Respiratory-based control of medical procedure

• US 9,486,152 B2
• Filed: 10/26/2007
• Issued: 11/08/2016
• Est. Priority Date: 03/09/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Craven, Michael W., Jarvis, Timothy R.
• Primary Examiner(s): Jang, Christian
• Assistant Examiner(s): CATINA, MICHAEL ANTHONY
• Application Number:
  US11/924,989
• Publication Number:
  US 20080221459A1
• Time in Patent Office: 3,301 Days
• Field of Search: 600/424, 600/481, 600/483, 600/484, 600529-543, 600/547, 600/508, 600/509, 607 1- 9
• US Class Current: 1/1
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/063 using impedance measurements
• CPC Class Codes: A61B 5/08 Detecting, measuring or recording devices for evaluating the respiratory organs A61B5/0205 takes precedence
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence

Abstract

A medical system (100) is disclosed that provides a respiratory-based control of at least one medical procedure. In this regard, the medical system (100) includes one or more appropriate sensors (108) for providing respiratory data on a patient (104). This respiratory data is utilized by respiration assessment logic (116) to determine if the respiratory data has exceeded one or more respiration thresholds and which may be equated with a “sudden” respiratory event. Identification of such a sudden respiratory event by the logic (116) results in the suspension of the noted medical procedure. Patient respiration data may also be displayed, for instance in a color that depends upon its magnitude or level.

Claims

1. A respiratory assessment system, comprising:

a cardiac navigation and/or visualization system having a processor and a display;

at least one sensor operatively connected to said cardiac navigation and/or visualization system, wherein an output from said at least one sensor is indicative of a patient respiration; and

respiration assessment logic operatively connected to said at least one sensor and configured to;

identify an existence of a sudden respiratory event, and

automatically suspend a cardiac medical procedure upon said respiration assessment logic identifying an existence of said sudden respiratory event.

2. The respiratory assessment system of claim 1, wherein said at least one sensor comprises an electrode that is disposable on a skin of a patient.

3. The respiratory assessment system of claim 1, wherein said output from said at least one sensor comprises electrophysiological data.

4. The respiratory assessment system of claim 1, wherein said sudden respiratory event is representative of a current patient respiration that is outside of a predetermined respiration range.

5. The respiratory assessment system of claim 4, wherein said predetermined respiration range is adjustable.

6. The respiratory assessment system of claim 1, wherein said sudden respiratory event is representative of a current patient respiration that exceeds at least one respiration threshold.

7. The respiratory assessment system of claim 1, wherein the respiration assessment logic identifies the existence of the sudden respiratory event and suspends the cardiac medical procedure.

8. The respiratory assessment system of claim 1, wherein said respiration assessment logic evaluates impedance data for an existence of said sudden respiratory event.

9. The respiratory assessment system of claim 1, wherein said respiration assessment logic evaluates an amplitude of impedance data for an existence of said sudden respiratory event.

10. The respiratory assessment system of claim 1, wherein said cardiac medical procedure comprises marking a physiological location.

11. The respiratory assessment system of claim 1, wherein said cardiac medical procedure is selected from the group consisting of cardiac labeling, cardiac geometry collection, cardiac mapping, and cardiac lesion marking.

12. The respiratory assessment system of claim 1, wherein said display outputs current patient respiration data.

13. The respiratory assessment system of claim 1, wherein said sudden respiratory event is when a current patient respiration is outside of a predetermined respiration range, wherein a representation of current patient respiration data on said display is in a first color when said current patient respiration data is within a first portion of said predetermined respiration range, and wherein a representation of said current patient respiration data on said display is in a second color when said current patient respiration data is within a second portion of said predetermined respiration range that is entirely outside of said first portion of said predetermined respiration range.

14. A method for performing a cardiac medical procedure, comprising the steps of:

executing a cardiac medical procedure using a cardiac navigation and/or visualization system having a processor and a display;

acquiring in the processor current patient respiration data based on output from at least one sensor that is indicative of patient respiration;

evaluating in the processor said current patient respiration data to identify whether a sudden respiratory event exists; and

automatically suspending execution of said cardiac medical procedure if said evaluating step identifies a sudden respiratory event.

15. The method of claim 14, wherein said cardiac medical procedure comprises providing an electrophysiological function or combination of functions.

16. The method of claim 14, wherein said cardiac medical procedure comprises marking a physiological location of a patient'"'"'s heart.

17. The method of claim 14, wherein said cardiac medical procedure is selected from the group consisting of cardiac labeling, cardiac geometry collection, cardiac mapping, and cardiac lesion marking.

18. The method of claim 14, wherein said acquiring step comprises acquiring electrophysiological data.

19. The method of claim 14, wherein said evaluating step comprises comparing said current patient respiration data with at least one predetermined respiration value.

20. The method of claim 14, further comprising an initializing step that is executed before initiating said evaluating step, wherein data acquired by said initializing step is thereafter used by said evaluating step.

21. The method of claim 20, wherein said initializing step comprises acquiring a patient respiration data sample that includes at least one patient respiration cycle, and thereafter determining at least one respiration threshold from said patient respiration data sample.

22. The method of claim 14, further comprising an initializing step that is executed before initiating said evaluating step, wherein said initializing step comprises acquiring a first patient respiration data sample that includes at least one patient respiration cycle and that is thereafter used by said evaluating step, wherein said method further comprises acquiring a second patient respiration data sample in response to an output of said evaluating step, wherein said second patient respiration data sample includes at least one patient respiration cycle and that is thereafter used by said evaluating step versus said first patient respiration data sample.

23. A method for performing a cardiac medical procedure comprising the steps of:

acquiring a first patient respiration data sample based on output from at least one sensor that is indicative of patient respiration, wherein said first patient respiration data sample includes at least one patient respiration cycle;

marking a plurality of physiological locations within a patient'"'"'s heart using at least one electrophysiology catheter in conjunction with cardiac navigation and/or visualization system;

acquiring current patient respiration data based on output from at least one sensor that is indicative of patient respiration;

evaluating said current patient respiration data in relation to said first patient respiration data sample to identify whether a sudden respiratory event exists; and

automatically suspending execution of said marking step if said evaluating step identifies a sudden respiratory event.