US 12,220,199 B2
Systems, 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
Philip Haeusser, Munich (DE); Peter Ruppersberg, Blonay (CH); and Christoph Dinh, Landau in der Pfalz (DE)
Assigned to CORTEX, INC., Menlo Park, CA (US)
Filed by CORTEX, INC., Menlo Park, CA (US)
Filed on Jan. 9, 2022, as Appl. No. 17/571,496.
Prior Publication US 2022/0400951 A1, Dec. 22, 2022
Int. Cl. A61B 5/00 (2006.01); A61B 5/287 (2021.01); A61B 5/316 (2021.01); A61B 5/327 (2021.01); A61B 5/339 (2021.01); A61B 5/341 (2021.01); A61B 18/14 (2006.01); A61B 18/00 (2006.01); A61B 90/00 (2016.01)
CPC A61B 5/0006 (2013.01) [A61B 5/287 (2021.01); A61B 5/316 (2021.01); A61B 5/327 (2021.01); A61B 5/339 (2021.01); A61B 5/341 (2021.01); A61B 5/6852 (2013.01); A61B 5/6858 (2013.01); A61B 5/742 (2013.01); A61B 18/1492 (2013.01); A61B 2018/00267 (2013.01); A61B 2018/00351 (2013.01); A61B 2018/00577 (2013.01); A61B 2018/1467 (2013.01); A61B 2090/065 (2016.02)] 15 Claims
OG exemplary drawing
 
1. A system configured to detect at least one location of at least one source of, or rotational phenomenon associated with, at least one cardiac rhythm disorder in a patient's heart, the system comprising:
(a) at least one computing device;
(b) at least one data acquisition device operably connected to the at least one computing device or configured to provide as outputs therefrom at least one of intracardiac electrophysiological EP mapping signals (EP mapping signals);
(c) a display or monitor operably connected to the at least one computing device and configured to visually display to the user one or more maps generated by the at least one computing device;
wherein the computing device comprises at least one non-transitory computer readable medium configured to store instructions executable by at least one processor to determine the at least one location of the at least one source of, or rotational phenomenon associated with, the at least one cardiac rhythm disorder in the patient's heart, the computing device being configured to: (i) receive the intracardiac EP mapping signals from at least one of a plurality of intracardiac electrodes located inside the patient's heart, where amplitudes of the intracardiac EP mapping signals received by the at least one computing device have been at least one of conditioned, amplified, normalized, filtered, and adjusted by the data acquisition device before being provided to the computing device; (ii) assign or relate positional data corresponding to predetermined positions of the intracardiac electrodes in the patient's heart to their respective corresponding intracardiac EP mapping signals and intracardiac electrodes; (iii) generate at least one spatial map of at least one of the intracardiac electrode positions; (iv) for each or selected discrete times over which at least one of the intracardiac EP mapping signals are being processed, process the amplitude-adjusted intracardiac EP mapping signals to generate a plurality of electrogram surfaces or data grids, each such surface or data grid corresponding at least partially to the at least one spatial map, at least one surface or data grid being generated for each such time, and (v) using a modified multi-frame Horn-Schunck algorithm employing dt ranging between about 0.5 msec and about 50 msec; n ranging between about 1 and about 20; a ranging between about 1 and about 300; frames, time intervals, periods or segments ranging between about 0.5 seconds and about 5 seconds; and the corresponding number of frames analyzed in each time interval, period or segment as a function of the time interval, period, or segment duration and the sampling rate dt ranging between about 3 frames and about 200 frames, to process the plurality of electrogram surfaces or data grids through time to generate at least one map corresponding at least partially to the spatial map, the at least one map being configured to reveal the at least one location of the at least one source of, or rotational phenomenon associated with, the at least one cardiac rhythm disorder, the at least one map being shown to the user on the display or monitor.