Electrographic Flow Mapping for Cardiac Rhythm Disorder Localization

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Solution Overview

Problem

Current diagnostic tools for cardiac rhythm disorders, such as atrial fibrillation, lack precision in determining the source and location of AF drivers, leading to inadequate cardiac ablation procedures and reduced therapeutic success.

Innovation Solution

A system and method utilizing a computing device to process intracardiac electrophysiological mapping signals from a plurality of electrodes, applying a modified multi-frame Horn-Schunck algorithm to generate spatial maps that reveal the location of active or passive rotors, breakthrough points, and focal points within the heart, enhancing spatial and temporal resolution.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If conventional diagnostic tools are used for cardiac rhythm disorders, then the diagnostic process is simple, but the precision in determining the source and location of AF drivers is insufficient

Engineering Contradiction:
Improveprecision in determining source and location of AF driversVSAvoidcomplexity of diagnostic system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The diagnostic system segments the cardiac mapping into multiple spatial zones using electrographic flow data, allowing precise localization of AF drivers by dividing the complex cardiac structure into analyzable regions. This segmentation enables the system to identify specific source locations and propagation paths without requiring a single overly complex diagnostic tool.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system transitions from conventional two-dimensional electrogram analysis to three-dimensional electrographic flow mapping, adding a spatial dimension to the diagnostic process. This dimensional enhancement allows precise determination of driver locations and wavefront propagation in space, resolving the contradiction between measurement precision and device complexity by providing superior accuracy through enhanced dimensionality rather than increased instrumental complexity.

Inventive Principle:
Principle #17Another dimension (Dimensionality change)

2Manufacturing precision

If conventional mapping methods are used, then the procedure is less complex, but the spatial and temporal resolution is inadequate for accurate ablation guidance

Engineering Contradiction:
Improvespatial and temporal resolution of mappingVSAvoidcomplexity of mapping system
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The system provides continuous real-time electrographic flow mapping during the ablation procedure, maintaining uninterrupted spatial and temporal resolution. This continuous monitoring allows dynamic tracking of AF driver locations and wavefront propagation, ensuring high precision throughout the procedure without requiring repeated discrete measurements that would increase procedural complexity.

Inventive Principle:
Principle #20Continuity of useful action

Solution Approach 2:

The mapping system dynamically adapts to changing cardiac electrical activity during the procedure, automatically adjusting to capture evolving driver locations and propagation patterns. This dynamic capability maintains high spatial and temporal resolution without requiring manual reconfiguration of the mapping system, resolving the contradiction between precision and complexity.

Inventive Principle:
Principle #15Dynamics

3Measurement precision

If detailed electrographic flow mapping is performed, then the localization accuracy of cardiac rhythm disorder sources is improved, but the processing time and computational complexity increase

Engineering Contradiction:
Improvelocalization accuracy of cardiac rhythm disorder sourcesVSAvoidprocessing time for signal analysis
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary processing of electrogram signals by pre-calculating electrographic flow parameters and organizing spatial-temporal data structures before actual driver localization is required. This preliminary organization of data accelerates the subsequent analysis phase, allowing high-precision localization without proportionally increasing total processing time.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system replaces traditional mechanical signal analysis methods with computational algorithms that efficiently process electrographic flow data. This substitution of computational approaches for conventional analysis techniques enables high-precision localization while reducing processing time through optimized data algorithms.

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

Data Source

PatentUS20250009228A1Systems, Devices, Components and Methods for Detecting the Locations of Sources of Cardiac Rhythm Disorders in a Patient's Heart Using Improved Electrographic Flow (EGF) Methods
Publication Date: 2025.01.09 BOSTON SCIENTIFIC SCIMED INC
  • US20250009228A1 patent drawing
  • US20250009228A1 patent drawing
  • US20250009228A1 patent drawing

AI summary

Disclosed are various examples and embodiments of systems, devices, components and methods configured to estimate the action potential wave propagation in a patient's heart, and subsequently to detect at least one location or type of at least one source of, or rotational phenomenon associated with, at least one cardiac rhythm disorder using intracardiac electrodes and a modified multi-frame Horn-Schunck algorithm to generate a map corresponding to a spatial map, the map being configured to reveal on a monitor or display to a user the at least one location of the at least one source of the at least one cardiac rhythm disorder.