System and methods to facilitate providing therapy to a patient

Patent metadata

Field	Value
Publication number	US-9427587-B2
Application number	US-201514942397-A
Country	US
Kind code	B2
Filing date	Nov 16, 2015
Priority date	Jul 5, 2011
Publication date	Aug 30, 2016
Grant date	Aug 30, 2016

Abstract

A system can include a sensor array comprising a plurality of sensors configured to measure electrical activity across a body surface of a patient and generate electrical data characterizing the measured electrical activity. The plurality of sensors are arranged at predetermined locations for placement over the patient's body to define at least one predetermined zone of the patient's body that maps deterministically to at least one predetermined region of interest of at least one internal anatomical structure of the patient. A control system is configured to analyze the electrical data for the at least one predetermined zone to provide a surrogate estimate of electrical activity at the at least one predetermined region of interest. The control system also is configured to control delivery of a therapy to the patient based on the surrogate estimate of electrical activity at the at least one predetermined region of interest.

First claim

What is claimed is:

1. A system, comprising:
a sensor array comprising a plurality of sensors configured to measure electrical activity across a body surface of a patient and generate electrical data characterizing the measured electrical activity, wherein the plurality of sensors are arranged for placement at predetermined locations over the patient's body to define at least one predetermined zone of the patient's body that maps deterministically to at least one predetermined region of interest of at least one internal anatomical structure of the patient; and
a control system configured to:
analyze the electrical data for the at least one predetermined zone to provide a surrogate estimate of electrical activity at the at least one predetermined region of interest; and
control delivery of a therapy to the patient based on the surrogate estimate of electrical activity at the at least one predetermined region of interest.

2. The system of claim 1 , wherein the control system is further configured to analyze the electrical data to compute an indication of at least one function of the at least one predetermined region of interest.

3. The system of claim 2 ,
wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein the control system is further configured to compute the indication of at least one function for the predetermined region of interest of the heart directly from the electrical data obtained for the predetermined zone.

4. The system of claim 3 , further comprising a display configured to provide a graphical display of the computed indication of at least one function on an image of the heart of the patient.

5. The system of claim 2 , wherein the computed indication of at least one function provides an indication of synchrony for the predetermined region of interest of the patient's heart.

6. They system of claim 1 ,
wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein the control system is further configured to provide the surrogate estimate of electrical activity at the at least one predetermined region of interest of the heart based on the electrical data without using an inverse method to reconstruct electrical signals on a cardiac envelope of the heart.

7. The system of claim 1 ,
wherein the predetermined zone includes a plurality of predetermined zones and the plurality of sensors corresponds to multiple sets of sensors; and
wherein each of the multiple sets of sensors is positioned over a location on the patient's body to define a respective zone of the patient's body that has been determined to map deterministically to a corresponding region of interest of the at least one internal anatomical structure of the patient.

8. The system of claim 7 , wherein the control system is further configured to analyze the electrical data measured by each of the multiple sets of sensors to compute an indication of at least one function for each corresponding region of interest.

9. The system of claim 1 , wherein the control system is further configured to compute an indication of at least one function for the at least one predetermined region of interest of a patient's heart based on the electrical data without image-based geometry data of the patient.

10. The system of claim 1 , wherein,
wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein analyzing the electrical data further comprises using an inverse method to reconstruct electrical signals on a cardiac envelope of the heart corresponding to the at least one predetermined region of interest of the heart based on the electrical data.

11. The system of claim 10 , wherein reconstructing electrical signals further comprises reconstructing the electrical signals on the cardiac envelope of the heart based on the electrical data and geometry data for the patient's heart obtained from an imaging modality.

12. The system of claim 1 , further comprising a therapy delivery device that includes one or more electrodes for providing electrical stimulus to a selected portion of the at least one internal anatomical structure of the patient.

13. The system of claim 12 , wherein the control system comprises a parameter controller configured to set one or more parameters of the therapy delivery device to control the electrical stimulus that is applied to the selected portion of the at least one internal anatomical structure of the patient.

14. The system of claim 1 ,
wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein the therapy comprises cardiac resynchronization therapy (CRT) applied to the heart of the patient.

15. The system of claim 1 , further comprising:
a catheter that includes another sensor array configured to measure electrophysiology data from the at least one internal anatomical structure of the patient.

16. The system of claim 15 , wherein the control system is further configured to control the delivery of the therapy based on the surrogate estimate of electrical activity and the electrophysiology data.

17. The system of claim 15 , wherein the catheter is one of a contact catheter and non-contact catheter.

18. A device comprising:
a processor; and
a non-transitory computer readable medium storing instructions that, when executed by the processor, cause the processor to:
obtain electrical data measured from a patient via a plurality of sensors, wherein the plurality of sensors are arranged for placement at predetermined locations over the patient's body to define at least one predetermined zone of the patient's body that maps deterministically to at least one predetermined region of interest of at least one internal anatomical structure of the patient;
analyze the electrical data to provide a surrogate estimate of electrical activity at the at least one predetermined region of interest for the at least one predetermined zone; and
determine parameters to control delivery of a therapy based on the surrogate estimate of electrical activity at the at least one predetermined region of interest.

19. The device of claim 18 ,
wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein the processor is further configured to compute the surrogate estimate of electrical activity at the at least one predetermined region of interest of the heart directly from the electrical data obtained for the predetermined zone without using an inverse method to reconstruct electrical signals on a surface of the heart.

20. The device of claim 18 , wherein the processor is further configured to receive electrophysiology data measured from at least one sensor on a catheter.

21. The device of claim 18 , wherein the at least one internal anatomical structure of the patient corresponds to a heart of the patient; and
wherein the processor is further configured to compute the surrogate estimate of electrical activity at the at least one predetermined region of interest of the heart by reconstructing electrical signals onto the heart based on the electrical data and a generic model of heart.

Assignees

• Cardioinsight Technologies Inc

Inventors

• Ramanathan Charulatha
• Wodlinger Harold
• Jia Ping
• Strom Maria

Classifications

• G16H50/50

  for simulation or modelling of medical disorders · CPC title

• A61B5/0036

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• G16H40/63 Primary

  for local operation · CPC title

• A61N1/3684

  for stimulating the heart at multiple sites of the ventricle or the atrium · CPC title

• A61N1/36514

  controlled by a physiological quantity other than heart potential, e.g. blood pressure (controlled by two or more physical parameters A61N1/36585) · CPC title