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Apparatus and method for intrabody mapping    

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United States Patent5568809   
Link to this pagehttp://www.wikipatents.com/5568809.html
Inventor(s)Ben-haim; Shlomo (Haifa, IL)
AbstractThis invention concerns an apparatus and method for the treatment of cardiac arrhythmias. More particularly, this invention is directed to a method for ablating a portion of an organ or bodily structure of a patient, which comprises obtaining a perspective image of the organ or structure to be mapped; advancing one or more catheters having distal tips to sites adjacent to or within the organ or structure, at least one of the catheters having ablation ability; sensing the location of each catheter's distal tip using a non-ionizing field; at the distal tip of one or more catheters, sensing local information of the organ or structure; processing the sensed information to create one or more data points; superimposing the one or more data points on the perspective image of the organ or structure; and ablating a portion of the organ or structure.
   














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Drawing from US Patent 5568809
Apparatus and method for intrabody mapping - US Patent 5568809 Drawing
Apparatus and method for intrabody mapping
Inventor     Ben-haim; Shlomo (Haifa, IL)
Owner/Assignee     Biosense, Inc. (Orangeburg, NY)
Patent assignment
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Company News
Publication Date     October 29, 1996
Application Number     08/490,122
PAIR File History     Application Data   Transaction History
Image File Wrapper   Patent Term   Fees
Litigation
Filing Date     July 12, 1995
US Classification     600/433
Int'l Classification     A61M 025/095
Examiner     Manuel; George
Assistant Examiner    
Attorney/Law Firm     Cowan, Liebowitz & Latman, P.C.
Address
Parent Case     RELATED PATENT APPLICATION This application is a continuation of application Ser. No. 08/311,598, filed Sep. 23, 1994 now abandoned which is a divisional of U.S. patent application Ser. No. 08/094,539, filed Jul. 20, 1993 now U.S. Pat. No. 5,391,199.
Priority Data    
USPTO Field of Search     128/639 128/642 128/653.4 128/654 128/656 128/657 128/658 128/662.05 128/662.06
Patent Tags     intrabody mapping
   
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I claim:

1. A method for intrabody mapping, which comprises the steps of:

(a) positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(b) sensing location information at the site using a non-ionizing field;

(c) sensing local information at the site;

(d) processing sensed information from steps (b) and (c) to create one or more data points;

(e) repeating steps (a), (b), (c), and (d) one or more times to create sufficient data points for a map; and

(f) transmitting said data points from step (e) to a receiving means.

2. A method for intrabody mapping, which comprises the steps of:

(a) positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(b) sensing location information at the site;

(c) sensing local information at the site;

(d) processing sensed information from steps (b) and (c) to create one or more data points;

(e) repeating steps (a), (b), (c), and (d) one or more times to create sufficient data points for a map.

3. The method of claim 2 which comprises an additional step (f) wherein said data points or said map is transmitted to receiving means.

4. The method of claim 3 which comprises a further step (g) wherein said data points or said map received by receiving means is projected onto an image receiving means.

5. The method of claim 4 which comprises a yet further step (h) wherein the location of a catheter distal tip is superimposed on said projected map or data points on said image receiving means.

6. A method for intrabody mapping, which comprises the steps of:

(a) obtaining a perspective image of an organ or bodily structure;

(b) positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(c) sensing location information at the site;

(d) sensing local information at the site;

(e) processing sensed information from steps (c) and (d) to create one or more data points;

(f) repeating steps (b), (c), (d), and (e) one or more times to create sufficient data points for a map; and

(g) superimposing said data points from steps (e) and (f) on the perspective image of the organ or bodily structure.

7. The method of claim 6 which comprises an additional step (h) wherein said data points and said perspective image are transmitted to receiving means.

8. The method of claim 7 which comprises a further step (i) wherein the location of a mapping/ablation catheter distal tip is superimposed on the perspective image of the organ or bodily structure.

9. The method of claim 7 which comprises a further step (i) wherein said data points and said perspective image received by receiving means are projected onto an image receiving means.

10. The method of claim 9 which comprises a yet further step (j) wherein the location of a mapping/ablation catheter distal tip is superimposed on said projected data points and said perspective image on said image receiving means.

11. A method for intrabody mapping, which comprises the steps of:

(a) positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(b) positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(c) sensing location information at each site;

(d) sensing local information at a site with each mapping/ablation catheter distal tip;

(e) processing sensed information from steps (c) and (d) to create one or more data points; and

(f) repeating steps (b), (c), (d), and (e) one or more times to create sufficient data points for a map.

12. The method of claim 11 which comprises an additional step (g) wherein said data points or said map is transmitted to receiving means.

13. The method of claim 12 which comprises a further step (h) wherein said data points or said map received by receiving means is projected onto an image receiving means.

14. The method of claim 13 which comprises a yet further step (i) wherein the location of a mapping/ablation catheter distal tip is superimposed on said projected data points or map on said image receiving means.

15. A method for intrabody mapping, which comprises the steps of:

(a) positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(b) positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(c) sensing location information at each site;

(d) determining relative location of each mapping/ablation distal tip relative to reference catheter distal tips;

(e) sensing local information at a site with each mapping/ablation catheter distal tip;

(f) processing sensed information from steps (d) and (e) to create one or more data points; and

(g) repeating steps (b), (c), (d), (e), and (f) one or more times to create sufficient data points for a map.

16. The method of claim 15 which comprises an additional step (h) wherein said data points or said map is transmitted to receiving means.

17. The method of claim 16 which comprises a further step (i) wherein said data points or said map received by receiving means is projected onto an image receiving means.

18. The method of claim 17 which comprises a yet further step (j) wherein the location of a mapping/ablation catheter distal tip is superimposed on said projected data points or map on said image receiving means.

19. A method for intrabody mapping, which comprises the steps of:

(a) obtaining a perspective image of the organ or bodily structure;

(b) positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(c) positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(d) sensing location information at each site;

(e) sensing local information at a site with each mapping/ablating catheter distal tip;

(f) processing sensed information from steps (d) and (e) to create one or more data points;

(g) repeating steps (c), (d), (e), and (f) one or more times to create sufficient data points for a map; and

(h) superimposing said data points or said map from steps (f) and (g) on the perspective image of the organ or bodily structure.

20. The method of claim 19 which comprises an additional step (i) wherein said data points or map and said perspective image are transmitted to receiving means.

21. The method of claim 20 which comprises a further step (j) wherein said location of a mapping/ablation catheter distal tip is superimposed on said data points or map and said perspective image of the organ or bodily structure.

22. The method of claim 20 which comprises a further step (j) wherein said data points or map and said perspective image received by receiving means are projected onto an image receiving means.

23. The method of claim 22 which comprises a yet further step (k) wherein the location of a mapping/ablation catheter distal tip is superimposed on said projected data points or map and said perspective image on said image receiving means.

24. A method for intrabody mapping, which comprises the steps of:

(a) obtaining a perspective image of the organ or bodily structure;

(b) positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(c) positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(d) sensing location information at each site;

(e) determining relative location of each mapping/ablation catheter distal tip relative to reference catheter distal tips;

(f) sensing local information with each mapping/ablation catheter distal tip;

(g) processing sensed information from steps (e) and (f) to create one or more data points;

(h) repeating steps (c), (d), (e), (f) and (g) one or more times to create sufficient data points for a map; and

(i) superimposing said data points or said map from steps (g) and (h) on the perspective image of the organ or bodily structure.

25. The method of claim 24 which comprises an additional step (j) wherein said data points or map and said perspective image are transmitted to receiving means.

26. The method of claim 25 which comprises a further step (k) wherein the location of a mapping/ablation catheter distal tip is superimposed on the perspective image of the organ or bodily structure.

27. The method of claim 25 which comprises a further step (k) wherein said data points or map and said perspective image received by receiving means are projected onto an image receiving means.

28. The method of claim 27 which comprises a yet further step (l) wherein the location of a mapping/ablation catheter distal tip is superimposed on said projected data points or map and said perspective image on said image receiving means.

29. The method of claim 2, 6, 11, 15, 19, or 24, wherein sensing location information is achieved using a non-ionizing field.

30. An apparatus for intrabody mapping, which comprises:

(a) means for positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(b) means for sensing location information at the site using a non-ionizing field;

(c) means for sensing local information at the site;

(d) means for processing sensed information from means (b) and (c) to create one or more data points;

(e) means for repeating the functions of means (a), (b), (c), and (d) one or more times to create sufficient data points for a map; and

(f) means for transmitting said data points from means (e) to a receiving means.

31. An apparatus for intrabody mapping, which comprises:

(a) means for positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(b) means for sensing location information at the site;

(c) means for sensing local information at the site;

(d) means for processing sensed information from means (b) and (c) to create one or more data points; and

(e) means for repeating the functions of means (a), (b), (c), and (d) one or more times to create sufficient data points for a map.

32. The apparatus of claim 31 which additionally comprises means for transmitting said data points or said map to receiving means.

33. The apparatus of claim 32 which further comprises means for projecting said data points or said map received by receiving means onto an image receiving means.

34. The apparatus of claim 33 which yet further comprises means for superimposing the location of a catheter distal tip on said projected map or data points on said image receiving means.

35. An apparatus for intrabody mapping, which comprises:

(a) means for obtaining a perspective image of an organ or bodily structure;

(b) means for positioning the distal tip of each of one or more catheters at a site adjacent to or within an organ or bodily structure;

(c) means for sensing location information at the site;

(d) means for sensing local information at the site;

(e) means for processing sensed information from means (c) and (d) to create one or more data points;

(f) means for repeating the functions of means (b), (c), (d), and (e) one or more times to create sufficient data points for a map; and

(g) means for superimposing said data points from means (e) and (f) on the perspective image of the organ or bodily structure.

36. The apparatus of claim 35 which additionally comprises means for transmitting said data points and said perspective image to receiving means.

37. The apparatus of claim 36 which further comprises means for superimposing the location of a mapping/ablation catheter distal tip on the perspective image of the organ or bodily structure.

38. The apparatus of claim 36 which further comprises means for projecting said data points and said perspective image received by receiving means onto an image receiving means.

39. The apparatus of claim 38 which yet further comprises means for superimposing the location of a mapping/ablation catheter distal tip on said projected data points and said perspective image on said image receiving means.

40. An apparatus for intrabody mapping, which comprises:

(a) means for positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(b) means for positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(c) means for sensing location information at each site;

(d) means for sensing local information at a site with each mapping/ablation catheter distal tip;

(e) means for processing sensed information from means (c) and (d) to create one or more data points; and

(f) means for repeating the functions of means (b), (c), (d), and (e) one or more times to create sufficient data points for a map.

41. The apparatus of claim 40 which additionally comprises means for transmitting said data points or said map to receiving means.

42. The apparatus of claim 41 which further comprises means for projecting said data points or said map received by receiving means onto an image receiving means.

43. The apparatus of claim 42 which yet further comprises means for superimposing the location of a mapping/ablation catheter distal tip on said projected data points or map on said image receiving means.

44. An apparatus for intrabody mapping, which comprises:

(a) means for positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(b) means for positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(c) means for sensing location information at each site;

(d) means for determining relative location of each mapping/ablation distal tip relative to reference catheter distal tips;

(e) means for sensing local information at a site with each mapping/ablation catheter distal tip;

(f) means for processing sensed information from means (d) and (e) to create one or more data points; and

(g) means for repeating the functions of means (b), (c), (d), (e), and (f) one or more times to create sufficient data points for a map.

45. The apparatus of claim 44 which additionally comprises means for transmitting said data points or said map to receiving means.

46. The apparatus of claim 45 which further comprises means for projecting said data points or said map received by receiving means onto an image receiving means.

47. The apparatus of claim 46 which yet further comprises means for superimposing the location of a mapping/ablation catheter distal tip on said projected data points or map on said image receiving means.

48. An apparatus for intrabody mapping, which comprises:

(a) means for obtaining a perspective image of the organ or bodily structure;

(b) means for positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(c) means for positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(d) means for sensing location information at each site;

(e) means for sensing local information at a site with each mapping/ablation catheter distal tip;

(f) means for processing sensed information from means (d) and (e) to create one or more data points;

(g) means for repeating the functions of means (c), (d), (e), and (f) one or more times to create sufficient data points for a map; and

(h) means for superimposing said data points or said map from means (f) and (g) on the perspective image of the organ or bodily structure.

49. The apparatus of claim 48 which additionally comprises means for transmitting said data points or map and said perspective image to receiving means.

50. The apparatus of claim 49 which further comprises means for superimposing said location of a mapping/ablation catheter distal tip on said data points or map and said perspective image of the organ or bodily structure.

51. The apparatus of claim 49 which further comprises means for projecting said data points or map and said perspective image received by receiving means onto an image receiving means.

52. The apparatus of claim 51 which yet further comprises means for superimposing the location of a mapping/ablation catheter distal tip on said projected data points or map and said perspective image on said image receiving means.

53. An apparatus for intrabody mapping, which comprises:

(a) means for obtaining a perspective image of the organ or bodily structure;

(b) means for positioning the distal tip of each of one or more reference catheters at a site adjacent to or within an organ or bodily structure;

(c) means for positioning the distal tip of each of one or more mapping/ablation catheters at a site adjacent to or within an organ or bodily structure;

(d) means for sensing location information at each site;

(e) means for determining relative location of each mapping/ablation catheter distal tip relative to reference catheter distal tips;

(f) means for sensing local information with each mapping/ablation catheter distal tip;

(g) means for processing sensed information from means (e) and (f) to create one or more data points;

(h) means for repeating the functions of means (c), (d), (e), (f) and (g) one or more times to create sufficient data points for a map; and

(i) means for superimposing said data points or said map from means (g) and (h) on the perspective image of the organ or bodily structure.

54. The apparatus of claim 53 which additionally comprises means for transmitting said data points or map and said perspective image to receiving means.

55. The apparatus of claim 54 which further comprises means for superimposing the location of a mapping/ablation catheter distal tip on the perspective image of the organ or bodily structure.

56. The method of claim 54 which further comprises means for projecting said data points or map and said perspective image received by receiving means onto an image receiving means.

57. The apparatus of claim 56 which yet further comprises means for superimposing the location of a mapping/ablation catheter distal tip on said projected data points or map and said perspective image on said image receiving means.

58. The apparatus of claims 31, 35, 40, 44, 48, or 53, wherein location information is sensed using a non-ionizing field.
 Description Submit all comments and votes
 


FIELD OF THE INVENTION

This invention is directed to an apparatus and method for treating a cardiac arrhythmia such as ventricular tachycardia. More particularly, this invention is directed to an improved apparatus and method whereby there is faster identification of an active site to be ablated.

BACKGROUND OF THE INVENTION

Cardiac arrhythmias are the leading cause of death in the United States. The most common cardiac arrhythmia is ventricular tachycardia (VT), i.e., very rapid and ineffectual contractions of the heart muscle. VT is the cause death of approximately 300,000 people annually.

In the United States, from 34,000 to 94,000 new patients are diagnosed annually with VT. Patients are diagnosed with VT after either (1) surviving a successful resuscitation after an aborted sudden death (currently 25-33% of sudden death cases) or (2) syncope, i.e., temporary loss of consciousness caused by insufficient cerebral circulation. The number of VT patients is expected to increase in the future, estimated to range between 61,000 and 121,000 patients annually in five years, as a result of early detection of patients at risk for sudden death by newly developed cardiac tests, advances in cardiopulmonary resuscitation, better medical management of acute myocardial infarction patients, and the demographic shift to a more aged population.

Without proper treatment most patients diagnosed with VT do not survive more than two years. The most frequent current medical treatment consists of certain antiarrhythmic drugs or implantation of an automatic implantable cardiac defibrillator (AICD). Drug treatment is associated with an average life span of 3.2 years, a 30% chance of debilitating side effects, and an average cost of approximately $88,000 per patient. In contrast, AICD implantation is associated with a life expectancy of 5.1 years, a 4% chance of fatal complications, and a cost of approximately $121,000 per patient.

In a majority of patients VT originates from a 1 to 2 mm lesion that is located close to the inner surface of the heart chamber. A treatment of VT in use since 1981 comprises a method whereby electrical pathways of the heart are mapped to locate the lesion, i.e., the "active site," and then the active site is physically ablated. In most instances the mapping and ablation are performed while the patient's chest and heart are open. Also, the mapping procedure has been carried out by sequentially moving a hand-held electrical recording probe or catheter over the heart and recording the times of arrival of electrical pulses to specific locations. These processes are long and tedious.

Attempts to destroy, i.e., ablate, the critical lesion are now quite successful, but are currently limited to a small number of patients who can survive a prolonged procedure during which they have to remain in VT for almost intolerable periods of time. The time-consuming part of the treatment is the localization, i.e., identifying the site, of the target lesion to be ablated. Another limitation preventing the widespread use of catheter ablation for VT is poor resolution of target localization, which in turn compels the physician to ablate a large area of the patient's heart. The reduction in heart function following such ablation becomes detrimental to most patients with pre-existing cardiac damage. However, once the target is correctly identified, ablation is successful in almost all patients.

An improved procedure for treatment of VT must include a faster, more