IP Library Granted Patent US 9,498,146
Granted Patent B2
US 9,498,146 · App. 14/809,858 · Granted Nov 22, 2016

Electroanatomical mapping

Inventors: Doron Harlev (Brookline, MA); Brian Stewart (North Reading, MA)
Assignee: RHYTHMIA MEDICAL, INC.
A61B5/042A61B5/044A61B5/04012A61B5/0422A61B5/0452A61B5/0536A61B5/4836A61B5/6852A61B5/7203A61B5/7242A61B5/742A61B5/7475A61B18/00G06F19/3487G06T19/00A61B5/0402A61B5/055A61B6/00G06F19/345G06T2219/004
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Quick Facts
Patent No.
US 9,498,146
App. No.
14/809,858
Granted
Nov 22, 2016
Kind
B2
Abstract

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

Claims (47)

1. A method for providing an electroanatomical representation of a patient's heart, the method comprising:

measuring signals at one or more electrodes over a time period including multiple heart beat cycles, at least some of the signals being in response to electrical activity in the patient's heart cavity;

selecting portions of a first signal to process to determine a triggering event based on a second, different signal of the measured signals;

applying an algorithm to the selected portions of the first signal to determine the triggering event in the first signal;

synchronizing, by the computer, the signals measured at the one or more electrodes with one another according to a heartbeat cycle based on the triggering event; and

generating, by the computer, the electroanatomical representation of the patient's heart based on the synchronized measured signals and positions of the catheter electrodes.

2. The method of claim 1 , further comprising:

processing the second, different signal to determine an event corresponding in time to a potential undesired triggering event in the first signal; and

wherein selecting portions of the first signal to process to determine the triggering event comprises selecting a portion of the first signal that excludes the time period including the potential undesired triggering event.

3. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:

processing the first signal using a sliding window integration to generate a reference signal; and

analyzing the reference signal to determine the triggering event.

4. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:

processing the first signal to generate a representation of instantaneous energy; and

analyzing the representation of instantaneous energy to determine the triggering event.

5. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises:

applying an algorithm to generate a representation of the first signal having reduced jitter; and

analyzing the representation of the first signal having reduced jitter to determine the triggering event.

6. The method of claim 1 , wherein applying the algorithm to the selected portions of the first signal to determine the triggering event comprises applying an algorithm to integrate the first signal over a window.

7. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to process to determine the triggering event based on a surface electrocardiogram signal.

8. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to exclude from processing.

9. The method of claim 1 , wherein selecting portions of the first signal comprises selecting portions of the first signal to include in processing.

10. The method of claim 1 , wherein the one or more electrodes comprise one or more electrodes on an intracardiac catheter.

11. A system for providing information about an electroanatomical representation of a patient's heart, the system comprising:

one or more electrodes for measuring signals over a time period including multiple heart beat cycles, at least some of the signals being in response to electrical activity in the patient's heart cavity; and

an electronic processor coupled to the one or more electrodes, wherein the electronic processor is configured to:

select portions of a first signal to process to determine a triggering event based on a second, different signal of the measured signals;

apply an algorithm to the first signal to determine the triggering event in the first signal;

synchronize the signals measured at the one or more electrodes with one another according to a heart beat cycle based on the triggering event; and

generate the electroanatomical representation of the patient's heart based on the synchronized measured signals and positions of the catheter electrodes.

12. The system of claim 11 , wherein the electronic processor is configured to:

process the second, different signal to determine an event corresponding in time to a potential undesired triggering event in the first signal; and

wherein to select portions of the first signal to process includes to select a portion of the first signal that excludes the time period including the potential undesired triggering event.

13. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:

process the first signal using a sliding window integration to generate a reference signal; and

analyze the reference signal to determine the triggering event.

14. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:

process the first signal to generate a representation of instantaneous energy; and

analyze the representation of instantaneous energy to determine the triggering event.

15. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to:

apply an algorithm to generate a representation of the first signal having reduced jitter; and

analyze the representation of the first signal having reduced jitter to determine the triggering event.

16. The system of claim 11 , wherein to apply the algorithm to the first signal to determine the triggering event includes to apply an algorithm to integrate the first signal over a window.

17. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to process to determine the triggering event based on a surface electrocardiogram signal.

18. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to exclude from processing.

19. The system of claim 11 , wherein to select portions of the first signal comprises to select portions of the first signal to include in processing.

20. The system of claim 11 , wherein the one or more electrodes comprise one or more electrodes on an intracardiac catheter.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 26, 2017
From: RHYTHMIA MEDICAL, INC.
To: BOSTON SCIENTIFIC SCIMED, INC.
Reel/Frame 042339/0376 →
Continuity (4)
Continuation 13717856 · Dec 18, 2012
Continuation 13182830 · Jul 14, 2011
Provisional Application 61432404 · Jan 13, 2011
Related Publication 20160051160A1 · Feb 25, 2016