Beat alignment and selection for cardiac mapping

• US 9,002,442 B2
• Filed: 09/23/2011
• Issued: 04/07/2015
• Est. Priority Date: 01/13/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Rhythmia Medical, Inc. (Boston Scientific Corporation)
• Inventors: Eldar, Rotem, Harley, Doron
• Primary Examiner(s): Bertram, Eric D.
• Assistant Examiner(s): Bays, Pamela M
• Application Number:
  US13/243,401
• Publication Number:
  US 20120184858A1
• Time in Patent Office: 1,292 Days
• Field of Search: 600/508, 600/509, 607/9, 607/27, 607/29, 607/63
• US Class Current: 600/509
• 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 5/316 Modalities, i.e. specific diagnostic methods
• CPC Class Codes: A61B 5/318 Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/35 by template matching
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity
• CPC Class Codes: A61B 5/7285 for synchronising or triggering a physiological measurement or image acquisition with a physiological event or waveform, e.g. an ECG signal A61B6/5205, A61B6/541, A61B8/5207, A61B8/543 take precedence

Abstract

A method including: measuring signals at one or more catheter electrodes in response to electrical activity in a heart cavity and collecting additional data signals; defining a template set including information related to the additional data signals; computing criteria for each of the additional data signals based on a comparison of the additional data signals and the template set; synchronizing the measured signals with one another by calculating a single synchronization offset that is a time value based on the computed criteria and the difference between a marker in the template set and a point in the additional data signals; selecting a subset of the synchronized signals by determining whether to include the signals for a heartbeat in the subset based on the computed criteria; and determining physiological information at multiple locations of the endocardium surface based on the measured signals by processing the selected subset.

Claims

1. A method comprising:

for each of multiple, different catheter positions in a heart cavity, concurrently measuring signals at one or more catheter electrodes on a catheter in response to electrical activity in the heart cavity and collecting a plurality of additional data signals;

defining a template set comprising information related to the plurality of additional data signals collected during an exemplary beat of interest;

computing criteria for each of the plurality of additional data signals based on a comparison of the plurality of additional data signals and the template set;

synchronizing the signals measured at the different catheter positions with one another according to a heart beat cycle by calculating a single synchronization offset, wherein the single synchronization offset is a time value based on the plurality of the computed criteria and the difference between a marker in the template set and a point in the plurality of additional data signals;

selecting a subset of less than all of the synchronized signals by determining whether to include the signals for a cardiac beat in the subset of less than all of the synchronized signals based on the computed criteria related to the plurality of additional data signals; and

determining physiological information at multiple locations of the endocardium surface based on the measured signals at the different catheter positions by processing the selected subset of the synchronized signals.

2. The method of claim 1, wherein computing the criteria comprises computing a correlation of each of the plurality of additional data signals to the corresponding signal templates.

3. The method of claim 1, wherein processing the synchronized signals comprises processing the synchronized signals as though they were obtained at one time.

4. The method of claim 1, wherein synchronizing the signals comprises aligning the signals measured at the different catheter positions relative to a phase in an electrical cycle of the heart.

5. The method of claim 1, further comprising generating the template representing an exemplary beat of interest.

6. The method of claim 1, wherein synchronizing the signals comprises aligning the plurality of additional data signals with the templates representing the exemplary beat of interest.

7. The method of claim 6, wherein aligning the plurality of additional data signals with the templates representing the exemplary beat of interest comprises computing a cross-correlation to align the template and the data signals.

8. The method of claim 1, wherein computing the criteria based on the comparison of the plurality of additional data signals and the corresponding signal templates comprises, for each of the additional data signals, aligning the template and the additional data signal using a cross-correlation calculation to generate a time offset factor.

9. The method of claim 8, wherein synchronizing the signals further comprises averaging the time offset factors for each of the cross-correlation calculations to determine an average time offset factor.

10. The method of claim 1, wherein the plurality of additional data signals comprises a plurality of additional data signals selected from the group consisting of multiple ECG signals;

at least one ECG signal and at least one intercardiac electrogram signal; and

a cardiac pacing signal and at least one physiological data signal.

11. The method of claim 1, further comprising defining additional template sets of the plurality of additional data signals collected during different exemplary beats of interest;

wherein computing criteria for each of the plurality of additional data signals based on a comparison of the plurality of additional data signals and the template set further comprises computing criteria for each of the plurality of additional data signals based on a comparison of the plurality of additional data signals and the template set and the additional template sets.

12. The method of claim 11, further comprising grouping the signals measured at the different catheter positions based on the computed criteria for the template set and each of the additional template sets;

wherein determining the physiological information comprises processing each group of measured signals separately wherein determining the physiological information comprises determining the physiological information based at least in part on a mathematical operator approximating Laplace'"'"'s equation.

13. The method of claim 1, wherein the computed criteria comprises a value representing a similarity between the plurality of additional data signals and the signal templates.

14. The method of claim 1, further comprising selecting a subset of less than all of the signals by comparing the value with a threshold value and including the signals in the subset for the beat if the value is greater than the threshold value.

15. The method of claim 1, further comprising:

averaging the computed criteria for at least some of the additional data signals; and

comparing the averaged criteria results to a threshold.

16. The method of claim 1, wherein selecting the subset of less than all of the synchronized signals comprises:

comparing beat duration information for a beat with an expected beat duration; and

excluding the signals from the subset of less than all of the synchronized signals if the beat duration is below a threshold.

17. The method of claim 1, wherein selecting the subset of less than all of the synchronized signals comprises comparing an energy for a beat with an expected energy;

and excluding the signals from the subset of less than all of the synchronized signals if the energy is above a threshold.

18. The method of claim 1, wherein selecting the subset of less than all of the synchronized signals comprises selecting signals based on a criteria selected from the group consisting of the location of the heart beat in the beat train, a respiration phase, the mechanical structure of the cardiac cavity, and a phase of respiration.