System and method for local electrophysiological characterization of cardiac substrate using multi-electrode catheter

Patent metadata

Field	Value
Publication number	US-2025032028-A1
Application number	US-202418809123-A
Country	US
Kind code	A1
Filing date	Aug 19, 2024
Priority date	Feb 25, 2014
Publication date	Jan 30, 2025
Grant date	—

Abstract

A system for determining electrophysiological data comprising an electronic control unit configured to acquire electrophysiology signals from a plurality of electrodes (130) of one or more catheters, select at least one clique of electrodes from the plurality of electrodes (136) to determine a plurality of local E field data points, determine the location and orientation of the plurality of electrodes, process the electrophysiology signals from the at least one clique from a full set of bipole subcliques to derive the local E field data points associated with the at least one clique of electrodes, derive at least one orientation independent signal from the at least one clique of electrodes (138) from the information content corresponding to weighted parts of electrogram signals, and display or output catheter orientation independent electrophysiologic information to a user or process.

First claim

1 - 20 . (canceled)

21 . A method for determining electrophysiological data, comprising:
acquiring electrophysiology signals from a plurality of electrodes carried by an electrophysiology catheter; selecting a clique of electrodes from the plurality of electrodes, wherein the clique of electrodes comprises three electrodes; and processing the electrophysiology signals from the clique of electrodes to derive a bipolar electrophysiology signal associated with the clique of electrodes, wherein the bipolar electrophysiology signal is independent of an orientation of the catheter relative to a tissue surface; and outputting the bipolar electrophysiology signal associated with the clique of electrodes to a user or process.

22 . The method according to claim 21 , further comprising determining locations and orientations of the plurality of electrodes.

23 . The method according to claim 22 , further comprising determining whether each electrode of the clique of electrodes is in contact with the tissue surface using a criterion.

24 . The method according to claim 23 , wherein the criterion comprises one or more of an angular deviation, a characteristic of a tangent bipole vector (E t ), and a scalar version of E t along a unit activation direction (E a ) for the clique of electrodes.

25 . The method according to claim 23 , wherein the criterion comprises one or more of an amplitude of a unipolar signal obtained from each electrode of the clique of electrodes and a morphology of the unipolar signal obtained from each electrode of the clique of electrodes.

26 . The method according to claim 21 , further comprising deriving at least one of a substrate voltage amplitude, local activation timing, and conduction velocity from the bipolar electrophysiology signal.

27 . The method according to claim 21 , wherein the clique of electrodes comprises a plurality of adjacent cliques of electrodes.

28 . The method according to claim 27 , further comprising computing a local velocity vector for each of the plurality of adjacent cliques of electrodes.

29 . The method according to claim 28 , further comprising determining whether one or more of a uniform propagation, a rotor, a focal source, a collision site, or a scar is present within the plurality of adjacent cliques of electrodes.

30 . A system for determining electrophysiological data, comprising an electronic control unit configured to:
receive a plurality of electrophysiological signals from a plurality of electrodes carried by an electrophysiology catheter; select a clique of electrodes from the plurality of electrodes, wherein the clique of electrodes comprises three electrodes; and process the electrophysiology signals from the clique of electrodes to derive a bipolar electrophysiology signal associated with the clique of electrodes, wherein the bipolar electrophysiology signal is independent of an orientation of the catheter relative to a tissue surface; and output the bipolar electrophysiology signal associated with the clique of electrodes to a user or process.

31 . The system according to claim 30 , wherein the electronic control unit is further configured to determine location and orientation of the plurality of electrodes.

32 . The system according to claim 31 , wherein the electronic control unit is further configured to use a criterion to determine whether each electrode of the clique of electrodes is in contact with a tissue surface.

33 . The system according to claim 32 , wherein the criterion comprises one or more of an angular deviation, a characteristic of a tangent bipole vector (E t ), and a scalar version of E t along a unit activation direction (E a ) for the clique of electrodes.

34 . The system according to claim 32 , wherein the criterion comprises an amplitude of a unipolar signal obtained from each electrode of the clique of electrodes and a morphology of the unipolar signal obtained from each electrode of the clique of electrodes.

35 . The system according to claim 30 , wherein the electronic control unit is configured to derive at least one of a substrate voltage amplitude, local activation timing, or conduction velocity from the bipolar electrophysiology signal.

36 . The system according to claim 30 , wherein the clique of electrodes comprises a plurality of adjacent cliques of electrodes.

37 . The method according to claim 36 , wherein the electronic control unit is further configured to compute a local velocity vector for each of the plurality of adjacent cliques of electrodes.

38 . The method according to claim 37 , wherein the electronic control unit is further configured to determine whether one or more of a uniform propagation, a rotor, a focal source, a collision site, or a scar is present within the plurality of adjacent cliques of electrodes.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Deno D Curtis
• Balachandran Ram K

Classifications

• A61B5/367

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

• A61B5/339

  Displays specially adapted therefor · CPC title

• A61M2025/0166

  Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided · CPC title

• A61M25/0127

  Magnetic means; Magnetic markers · CPC title

• A61B2562/0214

  Capacitive electrodes · CPC title