System and method for matching electrical characteristics and propagation velocities in cardiac tissue to locate potential ablation sites

• US 5,546,940 A
• Filed: 08/22/1995
• Issued: 08/20/1996
• Est. Priority Date: 01/28/1994
• Status: Expired due to Term

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Panescu, Dorin, Swanson, David K.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/524,115
• Time in Patent Office: 364 Days
• Field of Search: 128/642, 607/115, 607/116, 607/119, 607/122, 607/123, 607/126, 607/128, 607/130, 607/148, 607/154, 607/96, 607/98, 607/99, 607/101, 607/102, 606/27, 606/31, 606/41, 606/42
• US Class Current: 600/374
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket

Abstract

Systems and methods examine heart tissue morphology for the purpose of locating a potential ablation site. The systems and methods derive the electrical characteristic of tissue lying between the electrode pairs based, at least in part, upon sensing tissue impedances. The systems and methods also sense the timing of local depolarization events in the tissue in which impedance is sensed and derive therefrom the propagation velocities of the sensed depolarization events. The systems and methods match the derived tissue electrical characteristics with the derived propagation velocities in spatial relation to the electrodes to characterize the morphology of the contacted heart tissue to identify a potential ablation site.

Claims

1. A system for locating a potential ablation site in heart tissue comprising

at least three spaced apart electrodes,

locating means for positioning at least two of the electrodes in contact with a region of heart tissue,

first means operable for transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes, for transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes, and for deriving therefrom tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths,

second means for sensing timing of local depolarization events in the tissue in which impedance is sensed and for deriving therefrom propagation velocities of the sensed local depolarization events, and

third means for normalizing the derived tissue electrical characteristics in spatial relation to the electrodes, for normalizing the derived propagation velocities in spatial relation to the electrodes, and for matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes,

fourth means for normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range,

fifth means for converting all matched values in the matched value range above a selected threshold value to a first converted value while converting all matched values in the matched value range equal to or below the selected threshold value to a second converted value different than the first converted value, and

means for outputting the converted matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first converted values identifies a potential ablation site.

2. A system according to claim 1 wherein the first means derives resistivities of the tissue lying in the first and second paths.

3. A system according to claim 1 wherein the third means applies two dimensional matched filtering to the normalized derived tissue electrical characteristics using the normalized propagation velocities as a template.

4. A system according to claim 1 wherein the third means applies two dimensional matched filtering to the normalized derived propagation velocities using the normalized tissue electrical characteristics as a template.

5. A system according to claim 1 and further including means for emitting energy to ablate tissue in the identified potential ablation site.

6. A method for examining heart tissue comprising the steps of

locating at least three spaced apart electrodes so that at least two of the electrodes are in contact with a region of heart tissue,

transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes,

transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes,

deriving from the electrical current transmissions tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths,

sensing timing of local depolarization events in the tissue in which impedance is sensed and deriving therefrom propagation velocities of the sensed local depolarization events, and

normalizing the derived tissue electrical characteristics in spatial relation to the electrodes,

normalizing the derived propagation velocities in spatial relation to the electrodes,

matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes,

normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range,

convening all matched values in the matched value range above a selected threshold value to a first convened value while convening all matched values in the matched value range equal to or below the selected threshold value to a second convened value, and

outputting the convened matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first convered values identifies a potential ablation site.

7. A method according to claim 6 wherein the step of deriving tissue electrical characteristics derives the resistivities of the tissue lying in the first and second paths.

8. A method according to claim 6 wherein the step of matching applies two dimensional matched filtering to the normalized derived tissue electrical characteristics using the normalized propagation velocities as a template.

9. A method according to claim 6 and further the step of emitting energy to ablate tissue in the identified potential ablation site.

10. A method according to claim 6 wherein the step of matching applies two dimensional matched filtering to the normalized propagation velocities using the normalized derived tissue electrical characteristics as a template.