Method and system for determining locations of electrodes on a patient body

• US 10,410,369 B2
• Filed: 04/15/2016
• Issued: 09/10/2019
• Est. Priority Date: 04/15/2016
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Urman, Roy, Krupnik, Ronen, Mizrahi, Liron Shmuel
• Primary Examiner(s): Coleman, Stephen P
• Application Number:
  US15/130,110
• Publication Number:
  US 20170301102A1
• Time in Patent Office: 1,243 Days
• Field of Search: None
• CPC Class Codes: A61B 5/0077 Devices for viewing the surface of the body, e.g. camera, magnifying lens
• CPC Class Codes: A61B 5/0531 Measuring skin impedance
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/1075 for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer A61B8/0858 takes precedence
• CPC Class Codes: A61B 5/25 Bioelectric electrodes therefor
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: G06T 19/006 Mixed reality object pose determination, tracking or camera calibration for mixed reality G06T7/00
• CPC Class Codes: G06T 2207/30196 Human being; Person
• CPC Class Codes: G06T 7/60 Analysis of geometric attributes

Abstract

A method for electrode placement includes acquiring an image of a body of a patient, such that the image captures a patch that has been placed on the body. Based on the acquired image and the patch appearing therein, one or more preferred locations are calculated on the body for placing one or more respective electrodes to be used in carrying out a procedure in an internal organ of the patient. The preferred locations are displayed to an operator.

Claims

1. A method for electrode placement, comprising:

acquiring an image of a body of a patient, such that the image captures a patch that has been placed on the body;

calculating, based on the acquired image and the patch appearing therein, one or more preferred locations on the body for placing one or more respective electrodes to be used in carrying out a procedure in an internal organ of the patient by calculating a first forbidden zone having a first size for a first type of electrode of the one or more respective electrodes, and a second forbidden zone having a second size, different from the first size, for a second type of electrode of the one or more respective electrodes that is different from the first type; and

outputting the preferred locations to an operator.

2. The method according to claim 1, wherein the patch comprises an embedded electrode, to be used together with the one or more respective electrodes in carrying out the procedure.

3. The method according to claim 1, wherein carrying out the procedure comprises measuring impedance of the body between a distal-end of a catheter located in the internal organ and at least one of the electrodes.

4. The method according to claim 1, wherein calculating and outputting the preferred locations comprises receiving at least first and second images in which the body appears at different respective positions, and overlaying the preferred locations over the body in the at least first and second images while compensating for the different positions.

5. The method according to claim 1, and comprising, after the electrodes have been placed on the body, acquiring another image of the body and automatically verifying, using the additional image, that the electrodes have been placed in compliance with the calculated preferred locations.

6. The method according to claim 1, wherein calculating the preferred locations comprises estimating a dimension of the body based on the image, and calculating the preferred locations depending on the dimension of the body.

7. The method according to claim 6, wherein calculating and outputting the preferred locations comprises calculating and outputting, based at least on the estimated dimension of the body, a virtual frame within which the one or more respective electrodes are to be placed.

8. The method according to claim 6, wherein the patch has a predefined physical size, and wherein estimating the dimension of the body comprises assessing the dimension of the body based on the predefined physical size of the patch and on an imaged size of the patch in the image.

9. A medical apparatus, comprising:

a camera, which is configured to acquire an image of a body of a patient, such that the image captures a patch that has been placed on the body; and

a processor, which is configured to;

determine, based on the acquired image and the patch appearing therein, one or more preferred locations on the body for placing one or more respective electrodes to be used in carrying out a procedure in an internal organ of the patient by calculating a first forbidden zone having a first size for a first type of electrode of the one or more respective electrodes, and a second forbidden zone having a second size, different from the first size, for a second type of electrode of the one or more respective electrodes that is different from the first type; and

output the preferred locations to an operator.

10. The medical apparatus according to claim 9, wherein the patch comprises an embedded electrode, to be used together with the one or more respective electrodes in carrying out the procedure.

11. The medical apparatus according to claim 9, wherein carrying out the procedure comprises measuring impedance of the body between a distal-end of a catheter located in the internal organ and at least one of the electrodes.

12. The medical apparatus according to claim 9, wherein the processor is configured to receive at least first and second images in which the body appears at different respective positions, and to overlay the preferred locations over the body in the at least first and second images while compensating for the different positions.

13. The medical apparatus according to claim 9, wherein the processor is configured to estimate a dimension of the body based on the image, and to calculate the preferred locations depending on the dimension of the body.

14. The medical apparatus according to claim 13, wherein the processor is configured to calculate and output, based at least on the estimated dimension of the body, a virtual frame within which the one or more respective electrodes are to be placed.

15. The medical apparatus according to claim 13, wherein the patch has a predefined physical size, and wherein the processor is configured to assess the dimension of the body based on the predefined physical size of the patch and on an imaged size of the patch in the image.