Abstract: Apparatus and methods are provided for mapping and displaying three dimensional surgical pathways within imaging of cranial structures derived from voxels of a cranial scan. Entry voxel and target voxel are selected as pathway endpoints. A series of respective neighbor voxels are mapped between the entry voxel and the target voxel to define a pathway. For each voxel Vxi,yi,zi in the series, an immediately succeeding voxel of voxel Vxi,yi,zi is selected from among the group of neighbor voxel of voxel Vxi,yi,zi which excludes neighbor voxels of the immediately preceding voxel of voxel Vxi,yi,zi. The selection is made by comparing selection weights determined based on relative distances with respect to the endpoint voxels and relative distance from voxels within a predetermined distance that represent at least a threshold density. The voxels of the pathway are then selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.

Abstract: A system includes a catheter and a processor. The catheter includes a distal-end assembly coupled to a distal end of a shaft for insertion into a cavity of an organ of a patient, the distal-end assembly including (i) one or more functional electrodes configured to be placed in contact with wall tissue of the cavity and (ii) a reference electrode configured to be placed in the cavity but not in contact with the wall tissue. The processor is configured to (i) estimate one or more impedances between one or more of the functional electrodes and the reference electrode, and (ii) based on the impedances, determine, for at least a functional electrode from among the one or more functional electrodes, whether the functional electrode is in physical contact with the wall tissue.

Abstract: A method comprising: receiving a plurality of duplicates of a serial bit stream, wherein said serial bit stream comprises a sequence of data packets; continuously dividing each of said duplicates of said serial bit stream based on sequential time windows; with respect to each of said time windows, aligning said data packets associated with each of said duplicates of said serial bit stream, received within said time window, based, at least in part, on data packet similarity; and recreating in real time said serial bit stream by selecting at least one of said aligned data packets as representing a next data packet in said sequence of data packets.

Abstract: In one embodiment, a medical system, includes a catheter to be inserted into a chamber of a heart of a living subject, and including catheter electrodes configured to contact tissue at respective locations within the chamber of the heart, a display, and processing circuitry to receive signals from the catheter, and in response to the signals assess a respective quality of contact of each of the catheter electrodes with the tissue in the heart, and render to the display respective intracardiac electrograms traces representing electrical activity in the tissue that is sensed by the catheter electrodes at the respective locations, while modifying a visual feature of at least some of the traces responsively to the respective quality of contact of the catheter electrodes with the tissue of the heart at the respective locations.

Abstract: In one embodiment, a medical system, includes a catheter to be inserted into a chamber of a heart of a living subject, and including catheter electrodes configured to contact tissue at respective locations within the chamber of the heart, a display, and processing circuitry to receive signals from the catheter, and in response to the signals assess a respective quality of contact of each of the catheter electrodes with the tissue in the heart, and render to the display respective intracardiac electrograms traces representing electrical activity in the tissue that is sensed by the catheter electrodes at the respective locations, while modifying a visual feature of at least some of the traces responsively to the respective quality of contact of the catheter electrodes with the tissue of the heart at the respective locations.

Abstract: Methods and apparatus are provided for mapping and displaying a three dimensional (3D) surgical pathway. Entry and target voxels are selected along with a semi-target voxel therebetween. Where voxels representing bone are between the entry and target voxels, the semi-target voxel is selected such that voxels representing bone are not within a shortest line between it and the entry voxel. A series of voxels through the semi-target voxel define the pathway. For each voxel V in the series between the semi-target voxel and one of the endpoint voxels, the immediately succeeding voxel of voxel V is selected from among the group of neighbor voxels of voxel V by comparing selection weights of each voxel determined a selected basis including relative distances with respect to the endpoint voxel and the semi-target voxel. The pathway voxels are selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.

Abstract: A system includes a display and a processor. The processor is configured to (a) receive multiple electrophysiological (EP) signals acquired by multiple electrodes of a multi-electrode catheter that are in contact with tissue of a cardiac chamber, (b) reject one or more of the EP signals using a set of rejection criteria, and further process the EP signals that are not rejected, and (c) visualize to a user, on the display, (i) a current setting of the rejection criteria, and (ii) a rejection effectiveness of each of the rejection criteria at the current setting.

Abstract: Methods and apparatus are provided for mapping and displaying a three dimensional (3D) surgical pathway. Entry and target voxels are selected along with a semi-target voxel therebetween. Where voxels representing bone are between the entry and target voxels, the semi-target voxel is selected such that voxels representing bone are not within a shortest line between it and the entry voxel. A series of voxels through the semi-target voxel define the pathway. For each voxel V in the series between the semi-target voxel and one of the endpoint voxels, the immediately succeeding voxel of voxel V is selected from among the group of neighbor voxels of voxel V by comparing selection weights of each voxel determined a selected basis including relative distances with respect to the endpoint voxel and the semi-target voxel. The pathway voxels are selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.

Abstract: Apparatus and methods are provided for mapping and displaying three dimensional surgical pathways within imaging of cranial structures derived from voxels of a cranial scan. Entry voxel and target voxel are selected as pathway endpoints. A series of respective neighbor voxels are mapped between the entry voxel and the target voxel to define a pathway. For each voxel Vxi,yi,zi in the series, an immediately succeeding voxel of voxel Vxi,yi,zi is selected from among the group of neighbor voxel of voxel Vxi,yi,zi which excludes neighbor voxels of the immediately preceding voxel of voxel Vxi,yi,zi . The selection is made by comparing selection weights determined based on relative distances with respect to the endpoint voxels and relative distance from voxels within a predetermined distance that represent at least a threshold density. The voxels of the pathway are then selectively highlighted in a displayed view to provide a visualization of the 3D surgical pathway.

Abstract: Methods, apparatus, and systems for medical procedures are disclosed herein and include receiving, at a location agnostic system and at a first time, a first plurality of electronic signals each from a respective plurality of electrodes of a catheter. A subset of electronic signals of the first plurality of electronic signals may be received at a location aware system. The location aware system may determine a location of the catheter within an intra-body organ. The location aware system may determine that the catheter is in contact with the tissue at the location, based on the subset of electronic signals and at least one tissue property at the location. A location agnostic system contact profile for the catheter may be generated based on determining, by the location aware system, that the catheter is in contact with the tissue at the location.

Abstract: In one embodiment, a medical system, includes a catheter to be inserted into a chamber of a heart of a living subject, and including catheter electrodes configured to contact tissue at respective locations within the chamber of the heart, a display, and processing circuitry to receive signals from the catheter, and in response to the signals assess a respective quality of contact of each of the catheter electrodes with the tissue in the heart, and render to the display respective intracardiac electrograms traces representing electrical activity in the tissue that is sensed by the catheter electrodes at the respective locations, while modifying a visual feature of at least some of the traces responsively to the respective quality of contact of the catheter electrodes with the tissue of the heart at the respective locations.

Abstract: A striped composed video image is disclosed, in which a main segment image is displayed with a strip of small strip segments. The strip of small strip segments is composed from a plurality of video images from a plurality of video streams. A user may pull video from the strip into the main segment. The strip of small strip segments may scrolled without affecting the main segment.

Abstract: A method comprising: receiving a plurality of duplicates of a serial bit stream, wherein said serial bit stream comprises a sequence of data packets; continuously dividing each of said duplicates of said serial bit stream based on sequential time windows; with respect to each of said time windows, aligning said data packets associated with each of said duplicates of said serial bit stream, received within said time window, based, at least in part, on data packet similarity; and recreating in real time said serial bit stream by selecting at least one of said aligned data packets as representing a next data packet in said sequence of data packets.

Abstract: A striped composed video image is disclosed, in which a main segment image is displayed with a strip of small strip segments. The strip of small strip segments is composed from a plurality of video images from a plurality of video streams. A user may pull video from the strip into the main segment. The strip of small strip segments may scrolled without affecting the main segment.

Abstract: A striped composed video image is disclosed, in which a main segment image is displayed with a strip of small strip segments. The strip of small strip segments is composed from a plurality of video images from a plurality of video streams. A user may pull video from the strip into the main segment. The strip of small strip segments may scrolled without affecting the main segment.

Abstract: A technique allows delivering content in a videoconference among a plurality of conferees in multiple quality levels. Content distributed from a multipoint control unit that is connected to an endpoint that delivers the content to receiving endpoints may have two or more quality levels. The quality level can be adapted to the capabilities of the receiving endpoints and the current quality of the connection that is used to deliver the content toward the receiving endpoints. The quality level associated with an endpoint may change during a session dynamically, adapting the delivery mode to changes in the condition of the connection between the receiving endpoints and the multipoint control unit.

Abstract: A technique allows delivering content in a videoconference among a plurality of conferees in multiple quality levels. Content distributed from a multipoint control unit that is connected to an endpoint that delivers the content to receiving endpoints may have two or more quality levels. The quality level can be adapted to the capabilities of the receiving endpoints and the current quality of the connection that is used to deliver the content toward the receiving endpoints. The quality level associated with an endpoint may change during a session dynamically, adapting the delivery mode to changes in the condition of the connection between the receiving endpoints and the multipoint control unit.

Abstract: A system and method is disclosed for adapting a continuous presence videoconferencing layout according to interactions between conferees. Using regions of interest found in video images, the arrangement of images of conferees may be dynamically arranged as displayed by endpoints. Arrangements may be responsive to various metrics, including the position of conferees in a room and dominant conferees in the videoconference. Video images may be manipulated as part of the arrangement, including cropping and mirroring the video image. As interactions between conferees change, the layout may be automatically rearranged responsive to the changed interactions.

Abstract: A technique allows delivering content in a videoconference among a plurality of conferees in multiple quality levels. Content distributed from a multipoint control unit that is connected to an endpoint that delivers the content to receiving endpoints may have two or more quality levels. The quality level can be adapted to the capabilities of the receiving endpoints and the current quality of the connection that is used to deliver the content toward the receiving endpoints. The quality level associated with an endpoint may change during a session dynamically, adapting the delivery mode to changes in the condition of the connection between the receiving endpoints and the multipoint control unit.

Abstract: A videoconferencing system allows a distributed group of separately addressable multipoint controller signaling layer and multipoint controller application layer units to be logically combined for the purpose of managing a videoconference with a plurality of endpoints. In some embodiments, a primary multipoint controller signaling layer unit may identify other multipoint controller signaling layer units and multipoint controller application layer units to handle requests for joining an ongoing videoconferencing session, routing such requests to the other multipoint controller signaling layer units and multipoint controller application layer units as needed.