Automated CFAE Mapping System for Cardiac Arrhythmia Analysis

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Solution Overview

Problem

Current methods for mapping complex fractionated atrial electrograms (CFAE) in cardiac arrhythmias require manual intervention by expert operators, which is time-consuming and inefficient, and do not allow for automatic identification and mapping of these critical areas for ablation.

Innovation Solution

A system and method for automatically analyzing electrogram signals to identify CFAE complexes based on predefined voltage and time criteria, using multiple electrodes and position sensors to generate a spatial distribution map, enabling the display and potential ablation of cardiac tissue associated with these areas.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If manual mapping of CFAE areas is performed by expert operators, then mapping accuracy is improved, but time consumption increases

Engineering Contradiction:
Improvemapping accuracyVSAvoidtime consumption
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system enables automatic identification and mapping of CFAE areas through computer algorithms that analyze electrogram signals independently, without requiring continuous expert operator intervention. The algorithm automatically detects CFAE complexes based on predefined criteria and generates spatial distribution maps autonomously.

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces the manual mechanical process of expert operators visually analyzing electrograms with an automated computer-based signal processing system. The system uses algorithmic analysis of electrogram signals to identify CFAE areas, substituting human manual work with automated computational methods.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Productivity

If multiple electrodes are used to simultaneously measure electrical activity, then productivity is improved, but device complexity increases

Engineering Contradiction:
Improvedata acquisition speedVSAvoidcatheter complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The catheter integrates multiple functions into a single device: it contains both position sensors for localization and multiple electrodes for simultaneous electrical signal measurement. This multi-functional design allows the single catheter to perform both mapping and electrical recording tasks.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The patent combines multiple electrodes and position sensors into a single integrated catheter structure. The electrodes are positioned at the distal tip along with position sensors, merging localization and electrical measurement capabilities into one unified device rather than requiring separate instruments.

Inventive Principle:
Principle #5Merging (Combining)

Data Source

PatentUS9629567B2Mapping of complex fractionated atrial electrogram
Publication Date: 2017.04.25 BIOSENSE WEBSTER INC
  • US9629567B2 patent drawing
  • US9629567B2 patent drawing
  • US9629567B2 patent drawing

AI summary

Software and apparatus are provided to automatically detect and map areas of complex fractionated electrograms within cardiac chambers. Electrogram signal are analyzed to count the number of complexes whose amplitude and peak-to-peak intervals meet certain criteria. Functional maps indicating average complex interval, shortest complex interval, and confidence levels are produced for display.