Cardiac activation time detection

Patent metadata

Field	Value
Publication number	US-9833157-B2
Application number	US-201213453249-A
Country	US
Kind code	B2
Filing date	Apr 23, 2012
Priority date	Apr 23, 2012
Publication date	Dec 5, 2017
Grant date	Dec 5, 2017

Abstract

A method for characterizing an electrocardiogram, including receiving a first unipolar signal from a first location of a heart and a second unipolar signal from a second location of the heart. The method further includes generating a bipolar signal from the first and second unipolar signals, and analyzing the bipolar signal to delineate a time period during which the first and second locations generate a bipolar complex. The method also includes analyzing the first unipolar signal within the time period to determine an activation time of the first location.

First claim

We claim:

1. A method for characterizing an electrocardiogram, comprising:
receiving a first unipolar signal from a first location of a heart and a second unipolar signal from a second location of the heart;
generating a bipolar signal from the first and second unipolar signals;
analyzing the bipolar signal to delineate a time period during which the first and second locations generate a bipolar complex and rectifying data of the bipolar signal and differentiating the rectified data of the bipolar signal, so as to generate differentiated data, wherein delineating the time period comprises feeding the differentiated data into a four-state state machine so as to determine bounds of the time period; and
analyzing the first unipolar signal within the time period to determine an activation time of the first location.

2. The method according to claim 1 , wherein analyzing the bipolar signal comprises determining search window bounds to be applied to the bipolar signal.

3. The method according to claim 2 , wherein analyzing the first unipolar signal comprises applying the search window bounds to the first unipolar signal.

4. The method according to claim 1 , wherein analyzing the bipolar signal comprises sorting data of the bipolar signal to determine a threshold level for the bipolar complex.

5. The method according to claim 1 , wherein analyzing the bipolar signal comprises rectifying data of the bipolar signal and differentiating the rectified data of the bipolar signal, so as to generate differentiated data.

6. The method according to claim 1 , wherein determining the activation time comprises forming a first derivative of the first unipolar signal, and assigning a unipolar onset activation time as a time instant wherein the first derivative is a minimum value.

7. The method according to claim 1 , wherein the activation time comprises a first activation time, the method further comprising analyzing the second unipolar signal within the time period to determine a second activation time of the second location.

8. The method according to claim 1 , wherein the bipolar complex comprises a first bipolar complex and a second bipolar complex, and wherein the time period comprises a first time period during which the first bipolar complex is generated and a second time period during which the second bipolar complex is generated, and wherein analyzing the first unipolar signal comprises determining first and second activation times respectively within the first and second time periods.

9. Apparatus for characterizing an electrocardiogram, comprising:
a probe which is configured to receive a first unipolar signal from a first location of a heart and a second unipolar signal from a second location of the heart; and
a processor which is configured to:
generate a bipolar signal from the first and second unipolar signals,
analyze the bipolar signal to delineate a time period during which the first and second locations generate a bipolar complex and rectifying data of the bipolar signal and differentiating the rectified data of the bipolar signal, so as to generate differentiated data, wherein delineating the time period comprises feeding the differentiated data into a four-state state machine so as to determine bounds of the time period; and
analyze the first unipolar signal within the time period to determine an activation time of the first location.

10. The apparatus according to claim 9 , wherein analyzing the bipolar signal comprises determining search window bounds to be applied to the bipolar signal.

11. The apparatus according to claim 9 , wherein analyzing the bipolar signal comprises sorting data of the bipolar signal to determine a threshold level for the bipolar complex.

12. The apparatus according to claim 9 , wherein analyzing the bipolar signal comprises rectifying data of the bipolar signal and differentiating the rectified data of the bipolar signal, so as to generate differentiated data.

13. The apparatus according to claim 9 , wherein determining the activation time comprises forming a first derivative of the first unipolar signal, and assigning a unipolar onset activation time as a time instant wherein the first derivative is a minimum value.

14. The apparatus according to claim 9 , wherein the activation time comprises a first activation time, and further comprising analyzing the second unipolar signal within the time period to determine a second activation time of the second location.

15. The apparatus according to claim 9 , wherein the bipolar complex comprises a first bipolar complex and a second bipolar complex, and wherein the time period comprises a first time period during which the first bipolar complex is generated and a second time period during which the second bipolar complex is generated, and wherein analyzing the first unipolar signal comprises determining first and second activation times respectively within the first and second time periods.

Assignees

• El Haddad Milad Abbas
• Hayam Gal
• Bar-Tal Meir
• Houben Richard Petrus Maria
• Duytschaever Mattias Francis
• Biosense Webster Israel Ltd

Inventors

• El Haddad Milad Abbas
• Hayam Gal
• Bar-Tal Meir
• Houben Richard Petrus Maria
• Duytschaever Mattias Francis

Classifications

• A61B5/283

  Invasive · CPC title

• A61B5/349 Primary

  Detecting specific parameters of the electrocardiograph cycle · CPC title

• A61B5/7203

  for noise prevention, reduction or removal · CPC title

• A61B5/04012 Primary

  Human Necessities · mapped topic

• A61B5/042

  Human Necessities · mapped topic