fluid to and withdraw fluid from the pericardial space. Access to the epicardial surface of the heart is via a subxiphoid entry. The method and means presented include, but are not limited to, steering, energy delivery, bipolar mapping, placement and use of electrodes, irrigation, suction of irrigation fluid, and other details of the subject invention.

Abstract: An apparatus and method for mitigating pocket bleeding and hematoma formation in a patient. A wrap having a block is secured around the torso of the patient to align the block with a torso area. The wrap includes a first portion extending laterally around the torso and a second portion extending over the shoulder and connecting to the first portion. The block is secured within a pouch of the wrap over the torso area. The first and second portions are adjustable to apply an adjustable force to the block that produces a corresponding adjustable pressure on the torso area. The applied pressure is high enough to hinder blood flow to the torso area to promote clotting at the torso area and low enough to permit blood flow to the torso area to promote healing.

Abstract: Systems and methods for epicardial electrophysiology and other procedures are provided in which conditions at the location of an access needle may be determined according to the detection of different pressure frequencies in separate organs, or different locations, in the body of a subject. Methods may include inserting a needle including a first sensor into a body of a subject, and receiving pressure frequency information from the first sensor. A second sensor may be used to provide cardiac waveform information of the subject, and the pressure frequency information may be segmented based on the cardiac waveform information. Conditions at the current location of the needle may be determined based on an algorithm including the segmented pressure frequency information and the cardiac waveform information.

Abstract: Systems and methods for epicardial electrophysiology and other procedures are provided in which the location of an access needle may be inferred according to the detection of different pressure frequencies in separate organs, or different locations, in the body of a subject. Methods may include inserting a needle including a first sensor into a body of a subject, and receiving pressure frequency information from the first sensor. A second sensor may be included with the access needle to provide image data and/or cardiac waveform information of the subject.

Abstract: Systems and methods for epicardial electrophysiology and other procedures are provided in which the location of an access needle may be inferred according to the detection of different pressure frequencies in separate organs, or different locations, in the body of a subject. Methods may include inserting a needle including a first sensor into a body of a subject, and receiving pressure frequency information from the first sensor. A second sensor may be used to provide cardiac waveform information of the subject. A current location of the needle may be distinguished from another location based on an algorithm including the pressure frequency information and the cardiac waveform information.

Abstract: A method mitigates pocket bleeding and hematoma formation in a patient by providing a pliable wrap having a solid block coupled with the wrap, and then securing the pliable wrap around the torso of the patient to align the solid block with the located localized torso area. The solid block at least in part covers the localized torso area. The wrap is secured to cause the wrap to apply a force, to the solid block, that produces a corresponding pressure on the localized torso area. The force applied to the solid block is high enough to cause the pressure to hinder blood flow to the localized torso area to promote clotting at the localized torso area. At the same time, the force applied to the solid block is low enough to cause the pressure to permit blood flow to the localized torso area to promote healing.

Abstract: A method mitigates pocket bleeding and hematoma formation in a patient by providing a pliable wrap having a solid block coupled with the wrap, and then securing the pliable wrap around the torso of the patient to align the solid block with the located localized torso area. The solid block at least in part covers the localized torso area. The wrap is secured to cause the wrap to apply a force, to the solid block, that produces a corresponding pressure on the localized torso area. The force applied to the solid block is high enough to cause the pressure to hinder blood flow to the localized torso area to promote clotting at the localized torso area. At the same time, the force applied to the solid block is low enough to cause the pressure to permit blood flow to the localized torso area to promote healing.

Abstract: An electrode catheter for use with an endocardial ablation catheter, wherein the electrode catheter receives the transmitted energy for ablating a portion of the heart. The electrode catheter comprises a proximal portion, a distal portion, and a longitudinal structure there between; and an electrode in communication with said electrode catheter, wherein said electrode receives the transmitted energy from the endocardial ablation catheter, or alternatively an epicardial ablation catheter.

Abstract: A method of determining a candidate ablation location using historical ablation data includes generating a database including a plurality of ablation records, and generating a set of probability parameters describing each ablation record. The method also includes developing an algorithm based upon the probability parameters for the ablation records. For a candidate ablation procedure, the method includes receiving patient parameters associated with a patient receiving the candidate ablation procedure, and determining at least one candidate condition associated with the patient and a respective probability associated with each candidate condition. The method further includes applying the algorithm to determine at least one candidate ablation location based upon the respective probabilities associated with the at least one candidate condition, and displaying the at least one candidate ablation location on a visual interface of a cardiac mapping system.

Abstract: Systems and methods for determining prevalence of a cardiac phenomenon based on electrophysiological (EP) data from a tissue of a body are provided. The EP data is measured by at least one sensor disposed on at least one medical device that is positionable near the tissue of the body. A system includes an electronic control unit communicatively coupled to a display device and configured to, for each of the plurality of locations, detect, at each of a plurality of discrete times occurring during a predetermined time period, whether a cardiac phenomenon occurs at the location based on the EP data, determine a prevalence of the cardiac phenomenon based on the detecting, and display information indicative of the determined prevalence of the cardiac phenomenon on the display device.

Abstract: An aspect of various embodiments of the present invention system and method provide, but not limited thereto, a novel means for epicardial ablation using a double-curve steerable sheath and a double-curve deflectable open irrigated-tip/suction catheter that can be guided around the apex of the heart and adjusted so as to position the distal tip optimally. The catheter can also both deliver fluid to and withdraw fluid from the pericardial space. Access to the epicardial surface of the heart is via a subxiphoid entry. The method and means presented include, but are not limited to, steering, energy delivery, bipolar mapping, placement and use of electrodes, irrigation, suction of irrigation fluid, and other details of the subject invention.

Abstract: An aspect of various embodiments of the present invention system and method provide, but not limited thereto, a novel means for epicardial ablation using a double-curve steerable sheath and a double-curve deflectable open irrigated-tip/suction catheter that can be guided around the apex of the heart and adjusted so as to position the distal tip optimally. The catheter can also both deliver fluid to and withdraw fluid from the pericardial space. Access to the epicardial surface of the heart is via a subxiphoid entry. The method and means presented include, but are not limited to, steering, energy delivery, bipolar mapping, placement and use of electrodes, irrigation, suction of irrigation fluid, and other details of the subject invention.

Abstract: The epicardial pacing system and related method includes an epicardial catheter configured to be disposed in the middle mediastinum of the thorax of a subject for use in electrical pacing of the heart at one or more locations on the epicardial surface. The epicardial pacing catheter may include at least one electrode whereby the electrode is insulated on at least one side to allow pacing of the heart without damage to adjacent anatomical structures.

Abstract: A method of determining a candidate ablation location using historical ablation data includes generating a database including a plurality of ablation records, and generating a set of probability parameters describing each ablation record. The method also includes developing an algorithm based upon the probability parameters for the ablation records. For a candidate ablation procedure, the method includes receiving patient parameters associated with a patient receiving the candidate ablation procedure, and determining at least one candidate condition associated with the patient and a respective probability associated with each candidate condition. The method further includes applying the algorithm to determine at least one candidate ablation location based upon the respective probabilities associated with the at least one candidate condition, and displaying the at least one candidate ablation location on a visual interface of a cardiac mapping system.

Abstract: Systems and methods for determining prevalence of a cardiac phenomenon based on electrophysiological (EP) data from a tissue of a body are provided. The EP data is measured by at least one sensor disposed on at least one medical device that is positionable near the tissue of the body. A system includes an electronic control unit communicatively coupled to a display device and configured to, for each of the plurality of locations, detect, at each of a plurality of discrete times occurring during a predetermined time period, whether a cardiac phenomenon occurs at the location based on the EP data, determine a prevalence of the cardiac phenomenon based on the detecting, and display information indicative of the determined prevalence of the cardiac phenomenon on the display device.

Abstract: Systems and methods for epicardial electrophysiology and other procedures are provided in which conditions at the location of an access needle may be determined according to the detection of different pressure frequencies in separate organs, or different locations, in the body of a subject. Methods may include inserting a needle including a first sensor into a body of a subject, and receiving pressure frequency information from the first sensor. A second sensor may be used to provide cardiac waveform information of the subject, and the pressure frequency information may be segmented based on the cardiac waveform information. Conditions at the current location of the needle may be determined based on an algorithm including the segmented pressure frequency information and the cardiac waveform information.

Abstract: Systems and methods for epicardial electrophysiology and other procedures are provided in which the location of an access needle may be inferred according to the detection of different pressure frequencies in separate organs, or different locations, in the body of a subject. Methods may include inserting a needle including a first sensor into a body of a subject, and receiving pressure frequency information from the first sensor. A second sensor may be used to provide cardiac waveform information of the subject. A current location of the needle may be distinguished from another location based on an algorithm including the pressure frequency information and the cardiac waveform information.

Abstract: A method mitigates pocket bleeding and hematoma formation in a patient by providing a pliable wrap having a solid block coupled with the wrap, and then securing the pliable wrap around the torso of the patient to align the solid block with the located localized torso area. The solid block at least in part covers the localized torso area. The wrap is secured to cause the wrap to apply a force, to the solid block, that produces a corresponding pressure on the localized torso area. The force applied to the solid block is high enough to cause the pressure to hinder blood flow to the localized torso area to promote clotting at the localized torso area. At the same time, the force applied to the solid block is low enough to cause the pressure to permit blood flow to the localized torso area to promote healing.