Apparatus and method for aiding in the positioning of a catheter

• US 5,820,568 A
• Filed: 10/15/1996
• Issued: 10/13/1998
• Est. Priority Date: 10/15/1996
• Status: Expired due to Fees

• Current Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Original Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Inventors: Willis, Nathaniel Parker
• Primary Examiner(s): Manuel, George
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/732,511
• Time in Patent Office: 728 Days
• Field of Search: 128/639, 128/642, 128/898, 128/696, 128/710, 128/712, 607/98, 607/99, 607/101, 607/102, 607/122, 600/372, 600/373, 600/374, 600/509, 600/523, 600/525
• US Class Current: 600/523
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots

Abstract

A system for aiding in the positioning of a catheter. The system includes a basket shaped catheter having a plurality of bipoles arranged thereon for sensing voltage potentials generated by tissue. An analog to digital converter is coupled to the catheter and configured to convert the sensed voltage potentials to digital signals. A computer is coupled to the analog to digital converter and to a video display and is programmed to calculate an absolute value of a slope of each of the digital signals. The computer is also programmed to generate and display on the video display a graphical representation of the absolute values of the slopes on a first image corresponding to the catheter. A method of aiding in the positioning of a catheter against a tissue surface is also disclosed.

Claims

1. A system for aiding in the positioning of a catheter against a surface of a tissue, the catheter having at least one electrode thereon, the system comprising:

monitoring means for monitoring a voltage potential generated by the tissue and sensed by the electrode;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the surface of the tissue and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact.

2. A system in accordance with claim 1, wherein the graphics generation means displays the graphical representation of the degree of contact on an image corresponding to the catheter.

3. A system in accordance with claim 1, wherein the graphical representation of the degree of contact comprises:

an image which corresponds to the electrode, the image having a visual appearance which is altered by the graphics generation means to indicate the degree of contact.

4. A system in accordance with claim 3, wherein the graphics generation means alters the visual appearance of the image by adjusting a brightness of the image.

5. A system in accordance with claim 3, wherein the graphics generation means alters the visual appearance of the image by changing a color of the image.

6. A system in accordance with claim 1, further comprising:

analog to digital conversion means for converting the sensed voltage potential to a digital signal.

7. A system for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the system comprising:

monitoring means for monitoring a voltage potential sensed by the electrode on the tissue surface;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact;

wherein the processing means evaluates the degree of contact by calculating a rate of change of the sensed voltage potential.

8. A system for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the system comprising:

monitoring means for monitoring a voltage potential sensed by the electrode on the tissue surface;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display;

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact; and

filtering means for filtering the contact signal according to a hold and decay function.

9. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential generated by a tissue;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the surface of the tissue and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact.

10. A system in accordance with claim 9, wherein the catheter comprises:

a plurality of bipoles.

11. A system in accordance with claim 9, wherein the catheter comprises:

a basket shaped catheter which includes a plurality of electrodes.

12. A system in accordance with claim 9, wherein the graphics generation means displays the graphical representation of the degree of contact on an image corresponding to the catheter.

13. A system in accordance with claim 9, wherein the graphical representation of the degree of contact comprises:

an image which corresponds to the electrode, the image having a visual appearance which is altered by the graphics generation means to indicate the degree of contact.

14. A system in accordance with claim 13, wherein the graphics generation means alters the visual appearance of the image by adjusting a brightness of the image.

15. A system in accordance with claim 13, wherein the graphics generation means alters the visual appearance of the image by changing a color of the image.

16. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential on a tissue surface;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact;

wherein the processing means evaluates the degree of contact by calculating a rate of change of the sensed voltage potential.

17. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential on a tissue surface;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display;

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact; and

filtering means for filtering the contact signal according to a hold and decay function.

18. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential generated by a tissue;

a video display; and

a computer, coupled to the catheter and to the video display, which is programmed to process the voltage potential to evaluate a degree of contact between the electrode and a surface of the tissue and which is programmed to generate and display on the video display a graphical representation of the degree of contact on a first image corresponding to the catheter.

19. A system in accordance with claim 18, wherein the catheter comprises:

a plurality of bipoles.

20. A system in accordance with claim 18, wherein the catheter comprises:

a basket shaped catheter which includes a plurality of electrodes.

21. A system in accordance with claim 18, wherein the graphical representation of the degree of contact comprises:

a second image positioned on the first image to correspond to the electrode, the second image having a visual appearance which is altered by the computer to indicate the degree of contact.

22. A system in accordance with claim 21, wherein the computer alters the visual appearance of the second image by adjusting a brightness of the second image.

23. A system in accordance with claim 21, wherein the computer alters the visual appearance of the second image by changing a color of the second image.

24. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential on a tissue surface;

a video display; and

a computer, coupled to the catheter and to the video display, which is programmed to process the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and which is programmed to generate and display on the video display a graphical representation of the degree of contact on a first image corresponding to the catheter;

wherein the computer is programmed to calculate a slope of the voltage potential in evaluating the degree of contact between the electrode and the tissue surface.

25. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential on a tissue surface;

a video display; and

a computer, coupled to the catheter and to the video display, which is programmed to process the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and which is programmed to generate and display on the video display a graphical representation of the degree of contact on a first image corresponding to the catheter;

wherein the computer is programmed to perform a hold and decay filtering function on the evaluated degree of contact.

26. A system for aiding in the positioning of a catheter, the system comprising:

a basket shaped catheter having a plurality of bipoles arranged thereon for sensing voltage potentials on a tissue surface;

an analog to digital converter coupled to the catheter and configured to convert the sensed voltage potentials to digital signals;

a video display; and

a computer, coupled to the analog to digital converter and to the video display, which is programmed to calculate an absolute value of a slope of each of the digital signals and which is programmed to generate and display on the video display a graphical representation of the absolute values of the slopes on a first image corresponding to the catheter.

27. A system in accordance with claim 26, wherein the computer is programmed to perform a hold and decay filtering function on each of the calculated slopes.

28. A system in accordance with claim 26, wherein the graphical representation of the calculated slopes comprises:

a plurality of second images positioned on the first image so that each of the second images corresponds to a different one of the bipoles, the second images having a visual appearance which is altered by the computer to indicate a magnitude of the calculated slope.

29. A system in accordance with claim 28, wherein the computer alters the visual appearance of the second images by adjusting a brightness of each of the second images.

30. A system in accordance with claim 28, wherein the computer alters the visual appearance of the second images by changing a color of each of the second images.

31. A method for aiding in the positioning of a catheter against a surface of a tissue, the catheter having at least one electrode thereon, the method comprising the steps of:

monitoring a voltage potential generated by the tissue and sensed by the electrode;

processing the voltage potential to evaluate a degree of contact between the electrode and the surface of the tissue;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

32. A method in accordance with claim 31, wherein the generating step comprises the steps of:

positioning a second image on the first image to correspond to the electrode; and

altering a visual appearance of the second image to indicate the degree of contact.

33. A method in accordance with claim 32, wherein the altering step comprises the step of:

adjusting a brightness of the second image.

34. A method in accordance with claim 32, wherein the altering step comprises the step of:

changing a color of the second image.

35. A method in accordance with claim 31, further comprising the step of:

converting the sensed voltage potential to a digital signal.

36. A method for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the method comprising the steps of:

monitoring a voltage potential sensed on the tissue surface by the electrode;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface by calculating a slop of the sensed voltage potential;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

37. A method for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the method comprising the steps of:

monitoring a voltage potential sensed on the tissue surface by the electrode;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface;

filtering the evaluated degree of contact according to a hold and decay function;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

38. A method for aiding in the positioning of a catheter against a surface of a tissue, the method comprising the steps of:

sensing a voltage potential generated by the tissue with a catheter having at least one electrode thereon;

processing the voltage potential to evaluate a degree of contact between the electrode and the surface of the tissue;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

39. A method in accordance with claim 38, wherein the sensing step comprises the step of:

sensing the voltage potential with a catheter having a plurality of bipoles thereon.

40. A method in accordance with claim 38, wherein the sensing step comprises the step of:

sensing the voltage potential with a basket shaped catheter which includes a plurality of electrodes.

41. A method in accordance with claim 38, wherein the generating step comprises the steps of:

positioning a second image on the first image to correspond to the electrode; and

altering a visual appearance of the second image to indicate the calculated degree of contact.

42. A method in accordance with claim 41, wherein the altering step comprises the step of:

adjusting a brightness of the second image.

43. A method in accordance with claim 41, wherein the altering step comprises the step of:

changing a color of the second image.

44. A method for aiding in the positioning of a catheter against a tissue surface, the method comprising the steps of:

sensing a voltage potential on a tissue surface with a catheter having at least one electrode thereon;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface by calculating a slope of the sensed voltage potential;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

45. A method for aiding in the positioning of a catheter against a tissue surface, the method comprising the steps of:

sensing a voltage potential on a tissue surface with a catheter having at least one electrode thereon;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface;

filtering the evaluated degree of contact according to a hold and decay function;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

46. A system for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the system comprising:

monitoring means for monitoring a voltage potential sensed by the electrode;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact;

wherein the processing means evaluates the degree of contact by calculating a rate of change of the sensed voltage potential.

47. A system for aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the system comprising:

monitoring means for monitoring a voltage potential sensed by the electrode;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display;

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact; and

filtering means for filtering the contact signal according to a hold and decay function.

48. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display; and

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact;

wherein the processing means evaluates the degree of contact by calculating a rate of change of the sensed voltage potential.

49. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential;

processing means for processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface and for generating a contact signal representative of the degree of contact;

a video display;

graphics generation means, responsive to the contact signal, for generating and displaying on the video display a graphical representation of the degree of contact; and

filtering means for filtering the contact signal according to a hold and decay function.

50. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential;

a video display; and

a computer, coupled to the catheter and to the video display, which is programmed to process the voltage potential to evaluate a degree of contact between the electrode and a tissue surface and which is programmed to generate and display on the video display a graphical representation of the degree of contact on a first image corresponding to the catheter;

wherein the computer is programmed to calculate a slope of the voltage potential in evaluating the degree of contact between the electrode and the tissue surface.

51. A system for aiding in the positioning of a catheter, the system comprising:

a catheter having at least one electrode thereon for sensing a voltage potential;

a video display; and

a computer, coupled to the catheter and to the video display, which is programmed to process the voltage potential to evaluate a degree of contact between the electrode and a tissue surface and which is programmed to generate and display on the video display a graphical representation of the degree of contact on a first image corresponding to the catheter;

wherein the computer is programmed to perform a hold and decay filtering function on the evaluated degree of contact.

52. A system for aiding in the positioning of a catheter, the system comprising:

a basket shaped catheter having a plurality of bipoles arranged thereon for sensing voltage potentials;

an analog to digital converter coupled to the catheter and configured to convert the sensed voltage potentials to digital signals;

a video display; and

a computer, coupled to the analog to digital converter and to the video display, which is programmed to calculate an absolute value of a slope of each of the digital signals and which is programmed to generate and display on the video display a graphical representation of the absolute values of the slopes on a first image corresponding to the catheter.

53. A system in accordance with claim 52, wherein the computer is programmed to perform a hold and decay filtering function on each of the calculated slopes.

54. A system in accordance with claim 52, wherein the graphical representation of the calculated slopes comprises:

a plurality of second images positioned on the first image so that each of the second images corresponds to a different one of the bipoles, the second images having a visual appearance which is altered by the computer to indicate a magnitude of the calculated slope.

55. A system in accordance with claim 54, wherein the computer alters the visual appearance of the second images by adjusting a brightness of each of the second images.

56. A system in accordance with claim 54, wherein the computer alters the visual appearance of the second images by changing a color of each of the second images.

57. A method of aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the method comprising the steps of:

monitoring a voltage potential sensed by the electrode;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface by calculating a slope of the sensed voltage potential;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

58. A method of aiding in the positioning of a catheter against a tissue surface, the catheter having at least one electrode thereon, the method comprising the steps of:

monitoring a voltage potential sensed by the electrode;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface;

filtering the evaluated degree of contact according to a hold and decay function;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

59. A method of aiding in the positioning of a catheter against a tissue surface, the method comprising the steps of:

sensing a voltage potential with a catheter having at least one electrode thereon;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface by calculating a slope of the sensed voltage potential;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.

60. A method of aiding in the positioning of a catheter against a tissue surface, the method comprising the steps of:

sensing a voltage potential with a catheter having at least one electrode thereon;

processing the voltage potential to evaluate a degree of contact between the electrode and the tissue surface;

filtering the evaluated degree of contact according to a hold and decay function;

generating a graphical representation of the degree of contact on a first image corresponding to the catheter; and

displaying the graphical representation and the first image on a video display.