Localization system and method useful in the acquisition and analysis of cardiac information
Provided are a localization system and method useful in the acquisition and analysis of cardiac information. The localization system and method can be used with systems that perform cardiac mapping, diagnosis and treatment of cardiac abnormalities, as examples, and in the retrieval, processing, and interpretation of such types of information. The localization system and method use high impedance inputs, improved isolation, and relatively high drive currents for pairs of electrodes used to establish a multi-axis coordinate system. The axes can be rotated and scaled to improve localization.
1. A localization system comprising:
at least one catheter configured to deliver one or more catheter electrodes into a body cavity of a patient, the body cavity defined by surrounding tissue;
a plurality of localization electrodes configured to be placed on the skin of the patient; and
a cardiac information console configured to:
provide localization drive signals to the plurality of localization electrodes to establish a coordinate system for the body cavity;
determine both a magnitude and a phase of localization signals received from the one or more catheter electrodes; and
process both the magnitude and the phase of the received localization signals to orient the catheter electrodes within the coordinate system.
2. The localization system according to claim 1 , wherein the body cavity is a heart chamber and the surrounding tissue is one or more of the walls of the heart chamber.
3. The localization system according to claim 1 , wherein the localization electrodes are configured to be placed in a fixed orientation on or relative to the skin of the patient.
4. The localization system according to claim 1 , wherein the cardiac information console is further configured to record biopotential information from the one or more catheter electrodes.
5. The localization system according to claim 1 , wherein the plurality of localization electrodes comprises a set of patch electrodes.
6. The localization system according to claim 5 , wherein the plurality of localization electrodes includes one or more pairs of localization electrodes.
7. The localization system according to claim 6 , wherein each pair of localization electrodes defines an axis of the coordinate system.
8. The localization system according to claim 7 , wherein the one or more pairs of localization electrodes comprises three pairs of localization electrodes, and wherein each pair of localization electrodes defines one axis of the coordinate system.
9. The localization system according to claim 8 , wherein the axes are non-orthogonal to a natural axis of the patient's body.
10. The localization system according to claim 1 , further comprising a patient isolation drive system, wherein the cardiac information console provides the localization signals to the plurality of localization electrodes via the patient isolation drive system.
11. The localization system according to claim 1 , wherein the catheter electrodes are disposed on a 3D array.
12. The localization system according to claim 11 , wherein the 3D array includes a plurality of splines.
13. The localization system according to claim 11 , wherein the 3D array comprises a basket array, a spiral array, a balloon array, an array with radially deployable arms, and/or other expandable and compactible structures.
14. The localization system according to claim 11 , wherein the cardiac information console is further configured to generate an electronic representation of the 3D array of catheter electrodes from the recorded localization signals.
15. The localization system according to claim 14 , wherein the cardiac information console is further configured to rotate the coordinate system to adjust and/or correct the electronic representation of the 3D array of catheter electrodes.
16. The localization system according to claim 15 , wherein the cardiac information console is further configured to fit the electronic representation of the 3D array of catheter electrodes to a known or determined geometry of the 3D array of catheter electrodes.
17. The localization system according to claim 14 , further comprising a user interface system configured to display the electronic representation of the 3D array of catheter electrodes.
18. The localization system according to claim 17 , wherein the user interface system includes a mechanism that enables a user to rotate and/or scale the coordinate system to graphically adjust and/or correct an image of the electronic representation of the 3D array of catheter electrodes.
19. The localization system according to claim 1 , wherein the at least one catheter further comprises one or more ultrasound transducers.
20. The localization system according to claim 19 , wherein the cardiac information console is configured to collect image data using the one or more ultrasound transducers to generate one or more images of the body cavity surrounding tissue.
21. The localization system according to claim 1 , wherein the cardiac information console further comprises for each catheter electrode:
a biopotential signal path having a high impedance input and configured to receive biopotential signals from the catheter electrode; and
a localization signal path having a high impedance input and configured to receive localization signals from the catheter electrode.
22. The localization system according to claim 21 , wherein the cardiac information console further comprises a DFIB protection circuit coupled between the biopotential signal path and the localization signal path.
23. The localization system according to claim 21 , wherein the cardiac information console further comprises for each catheter electrode:
an ADC coupled to an output of the biopotential signal path and the localization signal path;
an IQ demodulator coupled to an output of the ADC;
a narrow band IIR filter coupled to the IQ demodulator; and
a time filter coupled to the IIR filter and configured to selectively filter out portions of data on a time basis.