Endocardial chamber mapping system

• US 7,826,881 B1
• Filed: 06/07/2000
• Issued: 11/02/2010
• Est. Priority Date: 09/23/1992
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Kagan, Jonathan, Beatty, Graydon Ernest, Budd, Jeffrey Robert
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US09/588,980
• Time in Patent Office: 3,800 Days
• Field of Search: 600/314, 600/372, 600/509, 607/116, 607/115, 607/123, 607125-128
• US Class Current: 600/374
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• 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 2562/046 in a matrix array
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/30 Input circuits therefor
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket

Abstract

An endocardial mapping system is described to map electric field activity in a heart chamber. The system includes a catheter assembly having an expandable array of electrodes and a plug with each electrode connected to a single connection in the plug. The system also contains an interface apparatus with a plug adapter to receive the catheter plug, a voltage acquisition apparatus, and a signal generator to generate signals in response to voltages received on the electrodes. Finally, the system contains a computer capable of computing a three-dimensional volumetric electric field distribution based on signals received from the signal generator.

Claims

1. An endocardial chamber mapping system comprising:

a) a catheter assembly having;

i) an array of signal acquisition electrodes expandable from a substantially cylindrical shape to an expanded shape, and

ii) a catheter plug with multiple connections, each of the connections being electrically coupled to one of said array of acquisition electrodes;

b) an interface apparatus having;

i) an interface plug connected to the catheter plug to establish electrical connection to each of the electrodes,

ii) a voltage acquisition apparatus in communication with the interface plug and coupled to said array of acquisition electrodes, said voltage acquisition apparatus having an analog to digital converter for digitizing voltages on said array of acquisition electrodes, and

iii) a signal generator in communication with one or more of said array of voltage acquisition electrodes for generating low current pulses; and

c) a computer having;

i) electrical communication with the signal generator of the interface apparatus to control its function,

ii) electrical communication with the voltage acquisition apparatus to receive the voltages acquired by the signal acquisition electrodes,

iii) processing unit to compute a three-dimensional volumetric electric field distribution based on the voltages received from the signal acquisition electrodes, and

iv) a display showing the computed field distribution.

2. The endocardial chamber mapping system of claim 1, wherein the computer further comprises:

v) means for obtaining data relating to volume and shape of the endocardial chamber through the generation of low current pulses by the signal generator and for creating an image of said volume and shape,

and wherein the display shows the computed field distribution displayed on the image of the volume and shape of the endocardial chamber.

3. The endocardial chamber mapping system of claim 2, wherein the display shows the computed field distribution in a continuously filled color-scale map shown over the volume and shape of the endocardial chamber.

4. An endocardial chamber mapping system comprising:

a) a catheter assembly having

i) an array of signal acquisition electrodes expandable from a substantially cylindrical shape to a substantially spherical shape, and

ii) an electrical connector plug with multiple connectors electrically coupled to each of the electrodes present in said array;

b) voltage acquisition apparatus in communication with the electrodes of said array, having an analog to digital converter for converting the voltages on said array to corresponding signals; and

c) a computer having

i) an electrical communication with the voltage acquisition apparatus to receive the voltage acquired by the signal acquisition electrodes,

ii) a processing unit capable of computing a three-dimensional volumetric electric field distribution based on the signals acquired at the signal acquisition electrodes, and

iii) a display for displaying the three-dimensional volumetric electric field distribution via an iso-potential map overlaid on a display of the heart geometry.

5. The system of claim 4, wherein the iso-potential map is displayed as a continuously filled color-scale map.

6. The system of claim 4 wherein the iso-potential map comprises a set of nested rings of eqipotential formed by connection points of equi-potential on a representation of a two dimensional surface.

7. The system of claim 4 wherein the iso-potential map displayed on said heart geometry comprises a set of nested rings of eqipotential formed by connection points of equi-potential on a representation of a three dimensional surface.