Multi-electrode mapping system

• US 10,201,288 B2
• Filed: 07/25/2016
• Issued: 02/12/2019
• Est. Priority Date: 04/23/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Harlev, Doron, Badics, Zsolt
• Primary Examiner(s): WEHRHEIM, LINDSEY GAIL
• Application Number:
  US15/219,041
• Publication Number:
  US 20160331259A1
• Time in Patent Office: 932 Days
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61N 1/3702 Physiological parameters A61N1/365 takes precedence; evoked response A61N1/371

Abstract

In some aspects, a method includes measuring unipolar signals at one or more electrodes in response to electrical activity in a heart cavity. The method also includes determining, based at least in part on Laplace'"'"'s equation, bipolar physiological information at multiple locations of a surface based on the measured unipolar signals and positions of the one or more electrodes with respect to the surface.

Claims

1. A system comprising:

one or more electrodes configured to measure physiological signals in response to electrical activity in a heart cavity having a surface;

a processing unit configured to determine, based at least in part on Laplace'"'"'s equation, bipolar physiological information at multiple locations of the surface based on physiological signals measured by the one or more electrodes and positions of the electrodes with respect to the surface; and

a display that displays an electro-anatomical map (“

EAM”

), the EAM comprising an electro-anatomical depiction of at least a portion of the surface of the heart cavity, the EAM further comprising the determined bipolar physiological information.

2. The system of claim 1, wherein the physiological signals comprise unipolar potential signals.

3. The system of claim 1, wherein one or more electrodes comprise at least a first electrode and a second electrode, the first electrode being located within the heart cavity and the second electrode being located at a distance from the heart cavity such that the electrode is not affected by local tissue activation in a heart cavity.

4. The system of claim 1, wherein the first and second electrodes are configured to measure a potential between the first electrode and the second electrode.

5. The system of claim 1, wherein the bipolar physiological information comprises current density information.

6. The system of claim 5, wherein the current density information comprises information selected from the group consisting of a normal component of the current density, a magnitude of a current density vector, and a magnitude of a tangential component of the current density.

7. The system of claim 1, wherein the processing unit is further configured to synchronize the measured physiological signals based on physiological data including at least one of:

ECG and intracardiac electrograms.

8. The system of claim 7, wherein the processing unit is further configured to process the synchronized signals as though they were obtained at one time from all of the positions sampled by the catheter electrodes for the different positions of the catheter in the heart cavity.

9. The system of claim 8, wherein the processing unit is further configured to solve a transformation function which can be expressed as one or more matrices that include one or more regularization terms.

10. The system of claim 1, wherein the processing unit is further configured to apply a transformation function to the measured physiological signals and solve directly for at least one of current and potential.

11. The system of claim 1, wherein the processing unit is further configured to apply a transformation function to the physiological signals, wherein the transformation functions relates the physiological signals to the bipolar physiological information at the multiple locations of the surface.

12. The system of claim 11, wherein the processing unit is further configured to determine the transformation function by calculating a forward transformation for relating the physiological information at the multiple locations to the signals measured and inverting the forward transformation.

13. The system of claim 12, wherein the processing unit is further configured to reformulate an underdetermined matrix inversion by regularization based on a physical relationship.

14. The system of claim 13, wherein the processing unit is further configured to reformulate an underdetermined matrix inversion by a volumetric regularization.

15. The system of claim 1, wherein the electrodes comprise at least one of electrodes mounted on one or more catheters that are placed inside the body and body-surface electrodes.

16. The system of claim 1, further comprising a tracking system configured to obtain the positions of one or more electrodes.

17. The system of claim 16, wherein the tracking system comprises a system using, for tracking, at least one of a magnetic field and injected currents.

18. The system of claim 1, wherein the processing unit is further configured to perform post processing of the bipolar information, wherein information generated by the post processing of the bipolar information comprises at least one of an isocurrent map, a timing map that includes information on time-dependent behavior of the heart'"'"'s electrical activity, and a difference map.

19. A system comprising:

one or more electrodes configured to measure electrical potentials in response to electrical activity in a heart cavity having a surface;

a processing unit configured to determine current information at multiple locations of the surface based on electrical potentials measured by the one or more electrodes and positions of the electrodes with respect to the surface, and

a display that displays an electro-anatomical map (“

EAM”

), the EAM comprising an electro-anatomical depiction of at least a portion of the surface of the heart cavity, the EAM further comprising the determined current information.