Multiple rhythm template monitoring

• US 10,271,757 B2
• Filed: 09/24/2016
• Issued: 04/30/2019
• Est. Priority Date: 09/26/2015
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Stewart, Brian, Hristov, Ruslan R.
• Primary Examiner(s): Mahmood, Nadia A
• Application Number:
  US15/275,381
• Publication Number:
  US 20170086700A1
• Time in Patent Office: 948 Days
• Field of Search: 600523
• CPC Class Codes: A61B 2505/05 Surgical care
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• 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 5/333 Recording apparatus specially adapted therefor
• 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 5/35 by template matching
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

A system for providing information about a patient'"'"'s heart includes one or more electrodes that receive signals from electrical activity of the heart over one or more heart beat cycles. The system is characterized by an electronic processor coupled to the one or more electrodes to: receive the signals from the one or more electrodes; execute an automated set-up routine that processes the signals to automatically provide at least some set-up results for new mapping configurations; and/or process the signals with beat detection and beat acceptance criteria for new or existing mapping configurations to provide information about how well the signals match one or more of the new or existing mapping configurations.

Claims

1. A system for providing information about a patient'"'"'s heart, comprising:

one or more electrodes that receive signals from electrical activity of the heart over one or more heart beat cycles; and

an electronic processor coupled to the one or more electrodes to;

receive the signals from the one or more electrodes;

process the signals to provide new or existing mapping configurations to map beats of multiple, different types of cardiac rhythms in the signals to new or existing cardiac maps of the multiple, different types of cardiac rhythms;

execute an automated set-up routine that processes the signals to automatically provide one or more set-up result for the new mapping configurations; and

process the signals with beat detection and beat acceptance criteria for the new or existing mapping configurations to provide information about matching the signals to one or more of the new or existing mapping configurations to map the beats of the multiple, different types of cardiac rhythms to the new or existing cardiac maps.

2. The system of claim 1, wherein the electronic processor executes the automated set-up routine and processes the signals with the beat detection and beat acceptance criteria for the existing mapping configurations in parallel.

3. The system of claim 1, wherein the electronic processor executes the automated set-up routine at one or more of a predetermined time interval, once every heart beat cycle, and once per second.

4. The system of claim 1, wherein the automated set-up routine provides the new mapping configurations in response to changes in the signals and the new mapping configurations are updated and displayed while matching the signals to one or more of the new or existing mapping configurations.

5. The system of claim 1, comprising:

a user interface, wherein the degree of matching between the signals and at least two of the new or existing mapping configurations is displayed on the user interface.

6. The system of claim 1, comprising:

a user interface, wherein information for making a determination about which of the new or existing mapping configurations most closely matches the signals is displayed on the user interface.

7. The system of claim 1, comprising:

a user interface for switching from mapping the signals using one of the existing mapping configurations to mapping the signals using another one of the existing mapping configurations or one of the new mapping configurations.

8. The system of claim 1, wherein the electronic processor determines which of the new mapping configurations and the existing mapping configurations are redundant.

9. The system of claim 1, wherein the electronic processor automatically switches from mapping the signals using one of the existing mapping configurations to mapping the signals using another one of the existing mapping configurations or one of the new mapping configurations.

10. A system for providing information about a patient'"'"'s heart, comprising:

one or more electrodes that receive signals from electrical activity of the heart over one or more heart beat cycles;

an electronic processor coupled to the one or more electrodes to;

receive the signals from the one or more electrodes;

process the signals to provide new or existing mapping configurations to map beats of multiple, different types of cardiac rhythms in the signals to new or existing cardiac maps of the multiple, different types of cardiac rhythms;

execute an automated set-up routine that processes the signals to automatically provide one or more set up result for the new mapping configurations; and

process the signals with beat detection and beat acceptance criteria for existing mapping configurations to provide information about matching the signals to the existing mapping configurations to map the beats of the multiple, different types of cardiac rhythms to the new or existing cardiac maps, wherein the electronic processor executes the automated set-up routine and processes the signals with the beat detection and beat acceptance criteria for the existing mapping configurations in parallel; and

a user interface, wherein information for making a determination about which of the existing mapping configurations more closely matches the signals is displayed on the user interface.

11. The system of claim 10, wherein the automated set-up routine provides the new mapping configurations in response to changes in the signals and the new mapping configurations are updated and displayed on the user interface.

12. The system of claim 10, wherein the degree of matching between the signals and a current mapping configuration of the existing mapping configurations is displayed on the user interface while mapping the signals to a current map associated with the current mapping configuration and the degree of matching between the signals and at least one other mapping configuration of the existing mapping configurations is displayed on the user interface while mapping the signals to the current map.

13. The system of claim 10, wherein a user can switch from mapping the signals using a current mapping configuration of the existing mapping configurations to mapping the signals using another one of the existing mapping configurations or one of the new mapping configurations via the user interface.

14. The system of claim 10, wherein the electronic processor is configured to automatically switch from mapping the signals using a current mapping configuration of the existing mapping configurations to mapping the signals using another one of the existing mapping configurations or one of the new mapping configurations.

15. A method for providing information about a patient'"'"'s heart, comprising:

receiving signals from electrical activity of the heart over one or more heart beat cycles at one or more electrodes;

receiving the signals at an electronic processor that is coupled to the one or more electrodes;

processing the signals, by the electronic processor, to provide new or existing mapping configurations to map beats of multiple, different types of cardiac rhythms in the signals to new or existing cardiac maps of the multiple, different types of cardiac rhythms;

executing, by the electronic processor, an automated set-up routine that processes the signals to automatically provide one or more set up result for the new mapping configurations; and

processing the signals, by the electronic processor, with beat detection and beat acceptance criteria for existing mapping configurations to provide information about matching the signals to one or more of the existing mapping configurations to map the beats of the multiple, different types of cardiac rhythms to the new or existing cardiac maps.

16. The method of claim 15, wherein executing the automated set-up routine and processing the signals with the beat detection and beat acceptance criteria for the existing maps is performed in parallel.

17. The method of claim 15, comprising:

displaying information about the degree of matching between the signals and a current mapping configuration of the existing mapping configurations; and

displaying information about the degree of matching between the signals and at least one other mapping configuration of the existing mapping configurations.

18. The method of claim 15, comprising:

updating the new mapping configurations in response to changes in the signals; and

displaying updated new mapping configurations.

19. The method of claim 15, comprising:

switching from mapping the signals using one of the existing mapping configurations to mapping the signals using another one of the existing mapping configurations or one of the new mapping configurations.

20. The method of claim 15, comprising:

determining which of the new mapping configurations and the existing mapping configurations more closely matches the signals; and

determining which of the new mapping configurations and the existing mapping configurations are redundant.