Suppression of global activation signals during anatomical mapping

• US 9,681,817 B2
• Filed: 12/19/2013
• Issued: 06/20/2017
• Est. Priority Date: 12/20/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Shuros, Allan C., Saha, Sunipa, Shome, Shibaji, Thakur, Pramodsingh H., Maskara, Barun, Arcot-Krishnamurthy, Shantha
• Primary Examiner(s): DIETRICH, JOSEPH M
• Application Number:
  US14/134,414
• Publication Number:
  US 20140180151A1
• Time in Patent Office: 1,279 Days
• 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 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/00048 Spectral analysis
• CPC Class Codes: A61B 2017/00053 Mapping
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• 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 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal

Abstract

A method for mapping an anatomical structure includes sensing activation signals of intrinsic physiological activity with a plurality of electrodes disposed in or near the anatomical structure, identifying at least one of the electrodes not in direct contact with the anatomical structure, and adjusting the activation signals sensed by each of the plurality of electrodes based on the activation signals sensed by the identified at least one of the electrodes not in direct contact with the anatomical structure.

Claims

1. An anatomical mapping system comprising:

a plurality of mapping electrodes configured to detect activation signals of intrinsic physiological activity within an anatomical structure, each of the plurality of mapping electrodes having an electrode location and channel;

a processing system associated with the plurality of mapping electrodes, wherein the processing system is configured to record the detected activation signals and associate one of the plurality of mapping electrodes with each recorded activation signal, and wherein the processing system is further configured to;

identify at least one mapping electrode not in direct contact with the anatomical structure,

determine a far-field activation signal from the identified at least one mapping electrode by determining a lowest maximum amplitude of the recorded activation signals of the identified at least one mapping electrode,

determine near-field activation signals from the recorded activation signals based on the determined far-field activation signal, and

generate an activation map of the near-field activation signals; and

a display configured to display the activation map of the near-field activation signals.

2. The anatomical mapping system according to claim 1, wherein the display is configured to display a map of the anatomical structure.

3. The anatomical mapping system according to claim 1, wherein the processing system is further configured to determine a dynamic threshold floor based on the activation signals sensed by the identified at least one of the electrodes.

4. The anatomical mapping system according to claim 3, wherein the processing system is configured to apply a dynamic thresholding algorithm to the activation signals based on the determined dynamic threshold floor.

5. The anatomical mapping system according to claim 1, wherein to determine the near-field activation signal, the processing system is further configured to filter the far-field activation signal from the detected activation signals.

6. The anatomical mapping system according to claim 1, wherein the processing system is further configured to subtract the far-field activation signal from the activation signals sensed by each of the plurality of mapping electrodes.

7. The anatomical mapping system according to claim 1, further comprising a catheter having a flexible body and a three-dimensional electrode structure coupled to the flexible body, wherein the plurality of mapping electrodes are disposed on the three-dimensional electrode structure.

8. The anatomical mapping system according to claim 7, wherein the three-dimensional electrode structure is configured to transition between collapsed and expanded configurations.

9. An anatomical mapping system comprising:

a plurality of mapping electrodes configured to detect activation signals of intrinsic physiological activity within an anatomical structure, each of the plurality of mapping electrodes having an electrode location and channel;

a processing system associated with the plurality of mapping electrodes, wherein the processing system is configured to record the detected activation signals and associate one of the plurality of mapping electrodes with each recorded activation signal, and wherein the processing system is further configured to;

identify at least one mapping electrode not in direct contact with the anatomical structure,

determine a far-field activation signal from the identified at least one mapping electrode, and

filter the far-field activation signals from the detected activation signals to determine near-field activation signals from the recorded activation signals; and

a display configured to display an activation map of the near-field activation signals.

10. The anatomical mapping system according to claim 9, wherein the processing system is further configured to subtract the far-field activation signal from the activation signals sensed by each of the plurality of mapping electrodes.

11. The anatomical mapping system according to claim 9, wherein the processing system is configured to identify at least one mapping electrode not in direct contact with the anatomical structure by:

determining a maximum amplitude of the activation signals sensed by each of the electrodes, and

identifying one or more electrodes having sensed activation signals with a lowest maximum amplitude.