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

Patent metadata

Field	Value
Publication number	US-11064930-B2
Application number	US-201916527832-A
Country	US
Kind code	B2
Filing date	Jul 31, 2019
Priority date	Mar 7, 2017
Publication date	Jul 20, 2021
Grant date	Jul 20, 2021

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. An imaging system for use with a cardiac mapping and ablation system, the system comprising:
a visual display device configured to visually display a three-dimensional (3D) map of a cardiac structure at a viewing angle and a relative location of a catheter within the cardiac structure;
a processing device configured to determine a desired viewing angle of an ablation target or mapping location near a tip of the catheter;
the processing device configured to automatically adjust the viewing angle of the 3D map of the cardiac structure based on the desired viewing angle; and
the visual display device configured to visually display the 3D map of the cardiac structure at the adjusted viewing angle and the relative location of the catheter within the cardiac structure.

2. The imaging system of claim 1 , wherein:
the processing device is configured to determine a position and orientation of the tip of the catheter within the cardiac structure; and
the processing device is 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 the ablation target or mapping location.

3. The imaging system of claim 2 , 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.

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

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

6. The imaging 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.

7. The imaging 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.

8. The imaging 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.

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

10. The imaging 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 a position and orientation of the tip of the catheter within the cardiac structure.

11. A method for use with a cardiac mapping and ablation procedure, the method comprising:
visually displaying a three-dimensional (3D) map of a cardiac structure at a viewing angle and a relative location of a catheter within the cardiac structure;
determining a desired viewing angle of an ablation target or mapping location near a tip of the catheter;
automatically adjusting the viewing angle of the 3D map of the cardiac structure based on the desired viewing angle; and
visually displaying the 3D map of the cardiac structure at the adjustee viewing angle and the relative location of the catheter within the cardiac structure.

12. The method of claim 11 , further comprising:
determining a position and orientation of the tip of the catheter within the cardiac structure; and
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 the ablation target or mapping location.

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 automatically 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 11 , 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 11 , further comprising:
receiving the desired viewing angle of the ablation target or mapping location from an operator; and
storing the desired viewing angle in a local storage.

17. The method of claim 11 , 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 11 , 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 viewing angle in a local storage.

19. The method of claim 11 , further comprising:
detecting a position and orientation of the tip of the catheter within the cardiac structure using information received from positioning sensors located in the catheter.

20. The method of claim 11 , wherein the 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 is done continuously and in real-time.

Assignees

• Biosense Webster Israel Ltd

Inventors

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

Classifications

• A61B6/487

  involving fluoroscopy · CPC title

• A61B5/287 Primary

  Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS] · CPC title

• 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