Abstract: Classification of heartbeats based on intracardiac and body surface electrocardiogram (ECG) signals are provided. Intracardiac ECG (IC-ECG) signals and body surface ECG (BS-ECG) signals are processed to perform heartbeat classifications. A BS annotation of BS-ECG signals reflective of a sensed heartbeat is defined, the BS annotation including a BS annotation time value. IC annotations of IC-ECG signals which reflect atrial-activity or ventricular activity of the sensed heartbeat are also defined, each IC annotation including an IC annotation time value. The IC-ECG signals are discriminated as A-activity or V-activity and IC annotations are designated as IC-A annotations or IC-V annotations, respectively. A respective A/V time sequence comparison of IC annotations reflective of the sensed heartbeat is made with one or more time sequence templates for heartbeat classification.

Abstract: A method for calibrating a medical device is provided. The method implemented by a calibration engine executed by one or more processors. The method includes capturing one or more voltage measurements by one or more components of a catheter, estimating calibration data based on the one or more voltage measurements, and outputting the calibration data to the catheter.

Abstract: Classification of heartbeats based on intracardiac and body surface electrocardiogram (ECG) signals are provided. Intracardiac ECG (IC-ECG) signals and body surface ECG (BS-ECG) signals are processed to perform heartbeat classifications. A BS annotation of BS-ECG signals reflective of a sensed heartbeat is defined, the BS annotation including a BS annotation time value. IC annotations of IC-ECG signals which reflect atrial-activity or ventricular activity of the sensed heartbeat are also defined, each IC annotation including an IC annotation time value. The IC-ECG signals are discriminated as A-activity or V-activity and IC annotations are designated as IC-A annotations or IC-V annotations, respectively. A respective A/V time sequence comparison of IC annotations reflective of the sensed heartbeat is made with one or more time sequence templates for heartbeat classification.

Abstract: In a flexible catheterization probe a resilient member couples the tip to the distal portion of the probe and is configured to deform in response to pressure exerted on the tip when engaging tissue. A position sensor in the distal portion of the probe senses the position of the tip relative to the distal portion of the probe. The relative position changes in response to deformation of the resilient member. The position sensor generates a signal indicative of the position of the tip responsively to a magnetic field produced by a magnetic field generator located in the position sensor. The position sensor has a first coil of conductive wire having first windings, and three second coils of conductive wire having respective second windings. The second coils are symmetrically distributed about the longitudinal axis of the first coil.

Abstract: The present disclosure provides systems, methods, and processes for detecting electrode wire noise caused by flexing or deflection of a distal tip of a probe. Various sensor configurations are disclosed for detecting this noise, including displacement sensors for probe actuators and sensing wires integrated with the probe electrode wires.

Abstract: A medical system is provided. The medical system includes a processing device communicatively coupled to a probe. The processing device operates to cause the medical system receive physiological signals from electrodes of the probe and decompose the physiological signals into near-field component and far-field component by using mutual information from a set of the electrodes. The processing device operates to cause the medical system utilize the near-field components for localizing in time where a wave went under at least one of the plurality of electrodes.

Abstract: The present disclosure provides systems, apparatuses and methods that provide probe-cavity location and motion data based on probe location and respiration data.

Abstract: A method is provided. The method is implemented by a mapping engine. The method includes receiving biometric data of at least a portion of an anatomical structure from at least a catheter and analyzing the biometric data based on an automatic tagging operation, a time weighted local activation time assignment operation, or a discrimination operation. The method also includes determining scar tissue of the portion of the anatomical structure based on the analyzing of the biometric data.

Abstract: A method is provided. The method is implemented by a mapping engine stored as program code on a memory and executed by a processor. The method include subdividing an anatomical mesh of a part of an anatomical structure to one or more other meshes of the anatomical structure. The one or more other meshes are more granular than the anatomical mesh. The method includes interpolating local activation time values and velocity values for the one or more other meshes and tracing a path of velocity vectors on the one or more other meshes in accordance with the interpolation of the local activation time values and velocity values. The method also includes projecting the path on the anatomical mesh to provide an enhanced visualization of the anatomical structure.

Abstract: A method is provided. The method is implemented by an interpretation engine executed by processors coupled to a memory. The method includes receiving a bipolar intracardiac reference signal from reference electrodes of a catheter and executing a preprocessing of the bipolar intracardiac reference signal. The method further includes interpreting the bipolar intracardiac reference signal according to a threshold for contact by a reference electrode of the electrodes.

Abstract: In one embodiment, a body part visualization system includes a medical instrument configured to be inserted into a body part of a living subject, a display, and processing circuitry configured to compute location coordinates of the medical instrument in the body part, and render to the display a first three-dimensional (3D) representation of the body part, the first 3D representation showing an external surface of the body part with a moving window, which moves over the external surface in the first 3D representation responsively to the computed location coordinates of the medical instrument so as to provide, via the window, an internal view of the first 3D representation of the body part, the internal view including a second 3D representation of at least a part of the medical instrument at the computed location coordinates.

Abstract: The present disclosure provides systems, apparatuses and methods that identify end expirium data based on catheter movement data.

Abstract: The present invention is directed to a method of ablation. The method includes the steps of inserting a probe having an ablation electrode into a body of a living subject and urging the ablation electrode into a contacting relationship with a target tissue. A measurement of at least one electroanatomic parameter is made between the ablation electrode and the target tissue, and the measurement is haptically communicated to an operator. Responsively to the communicated measurement, ablating the target tissue using the ablation electrode.

Abstract: 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.

Abstract: A method, consisting of ablating tissue for a time period, measuring a contact force applied during the time period, and measuring a power used during the time period. The method further includes ceasing ablating the tissue when a desired size of a lesion produced in the tissue, as estimated using an integral over the time period of a product of the contact force raised to a first non-unity exponent and the power raised to a second non-unity exponent, is reached.

Abstract: A position sensor includes a flexible substrate formed into a three-dimensional (3D) shape. At least first and second field-sensing coils are formed in first and second respective layers of the flexible substrate, such that in the 3D shape the first and second field-sensing coils have first and second respective axes that are not parallel to one another.

Abstract: A catheter is responsive to external and internal magnetic field generators for generating position data of the catheter position and pressure data to determine pressured exerted on a distal end of the catheter when engaged with tissue, with a reduced number of sensing coils and reduced number of sensing coil leads for minimizing lead breakage and failure. The catheter includes a distal section adapted for engagement with patient tissue, where the distal section has a proximal portion, a distal portion and a flexible joint with a resilient member adapted to allow axial displacement and angular deflection between the proximal and distal portions of the distal section. The catheter may have three or less sensing coils with three or less leads, each transmitting signals between a respective sensing coil and the signal processor.

Abstract: A catheter is presented herein which includes inductive coils which conform to the curved surface of a tubular catheter body and collectively can function as a three axis sensor during an intravascular and/or intracardiac treatment. The inductive coils can be fabricated on a flexible circuit substrate and affixed to the tubular catheter body. The catheter can include a distal portion that can be moved into a circular shape (“lasso”) when within vasculature or the heart. The inductive coils can be positioned around the circular shape such that a position and orientation of the distal portion can be determined in three dimensions when the distal portion is within a known fluctuating magnetic field.

Abstract: 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.

Abstract: Systems, devices, and techniques are disclosed for automatically generating CPM matrices. The system includes a plurality of body surface electrodes configured to sense electric signals and a processor comprising a neural network. The processor is configured to receive a plurality of historical CPM matrices, patient properties, and corresponding catheter locations, train a learning system based on the plurality of CPM matrices, patient properties, and corresponding catheter locations, generate a model based on the learning system, receive new patient properties at least in part from the plurality of body surface electrodes and generate new CPM matrices based on new patient properties at least in part from the plurality of body surface electrodes.