Intra-cardiac Mapping Basket Using Biosignal-Based 3D Reconstruction
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Solution Overview
Problem
Current diagnostic tools for cardiac rhythm disorders, such as atrial fibrillation, lack precision in identifying the source and location of AF drivers, leading to inadequate cardiac ablation procedures and recurrence of atrial tachyarrhythmia.
Innovation Solution
A method and system utilizing an intra-cardiac electrophysiological mapping basket with a plurality of electrodes, connected to a data acquisition and computing device, to record and process intra-cardiac signals, isolate ventricular signals, and determine the statistical shape model and location of electrodes, employing machine learning architectures for precise navigation and visualization of cardiac rhythm disorder sources.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If traditional diagnostic tools (e.g., TOPERA system) are used to localize AF drivers, then the system can provide basic mapping capability, but the measurement precision and spatial resolution are insufficient to distinguish active rotors from passive rotors
Solution Approach 1:
The patent introduces an intermediary computational layer that processes intracardiac electrogram signals through machine learning algorithms. This intermediary system bridges the gap between raw signal acquisition and precise driver localization, enabling the distinction between active and passive rotors through automated analysis of signal characteristics, wavefront propagation patterns, and spatiotemporal features.
Solution Approach 2:
The patent replaces traditional mechanical/manual signal analysis methods with automated machine learning-based computational systems. Instead of relying on manual interpretation of electrogram signals or simple filtering algorithms, the system uses trained neural networks and computational models to automatically identify AF drivers, determine rotor stability, and localize sources with high precision.
2Measurement precision
If additional hardware is added to improve navigation precision, then measurement precision improves, but device complexity increases
Solution Approach 1:
The patent enables the mapping system to determine electrode positions and reconstruct 3D cardiac anatomy using only the signals already acquired during the electrophysiological study. The intracardiac electrogram signals serve dual purposes: both for arrhythmia analysis and for navigation/localization. This self-service approach eliminates the need for separate navigation hardware while maintaining high precision through signal-based position determination.
Solution Approach 2:
The patent makes the intracardiac electrogram recording system multi-functional by enabling it to perform both its traditional role of arrhythmia signal acquisition and the additional function of 3D anatomical reconstruction and electrode position determination. This universal system uses the same hardware infrastructure for multiple purposes, avoiding additional hardware complexity while improving measurement precision through integrated analysis.
3Measurement precision
If signal processing is enhanced to improve localization accuracy, then measurement precision improves, but loss of time in signal processing increases
Solution Approach 1:
The patent applies preliminary action by pre-training machine learning models and computational algorithms before clinical use. During the actual procedure, these pre-trained systems rapidly process intracardiac signals to determine electrode positions and localize AF drivers. The heavy computational lifting of model training is performed beforehand, allowing fast real-time inference during the procedure without significant time loss.
Solution Approach 2:
The patent optimizes processing speed by changing parameters such as sampling rates, analysis window sizes, and computational complexity thresholds. The system adapts processing parameters based on the specific clinical scenario, balancing localization accuracy with processing time requirements. This allows high-precision localization to be achieved within acceptable time frames by dynamically adjusting processing parameters.
Data Source
AI summary
In some embodiments, there are provided systems, devices, components, and corresponding methods configured to permit navigation and/or positioning of an intra-cardiac electrophysiological (EP) mapping basket or other EP mapping structure of an EP mapping catheter inside or near an atrium or other heart chamber of a patient's heart using biosignals or intra-cardiac signals. In one embodiment, QRS complexes are extracted or isolated from intra-cardiac signals sensed by electrodes mounted on the EP mapping basket. Using the QRS complexes and a statistical shape or other model of the EP mapping basket or other type of EP mapping structure, one or more computing devices then determine the locations of the electrodes inside or near the patient's atrium that are associated with each isolated or extracted QRS complex, and thereby permit accurate navigation within the heart and/or processing of data acquired using the EP mapping basket or other EP mapping structure. The one or more computing devices can also be used to determine changes in the three-dimensional locations and orientations of the basket and the electrodes thereof as the EP mapping basket is moved around, in, or near the patient's atrium, heart chamber, or other portion of the patient's heart, and to display to a user multiple positions of the basket inside or near the patient's heart.


