Unified switching system for electrophysiological stimulation and signal recording and analysis

• US 6,615,073 B1
• Filed: 02/02/2000
• Issued: 09/02/2003
• Est. Priority Date: 12/20/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Reining, William, Panescu, Dorin
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US09/496,836
• Time in Patent Office: 1,308 Days
• Field of Search: 600/509, 600/522, 600/523, 600/300, 128/901, 607/9
• US Class Current: 600/509
• CPC Class Codes: A61B 2560/045 with a separable interface unit, e.g. for communication
• 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 5/304 Switching circuits
• CPC Class Codes: A61B 5/308 for electrocardiography [ECG]
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61N 1/37 Monitoring; Protecting

Abstract

A cardiac mapping and pacing system includes a cardiac catheter having multiple electrodes and further includes an electrophysiological biological recorder. An interface system coupled between the multiple electrodes and the biological recorder permits the biological recorder to receive, process and display data acquired from the electrodes even though the number of electrodes may exceed the number of available inputs to the biological recorder. An application specific integrated circuit (ASIC) implemented as a CMOS switching circuit matrix is used to effectively interface a number of individual electrodes with a variety of existing and custom biological recorders.

Claims

1. A system for transmitting or receiving signals to or from a non-fixed physiological load or source, comprising:

a switch having an input, an output and a switch path, the input and output being selectively couplable though the switch path, wherein the switch path is configured to float with respect to the non-fixed load or source.

2. The system of claim 1, wherein the non-fixed physiological load or source is a patient'"'"'s relative myocardial potential.

3. The system of claim 1, wherein the switch path is configured to withstand relative current fluctuations.

4. The system of claim 3, wherein the relative current fluctuations are caused by physiological events occurring in the non-fixed physiological load or source.

5. The system of claim 1, wherein the switch path is bi-directional.

6. The system of claim 1, wherein the switch includes an interface operable to receive generated commands.

7. The system of claim 1, wherein the input is adapted to receive physiological signals from a multiple electrode catheter.

8. The system of claim 1, wherein the output is couplable to a display device.

9. The system of claim 1, wherein the output is couplable to a biological recorder.

10. The system of claim 1, further comprising test circuitry for detecting the existence of abnormal operating conditions.

11. The system of claim 1, wherein the switch path includes circuitry configured to withstand a relative voltage difference of at least ±

30V.

12. The system of claim 1, wherein the switch path includes circuitry configured to withstand a relative voltage difference up to a maximum relative voltage swing of the physiological load or source.

13. The system of claim 1, wherein the switch path includes circuitry having a floating substrate.

14. The system of claim 1, wherein the switch path includes circuitry comprising means for establishing a first path where current flows away from a voltage source when an input voltage is below a threshold level, means for establishing a second path where current flows to the voltage source when the input voltage exceeds the threshold level, and feedback circuitry configured to maintain a feedback voltage when the second path is established.

15. A system for monitoring physiological signals from a non-fixed physiological source, comprising:

a switch matrix having a plurality of inputs, a plurality of outputs, and a plurality of switch paths, the plurality of inputs each being adapted to receive physiological signals, the plurality of outputs each being couplable to external devices for displaying or processing the physiological signals, the plurality of inputs each being selectively connectable to one of the plurality of outputs through the plurality of switch paths, wherein the plurality of switch paths are configured to float with respect to the non-fixed load or source.

16. The system of claim 15, wherein the plurality of switch paths include circuitry configured to float with respect to the non-fixed physiological source.

17. The system of claim 15, wherein the plurality of switch paths include circuitry configured to withstand a relative voltage difference up to a maximum relative voltage swing of the non-fixed physiological source.

18. The system of claim 15, further comprising a control circuit, the control circuit being configured to activate at least one of the plurality of switch paths in accordance with applied commands.

19. The system of claim 15, wherein the non-fixed physiological source is a patient'"'"'s relative myocardial potential.

20. The system of claim 15, wherein the plurality of switch paths include circuitry having a floating substrate.

21. A system operable to selectively couple non-fixed physiological signals with at least one output channel, comprising:

a switch having a input channel, an output channel and a switch path, the input channel being selectively couplable to the output channel through the switch path,

wherein the switch path includes an electrical circuit configured to float with respect to a non-fixed physiological load or source.