A system and method for obtaining an OIS coordinate frame comprising an electronic control unit configured to determine a local 3D electric field loop, create a zero mean version of E(t) over a depolarization interval, compute an Ė value at each of a plurality of time intervals, compute an initial estimate of ŵ from a cross product of E and the Ė value for each of the plurality of time intervals, average the initial estimate of ŵ from each of the plurality of time for a best estimate of ŵ, determine a plurality of â(θ) values and using the corresponding {circumflex over (n)}(θ) values, compute a composite match score, and choose at least one best value for â and a best value for {circumflex over (n)}.

A medical instrument includes a shaft, multiple flexible spines and multiple electrodes. The shaft is configured for insertion into a body of a patient. The multiple flexible spines have respective first ends that are connected to a distal end of the shaft and respective second ends that are free-standing and unanchored. The spines are bent proximally such that the second ends are more proximal than the first ends. Each of the flexible spines includes a tensile layer configured to cause the flexible spine to bend proximally. The multiple electrodes are disposed over the flexible spines.

A system and method for Brugada syndrome epicardial ablation comprising preparing an endocardial duration map; preparing a baseline epicardial duration map comprising at least one or more areas of delimination; and when some of the areas of delimination are greater than 200 ms, performing epicardial ablation of the areas of delimination greater than 200 ms. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not a BrS pattern appears in the updated epicardial duration map; and when the BrS pattern appears, performing epicardial ablation. The method may further comprise preparing an updated epicardial duration map after performing epicardial ablation, and determining whether or not an abnormal EGM exists in the updated epicardial duration map; and when the abnormal EGM exists, performing epicardial ablation. The method may further comprise preparing an updated epicardial map comprising maintaining anatomical volume data and adding electroanatomical data.

An interactive treatment mapping and planning system enables a user to more quickly, thoroughly, and efficiently aggregate fibroid and/or treatment information from a user and/or one or more sets of databases, construct a fibroid map providing a visual representation of the aggregated fibroid information, generate information from the aggregated information about the fibroid to be treated and/or treatment procedure, develop a treatment plan based on the fibroid and/or treatment procedure information, provide real-time information gathered from treatment devices during the treatment procedure, and allow the user to interact with the treatment data.

An intracardiac ultrasound catheter or other intravascular imaging tool is provided with an adapter to allow the imaging tool to be used both subcutaneously and supracutaneously, and especially at different stages of a single intravascular procedure. The adapter covers a tip of the imaging tool and preferably includes an echogenic window to facilitate gathering of ultrasound images through this window in the adapter. With the adapter in place, the intracardiac ultrasound can be used supracutaneously, such as at a femoral artery/vein location for imaging to improve vascular access, such as with an appropriate percutaneous needle. The adapter is then removed and the same imaging tool can be inserted percutaneously and intravascularly for use, such as in intracardiac imaging accompanying and intracardiac procedure. The intracardiac ultrasound probe is preferably coupled to an electrophysiology mapping system both when used supracutaneously and when used intravascularly.

A medical display processing device and a method of reusing data includes acquiring, over time via electrodes, electrical signals each acquired via one of the electrodes and indicating electrical activity at a location of a portion of patient anatomy in a 3D space. Electrical signal data, corresponding to the electrical signals, is filtered according to first filter parameter settings and first mapping information is generated for displaying a map of the portion of patient anatomy and the filtered electrical signal data. An indication of a region of the portion of patient anatomy on the map is received and second mapping information is generated for displaying, at the region on the map, a portion of the electrical signal data previously filtered from display.

Embodiments of the present disclosure include a system for determining an error associated with an electrode disposed on a medical device. The system comprises a processor and a memory storing instructions on a non-transitory computer-readable medium. The instructions are executable by the processor to receive an electrode signal from the electrode disposed on the medical device. The instructions are further executable by the processor to receive a plurality of other electrode signals from a plurality of other electrodes disposed on the medical device. The instructions are further executable by the processor to determine that the electrode signal received from the electrode disposed on the medical device is an outlier in relation to the plurality of other electrode signals from the plurality of other electrodes disposed on the medical device, based on a comparison between the electrode signal and the plurality of other electrode signals.

An apparatus includes a cylindrical shaft and an outwardly flared feature. The cylindrical shaft is sized for insertion into an insertion port of a cardiovascular catheter guiding sheath. The cylindrical shaft includes a proximal end, a distal end, and a lumen extending from the proximal end to the distal end. The lumen is sized to receive an end effector and catheter of a cardiovascular catheter instrument. The outwardly flared feature is at the proximal end of the cylindrical shaft. The outwardly flared feature defines an angled surface leading into the lumen.

A method for providing a localization system with detailed information regarding a catheter's construction, while at the same time preventing operator input errors, for use in a three-dimensional localization field, including providing a catheter having at least one feature, providing a catheter catalog for use by the localization system, wherein the catheter catalog comprises reference data relating to features of the catheter, placing the catheter into the localization field, creating a map with the localization field, locating the catheter on the map, and correlating features of the catheter within the localization field with measurements made by the localization system when the feature is at various locations.

A catheter with a variable circular loop responsive to a contraction wire for coiling is supported by a member having a tapered distal section that transitions from a circular cross-section to a generally rectangular cross-section while maintaining a uniform cross-sectional area along the entire tapered length for improved coiling characteristics. A radially constrictive sleeve prevents separation of the contraction wire from the support member to minimize misshaping of the loop during contraction.