System and method for matching electrical characteristics and propagation velocities in cardiac tissue to locate potential ablation sites

Claim 1

A system for locating a potential ablation site in heart tissue comprising at least three spaced apart electrodes, locating means for positioning at least two of the electrodes in contact with a region of heart tissue, first means operable for transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes, for transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes, and for deriving therefrom tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths, second means for sensing timing of local depolarization events in the tissue in which impedance is sensed and for deriving therefrom propagation velocities of the sensed local depolarization events, and third means for normalizing the derived tissue electrical characteristics in spatial relation to the electrodes, for normalizing the derived propagation velocities in spatial relation to the electrodes, and for matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes, fourth means for normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range, fifth means for converting all matched values in the matched value range above a selected threshold value to a first converted value while converting all matched values in the matched value range equal to or below the selected threshold value to a second converted value different than the first converted value, and means for outputting the converted matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first converted values identifies a potential ablation site.

Claim 2

A system for locating a potential ablation site in heart tissue comprising at least three spaced apart electrodes, locating means for positioning at least two of the electrodes in contact with a region of heart tissue, first means operable for transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes, for transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes, and for deriving therefrom tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths, second means for sensing timing of local depolarization events in the tissue in which impedance is sensed and for deriving therefrom propagation velocities of the sensed local depolarization events, and third means for normalizing the derived tissue electrical characteristics in spatial relation to the electrodes, for normalizing the derived propagation velocities in spatial relation to the electrodes, and for matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes, fourth means for normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range, fifth means for converting all matched values in the matched value range above a selected threshold value to a first converted value while converting all matched values in the matched value range equal to or below the selected threshold value to a second converted value different than the first converted value, and means for outputting the converted matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first converted values identifies a potential ablation site.

Claim 7

A method for examining heart tissue comprising the steps of locating at least three spaced apart electrodes so that at least two of the electrodes are in contact with a region of heart tissue, transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes, transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes, deriving from the electrical current transmissions tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths, sensing timing of local depolarization events in the tissue in which impedance is sensed and deriving therefrom propagation velocities of the sensed local depolarization events, and normalizing the derived tissue electrical characteristics in spatial relation to the electrodes, normalizing the derived propagation velocities in spatial relation to the electrodes, matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes, normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range, convening all matched values in the matched value range above a selected threshold value to a first convened value while convening all matched values in the matched value range equal to or below the selected threshold value to a second convened value, and outputting the convened matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first convered values identifies a potential ablation site.

Claim 8

A method for examining heart tissue comprising the steps of locating at least three spaced apart electrodes so that at least two of the electrodes are in contact with a region of heart tissue, transmitting electrical current in a first path through the region of heart tissue between a first pair of the electrodes, transmitting electrical current in a second path through heart tissue in the region between a second pair of the electrodes, deriving from the electrical current transmissions tissue electrical characteristics based, at least in part, upon sensing impedances of the tissue lying in the first and second paths, sensing timing of local depolarization events in the tissue in which impedance is sensed and deriving therefrom propagation velocities of the sensed local depolarization events, and normalizing the derived tissue electrical characteristics in spatial relation to the electrodes, normalizing the derived propagation velocities in spatial relation to the electrodes, matching the normalized derived electrical characteristics with the normalized derived propagation velocities to provide a range of matched values in spatial relation to the electrodes, normalizing the matched value range to a normalized range of 0.0 to 1.0 in spatial relation to the electrodes by dividing each matched value in the matched value range by the maximum matched value in the matched value range, convening all matched values in the matched value range above a selected threshold value to a first convened value while convening all matched values in the matched value range equal to or below the selected threshold value to a second convened value, and outputting the convened matched values in groups of equal first and second converted values in spatial relation to the electrodes, in which each group of the first convered values identifies a potential ablation site.