Apparatus for localizing action currents in the heart

• US 5,846,198 A
• Filed: 05/30/1997
• Issued: 12/08/1998
• Est. Priority Date: 05/31/1996
• Status: Expired due to Fees

• Current Assignee: Siemens AG
• Original Assignee: Siemens AG
• Inventors: Killmann, Reinmar
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): MANTIS MERCADER, ELENI M
• Application Number:
  US08/866,421
• Time in Patent Office: 557 Days
• Field of Search: 600/382, 600/424, 600/508, 600/447, 600/450
• US Class Current: 600/424
• CPC Class Codes: A61B 2034/2053 Tracking an applied voltage gradient
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

An apparatus for localizing action currents in the heart of a living subject has electrodes for acquiring a distribution of electrical potential on the body surface of the living subject generated by the action currents, a position acquisition unit for determining the spatial position of the electrodes, and a localization unit connected to the electrodes and to the position acquisition unit. The localization unit localizing the action currents from the distribution of potential and the spatial position of the electrodes. A reference catheter fixable in the heart is fashioned such that its spatial position can be determined by the position acquisition unit, and that the localization unit localizes the action currents with reference to the reference catheter.

Claims

1. An apparatus for localizing action currents in a heart of a living subject, comprising:

a plurality of electrodes adapted for attachment to a body surface of a living subject for acquiring a distribution of electrical potential on said body surface generated by cardiac action currents in said subject;

position acquisition means for determining respective spatial positions of said plurality of electrodes;

a reference catheter adapted to be fixed in a heart at a spatial position determinable by said position acquisition means; and

localization means connected to said electrodes and to said position acquisition means for localizing said cardiac action currents with reference to said reference catheter using said distribution of electrical potential and the respective spatial positions of said plurality of electrodes.

2. An apparatus as claimed in claim 1 wherein said position acquisition means comprises a central unit and a movable unwired pin connected to said central unit, said central unit including means for localizing said pin.

3. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable transmitter disposed at said reference catheter.

4. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable transmitter, and said apparatus further comprising diagnostic ultrasound tomography means, having a transesophageal ultrasound applicator, for producing an ultrasound tomogram having a positionally correct marking of a localized action current therein, said transmitter being disposed at said transesophageal ultrasound applicator.

5. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable transmitter, and said apparatus further comprising diagnostic ultrasound tomography means, having a intracardial ultrasound applicator, for producing an ultrasound tomogram having a positionally correct marking of a localized action current therein, said transmitter being disposed at said intracardial ultrasound applicator.

6. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable transmitter, and said apparatus further comprising means for stimulating said heart using a stimulation catheter, and wherein said transmitter is disposed at said stimulation catheter.

7. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable receiver disposed at said reference catheter.

8. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable receiver, and said apparatus further comprising diagnostic ultrasound tomography means, having a transesophageal ultrasound applicator, for producing an ultrasound tomogram having a positionally correct marking of a localized action-current therein, said receiver being disposed at said transesophageal ultrasound applicator.

9. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable receiver, and said apparatus further comprising diagnostic ultrasound tomography means, having a intracardial ultrasound applicator, for producing an ultrasound tomogram having a positionally correct marking of a localized action current therein, said receiver being disposed at said intracardial ultrasound applicator.

10. An apparatus as claimed in claim 1 wherein said position acquisition means includes a localizable receiver, and said apparatus further comprising means for stimulating said heart using a stimulation catheter, and wherein said receiver is disposed at said stimulation catheter.