Noise tolerant localization systems and methods

Patent metadata

Field	Value
Publication number	US-9833168-B2
Application number	US-201214123698-A
Country	US
Kind code	B2
Filing date	Apr 18, 2012
Priority date	Jun 6, 2011
Publication date	Dec 5, 2017
Grant date	Dec 5, 2017

Abstract

A system and method for tracking catheter electrode locations with the body of a patient during an MRI scan sequence includes mitigation logic configured to identify one or more impedance measurements that were taken during potentially noise-inducing conditions (i.e., magnet gradients, RF pulses), and were thus subject to corruption by noise. The mitigation logic is configured to replace the potentially corrupt impedance measurements with previously-obtained impedance measurements taken from an immediately preceding acquisition cycle (e.g., from a previous time-slice).

First claim

The invention claimed is:

1. A noise-tolerant apparatus for determining a position of an electrode of an invasive medical device, comprising:
an electronic control unit (ECU) and a computer-readable memory coupled to said ECU;
an electro-anatomical mapping system configured to selectively drive, during a respective time slice, an excitation signal across a respective one of a plurality of paired body surface electrodes and to repeat excitation through a pattern of paired surface electrodes;
said mapping system being further configured to acquire, during said time slices, a respective resultant signal from said device electrode;
said mapping system being further configured to determine, for each time slice, a respective impedance measurement based on at least said resultant signal wherein at a boundary of each time slice said impedance measurements are discontinuous as being taken from different body surface electrode pairs;
position determining logic stored in said memory configured to be executed by said ECU, said position determining logic being configured to determine said device electrode position based on a plurality of impedance measurements taken with respect to said electrode; and
mitigation logic stored in said memory configured to be executed by said ECU, said mitigation logic being configured to identify one or more of said impedance measurements taken during an external noise inducing condition and which are subject to corruption, said mitigation logic being further configured to replace said one or more identified impedance measurements in accordance with a predetermined mitigation strategy, said predetermined mitigation strategy includes substituting a previously-obtained impedance measurement for said identified impedance measurement, said previously-obtained impedance measurement being associated with the same body surface electrode pair as was used to obtain said identified impedance measurement subject to corruption.

2. The apparatus of claim 1 wherein said predetermined mitigation strategy includes substituting, in response to a synchronization signal, said previously-obtained impedance measurement for said identified impedance measurement, said synchronization signal being indicative of said external noise inducing condition.

3. The apparatus of claim 2 wherein said apparatus includes an input port for receiving said synchronization signal, said mitigation logic being configured to respond to a synchronization parameter whose logic state corresponds to the state of the synchronization signal.

4. The apparatus of claim 3 wherein said mitigation logic is configured to monitor the synchronization parameter and determine a time when the state of the synchronization parameter is asserted to indicate that said external noise inducing condition exists, said mitigation logic being further configured to use said determined time to identify the one or more time slices where said corresponding one or more impedance measurements may be corrupted by noise.

5. The apparatus of claim 3 wherein said mitigation logic is configured to store impedance measurements for said plurality of paired body surface electrodes in a buffer;
wherein said determined time when said synchronization parameter is asserted is anticipatory with respect to a time slice in which noise and signal corruption is expected, wherein said mitigation logic retrieves an impedance measurement from said buffer corresponding to the time slice in which the noise is anticipated and inserts said retrieved impedance measurement in the sequence of impedance measurements.

6. The apparatus of claim 3 wherein said mitigation logic is configured to store impedance measurements for said plurality of paired body surface electrodes in a buffer;
wherein said determined time when said synchronization parameter is asserted is after the beginning of a time slice in which noise and signal corruption is expected, wherein said mitigation logic delays output of said corrupted impedance measurement, retrieves an impedance measurement from said buffer corresponding to the time slice in which the noise and signal corruption is expected, and inserts said retrieved impedance measurement in the sequence of impedance measurements.

7. The apparatus of claim 2 wherein said mitigation logic is configured to determine when said resultant signal saturates an analog-to-digital converter (ADC) input and in response thereto perform said substituting of said previously-obtained measurement.

8. The apparatus of claim 2 wherein said mitigation logic is configured to determine when said resultant signal exceeds a predetermined threshold but does not saturate an analog-to-digital converter (ADC) input and in response thereto filtering said resultant signal.

9. The apparatus of claim 2 wherein said mitigation logic is configured to determine when said resultant signal exceeds a predetermined threshold and in response thereto perform said substituting of said previously-obtained measurement.

10. The apparatus of claim 2 wherein said mitigation logic is configured to perform said substituting of said previously-obtained measurement upon occurrence of at least one pre-condition selected from the group comprising a local saturation condition in said apparatus and exceeding a local threshold condition in said apparatus.

11. The apparatus of claim 1 wherein said external noise inducing condition is selected from the group comprising magnetic gradients ramps in an magnetic resonance imaging (MRI) environment, radio-frequency (RF) pulses in said MRI environment, and electromagnetic field generation in a magnetic-field based localization system environment.

12. A noise-tolerant apparatus for determining a position of an electrode of an invasive medical device, comprising:
an electronic control unit (ECU) and a computer-readable memory coupled to said ECU;
means for selectively driving, during a respective time slice, an excitation signal across a respective one of a plurality of paired body surface electrodes, said driving means being controlled to repeat excitation through a pattern of paired surface electrodes;
means for acquiring, during said time slices, a respective resultant signal from said device electrode;
means for determining, for each time slice, a respective impedance measurement based on at least said resultant signal, wherein at a boundary of each time slice said impedance measurements are discontinuous as being taken from different body surface electrode pairs;
position determining logic stored in said memory configured to be executed by said ECU, said position determining logic being configured to determine said device electrode position based on a plurality of impedance measurements taken with respect to said electrode; and
mitigation logic stored in said memory configured to be executed by said ECU, said mitigation logic being configured to identify one or more of said impedance measurements taken during an external noise inducing condition and which are subject to corruption, said mitigation logic being further configured to substitute one or more previously-obtained impedance measurements for said identified one or more impedance measurements in accordance with a predetermined mitigation strategy, wherein said one or more previously-obtained impedance measurements are respectively associated with the same body surface electrode pair as was used to obtain said one or more identified impedance measurements subject to corruption.

13. The apparatus of claim 12 wherein a synchronization signal is indicative of said external noise inducing condition.

14. The apparatus of claim 13 wherein sai

Assignees

• Schweitzer Jeffrey A
• Deno D Curtis
• Curran Timothy G
• Hull Larry J
• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Schweitzer Jeffrey A
• Deno D Curtis
• Curran Timothy G
• Hull Larry J

Classifications

• A61B5/318

  Heart-related electrical modalities, e.g. electrocardiography [ECG] · CPC title

• A61B5/283

  Invasive · CPC title

• A61B5/055

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title

• A61B5/062 Primary

  using magnetic field · CPC title

• A61B5/042

  Human Necessities · mapped topic