Automatic tracking and adjustment of the view angle during catheter ablation treatment

Patent metadata

Field	Value
Publication number	US-10398337-B2
Application number	US-201715451484-A
Country	US
Kind code	B2
Filing date	Mar 7, 2017
Priority date	Mar 7, 2017
Publication date	Sep 3, 2019
Grant date	Sep 3, 2019

Abstract

A system and methods for automatically adjusting view angle when performing cardiac mapping and ablation are described herein. A three-dimensional (3D) map of a cardiac structure of a patient and a relative location (e.g., position and orientation) of a catheter within the cardiac structure may be displayed on a visual display device. According to an example procedure, the position and orientation of the tip of the catheter within the cardiac structure, and the current ablation target may be detected. A desired viewing angle of the ablation target may be known, determined, provided and/or learned through training sessions with the operator. The viewing angle of the 3D map of the cardiac structure may be automatically adjusted to correspond to the desired viewing angle using the known locations of the tip of the catheter and ablation target. Other details and procedures may be implemented, as described herein.

First claim

What is claimed is:

1. A system for performing cardiac mapping and ablation, the system comprising:
a processing device configured to generate a three-dimensional (3D) map of a cardiac structure of a patient and a relative location of a catheter within the cardiac structure and provide the 3D map and relative location of the catheter to a visual display device;
the visual display device configured to visually display the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure, wherein the 3D map of the cardiac structure is displayed at a viewing angle;
the processing device configured to detect a position and orientation of a tip of the catheter within the cardiac structure;
the processing device configured to determine a surface of the 3D map of the cardiac structure near the tip of the catheter, wherein the surface of the 3D map of the cardiac structure near the tip of the catheter is an ablation target or mapping location;
the processing device configured to determine a desired viewing angle of the ablation target or mapping location;
the processing device configured to automatically adjust the viewing angle of the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure based on the desired viewing angle and provide the adjusted viewing angle to the visual display device; and
the visual display device configured to update the viewing angle of the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure to the adjusted viewing angle.

2. The system of claim 1 , wherein:
the processing device is further configured to determine a normal vector to the surface of the 3D map of the cardiac structure near the tip of the catheter, and
wherein the processing device is configured to adjust the viewing angle of the 3D map of the cardiac structure by aligning the normal vector to the surface of the 3D map of the cardiac structure with the desired viewing angle.

3. The system of claim 1 , wherein the desired viewing angle is a default viewing angle stored in a local storage.

4. The system of claim 3 , wherein the default viewing angle is a perpendicular angle or a constant predefined offset from the perpendicular angle.

5. The system of claim 1 , wherein:
the processing device is further configured to receive the desired viewing angle of the ablation target or mapping location from an operator and store the desired viewing angle in a local storage.

6. The system of claim 1 , wherein:
the processing device is further configured to receive a plurality of desired viewing angles of the ablation target or mapping location associated with a corresponding plurality of anatomical regions within the cardiac structure, and store the plurality of desired viewing angles in local storage.

7. The system of claim 1 , wherein:
the processing device is configured to determine the desired viewing angle of the ablation target or mapping location by performing a series of training sessions to learn viewing preferences of a physician, and store the desired viewing angle in a local storage.

8. The system of claim 1 , wherein:
the processing device is configured to detect the position and orientation of the tip of the catheter within the cardiac structure using position information received from positioning sensors located in the catheter.

9. The system of claim 1 , wherein:
the processing device is configured to adjust the viewing angle of the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure based on the desired viewing angle continuously and in real-time as the position and the orientation of the tip of the catheter within the cardiac structure.

10. The system of claim 1 , wherein:
the processing device is further configured to receive instructions from an operator to enable or disable automatic adjusting of the viewing angle of the 3D map of the cardiac structure.

11. The system of claim 1 , wherein:
the visual display device is further configured to visually display a plurality of maps of the cardiac structure and a plurality of objects within or around the cardiac structure with constant relative position and orientation to each other, wherein the plurality of maps of the cardiac structure includes the 3D map of the cardiac structure and the plurality of objects within or around the cardiac structure include the catheter; and
the visual display device is further configured to update the viewing angle of the plurality of maps of the cardiac structure and the plurality of objects within or around the cardiac structure to the adjusted viewing angle, while maintaining the constant relative position and orientation to each other.

12. A method for automatically tracking and adjusting a view angle as part of a cardiac mapping and ablation procedure, the method comprising:
generating a three-dimensional (3D) map of a cardiac structure of a patient and a relative location of a catheter within the cardiac structure and provide the 3D map and relative location of the catheter to a visual display device;
visually displaying the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure, wherein the 3D map of the cardiac structure is displayed at a viewing angle;
detecting a position and orientation of a tip of the catheter within the cardiac structure;
determining a surface of the 3D map of the cardiac structure near the tip of the catheter, wherein the surface of the 3D map of the cardiac structure near the tip of the catheter is an ablation target or mapping location;
determining a desired viewing angle of the ablation target or mapping location;
automatically adjusting the viewing angle of the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure based on the desired viewing angle and provide the adjusted viewing angle to the visual display device; and
updating the viewing angle of the 3D map of the cardiac structure and the relative location of the catheter within the cardiac structure to the adjusted viewing angle.

13. The method of claim 12 , further comprising:
determining a normal vector to the surface of the 3D map of the cardiac structure near the tip of the catheter, and wherein the adjusting the viewing angle of the 3D map of the cardiac structure includes aligning the normal vector to the surface of the 3D map of the cardiac structure with the desired viewing angle.

14. The method of claim 12 , wherein the desired viewing angle is a default viewing angle stored in a local storage.

15. The method of claim 14 , wherein the default viewing angle is a perpendicular angle or a constant predefined offset from the perpendicular angle.

16. The method of claim 12 , further comprising:
receiving the desired viewing angle of the ablation target or mapping location from an operator and store the desired viewing angle in a local storage.

17. The method of claim 12 , further comprising:
receiving a plurality of desired viewing angles of the ablation target or mapping location associated with a corresponding plurality of anatomical regions within the cardiac structure, and storing the plurality of desired viewing angles in local storage.

18. The method of claim 12 , wherein the determining the desired viewing angle of the ablation target or mapping location includes performing a series of training sessions to learn viewing preferences of a physician, and storing the desired viewin

Assignees

• Biosense Webster Israel Ltd

Inventors

• Zigelman Gil
• Galkin Maxim
• Zeidan Ziyad
• Yadan Hamutal Rinat
• Alkabetz Ehud
• Ilan Ido

Classifications

• A61B2034/107

  Visualisation of planned trajectories or target regions · CPC title

• A61B2018/00839

  Bioelectrical parameters, e.g. ECG, EEG · CPC title

• A61B2017/00053

  Mapping · CPC title

• A61B6/487

  involving fluoroscopy · CPC title

• A61B6/12

  Arrangements for detecting or locating foreign bodies · CPC title