Frequency Analysis Tool for Cardiac Resynchronization Therapy

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Solution Overview

Problem

Current cardiac resynchronization therapy (CRT) methods lack an effective strategy to identify likely responders or convert non-responders, often relying on subjective criteria for selecting ventricular pacing sites, leading to a high rate of treatment failures.

Innovation Solution

A system and method that utilize electrocardiogram (ECG) data to extract frequency components and calculate a fitness parameter, indicating the likelihood of CRT effectiveness by analyzing the QRS complex's frequency spectrum, aiding in the objective selection of optimal pacing sites during device implantation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If subjective criteria are used for selecting ventricular pacing sites, then the selection process is simple, but the accuracy of identifying optimal pacing sites is low

Engineering Contradiction:
Improveaccuracy of pacing site selectionVSAvoidcomplexity of selection process
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent replaces subjective visual assessment with automated frequency domain analysis of ECG signals. A processor extracts frequency components from ECG leads and calculates fitness parameters objectively, substituting the mechanical/visual selection process with computational analysis to improve accuracy while maintaining ease of use through automated processing

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

Solution Approach 2:

The patent transforms the selection criteria from subjective anatomical assessment to quantitative frequency domain parameters. By analyzing frequency components of ECG signals and calculating fitness parameters, the system changes the basis of selection from qualitative to quantitative parameters, enabling more precise identification of optimal pacing sites

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If frequency domain analysis is performed on ECG data, then the accuracy of predicting CRT effectiveness is improved, but the processing time and computational complexity increase

Engineering Contradiction:
Improveaccuracy of CRT effectiveness predictionVSAvoidprocessing time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent applies partial action by selecting specific frequency bands and predictor values that are most relevant to CRT response prediction, rather than analyzing the entire frequency spectrum. This approach maintains high accuracy while reducing computational burden and processing time by focusing only on the most informative frequency components

Inventive Principle:
Principle #16Partial or excessive action

Solution Approach 2:

The patent performs preliminary processing of ECG signals by extracting frequency components and calculating fitness parameters during device implantation procedures. This preliminary analysis is integrated into the existing clinical workflow, allowing predictions to be made without adding significant time to the overall treatment process

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach allows for the objective selection of the most effective pacing site, potentially increasing the success rate of CRT by identifying patients likely to benefit and reducing the number of non-responders, thereby improving treatment outcomes.

Implementation Method 1

A frequency spectrum representing the ECG data is generated via a Fourier transform

Methodology Applied
Scientific EffectFourier transform:

Data Source

PatentUS9662029B2Frequency analysis tool for cardiac resynchronization
Publication Date: 2017.05.30 THE CLEVELAND CLINIC FOUND
  • US9662029B2 patent drawing
  • US9662029B2 patent drawing
  • US9662029B2 patent drawing

AI summary

Systems and methods are provided for evaluating an expected effectiveness of cardiac resynchronization therapy. Electrocardiogram (ECG) data is received as at least one ECG lead from a set of electrodes. A frequency spectrum representing the ECG data is generated via a Fourier transform. At least one predictor value is extracted from the calculated frequency spectrum. A fitness parameter, representing the expected effectiveness of cardiac resynchronization, is determined from at least the extracted predictor value.