Method and system for determining locations of electrodes on a patient body

Patent metadata

Field	Value
Publication number	US-10643345-B2
Application number	US-201916524486-A
Country	US
Kind code	B2
Filing date	Jul 29, 2019
Priority date	Apr 15, 2016
Publication date	May 5, 2020
Grant date	May 5, 2020

Abstract

A method for electrode placement includes acquiring an image of a body of a patient, such that the image captures a patch that has been placed on the body. Based on the acquired image and the patch appearing therein, one or more preferred locations are calculated on the body for placing one or more respective electrodes to be used in carrying out a procedure in an internal organ of the patient. The preferred locations are displayed to an operator.

First claim

The invention claimed is:

1. A method for body surface electrode placement, comprising:
acquiring an image of a torso of a body of a patient, such that the image captures a calibration patch having known dimensions that has been placed on the torso of the body;
estimating the dimensions of the patient's torso based upon the known dimensions of the calibration patch;
calculating, a priori, based on the acquired image and the calibration patch appearing therein along with the dimensions of the patient's torso, one or more preferred locations on the torso of the body for placing one or more respective body surface electrodes to be used in carrying out a procedure in an internal organ of the patient including calculating clearance zones around each of the one or more respective body surface electrodes based upon the type of the one or more respective body surface electrodes to eliminate interference between the one or more body surface electrodes; and
outputting the preferred locations to an operator.

2. The method according to claim 1 , wherein calculating the preferred locations comprises estimating a dimension of the body based on the image, and calculating the preferred locations depending on the dimension of the body.

3. The method according to claim 2 , wherein calculating and outputting the preferred locations comprises calculating and outputting, based at least on the estimated dimension of the body, a virtual frame within which the one or more respective body surface electrodes are to be placed.

4. The method according to claim 2 , wherein the patch has a predefined physical size, and wherein estimating the dimension of the body comprises assessing the dimension of the body based on the predefined physical size of the patch and on an imaged size of the patch in the image.

5. The method according to claim 1 , wherein the patch comprises an embedded electrode, to be used together with the one or more respective body surface electrodes in carrying out the procedure.

6. The method according to claim 1 , wherein carrying out the procedure comprises measuring impedance of the body between a distal-end of a catheter located in the internal organ and at least one of the body surface electrodes.

7. The method according to claim 1 , wherein calculating and outputting the preferred locations comprises receiving at least first and second images in which the body appears at different respective positions, and overlaying the preferred locations over the body in the at least first and second images while compensating for the different positions.

8. The method according to claim 1 , and comprising, after the body surface electrodes have been placed on the body, acquiring another image of the body and automatically verifying, using the additional image, that the body surface electrodes have been placed in compliance with the calculated preferred locations.

9. A medical apparatus, comprising:
a camera, which is configured to acquire an image of a torso of a body of a patient, such that the image captures a calibration patch having known dimensions that has been placed on the torso of the body; and
a processor, which is configured to:
estimate the dimensions of the patient's torso based upon the known dimensions of the calibration patch;
determine, a priori, based on the acquired image and the calibration patch appearing therein along with the dimensions of the patient's torso, one or more preferred locations on the torso of the body for placing one or more respective body surface electrodes to be used in carrying out a procedure in an internal organ of the patient by calculating clearance zones around each of the one or more respective electrodes based upon the type of the one or more respective body surface electrodes to eliminate interference between the one or more body surface electrodes; and
output the preferred locations to an operator.

10. The medical apparatus according to claim 9 , wherein the processor is configured to estimate a dimension of the body based on the image, and to calculate the preferred locations depending on the dimension of the body.

11. The medical apparatus according to claim 10 , wherein the processor is configured to calculate and output, based at least on the estimated dimension of the body, a virtual frame within which the one or more respective body surface electrodes are to be placed.

12. The medical apparatus according to claim 10 , wherein the patch has a predefined physical size, and wherein the processor is configured to assess the dimension of the body based on the predefined physical size of the patch and on an imaged size of the patch in the image.

13. The medical apparatus according to claim 9 , wherein the patch comprises an embedded electrode, to be used together with the one or more respective body surface electrodes in carrying out the procedure.

14. The medical apparatus according to claim 9 , wherein carrying out the procedure comprises measuring impedance of the body between a distal-end of a catheter located in the internal organ and at least one of the body surface electrodes.

15. The medical apparatus according to claim 9 , wherein the processor is configured to receive at least first and second images in which the body appears at different respective positions, and to overlay the preferred locations over the body in the at least first and second images while compensating for the different positions.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Urman Roy
• Krupnik Ronen
• Mizrahi Liron Shmuel

Classifications

• A61B5/053

  Measuring electrical impedance or conductance of a portion of the body · CPC title

• A61B5/061

  Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body (A61B1/00158 takes precedence) · CPC title

• A61B5/1075

  for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer (A61B8/0858 takes precedence) · CPC title

• G06T7/60 Primary

  Analysis of geometric attributes · CPC title

• G06T19/006

  Mixed reality (object pose determination, tracking or camera calibration for mixed reality G06T7/00) · CPC title