Sensing zone for spatially relevant electrical information

Patent metadata

Field	Value
Publication number	US-11224374-B2
Application number	US-201615384620-A
Country	US
Kind code	B2
Filing date	Dec 20, 2016
Priority date	Oct 12, 2011
Publication date	Jan 18, 2022
Grant date	Jan 18, 2022

Abstract

Systems and methods are disclosed to determine one or more sensing zones on a body surface for electrocardiographic mapping of a region of interest associated with the heart. The sensing zone can be utilized to facilitate acquisition, processing and mapping of electrical activity for the corresponding region of interest. In other examples, an application-specific arrangement of electrodes can also be provided based on the sensing zone that is determined for the region of interest.

First claim

What is claimed is:

1. A system comprising:
a set of electrodes to be arranged at electrode locations on an outer surface of a patient's body that are distributed within a predefined sensing zone on the outer surface of the patient's body, wherein the electrodes are configured to measure body surface electrical potentials from the outer surface of the patient's body, and wherein the predefined sensing zone on the outer surface of the patient's body includes a portion of the outer surface of the patient's body having a distribution of electrodes at respective locations that have been previously spatially correlated with and configured to provide electrical information that is representative of electrical activity for a predetermined region of interest of the patient's heart that is less than the entire heart; and
a computing device comprising:
a memory storing instructions; and
a processor to execute the instructions to at least:
access electrical data corresponding to the body surface electrical potentials measured by the set of electrodes within the predefined sensing zone;
generate a graphical map of electrical activity for the predetermined region of interest, which is less than the entire heart, directly based on the electrical data measured by the electrodes residing only within the predefined sensing zone, wherein the graphical map of electrical activity provides a surrogate estimate for electrical activity of the predetermined region of interest without solving an inverse problem and without requiring imaging.

2. The system of claim 1 , wherein the set of electrodes is embodied in a vest to be worn by the patient.

3. The system of claim 2 , wherein the vest is configured to allow treatment devices to be placed on the patient's body.

4. The system of claim 1 , further comprising a display device to provide a visualization of the map.

5. The system of claim 1 , wherein the set of electrodes are arranged on the surface of the patient's body within two or more predefined sensing zones spaced apart and distributed across the surface of the patient's body, wherein the surrogate-estimate for the electrical activity of the predetermined region of interest of the patient's heart is determined based on the electrical data measured from the two or more predefined sensing zones.

6. The system of claim 1 , wherein the processor is further to execute the instructions to derive an indication of activation time or repolarization time for the predetermined region of interest from the surrogate estimate.

7. The system of claim 1 , wherein the set of electrodes is an application-specific arrangement of electrodes previously correlated with the predetermined region of interest in the patient's heart to acquire application-specific information related to an anatomical structure or a geometrical region of interest.

8. The system of claim 1 , wherein the predetermined region of interest of the heart, comprises one of a right-ventricular freewall region, an anterior left ventricular region, a lateral left ventricular region, an apex, a left ventricular base, one or more atria and one or more ventricles.

9. The system of claim 1 , further comprising an application-specific vest that includes the electrodes that reside only within the sensing zone.

10. The system of claim 9 , wherein the application-specific vest further comprises an opening that is free of electrodes and outside of the sensing zone.

11. The system of claim 1 , wherein the instructions further comprise a selector programmed to select a region of interest in response to a user input, the sensing zone being determined according to the selected region of interest.

12. The system of claim 1 , wherein the set of electrodes is embodied in at least one patch, which includes multiple electrodes, adapted to be placed in the predefined sensing zone on the outer surface of the patient's body to measure the body surface electrical potentials.

13. The system of claim 1 , wherein the processor is further to execute the instructions to analyze determine a contribution that respective electrodes in the predefined sensing zone have on the electrical activity of the predetermined region of interest of the patient's heart and to identify at least one low resolution region of the patient's heart based on the determined contribution of the respective electrodes.

14. The system of claim 13 , wherein the processor is further to execute the instructions to provide a graphical map that includes a representation of the low resolution region superimposed on a graphical map of the heart.

15. A system comprising:
a set of electrodes to be arranged at electrode locations on an outer surface of a patient's body that are distributed within a predefined sensing zone on the outer surface of the patient's body, wherein the electrodes are configured to measure body surface electrical potentials from the outer surface of the patient's body, and wherein the predefined sensing zone on the outer surface of the patient's body includes a portion of the outer surface of the patient's body having a distribution of electrodes at respective locations that have been previously spatially correlated with and configured to provide electrical information that is representative of electrical activity for a predetermined region of interest of the patient's heart that is less than the entire heart; and
a computing device comprising:
a memory storing instructions; and
a processor to execute the instructions to at least:
access electrical data corresponding to the body surface electrical potentials measured by the set of electrodes within the predefined sensing zone;
generate a graphical map of electrical activity for the predetermined region of interest, which is less than the entire heart, directly based on the electrical data for the predefined sensing zone without solving an inverse problem and without requiring imaging,

wherein the graphical map of electrical activity provides a surrogate estimate for electrical activity of the predetermined region of interest.

16. A method comprising:
arranging a set of electrodes at locations on an outer surface of a patient's body to reside within a predefined sensing zone on the outer surface of the patient's body, wherein the predefined sensing zone on the outer surface of the patient's body the includes a portion of the outer surface of the patient's body having a distribution of electrodes at respective locations that have been previously correlated with and configured to provide electrical information that is representative of electrical activity for a predetermined region of interest of the patient's heart that is less than the entire heart;
measuring body surface electrical potentials from the outer surface of the patient's body via the set of electrodes;
storing in memory of a computing device electrical data corresponding to the body surface electrical potentials measured by the electrodes within the predefined sensing zone;
accessing, by the computing device, the electrical data; and
generating a graphical map of electrical activity for the predetermined region of interest, which is less than the entire heart, directly based on the electrical data measured by electrodes residing only within the predefined sensing zone, wherein the graphical map of electrical activity provides a surrogate estimate for electrical activity of the predetermined region of interest solving an inverse problem and without requiring imaging.

17. The method of claim 16 , further comprising displaying, by a display device coupled to the computing d

Assignees

• Cardioinsight Technologies Inc

Inventors

• Jia Ping
• Ramanathan Charulatha
• Strom Maria
• George Brian P
• Bhetwal Lalita
• Wodlinger Harold
• Small Jonathan D

Classifications

• A61B5/346

  Analysis of electrocardiograms · CPC title

• A61B5/343

  Potential distribution indication · CPC title

• A61B5/283

  Invasive · CPC title

• A61B5/367 Primary

  Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping · CPC title

• A61N1/365

  controlled by a physiological parameter, e.g. heart potential {(evoked response A61N1/371)} · CPC title