3-D electrophysiology heart simulation system and related methods

Patent metadata

Field	Value
Publication number	US-11304644-B2
Application number	US-201715633224-A
Country	US
Kind code	B2
Filing date	Jun 26, 2017
Priority date	Mar 7, 2017
Publication date	Apr 19, 2022
Grant date	Apr 19, 2022

Abstract

A system for simulating a medical procedure includes: a physical model of an organ including a sensor mesh; directed at the physical model; a user input device including a distal end inserted within the physical model; a display device; and a simulation controller coupled to the sensor mesh, the camera system, the user input device, and the display device, the simulation controller including a processor and memory storing instructions to cause the processor to: initialize a simulation of the organ; display, on the display device, a state of the simulation; compute a location of the distal end within the physical model of the organ based on contact data from the sensor mesh and images received from the cameras; receive user input from the user input device; update the state of the simulation of the organ in accordance with the user input; and display the updated state of the simulation.

First claim

What is claimed is:

1. A system for simulating a medical procedure comprising:
a physical model of an organ comprising a sensor mesh, the sensor mesh being configured to generate a signal corresponding to a location where force is applied to the sensor mesh;
a user input device comprising a distal end inserted within the physical model of the organ;
a display device; and
a simulation controller coupled to the sensor mesh, the user input device, and the display device, the simulation controller comprising a processor and memory, the memory storing instructions that, when executed by the processor, cause the processor to:
initialize a simulation of the organ;
display, on the display device, a representation of a state of the simulation of the organ;
receive contact data from the sensor mesh, the contact data comprising a signal generated by the sensor mesh in response to force applied to the sensor mesh;
compute a location of the distal end of the user input device on an interior surface within the physical model of the organ in accordance with the contact data;
update the state of the simulation of the organ;
generate a simulation output comprising a simulated electrical physiological (EP) signal, wherein the simulated EP signal is computed based on the state of the simulation of the organ and the location of the distal end of the user input device computed in accordance with the contact data from the sensor mesh;
provide, to the display device, the simulation output comprising the simulated EP signal computed based on the location of the distal end of the user input device; and
display, on the display device, the simulation output comprising the simulated EP signal.

2. The system of claim 1 , wherein the organ is a heart.

3. The system of claim 2 , wherein the simulation output comprises an electroanatomical map of the heart.

4. The system of claim 2 , wherein the simulation output comprises one or more electrograms.

5. The system of claim 4 , wherein the memory further stores a plurality of electrical physiological (EP) signals, each EP signal corresponding to a different location of the heart,
wherein the instructions configured to cause the processor to update the state of the simulation comprise instructions that, when executed by the processor, cause the processor to identify the simulated EP signal corresponding to the computed location of the distal end of the user input device from the plurality of EP signals, the one or more electrograms comprising the simulated EP signal.

6. The system of claim 2 , wherein the instructions configured to cause the processor to initialize the simulation comprise instructions that, when executed by the processor, cause the processor to load a scenario of a plurality of scenarios, each scenario corresponding to a different form of cardiac arrhythmia.

7. The system of claim 6 , wherein the scenarios comprise scenarios corresponding to forms of cardiac arrhythmias, the forms of cardiac arrhythmias comprising:
atrial fibrillation;
atrial flutter;
supraventricular tachycardia; and
Wolf-Parkinson-White syndrome.

8. The system of claim 1 , further comprising an electroanatomical mapping system coupled to the simulation controller, the electroanatomical mapping system being configured to generate an anatomical map of the model of the organ.

9. The system of claim 1 , further comprising a camera system,
wherein the memory further stores instructions that cause the processor to receive images from the camera system, and
wherein the instructions to compute the location of the distal end of the user input device further comprise instructions to calculate the location of the distal end in accordance with images of the distal end in the received images.

10. The system of claim 9 , wherein the camera system comprises a first camera and a second camera, and
wherein the instructions configured to cause the processor to compute the location of the distal end of the user input device comprise instructions that, when executed by the processor, cause the processor to:
compute a first elevational angle and a first transverse angle of a first ray between the first camera and the distal end of the user input device with respect to an optical axis of the first camera;
compute a second elevational angle and a second transverse angle of a second ray between the second camera and the distal end of the user input device with respect to an optical axis of the second camera; and
compute an intersection between the first ray and the second ray, the intersection corresponding to the location of the distal end of the user input device.

11. The system of claim 1 , wherein the organ is a heart,
wherein the memory further stores a plurality of electrical physiological (EP) signals, each EP signal corresponding to a combination of a location of the heart and a state of the heart of a plurality of states,
wherein the instructions configured to cause the processor to update the state of the simulation comprise instructions that, when executed by the processor, cause the processor to identify the simulated EP signal corresponding to the computed location of the distal end of the user input device from the plurality of EP signals and a current state of the heart, the simulation output comprising the simulated EP signal.

12. The system of claim 11 , wherein the memory further stores instructions that, when executed by the processor, cause the processor to receive user input from the user input device, and
wherein the instructions configured to cause the processor to update the state of the simulation comprise instructions that, when executed by the processor, cause the processor to update the state based on the user input.

13. The system of claim 12 , wherein the user input corresponds to applying ablative power to the heart, and
wherein the state of the simulation is updated to indicate ablation of tissue in the simulation of the organ at the location of the distal end of the user input device in the physical model of the organ.

14. The system of claim 1 , wherein the sensor mesh comprises:
a plurality of first sensing lines substantially parallel to each other; and
a plurality of second sensing lines substantially parallel to each other, the plurality of second sensing lines crossing the plurality of first sensing lines at a plurality of crossing regions to form a sensing matrix, and
wherein the location of the distal end of the user input device is computed based on the contact data, the contact data being computed based on a change in an electric field between one of the first sensing lines and one of the second sensing lines.

15. The system of claim 1 , wherein the physical model of the organ is configured to be devoid of electrophysiological signals emitted from the sensor mesh during operation when the distal end of the user input device is in contact with the interior surface within the physical model of the organ.

16. The system of claim 1 , wherein the system is configured to generate the simulation output comprising the simulated EP signal without detection of electrophysiological data from the sensor mesh of the physical model of the organ.

17. The system of claim 1 , wherein the simulation output is generated without the detection, by the distal end of the user input device, of electrophysiological data from the sensor mesh of the physical model.

18. The system of claim 1 , wherein the location of the distal end comprises a two-dimensional coordinate identifying a particular location on the interior surf

Assignees

• Biosense Webster Israel Ltd

Inventors

• Lu Albert
• Wu Guoqiang
• Lai Weiguo

Classifications

• G09B23/30

  Anatomical models {(G09B23/281 - G09B23/288 take precedence)} · CPC title

• G09B23/285

  for injections, endoscopy, bronchoscopy, sigmoidscopy, insertion of contraceptive devices or enemas · CPC title

• G09B23/28 Primary

  for medicine · CPC title

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B5/327 Primary

  Generation of artificial ECG signals based on measured signals, e.g. to compensate for missing leads · CPC title