A61B5/063

A METHOD FOR CORRECTING ELECTRODE POSITIONS OF AN ELONGATED MEDICAL DEVICE
20220142713 · 2022-05-12 ·

The present disclosure is directed to systems and methods that account for measurement errors acquired from electrodes of a medical device prior to generating an image of the medical device. A correction model is initially generated utilizing a specialized testing catheter that incorporates both electrodes and magnetic sensors. The testing catheter is identically configured to a clinical catheter that has no or fewer magnetic sensors. The testing catheter is used to collect responses (e.g., positions) from the magnetic sensors and electrodes. Electrode positions calculated from the more accurate magnetic sensors are mapped to potentially distorted positions determined from the electrode responses. The correction model (e.g., machine-learning algorithm) is trained using such relationships. Once trained, the correction model is implemented to adjust raw electrode responses prior to generating an image of a medical device. The correction model may adjust raw electrode responses of a clinical usage catheter that lacks magnetic sensors.

Graphical user interface for medical imaging system

While obtaining electrophysiologic data from a cardiac catheter a series of visual displays are presented. The displays include a respective current image of the heart and the distal portion of the cardiac catheter therein and further include a catheter icon that represents the distal portion of the cardiac catheter, The catheter icon is separated from the image of the heart in the displays. The catheter icon has indicia that represent functional elements of the cardiac catheter.

Combining catheter visualization from different coordinate frames

In one embodiment, a medical probe tracking system includes a first probe, a magnetic field generator to generate a magnetic field, and processing circuitry to measure first electrical currents between body surface electrodes and first probe electrodes, receive magnetic position signals from a magnetic field sensor of a second probe, compute first position coordinates of the first probe in a first coordinate frame responsively to distribution of the first electrical currents, render an initial 3D representation of the first probe in the first coordinate frame and then compute a current-position map with respect to a second coordinate frame defined by the magnetic field generator, find a transformation between the first and second coordinate frames, apply the transformation to the first position coordinates yielding second position coordinates, and render a modified 3D representation of the first probe according to the second position coordinates in the second coordinate frame.

Impedance-based position tracking performance using scattered interpolant

A method includes, receiving from a calibration probe multiple data points acquired in an organ of a patient, each data point including (i) a respective position of the calibration probe, and (ii) a respective set of electrical values indicative of respective impedances between the position and multiple electrodes attached externally to the patient. A mapping between sets of the electrical values and respective positions in the organ is constructed, by performing for each received data point: if the mapping already contains one or more existing data points in a predefined vicinity of the data point, the one or more existing data points are adjusted responsively to the received data point, and if the predefined vicinity does not contain any existing data points, the received data point is added to the mapping. A position of a medical probe is subsequently tracked in the organ using the mapping.

MULTI-ELECTRODE IMPEDANCE SENSING
20230240577 · 2023-08-03 ·

A system and method for assessing contact between a medical device and tissue may comprise an electronic control unit (ECU) configured to be coupled to a medical device, the medical device comprising a first electrode and a second electrode. The ECU may be further configured to select the first electrode as an electrical source and the second electrode as an electrical sink, to cause an electrical signal to be driven between the source and sink, to detect respective electric potentials on the first electrode and the second electrode while the electrical signal is driven, and to determine an impedance respective of one of the first electrode and the second electrode according to both of the respective electric potentials.

DETERMINING SHAPE OF EXPANDABLE DISTAL MEMBER OF A CATHETER

A catheter and associated positioning system can include sensors and software to ascertain the extent of expansion of an expandable distal member of the catheter. Sensors on the distal member can be configured so that the system is able to determine a longitudinal dimension and a radial dimension of the distal-end assembly and determine extent of expansion of the distal member based on those metrics. At least the longitudinal dimension can be derived from advanced current localization (ACL) techniques utilizing an electrode at a distal end of the expandable distal member.

System and apparatus for detecting catheters relative to introducers

An apparatus for detecting relative positioning of medical devices located within a human body, the apparatus comprising an inner elongate member comprising a plurality of electrodes and a first sensor member, where the first sensor member is located a known distance from each of the plurality of electrodes, and an outer elongate member comprising a first sensor, and an outer sensor member located between the first sensor and an inner wall of the outer elongate member, where the inner elongate member is configured to move within the outer elongate member and the first sensor is configured to sense a signal generated by movement of the inner elongate member relative to the outer elongate member, and a position detection module including an electronic control unit configured to detect a position of the first sensor member relative to the first sensor based on the signal.

Medical patch for simultaneously sensing ECG signals and impedance-indicative electrical signals
11304639 · 2022-04-19 · ·

A medical patch includes a substrate, an electrode, and circuitry. The substrate is configured to attach externally to a patient. The electrode is coupled to the substrate and is configured to sense electrocardiogram (ECG) signals from a heart of the patient, and to further sense electrical signals indicative of an impedance between the electrode and a probe in the heart. The circuitry is coupled to the substrate and includes a shared amplifier that is configured to simultaneously amplify the ECG signals and the electrical signals sensed by the electrode.

Advanced current location (ACL) automatic map rotation to detect holes in current position map (CPM) mapping
11304603 · 2022-04-19 · ·

Catheterization is carried out by inserting a probe having a location sensor into a body cavity, and in response to multiple location measurements identifying respective mapped regions of the body cavity. Using the location measurements, a simulated 3-dimensional surface of the body cavity is constructed. One or more unmapped regions are delineated by rotating the simulated 3-dimensional surface about an axis. The simulated 3-dimensional surface of the body cavity is configured to indicate locations of the unmapped regions based on the location measurements.

Navigational reference dislodgement detection method and system

A method of tracking a position of a catheter within a patient includes securing a navigational reference at a reference location within the patient, defining the reference location as the origin of a coordinate system, determining a location of an electrode moving within the patient relative to that coordinate system, monitoring for a dislodgement of the navigational reference from the initial reference location, for example by measuring the navigational reference relative to a far field reference outside the patient's body, and generating a signal indicating that the navigational reference has dislodged from the reference location. Upon dislodgement, a user may be provided with guidance to help reposition and secure the navigational reference to the initial reference location, or the navigational reference may be automatically repositioned and secured to the initial reference location. Alternatively, a reference adjustment may be calculated to compensate for the changed reference point/origin.