Medical device for high resolution mapping using localized matching

• US 9,730,600 B2
• Filed: 10/29/2014
• Issued: 08/15/2017
• Est. Priority Date: 10/31/2013
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Shuros, Allan C., Shome, Shibaji, Thakur, Pramodsingh Hirasingh, Maskara, Barun, Arcot-Krishnamurthy, Shantha, Saha, Sunipa, Meyer, Scott A.
• Primary Examiner(s): Schaetzle, Kennedy
• Application Number:
  US14/527,090
• Publication Number:
  US 20150119672A1
• Time in Patent Office: 1,021 Days
• Field of Search: None
• 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 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• 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 5/349 Detecting specific parameters of the electrocardiograph cycle
• CPC Class Codes: A61B 5/361 Detecting fibrillation
• CPC Class Codes: A61B 5/363 Detecting tachycardia or bradycardia
• CPC Class Codes: A61B 5/7246 using correlation, e.g. template matching or determination of similarity

Abstract

Medical devices and methods for using medical devices are disclosed. An example mapping medical device may include a catheter shaft with a plurality of electrodes. The catheter shaft may be coupled to a processor. The processor may be capable of collecting a first set of signals from a first location, collecting a second set of signals from a second location, characterizing the first set of signals over a first time period, characterizing the second set of signals over a second time period, comparing the first set of signals to the second set of signals and matching a first signal from the first set of signals with a second signal from the second set of signals.

Claims

1. A medical device, comprising:

a catheter shaft with a plurality of electrodes coupled thereto, wherein the plurality of electrodes are disposed within a body chamber and are configured to;

sense a first set of signals from a first location of the body chamber during a first time period and sense a second set of signals from a second location of the body chamber during a second time period;

a processor communicatively coupled to the plurality of electrodes, wherein the processor is configured to;

receive first signals from the catheter corresponding to the first set of sensed signals;

receive second signals from the catheter corresponding to the second set of sensed signals;

characterize the first received signals over the first time period;

characterize the second received signals over the second time period;

compare the first characterized signals to the second characterized signals; and

match a first signal from the first characterized signals with a second signal from the second characterized signals.

2. The medical device of claim 1, wherein to sense the first and second sets of signals, the plurality of electrodes are configured to sense a change in electrical potential over the first and second time periods.

3. The medical device of claim 1, wherein the plurality of electrodes are disposed on a basket electrode structure.

4. The medical device of claim 1, wherein to characterize the first received signals, the processor is configured to generate a first unique signal pattern and wherein to characterize the second received signals, the processor is configured to generate a second unique signal pattern.

5. The medical device of claim 4, wherein to characterize the first received signals, the processor is configured to determine a first number of occurrences of the first unique signal pattern during the first time period.

6. The medical device of claim 5, wherein to characterize the first received signals, the processor is configured to calculate a first frequency of the first unique signal pattern during the first time period, wherein the first frequency of the first unique signal pattern is determined by dividing the first number of occurrences of the first unique signal pattern by the first time period.

7. The medical device of claim 6, wherein to characterize the second received signals, the processor is configured to determine a second number of occurrences of the second unique signal pattern during the second time period.

8. The medical device of claim 7, wherein to characterize the second received signals, the processor is configured to calculate a second frequency of the second unique signal pattern during the second time period, wherein the second frequency of the second unique signal pattern is determined by dividing the second number of occurrences of the second unique signal pattern by the second time period.

9. The medical device of claim 8, wherein to match a first signal from the first characterized signals with a second signal from the second characterized signals, the processor is configured to match the first frequency with the second frequency.

10. The medical device of claim 9, wherein the processor is further configured to match additional unique signal patterns and use the matched signal patterns to generate a high resolution map.

11. The medical device of claim 4, wherein to match a first signal from the first characterized signals with a second signal from the second characterized signals, the processor is configured to align the first unique signal pattern with the second unique signal pattern.

12. The medical device of claim 11, wherein to align the first unique signal pattern with the second unique signal pattern, the processor is configured to identify a region of overlap between the first unique signal pattern and the second unique signal pattern.

13. The medical device of claim 12, wherein to align the first unique signal pattern with the second unique signal pattern, the processor is configured to determine and match a first activity gradient of the first unique signal pattern with a second activity gradient of the second unique signal pattern.

14. The medical device of claim 13, wherein the processor is further configured to match additional unique signal patterns and use the matched signal patterns to generate a high resolution map.

15. The medical device of claim 1, wherein the plurality of electrodes are configured to sense one or more additional sets of signals from one or more additional locations during one or more additional time periods.

16. The medical device of claim 4, wherein to match a first signal from the first characterized signals with a second signal from the second characterized signals, the processor is configured to match the first unique signal pattern and the second unique signal pattern to a signal template.

17. A method for mapping electrical activity within the heart, the method comprising:

providing a catheter having a first electrode and a plurality of additional electrodes adjacent to the first electrode;

sensing one or more signals over a time period with the first electrode and with the additional electrodes;

calculating one or more latencies between the first electrode and one or more of the plurality of electrodes over the time period;

using the one or more latencies to determine one or more directions of the one or more signals between the first electrode and one or more of the plurality of electrodes; and

determining a dominant direction signal from the one or more directions, wherein the dominant direction signal is representative of a direction of a wavefront propagation.

18. The method of claim 17, further comprising representing, on a display device, the determined dominant direction signal as a vector.

19. The method of claim 18, wherein one or more attributes of the vector are representative of a confidence in the determined dominant direction signal.

20. The method of claim 19, wherein the confidence in the determined dominant direction signal is proportional to a total number of sensed one or more signals occurring in a direction of the vector over the time period.