Biosense Webster (israel) Ltd.

Biosense Webster, Inc.

Roy Urman

Meir Bar-Tal

Yaniv Ben Zriham

Richard P M Houben

Shmuel Auerbach

Ronen Krupnik

Liron Shmuel Mizrahi

Assaf Pressman

Yaniv Ben Zrihem

Stanislav Goldberg

Yariv Avraham Amos

Gal Hayam

Ziyad Zeidan

Eliahu Zino

Yoav Lichtenstein

Natan Sharon Katz

Asaf Merschon

Michael Levin

Yevgeny Bonyak

Morris Ziv-Ari

Matityahu Amit

Tamir Avraham Yellin

Jonathan Yarnitsky

Atul Verma

Goren Cohn

Oded Baron

Yoav Benaroya

Eitan Moshe Saba

Richard P Houben

Eyal Yechezkel Glottmann

Yaniv Zriham

Ofer Eliahu Klemm

Noam Igra

Yaniv Ben Zhriham

Richard PM Houben

Meir Bae-Tal

Houben Richard PM

Smhuel Auerbach

Electroanatomic mapping is carried out by inserting a multi-electrode probe into a heart of a living subject, recording electrograms from the electrodes concurrently at respective locations in the heart, delimiting respective activation time intervals in the electrograms, generating a map of electrical propagation waves from the activation time intervals, maximizing coherence of the waves by adjusting local activation times within the activation time intervals of the electrograms, and reporting the adjusted local activation times.

Mapping of atrial fibrillation

A system and method of identifying focal sources is presented. The method can comprise detecting, via sensors, electro-cardiogram (ECG) signals over time, each ECG signal detected via one of the sensors having a location in a heart and indicating electrical activity of the heart, each signal comprising at least an R wave and an S wave; creating an R-S map comprising an R-to-S ratio for each of the ECG signals, the R-to-S ratio comprising a ratio of absolute magnitude of the R wave to absolute magnitude of the S wave; identifying, for each of the ECG signals, local activation times (LATs); and correlating the R-to-S ratios for the ECG signals on the R-S map and the identified LATs and using the correlation to identify the focal sources.

Region of interest focal source detection using comparisons of R-S wave magnitudes and LATs of RS complexes

A method, including acquiring initial signals from selected positions in a heart, computing respective initial local values of a signal propagation metric at the selected positions, and interpolating the initial local values between the selected positions to compute initial interpolated values of the signal propagation metric at intermediate positions, between the selected positions. The method further includes acquiring subsequent signals from the positions, computing respective subsequent local values of the signal propagation metric at the selected positions, and spatially interpolating the subsequent local values of the signal propagation metric between the selected positions to compute subsequent interpolated values of the signal propagation metric at the intermediate positions. A map of the signal propagation metric is displayed, and when the subsequent interpolated values exceed a bound defined with respect to the initial interpolated values, an indication is provided on the map that the bound has been exceeded.

Interpolation of dynamic three-dimensional maps

A method includes registering a fluoroscopic imaging system and a position tracking system to a common frame of reference. A region of interest is marked in a patient body by the position tracking system. Using the common frame of reference, a field of view of the fluoroscopic imaging system is set such that the region of interest appears in the field of view.

Radiation-free position calibration of a fluoroscope

Catheterization of the heart is carried out by inserting a probe having electrodes into a heart of a living subject, recording a bipolar electrogram and a unipolar electrogram from one of the electrodes at a location in the heart, and defining a window of interest wherein a rate of change in a potential of the bipolar electrogram exceeds a predetermined value. An annotation is established in the unipolar electrogram, wherein the annotation denotes a maximum rate of change in a potential of the unipolar electrogram within the window of interest. A quality value is assigned to the annotation, and a 3-dimensional map is generated of a portion of the heart that includes the annotation and the quality value thereof.

Double bipolar configuration for atrial fibrillation annotation

Described embodiments include a system that includes an electrical interface and a processor. The processor is configured to receive, via the electrical interface, an electrocardiographic signal from an electrode within a heart of a subject, to ascertain a location of the electrode in a coordinate system of a computerized model of a surface of the heart, to select portions of the model responsively to the ascertained location, such that the selected portions are interspersed with other, unselected portions of the model, and to display the model such that the selected portions, but not the unselected portions, are marked to indicate a property of the signal. Other embodiments are also described.

Marking a computerized model of a cardiac surface

A system and method for automatically identifying a location of focal arrhythmogenic activity are provided. The method includes receiving, via a plurality of electrodes in a heart, a collection of acquisitions, each including a set of electrophysiological (EP) signals measured by the electrodes. A respective direction of arrival (DOA) and a respective distance relative to the electrodes from which the set of EP signals originated are estimated for each acquisition. The acquisitions are aggregated, to form a statistical distribution of the acquisitions as a function of estimated DOA and distance. Using a statistical test, it is checked whether the statistical distribution is consistent, in accordance with a predefined consistency criterion. If the statistical distribution is found consistent, an estimated location in the heart of a focal source of an arrhythmogenic activity that generated the received EP signals is derived from the statistical distribution. The estimated location of the focal source is overlaid on an anatomical map of at least a portion of the heart. The system includes an interface and a processor configured to perform said method.

Automatic identification of a location of focal source in atrial fibrillation (AF)

A method, including recording parameters indicative of a quality of ablation performed at one or more sites in a region of a human heart, and receiving a set of electrophysiological signals indicative of a wave of electrical activation flowing through the region. The method further includes identifying locations within the region at which the wave is blocked from flowing and estimating confidence levels with respect to a blockage of the wave at the locations in response to the signals and the parameters. The method also includes displaying a map of the human heart including an indication of the confidence levels.

Wavefront analysis based on ablation parameters

A method is disclosed comprising: performing a first scan of an organ using a set of electrodes in a catheter that are currently active; deactivating one or more of the electrodes in the set based on data that is collected as a result of the first scan; tuning the set by at least one of (i) deactivating one or more electrodes in the set that remain active after the deactivating, and (ii) activating one or more electrodes in the catheter that are inactive; performing a second scan of the organ using electrodes in the set that are currently active after the tuning is performed, and generating a map of the organ based on data collected as a result of the second scan; and outputting the map of the organ for presentation to a user.

Multiplexing of high count electrode catheter(s)

Cardiac catheterization is facilitated by generating first and second electroanatomic maps of a heart of a subject and designating common spatial locations that correspond to first electrical events on the first electroanatomic map and second electrical events on the second electroanatomic map. The common spatial locations of the first electroanatomic map and the second electroanatomic map are aligned to establish an aligned map, and using the location data on the aligned map to guide a probe to a point of interest.

Registration maps using intra-cardiac signals

A method for electrode placement includes acquiring an image of a body of a patient, such that the image captures a patch that has been placed on the body. Based on the acquired image and the patch appearing therein, one or more preferred locations are calculated on the body for placing one or more respective electrodes to be used in carrying out a procedure in an internal organ of the patient. The preferred locations are displayed to an operator.

Method and system for determining locations of electrodes on a patient body

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Karkur, Israel

Roy Urman