Abstract: An anatomical mapping system and method includes mapping electrodes configured to detect activation signals of cardiac activity. A processing system is configured to record the detected activation signals and generate a vector field for each sensed activation signal during each instance of the physiological activity. The processing system determines an onset time and alternative onset time candidates, identifies an initial vector field template based on a degree of similarity between the initial vector field and a vector field template from a bank of templates, then determines an optimized onset time for each activation signal based on a degree similarity between the onset time candidates and initial vector field template.

Abstract: A dashboard centered around arrhythmia or atrial fibrillation tracking is provided. The dashboard includes a heart or cardiac health score that can be calculated in response to data from the user such as their ECG and other personal information and cardiac health influencing factors. The dashboard also provides to the user recommendations or goals, such as daily goals, for the user to meet and thereby improve their heart or cardiac health score. These goals and recommendations may be set by the user or a medical professional and routinely updated as his or her heart or cardiac health score improves or otherwise changes. The dashboard is generally displayed from an application provided on a smartphone or tablet computer of the user.

Abstract: Various embodiments intermittently deliver a sympathetic stimulus, including deliver a sequence of stress-inducing pacing pulses adapted to increase sympathetic tone during the stress-inducing pacing. The stress-inducing pacing results in a parasympathetic reflex after the sequence of stress-inducing pacing. The embodiment further delivers neural stimulation to elicit a parasympathetic response or a sympathetic response in a coordinated manner with respect to the sequence of stress-inducing pacing pulses.

Abstract: The present invention is directed toward a detection architecture for use in implantable cardiac rhythm devices. The detection architecture of the present invention provides methods and devices for discriminating between arrhythmias. Moreover, by exploiting the enhanced specificity in the origin of the identified arrhythmia, the detection architecture can better discriminate between rhythms appropriate for device therapy and those that are not.

Abstract: A portable medical device having improved ECG trace display and reporting. Embodiments implement features to ameliorate artifacts created by virtue of attempting to eliminate compression artifacts due to mechanical compression devices. Other embodiments additionally implement features to seek to detect the occurrence of ROSC while chest compressions are ongoing.

Abstract: A method and system for expediting the rescue of victims experiencing sudden cardiac arrest (SCA) when used in conjunction with an automated external defibrillator (AED). The system involves an apparatus that calls for help (i.e. 911), detects SCA and cardiac arrhythmias, locates an AED, guides the rescuer through CPR and connection of the AED. A second apparatus is in the enclosure that contains the AED, sends location information to the other apparatus, triggers audible and visual indicators, and provides information on the victim's location.

Abstract: An implantable medical device system includes an implantable cardioverter defibrillator (ICD) for detecting and treating ventricular tachycardia (VT). The ICD includes a sensing module for sensing a cardiac signal from selected cardiac signal sensing vectors. A control module generates morphology templates of the cardiac signals for multiple patient postures for each of the available sensing vectors. A cardiac signal received during an unknown cardiac rhythm is compared to the morphology templates without determining a current posture of the patient. The unknown cardiac rhythm is detected and classified as supraventricular tachycardia in response to the cardiac signal matching at least one of the morphology templates.

Abstract: Signal processing devices normally filter the signal to reduce noise. Any filtering is likely to eliminate useful components of the signal too. A device for and method of signal processing is disclosed, wherein intrinsically clean signal cycles are selected for reproduction so that the processed signal retains components of all frequencies. A system that uses the disclosed device and the method for processing periodic physiological signals is also disclosed.

Abstract: A video encoding system for dynamically managing energy, a data rate and data distortion is disclosed. The video encoding system for dynamically managing the energy, the data rate and the data distortion includes one or more sensors, an encoder configured to encode a signal obtained by the one or more sensors, an event sensing unit configured to determine whether an event is generated from the signal obtained by the one or more sensors, a memory configured to store the signal encoded by the encoder, a power supply unit configured to supply power to the one or more sensors, the event sensing unit, the encoder or the memory, and an control unit configured to control configuration of the energy supplied to the one or more sensors, the event sensing unit, the encoder or the memory.

Abstract: A method for predicting risk of sudden cardiac death through analysis of surface electrocardiographic data includes processing a continuous EKG signal received for a subject over a predetermined time period to identify and extract a plurality of cardiac repolarization phase curves from the EKG signal, assigning each of the cardiac repolarization phase curves into one of a plurality of groups based on a length of the cardiac repolarization phase curve, generating a respective graphical representation for each of the groups in which the cardiac repolarization phase curves assigned to the group are superimposed with one another in the respective graphical representation for the group, and evaluating the graphical representations to assess a risk of sudden cardiac death for the subject based on a classification of cardiac repolarization instability indicated by the graphical representations.

Abstract: A system for detecting acute ischemia includes at least two sensors configured for obtaining electrical signals from a patient's heart, analog-to-digital converter circuitry for digitizing the signal to produce data segments, and a processor configured to analyze data segments to determine if they represent an abnormal heart rhythm. Certain types of abnormal rhythm segments are also checked for acute ischemia. If enough of the abnormal heart rhythm segments manifest acute ischemia, a first type of alarm event is generated. If persistent abnormal heart rhythm segments do not manifest acute ischemia, a second type of alarm event is generated.

Abstract: Methods, systems and computer-readable code for generating a forecast of a life-threatening condition, for example sepsis, in a subject, for example an infant, are disclosed. According to some embodiments, the forecast is generated in accordance with measurement values for a plurality of different vital sign parameters. In exemplary embodiments, vital sign parameters from a plurality of physiological systems are used to generate the forecast of the life-threatening condition. In exemplary embodiments, at least one vital sign parameter is other than a cardiac parameter. Non-limiting exemplary vital sign parameters may include one or more of a heart rate parameter, a respiration rate parameter, a bradycardia parameter, a desaturation parameter, a temperature parameter (for example, body temperature) and a body mass parameter.

Abstract: An ECG monitoring system analyzes ECG signals of leads associated with different anatomical locations of the body for evidence of ST elevation in the lead signals. The ST elevation and depression measurements of the leads are plotted in a graphical display organized in relation to the anatomical points which are the sources of the lead signals. The locations of the plotted measurements in the anatomically-oriented display indicate the identity of a specific coronary artery or branch as a possible culprit coronary artery for an acute ischemic event, as well as the possible severity of the event from the magnitudes of the plotted signals. A clinician can identify a suspect culprit coronary artery from a quick glance at the graphical display.

Abstract: An ECG device designed as a portable hand-held device, comprising a housing, on the outer face of which a plurality of ECG sensors in the form of capacitive electrodes is arranged in a sensor region, characterized by the following features: the EGG device has at least one flexible retaining mat in the sensor region, which retaining mat is designed to retain at least some or all ECG sensors, the retaining mat is made of liquid-tight material, at least some or all ECG sensors are fastened to the outer face of the retaining mat facing away from the housing.

Abstract: An arrangement may include a first system provided by a mobile device for processing ECG data representative of a beating heart. The mobile device may be adapted to execute a process for using at least one pattern to detect a notable finding in the ECG data and for sending the notable finding to a second system. The second system may be adapted to execute a process for analyzing the notable finding, for determining at least one new pattern to send to the mobile device, and for sending the at least one new pattern to the mobile device. The at least one new pattern may also include a rule that includes a set of conditions and an action to perform if the set of conditions is met.

Abstract: Method and systems for ablating nerves including measurement of physiological parameters and/or electrical conduction. The method may include ablating nerves within an artery of a patient such as the renal artery and may include advancing a catheter into the artery, measuring a physiological parameter, emitting an electrical pulse into a wall of the artery, measuring the physiological parameter during or after the step of emitting the electrical pulse, ablating the artery wall, then repeating the steps of measuring the physiological parameter, emitting an electrical pulse, and measuring the physiological parameter during or after the step of emitting the electrical pulse. The change in the physiological parameter caused by the electrical pulse before ablation may be compared to the change in the physiological parameter caused by the electrical pulse after ablation to determine the degree of nerve ablation achieved and whether or not to perform further ablation.

Abstract: A method of analyzing a complex rhythm disorder in a human heart includes accessing signals from a plurality of sensors disposed spatially in relation to the heart, where the signals are associated with activations of the heart, and identifying a region of the heart having an activation trail that is rotational or radially emanating, where the activation trail is indicative of the complex rhythm disorder and is based on activation times associated with the activations of the heart.

Abstract: The technology disclosed herein relates to a method for lead analysis for an implanted medical device. A summary data record is retrieved associated with one or more episodes from an implanted medical device through a communication module. Episode selection criteria are applied to the summary data record by a processing module. One or more episode data records are retrieved from the implanted medical device for one or more episodes for which the episode selection criteria was satisfied. Noise detection criteria are applied to the episode data record. A notification module is configured to generate an alert if the noise detection criteria are satisfied.

Abstract: A system and method for catheter placement using ECG is provided. In certain embodiments, the system and method can generate a patient specific window for tracking a characteristic of an ECG waveform, such as the amplitude of a P-wave. The patient specific window can be utilized in a system and method for assisting in the placement of a catheter within a patient. In other embodiments, a tip location algorithm can be used with an anti-thrombogenic catheter and an intravascular electrode assembly for maintaining a high resolution intravascular signal in an ECG based catheter tip placement system.

Abstract: Methods and devices providing multiple criteria for use in arrhythmia identification. Based on inputs including defined rules or parameters, one of a more conservative or more aggressive set of arrhythmia identification parameters can be selected. One or the other of the selectable sets of arrhythmia identification parameters may also be adaptive or modifiable during the use of the system, for example, in response to identified nonsustained episodes, the more conservative set of arrhythmia identification parameters can be modified to become still more conservative. Such modification of arrhythmia identification criteria allows reduced time to therapy when indicated, while allowing more deliberate decisions in other circumstances.

Abstract: A dashboard centered around arrhythmia or atrial fibrillation tracking is provided. The dashboard includes a heart or cardiac health score that can be calculated in response to data from the user such as their ECG and other personal information and cardiac health influencing factors. The dashboard also provides to the user recommendations or goals, such as daily goals, for the user to meet and thereby improve their heart or cardiac health score. These goals and recommendations may be set by the user or a medical professional and routinely updated as his or her heart or cardiac health score improves or otherwise changes. The dashboard is generally displayed from an application provided on a smartphone or tablet computer of the user.

Abstract: A device for detecting a cardiac event is disclosed. Detection of an event is based on a test applied to a parameter whose value varies according to heart rate. Both the parameter value and heart rate (RR interval) values are filtered with an exponential average filter. The filtered parameter value and heart rate values are stored as separate datasets corresponding to particular body postures. Upper and lower boundary values and detection thresholds of the parameter are computed for each of the datasets. The test to detect the cardiac event depends on the heart rate and the difference between the parameter's value and a corresponding detection threshold.

Abstract: The present subject matter relates to processing of Electrocardiogram (ECG) signals, and in particular, relates to identifying a QRS complex in an ECG signal. The method includes receiving, and filtering the ECG signal by passing through at least one of a first low-pass filter and a high-pass filter to obtain a filtered ECG signal. The filtered ECG signal is processed based on a moving average technique. Further, a search region is identified in the processed ECG signal, and a maximum amplitude peak is identified in a time interval of the filtered ECG signal that corresponds to a time span of the search region of the processed ECG signal. The maximum amplitude peak is an R peak of the QRS complex. Subsequently, a Q peak and an S peak of the QRS complex is identified based on the R peak.

Abstract: An example system and method of determining a likely core of a rotational source associated with a heart rhythm disorder are disclosed. A plurality of relative diffusion shapes associated with wave fronts is calculated at a plurality of time points associated with the rotational source. The wave fronts associated with heart signals. A plurality of intersecting points of a smallest relative diffusion shape and other relative diffusion shapes is determined. A bounded polygon of the intersecting points is defined as the likely core.

Abstract: An example method of representing cardiac information associated with a heart rhythm disorder includes accessing a plurality of neighboring cardiac signals obtained from a patient. The method also includes eliminating far-field activations from the plurality of neighboring cardiac signals using one or more divergence criteria that define local activations in the plurality of neighboring cardiac signals, the divergence criteria being associated with divergence among the plurality of neighboring cardiac signals. The method further includes constructing a clinical representation of local activations in the plurality of neighboring cardiac signals.

Abstract: Systems and methods define an index of risk for cardiac disease by detecting cellular derangements that may lead to cardiomyopathy, heart rhythm disorders or ischemic heart disease. The markers include fluctuations or abnormal rate-behavior of electrical, mechanical or other measurable biosignals. The invention operates in modes that can be applied to prevent atrial fibrillation or the risk for ventricular arrhythmias. Alternative embodiments are applied to tissue outside the heart such as skeletal muscle, smooth muscle, the central nervous system, the respiratory system, the urogenital system and the gastrointestinal system.

Abstract: An electrocardiogram analyzer has a measurement section for measuring an electrocardiographic signal; a determination unit for determining, from arrhythmia determination reference information that is information pertinent to arrhythmia, whether or not an electrocardiogram multiplex, which includes a first predetermined number of heart beats, in the thus-measured electrocardiographic signal is arrhythmia; a reference waveform determination unit that determines a reference waveform from the electrocardiogram complex including the first predetermined number of heart beats when the determination unit has determined that the electrocardiogram complex is not arrhythmia, storing the thus determined reference waveform; and an analysis unit that performs an analysis as to whether or not an electrocardiogram complex being measured is arrhythmia by use of the stored reference waveform.

Abstract: A system for measuring heart rate variability (HRV) comprising 3 sub-systems: a data collection sub-system, a data analysis sub-system, and an output sub-system. A patient is connected to a heart monitoring device such as an ECG and the data collection sub-system records the patients heart beats, and an ECG chart is produced from which the patient's HRV value is derived by the data analysis sub-system. The present invention obtains the HRV value through calculation of a new parameter called relative density (RD). In accordance with the inventive method, data points are generated from the peak interval data of measured heart beats and the HRV relative density parameter (RD) is calculated by correlation between two subsets of data points.

Abstract: A method and a device for classifying cardiac arrhythmia, using an electrocardiogram (ECG) signal, are provided. The method includes receiving the ECG signal representing an electrical activity of a heart of an individual over a period of time, the ECG signal including ECG beats. The method further includes converting each of the ECG beats into symbols. The method further includes identifying an arrhythmia class indicating a type of cardiac arrhythmia associated with the individual from arrhythmia classes indicating respective types of cardiac arrhythmia based on the symbols representing each of the ECG beats.

Abstract: An apparatus and method is described to sense sparse signals from a medical device using compressed sensing and then transmitting the data for processing in the cloud.

Abstract: A system provides cardiac arrhythmia detection and performs blood pressure analysis of multiple catheter channels of blood pressure signals to characterize heart hemodynamic activity. A system for heart performance characterization and abnormality detection includes a repository, data processor and output processor. The repository of data comprises, first distribution data representing a probability distribution of a first patient parameter over a first time period and acquired on a first occasion and second distribution data representing a probability distribution of the first patient parameter over a second time period and acquired on a second occasion subsequent to the first occasion. The data processor calculates an overlap indicator indicating degree of overlap of the first distribution data and the second distribution data in a predetermined interval of the distributions. The output processor provides the calculated overlap indicator to a destination device.

Abstract: An implantable medical device includes a tachyarrhythmia detection and classification system that classifies tachyarrhythmias based on a morphological analysis of template and arrhythmic waveforms. The morphological analysis takes effect of heart rate on the morphological characteristics of the template and arrhythmic waveforms into consideration. Correlation between morphological features of the template waveform and corresponding morphological features of an arrhythmic waveform provides for the basis for classifying the tachyarrhythmia. In one embodiment, corresponding morphological features are extracted from the template and arrhythmic waveforms at locations determined by the heart rate associated with a detected arrhythmia episode. In another embodiment, weighting factors each being a function of the heart rate are applied to the template and arrhythmic morphological features before a correlation coefficient is calculated.

Abstract: A method of determining stress includes receiving a data signal including multiple consecutive RR intervals of a subject. The method may also include calculating heart rate variability (HRV) data for the subject from the data signal. The method may also include calculating an RR integral average (RRIA) from the HRV data, the RRIA indicating a stress level of the subject.

Abstract: A calibration apparatus is provided. The calibration apparatus receives inputs of two reference images and plural items of parallax data; searches for plural feature points common to these two reference images; calculates parallaxes and parallax changing amounts, based on the parallax data related to the respective feature points in these two reference images, for each of the searched feature points; and calculates a correction value for the parameter based on the calculated parallaxes and parallax changing amounts. The two reference images are captured by one of the imaging devices at two locations, and the parallax data is calculated using these two reference images and two corresponding images based on positions of plural feature points common to the reference image and the corresponding image for each pair on a location basis. The two corresponding images are captured by another of the imaging devices at these two locations.

Abstract: This invention relates to the determination and/or representation of physiological information relating to a heart surface.

Abstract: A method and system for a user interface for artifact removal in an EEG is disclosed herein. The invention allows an operator to select a plurality of artifacts to be automatically removed from an EEG recording using a user interface. The operator pushes a button on the user interface to apply a plurality of filters to remove the plurality of artifacts from the EEG and generate a clean EEG for viewing.

Abstract: A retractable multi-use cardiac monitor is provided that includes a memory, and first and second sensing connectors positioned on outsides of first and second housings, respectively. The first and second sensing connectors are configured to detect electrocardiogram (ECG) signals that are stored onto the memory as ECG data. The second housing of the retractable multi-use cardiac monitor also includes a wire retractor configured to extend and retract a wire that connects the second and first housings, and that defines an interelectrode distance between the first and second sensing connectors. The retractable multi-use cardiac monitor further includes systems and methods for determining a length for the interelectrode distance that is optimum in terms of strength and fidelity of the detected ECG signals. The retractable multi-use cardiac monitor further includes a wireless radio configured to transmit a portion of the stored ECG data from the memory to a destination.

Abstract: A device for detecting a cardiac event is disclosed. Detection of an event is based on a test applied to a parameter whose value varies according to heart rate. Both the parameter value and heart rate (RR interval) are filtered with an exponential average filter. From these filtered values, the average change in the parameter and the RR interval are also computed with an exponential average filter. Before computing the average change in the parameter, large changes in the parameter over short times, which may be caused by body position shifts, are attenuated are removed, so that the average change represents an average of small/smooth changes in the parameter's value that are characteristic of acute ischemia, one of the cardiac events that may be detected. The test to detect the cardiac event depends on the heart rate, the difference between the parameter's value and its upper and lower normal values, and its average change over time, adjusted for heart rate changes.

Abstract: A method of predicting ventricular arrhythmias includes receiving an electrical signal from a subject's heart for a plurality of heart beats, identifying characteristic intervals and heart beat durations of the electrical signal corresponding to each of the plurality of heart beats to provide a plurality of characteristic intervals with corresponding heart beat durations, representing dynamics of the plurality of characteristic intervals as a function of a plurality of preceding characteristic intervals and durations of corresponding heart beats over a chosen period time, assessing a stability of the function over the chosen period of time, and predicting ventricular arrhythmias based on detected instabilities in the dynamics of the characteristic intervals.

Abstract: A method and apparatus for detecting a cardiac event in a medical device that includes sensing cardiac signals from a plurality of electrodes, determining a relationship between a plurality of characteristics associated with a morphology of the cardiac signals sensed during a predetermined sensing window, generating a threshold in response to the determined relationship, comparing a first characteristic of the plurality of characteristics with the threshold, and determining whether the sensed cardiac signals are associated with the cardiac event in response to the comparing of the first characteristic.

Abstract: Methods and devices providing multiple criteria for use in arrhythmia identification. Based on inputs including defined rules or parameters, one of a more conservative or more aggressive set of arrhythmia identification parameters can be selected. One or the other of the selectable sets of arrhythmia identification parameters may also be adaptive or modifiable during the use of the system, for example, in response to identified nonsustained episodes, the more conservative set of arrhythmia identification parameters can be modified to become still more conservative. Such modification of arrhythmia identification criteria allows reduced time to therapy when indicated, while allowing more deliberate decisions in other circumstances.

Abstract: A method of detecting atrial fibrillation (AFib) includes receiving electrical signals representative of a beating heart and measuring atrial activity over a time window of three or more beats. The method may also include measuring beat interval variation over the time window and combining the measures of atrial activity and beat interval variation to produce an indication of an atrial fibrillation condition in the electrical signal. The method may further include producing the indication with a processing system. Measuring atrial activity may include measuring P waves, and measuring P waves may include analyzing a standard deviation of a PR interval.

Abstract: An example method of representing cardiac information associated with a heart rhythm disorder is disclosed. The method includes accessing a plurality of neighboring cardiac signals obtained from a patient. The method also includes eliminating far-field activations from the plurality of neighboring cardiac signals using one or more divergence criteria that define local activations in the plurality of neighboring cardiac signals, the divergence criteria being associated with divergence among the plurality of neighboring cardiac signals. The method further includes constructing a clinical representation of local activations in the plurality of neighboring cardiac signals.

Abstract: Provided is an apparatus and method for analyzing a biological signal. The apparatus may measure the biological signal, detect a noise signal influencing the electrical characteristics of the measured biological signal, and display the measured biological signal by distinguishing a normal section of the measured biological signal from an abnormal section of the biological signal.

Abstract: A neural monitoring device includes a stimulator configured to provide a stimulus, a mechanical sensor configured to generate an output signal corresponding to a sensed event, and a receiver configured to receive an output signal from the mechanical sensor and determine if the output signal corresponds to the stimulus provided by the stimulator.

Abstract: Described herein are methods and related apparatus for the allocation of computing resources to perform computing tasks. The methods described herein may be used to allocate computing tasks to many different types of computing resources, such as processor cores, individual computers, and virtual machines. Characteristics of the available computing resources, as well as other aspects of the computing environment, are modeled in a multidimensional coordinate system. Each coordinate point in the coordinate system corresponds to a unique combination of attributes of the computing resources/computing environment, and each coordinate point is associated with a weight that indicates the relative desirability of the coordinate point. To allocate a computing resource to execute a task, the weights of the coordinate points, as well as other related factors, are analyzed.

Abstract: An example system and method of processing cardiac activation information are disclosed. The method includes accessing a first cardiac signal and a second cardiac signal obtained from a patient. The first cardiac signal and the second cardiac signal are processed to determine whether there is a point of change in the first cardiac signal at which a derivative of the first cardiac signal diverges with respect to a derivative of the second cardiac signal above a threshold. An activation onset time is assigned in the first cardiac signal at the point of change to define a cardiac activation if the point of change is in the first cardiac signal.

Abstract: An example system and method of reconstructing cardiac activation information are disclosed. In accordance therewith, there are accessed pairs of cardiac signals out of a plurality of cardiac signals obtained from a patient. The pairs have a first cardiac signal that is common among the pairs and second cardiac signals that are different among the pairs. The first cardiac signal and the second cardiac signals of the pairs are processed to determine whether there are points of change in the first cardiac signal at which a derivative of the first cardiac signal diverges with respect to derivatives of the second cardiac signals above a threshold. An activation onset time is assigned at a point in the first cardiac signal based on correspondence of the points of change to define a cardiac activation indicating a beat if the points of change are in the first signal.

Abstract: An example system and method of processing cardiac activation information are disclosed. The method includes accessing a first cardiac signal and a second cardiac signal obtained from a patient. The first cardiac signal and the second cardiac signal are processed to identify a point of change in the first cardiac signal at which a derivative of the first cardiac signal diverges with respect to a derivative of the second cardiac signal. An activation onset time is assigned in the first cardiac signal at the point of change to define a cardiac activation.

Abstract: A method and system for a user interface for artifact removal in an EEG is disclosed herein. The invention allows an operator to select a plurality of artifacts to be automatically removed from an EEG recording using a user interface. The operator pushes a button on the user interface to apply a plurality of filters to remove the plurality of artifacts from the EEG and generate a clean EEG for viewing.