Apparatus and method for intra-cardiac mapping and ablation
US-10820941-B2 · Nov 3, 2020 · US
US11457995B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-11457995-B2 |
| Application number | US-201816234150-A |
| Country | US |
| Kind code | B2 |
| Filing date | Dec 27, 2018 |
| Priority date | Dec 27, 2018 |
| Publication date | Oct 4, 2022 |
| Grant date | Oct 4, 2022 |
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A system includes a balloon catheter having a shaft, an inflatable balloon fitted at a distal end of the shaft, and multiple electrodes disposed on the inflatable balloon, a display, and a processor configured to receive signals that are indicative of respective electrode positions of the multiple electrodes in 3D space, compute the respective electrode positions of the multiple electrodes based on the received signals, from among a plurality of virtual planes defined by different respective groups of the electrode positions, select a virtual plane that contains a maximum number of the electrode positions to within a given tolerance, fit a virtual circle to the electrode positions that are within the given tolerance of the selected virtual plane, and render to the display a 3D representation of the balloon catheter based on a position and orientation of the fitted virtual circle in 3D space.
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What is claimed is: 1. A system, comprising: a balloon catheter having a shaft, an inflatable balloon fitted at a distal end of the shaft, and multiple electrodes disposed on the inflatable balloon; a display; and a processor configured to: receive signals that are indicative of respective electrode positions of the multiple electrodes in a three-dimensional (3D) space; compute the respective electrode positions of the multiple electrodes based on the received signals; from among a plurality of virtual planes defined by different respective groups of the electrode positions, select a virtual plane that contains a maximum number of the electrode positions to within a given tolerance; fit a circle to points based on the electrode positions that are within the given tolerance of the selected virtual plane; and render to the display a 3D representation of the balloon catheter based on a position and orientation of the fitted virtual circle in the 3D space. 2. The system according to claim 1 , wherein the processor is configured to compute the plurality of virtual planes from different respective groups of three electrode positions selected from the electrode positions. 3. The system according to claim 1 , wherein the processor is configured to remove one electrode position of the electrode positions from the computation of the plurality of virtual planes and from the selection of the virtual plane if the one electrode position is disposed with a given proximity to another one of the electrode positions. 4. The system according to claim 1 , wherein the processor is configured to merge at least two of the electrode positions for use in the computation of the plurality of virtual planes and the selection of the virtual plane if the at least two electrode positions are within a given proximity. 5. The system according to according to claim 1 , wherein the processor is configured to remove one electrode position of the electrode positions from the computation of the plurality of virtual planes and from the selection of the virtual plane if the one electrode position has an associated electrical signal which is less than a given value. 6. The system according to according to claim 1 , wherein a multiplicity of virtual planes from the plurality of virtual planes each includes the maximum number of the electrode positions within the given tolerance, the processor being configured to: compute for each one virtual plane of the multiplicity of virtual planes, a proximity score of the electrode positions within the given tolerance of the one virtual plane with the one virtual plane; and select one of the multiplicity of virtual planes having a highest proximity score as the selected virtual plane. 7. The system according to according to claim 1 , wherein the processor is configured to compute a new virtual plane from the electrode positions that are within the given tolerance of the selected virtual plane. 8. The system according to claim 7 , wherein the processor is configured to compute the new virtual plane from the electrode positions that are within the given tolerance of the selected virtual plane using a least-squares-fit method. 9. The system according to claim 7 , wherein the processor is configured to: project the electrode positions that are within the given tolerance of the selected virtual plane onto the new virtual plane; and fit the circle to the projected electrode positions. 10. The system according to claim 1 , wherein the processor is configured to project the electrode positions in a direction perpendicular to the new virtual plane. 11. The system according to claim 1 , wherein the processor is configured to compute the respective electrode positions of the multiple electrodes based on the received signals of at least one of magnetic-based location tracking or impedance-based location tracking. 12. A method to display a representation of an expandable medical probe in body tissue, the medical probe including a balloon catheter having a shaft with an inflatable balloon fitted at a distal end of the shaft, and multiple electrodes disposed on the inflatable balloon, the method comprising the steps of: receiving signals that are indicative of respective electrode positions of the multiple electrodes in a three-dimensional (3D) space; computing the respective electrode positions of the multiple electrodes based on the received signals; from among a plurality of virtual planes defined by different respective groups of the electrode positions, selecting a virtual plane that contains a maximum number of the electrode positions to within a given tolerance; fitting a circle to points based on the electrode positions that are within the given tolerance of the selected virtual plane; and displaying a 3D representation of the balloon catheter based on a position and orientation of the fitted virtual circle in the 3D space. 13. The method according to claim 12 , further comprising computing the plurality of virtual planes from different respective groups of three electrode positions selected from the electrode positions. 14. The method according to claim 12 , further comprising removing one electrode position of the electrode positions from the computing of the plurality of virtual planes and from the selecting of the virtual plane if the one electrode position is disposed with a given proximity to another one of the electrode positions. 15. The method according to claim 12 , further comprising merging at least two of the electrode positions for use in the computing of the plurality of virtual planes and the selecting of the virtual plane if the at least two electrode positions are within a given proximity. 16. The method according to claim 12 , further comprising removing one electrode position of the electrode positions from the computing of the plurality of virtual planes and from the selecting of the virtual plane if the one electrode position has an associated electrical signal which is less than a given value. 17. The method according to claim 12 , wherein a multiplicity of virtual planes from the plurality of virtual planes each includes the maximum number of the electrode positions within the given tolerance, the method further comprising computing for each one virtual plane of the multiplicity of virtual planes, a proximity score of the electrode positions within the given tolerance of the one virtual plane with the one virtual plane; and selecting one of the multiplicity of virtual planes having a highest proximity score as the selected virtual plane. 18. The method according to claim 12 , further comprising computing a new virtual plane from the electrode positions that are within the given tolerance of the selected virtual plane. 19. The method according to claim 12 , wherein the computing the new virtual plane includes computing the new virtual plane from the electrode positions that are within the given tolerance of the selected virtual plane using a least-squares-fit method. 20. The method according to claim 12 , further comprising projecting the electrode positions that are within the given tolerance of the selected virtual plane onto the new virtual plane wherein the fitting includes fitting the circle to the projected electrode positions. 21. The method according to claim 20 , wherein the projecting includes projecting the electrode positions in a direction perpendicular to the new virtual plane. 22. The method according to claim 12 , wherein computing the respe
Displays specially adapted therefor · CPC title
with a balloon · CPC title
Bioelectrical parameters, e.g. ECG, EEG · CPC title
Ablation · CPC title
having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title
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