Systems and methods using annotated images for controlling the use of diagnostic or therapeutic instruments in interior body regions

• US 6,389,311 B1
• Filed: 03/22/2000
• Issued: 05/14/2002
• Est. Priority Date: 03/26/1998
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Panescu, Dorin, Swanson, David K., Whayne, James G., Dupree, Daniel A.
• Primary Examiner(s): Lateef, Marvin M.
• Assistant Examiner(s): SHAW, SHAWNA JEANNINE
• Application Number:
  US09/533,845
• Time in Patent Office: 783 Days
• Field of Search: 600/427, 600/523, 600/373, 600/374, 600/509, 382/128, 128/920, 128/922, 606/41, 607/122
• US Class Current: 600/523
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• 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 5/7435 Displaying user selection data, e.g. icons in a graphical user interface
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61N 1/3625 External stimulators

Abstract

An interface, used in association with an electrode structure deployed in contact with heart tissue, generates a display comprising an image of the electrode structure at least partially while performing a therapeutic or diagnostic procedure. The interface annotates the image in response to procedure events.

Claims

1. A system, comprising:

an electrode structure which, in use, is deployed in contact with heart tissue; and

an interface, the interface including;

a controller coupled to the electrode structure operating to condition the electrode structure to perform a diagnostic or therapeutic procedure and to monitor events during the procedure, the controller operable in one mode to pace heart tissue using the electrode structure and to record electrical activity as a result of pacing,

a display screen, and

an interface manager coupled to the controller and the display screen, the interface manager including;

a display function configured to generate a display on the display screen comprising electrode images corresponding to electrodes on the electrode structure at least partially while performing the procedure,

an annotation function configured to annotate one or more of the electrode images displayed on the display screen to map the electrical activity, and

a selection function configured to allow one or more electrodes on the electrode structure to be selected as a pacing electrode by pointing and clicking on one or more corresponding electrode images on the display screen.

2. The system of claim 1, wherein the selection function is configured to allow more than two electrodes on the electrode structure to be selected as pacing electrodes by pointing and clicking on corresponding electrode images on the display screen.

3. The system of claim 1, herein the display function is further configured to generate a display on the display screen comprising a plurality of graphical images corresponding to a plurality of mapping functions, each mapping function configured to annotate the electrode images for showing an electrical activity corresponding to the mapping function, and wherein the selection function is further configured to allow the mapping functions to be enabled using a selection device by pointing and clicking on the appropriate graphical images.

4. A system, comprising:

an electrode structure which, in use, is deployed in contact with heart tissue; and

an interface, the interface including;

a controller coupled to the electrode structure operating to condition the electrode structure to perform a diagnostic or therapeutic procedure and to monitor events during the procedure, the controller operable in one mode to pace heart tissue using the electrode structure and to record electrical activity as a result of pacing,

a display screen, and

an interface manager coupled to the controller and the display screen, the interface manager including;

a display function configured to generate a display on the display screen comprising electrode images corresponding to electrodes on the electrode structure at least partially while performing the procedure,

an annotation function configured to annotate one or more of the electrode images displayed on the display screen to map the electrical activity, and

a selection function configured to allow one or more electrodes on the electrode structure to be selected as a recording electrode by pointing and clicking on one or more corresponding electrode images on the display screen.

5. The system of claim 4, wherein the selection function is configured to allow more than two electrodes on the electrode structure to be selected as recording electrodes by pointing and clicking on corresponding electrode images on the display screen.

6. The system of claim 4, wherein the display function is further configured to generate a display on the display screen comprising a plurality of graphical images corresponding to a plurality of mapping functions, each mapping function configured to annotate the electrode images for showing an electrical activity corresponding to the mapping function, and wherein the selection function is further configured to allow the mapping functions to be enabled using a selection device by pointing and clicking on the appropriate graphical images.

7. A system, comprising:

an electrode structure which, in use, is deployed in contact with heart tissue; and

an interface, the interface including;

a controller coupled to the electrode structure operating to condition the electrode structure to perform a diagnostic or therapeutic procedure and to monitor events during the procedure, the controller operable in one mode to pace heart tissue using the electrode structure and to record electrical activity as a result of pacing,

a display screen, and

an interface manager coupled to the controller and the display screen, the interface manager including;

a display function configured to generate a display on the display screen comprising;

electrode images corresponding to electrodes on the electrode structure at least partially while performing the procedure, and

a plurality of graphical images corresponding to a plurality of mapping functions, each mapping function configured to annotate the electrode images for showing an electrical activity corresponding to the mapping function, and

a selection function configured to allow the mapping functions to be enabled by pointing and clicking on the appropriate graphical images.

8. The system of claim 7, wherein the plurality of mapping functions annotate the electrode images to map an electrical activity by according the electrode images at least one of a predefined shape and color that indicates a particular electrical activity.

9. The system of claim 7, wherein the selection function is further configured to allow an enabled mapping function to be disabled by pointing and clicking on the appropriate graphical image or images.