St Jude Medical, Atrial Fibrillation Division, Inc

St. Jude Medical, Cardiology Division, Inc.

St. Jude Medical International Holding S.a.r.l.

St. Jude Medical International Holdings S.a R. L.

Anthony David Hill

D Curtis Deno

Timothy G Curran

Yuriy Malinin

Cable Patrick Thompson

John Anderson Hauck

Jeffrey A Schweitzer

Ram Kumar Balachandran

Ryan Albu

Hua Zhong

Ryan Link

Steven C Christian

Neelakantan Saikrishnan

Riki Chou Thao

Ramji T Venkatasubramanian

Martin Maitre Grasse

Artem Mosesov

Robert D Aiken

Birin Yucesan

Paul A Belk

Lev Abramovich Koyrakh

Dale Eric Just

Don Curtis Deno

Daniel Joe Potter

Linda L Ruetz

Braden Eliason

Mark Kudas

Oded Sudarsky

Maxim Yoresh

Eric Lundquist

Daniel A Feeney

Braden J Eliason

Silvinia Rybnikov

Martin M Grasse

A transmitting element for generating a magnetic field for tracking of an object includes a first spiral trace that extends from a first outer origin inward to a central origin in a first direction. A second spiral trace can extend from the central origin outward to a second outer origin in the first direction. The second spiral trace can extend from the central origin to the second outer origin in the first direction. The first spiral trace and the second spiral trace can be physically connected at the central origin to form the fluorolucent magnetic transmitting element and at least a portion of the first spiral trace overlaps at least a portion of the second spiral trace.

Fluorolucent magnetic field generator

An impedance location of an electrode in an impedance based coordinate system and a magnetic location of a magnetic position sensor in a magnetic based coordinate system can be received. A transformed impedance location of the magnetic position sensor can be computed. A difference between the transformed impedance location of the magnetic position sensor and the magnetic location of the magnetic position sensor can be determined. A magnitude of the difference between the impedance location of the magnetic position sensor and the magnetic location of the magnetic position sensor can be computed. A statistical significance of the difference between the transformed impedance location of the magnetic position sensor and the magnetic location of the magnetic position sensor can be computed. A determination can be made that an impedance shift exists if the magnitude of the difference exceeds a threshold and a statistical significance of the difference exceeds a threshold.

Impedance shift and drift detection and correction

Systems and methods are described herein for use in predicting impedance values or responses in a three-dimensional space. Broadly, an impedance potential field and its measurement characteristics is modeled in an impedance model such that an impedance measurement may be estimated for any location within the impedance potential field. The impedance model may evolve over time based on actual impedance measurements of electrodes located in the three-dimensional space. Initially a plurality of patch electrodes to provide an impedance field to a three-dimensional space while electrodes disposed in the impedance field measure impedances. While each patch is driven, a number of independent impedance fields exist between the non-driven patches. These independent impedance potential fields may be estimated and mapped to impedance measurements of the electrode(s) at locations(s) within the impedance field to model the impedance field.

Impedance transformation model for estimating catheter locations

A location of a number of fiducial points can be computed. The fiducial points can include impedance locations of an electrode disposed on a catheter in an impedance based coordinate system and magnetic locations of a magnetic position sensor disposed on the catheter in a magnetic based coordinate system. The impedance location of the electrode in the impedance based coordinate system can be transformed into a transformed impedance location of the electrode in the magnetic based coordinate system. A magnetic location of the electrode in the magnetic based coordinate system can be determined. A determination of whether an impedance shift exists between the transformed impedance location of the electrode in the magnetic based system and the magnetic location of the electrode in the magnetic based system can be made. An electromagnetic dynamic registration can be generated between the impedance based coordinate system and the magnetic based coordinate system based on the impedance shift.

Electromagnetic dynamic registration for device navigation

Systems and methods are described for implementing a catheter model to estimate shape of a deformable catheter in a three-dimensional space. The catheter model includes two or more model segments that correspond to two or more segments of the deformable catheter. Each model segment includes a length and location of model electrode(s) and/or model magnetic sensor(s) corresponding electrodes and/or magnetic sensors of the deformable catheter. Variable shape parameter define a curvature of the segment. Varying the shape parameters generates a plurality of potential catheter shapes. In conjunction with generating the potential catheter shapes, impedance and/or magnetic responses (e.g., measured responses) are obtained for the physical electrodes and/or physical magnetic sensors of the deformable catheter. Using a selected one (e.g., most likely) of the potential catheter shapes and the measured responses, the shape parameters are updated and a catheter shape is generated and displayed.

Mechanical modules of catheters for sensor fusion processes

A method of detecting a localization element/sheath state change with a localization system includes establishing a localization field using a plurality of localization field generators, obtaining first and second localization signals from first and second catheter-borne localization elements within the localization field, respectively, comparing the quadrature components of the first and second localization signals, and detecting a localization element/sheath state change for one of the catheter-borne localization elements based on the comparison between quadrature components. For example, withdrawal of a localization element into an introducer sheath can be detected when the comparison between quadrature components exceeds a preset amount. Conversely, re-emergence of the localization element from the introducer sheath can be detected when the comparison between quadrature components returns below the preset amount.

System and method for detecting sheathing and unsheathing of localization elements

The present disclosure provides systems and methods for generating smoothed images of an elongate medical device including a plurality of position sensors. The system includes a model construction system configured to be coupled to the medical device and acquire data points corresponding to positions of the position sensors. The computer-based model construction system is further configured to establish a coordinate system, calculate a coordinate for each position sensor, estimate a set of true parameters describing the medical device including a curvature term and a torsion term, calculate a measurement error for each position sensor based on a stiffness parameter, compute smoothed data points for the position sensors based on (i) a function of the estimated set of true parameters and the coordinates of the position sensors, and (ii) a weighting of the measurement error, generate an image of the medical device using the smoothed data points, and display the image.

Methods and systems for generating smoothed images of an elongate medical device

A system for detecting the dimensions and geometry of a native valve annulus for trans-catheter valve implantation includes a compliant balloon and a shaft within the balloon. One or more drive electrodes may be affixed to a surface of the balloon, and one or more sense electrodes may be affixed to the shaft. After insertion of the balloon into the native valve annulus, the drive electrodes may be energized with a predetermined voltage. Using a trained statistical model and the voltages measured at the sense electrodes, initial estimates of the cross-section of the valve annulus may be obtained. The initial estimates may then be provided to an optimization model of the valve annulus to obtain a highly accurate prediction of the cross-section of the valve annulus.

System and method for assessing dimensions and eccentricity of valve annulus for trans-catheter valve implantation

A sensing assembly for sensing contact with an object is disclosed. The contact sensing assembly may comprise an elongate tubular body. An electrode may be connected to the elongate tubular body. A vibration element is operatively connected with the electrode and configured to deliver a vibration-inducing signal to induce vibration of the electrode. A sensor is configured to monitor the electrode for a perturbation in the induced vibration. The perturbation results from contact between the electrode and the object.

Electrode contact feedback system

A method of refining an anatomical model includes acquiring a two-dimensional echocardiogram that has a variable intensity, relating the two-dimensional echocardiogram to a plurality of mapping points that exist in three-dimensional space, and determining a confidence value for each of two or more mapping points that corresponds to an intensity at a point on the two-dimensional echocardiogram.

Refinement of an anatomical model using ultrasound

A pre-shift set of fiducials each including a pre-shift fiducial impedance location and a pre-shift fiducial magnetic location can be determined. The pre-shift fiducial impedance locations and the pre-shift fiducial magnetic location are associated with a medical device. A post-shift set of fiducials each including a post-shift fiducial impedance location and a post-shift fiducial magnetic location can be determined. The post-shift fiducial impedance locations and the post-shift fiducial magnetic locations are associated with the medical device. A pre-shift transformation can be fit to the pre-shift set of fiducials and a post-shift transformation can be fit to the post-shift set of fiducials. A determination can be made whether the pre-shift transformation differs from the post-shift transformation. An indication that an impedance shift has occurred between the pre-shift set of fiducials and the post-shift set of fiducials can be generated based on the difference between the pre-shift transformation and the post-shift transformation.

Impedance shift detection

A method of detecting whether a localization element is within or outside of an introducer sheath generally includes obtaining a localization signal from the localization element and detecting the state of the localization element relative to the sheath based upon the quadrature component of the localization signal. A baseline quadrature component is typically established with the localization element outside of the sheath. When the quadrature component deviates from this baseline value, it is indicative of the localization element being within the sheath. Conversely, when the quadrature component remains relatively close to the baseline value, it is indicative of the localization element being outside of the sheath. In an electrophysiology study, the state information can be used to take corrective action with respect to the data being collected.

Growing community of inventors

Minneapolis, MN, United States of America

Anthony David Hill