Cardiac mapping with catheter shape information

• US 9,526,434 B2
• Filed: 02/02/2015
• Issued: 12/27/2016
• Est. Priority Date: 06/13/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Rhythmia Medical, Inc. (Boston Scientific Corporation)
• Inventors: Harlev, Doron, Greenfield, Pavel, Amariglio, Leon
• Primary Examiner(s): Gedeon, Brian T
• Application Number:
  US14/611,484
• Publication Number:
  US 20150150472A1
• Time in Patent Office: 694 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 2034/2061 using shape-sensors, e.g. fiber shape sensors with Bragg gratings
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/0245 by using sensing means generating electric signals, i.e. ECG signals
• CPC Class Codes: A61B 5/068 using impedance sensors
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/339 Displays specially adapted therefor
• CPC Class Codes: A61B 5/347 Detecting the frequency distribution of signals
• CPC Class Codes: A61B 5/367 Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
• CPC Class Codes: A61B 5/4848 Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/6852 Catheters

Abstract

A non-contact cardiac mapping method is disclosed that includes: (i) inserting a catheter into a heart cavity having an endocardium surface, the catheter including multiple, spatially distributed electrodes; (ii) measuring signals at the catheter electrodes in response to electrical activity in the heart cavity with the catheter spaced from the endocardium surface; and (iii) determining physiological information at multiple locations of the endocardium surface based on the measured signals and positions of the electrodes with respect to the endocardium surface. Related systems and computer programs are also disclosed.

Claims

1. A method comprising:

processing information related to characteristics of catheter shape;

measuring first signals before treatment at catheter electrodes at each of multiple, different positions of a catheter in a heart cavity in response to electrical activity in the heart cavity;

determining first physiological information at multiple locations of an endocardium surface based at least in part on the first signals and catheter shape information provided by the processing of the information related to the characteristics of the catheter shape;

measuring second signals at the catheter electrodes after the treatment;

determining second physiological information based at least in part on the second signals and the catheter shape information; and

displaying a difference map including information about changes, from the first physiological information to the second physiological information, that occurred in response to the treatment.

2. The method of claim 1, wherein determining first physiological information comprises accessing stored catheter shape information.

3. The method of claim 1, wherein the catheter is configured to assume multiple different shapes.

4. The method of claim 1, wherein processing information related to the characteristics of the catheter shape comprises processing information related to the relative arrangement of the catheter electrodes on the catheter.

5. The method of claim 1, wherein processing information related to the characteristics of the catheter shape comprises determining locations of the catheter electrodes based on a location of the catheter.

6. The method of claim 5, wherein determining first physiological information comprises determining the first physiological information based at least in part on the locations of the catheter electrodes.

7. The method claim 1, further comprising:

determining a position and orientation of the catheter within the heart cavity;

wherein processing information related to characteristics of catheter shape comprises determining positions of the catheter electrodes based on information about the distribution of the catheter electrodes on the catheter and the position and orientation of the catheter within the heart cavity.

8. The method of claim 1, wherein processing information related to characteristics of catheter shape comprises partially computing one or more transformation functions.

9. The method of claim 1, comprising processing information related to characteristics of the endocardium surface including partially computing one or more transformation functions for converting the signals measured at the catheter electrodes to estimates of the first physiological information at the endocardium surface.

10. A system comprising:

a catheter comprising;

multiple, spatially distributed electrodes, the multiple electrodes configured to;

measure first signals in response to electrical activity in a heart cavity prior to treatment; and

measure second signals in response to electrical activity in the heart cavity after the treatment;

a processing unit configured to;

process information related to characteristics of the catheter shape;

determine first physiological information at multiple locations of an endocardium surface based at least in part on the first signals and catheter shape information provided by the processing of the information related to the characteristics of the catheter shape; and

determine second physiological information at multiple locations of the endocardium surface based at least in part on the second signals and the catheter shape information; and

a display device configured to display a difference map comprising information about the difference between the first physiological information and the second physiological information.

11. The system of claim 10, wherein the catheter is configured to assume multiple different shapes.

12. The system of claim 10, wherein the processing unit is configured to process information related to the arrangement of the multiple, spatially distributed electrodes relative to the catheter.

13. The system of claim 10, wherein the processing unit is further configured to partially compute one or more transformation functions.

14. A method comprising:

processing information related to characteristics of catheter shape;

measuring signals at catheter electrodes at each of multiple, different catheter positions in a heart cavity in response to electrical activity in the heart cavity;

determining a frequency representation of electrical activity at multiple locations of an endocardium surface during a heart beat cycle, wherein the frequency representation is computed based on electrical potential values at the catheter electrodes; and

displaying information related to at least a portion of the frequency representation.

15. The method of claim 14, wherein the information related to the characteristics of the catheter shape is processed prior to inserting the catheter into the heart cavity.

16. The method of claim 14, wherein determining a frequency representation of electrical activity comprises accessing stored catheter shape information provided by the processing of the information related to the characteristics of the catheter shape.

17. The method of claim 14, wherein the catheter electrodes include multiple, spatially distributed electrodes and processing information related to characteristics of catheter shape comprises processing information related to a relative arrangement of the multiple, spatially distributed electrodes.

18. The method of claim 14, wherein processing information related to characteristics of catheter shape comprises determining locations of the catheter electrodes based on a location of the catheter.

19. The method of claim 14, wherein processing information related to characteristics of the catheter shape comprises processing information related to distribution of the catheter electrodes on the catheter.

20. The method of claim 14, comprising:

determining a position and orientation of the catheter within the heart cavity;

wherein processing information related to characteristics of catheter shape comprises determining positions of the catheter electrodes based on information about distribution of the catheter electrodes on the catheter and the position and orientation of the catheter within the heart cavity.