# US 10,863,915 B2 · Annotation histogram

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- Number: US 10,863,915 B2
- Document ID: US10863915B2
- Status: Granted
- Kind: B2
- Application number: 15/955,505
- Filed: 2018-04-17
- Published: 2018-10-18
- Granted: 2020-12-15
- Earliest claimed: 2017-04-18
- Assignees: Boston Scientific Scimed, Inc.
- Applicants: Boston Scientific Scimed Inc.
- Inventors: Brian Stewart; Vasiliy E. Buharin; Mordechai Perlman; Nathan H. Bennett
- Web page: https://patentgrep.com/patent/US10863915B2

## CPC

- A61B 5/367: Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
- A61B 5/0245: by using sensing means generating electric signals, {i.e. ECG signals}
- A61B 5/339: Displays specially adapted therefor
- A61B 5/743: {Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots}
- A61B 34/20: Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
- A61B 34/25: {User interfaces for surgical systems}
- G06F 3/04842: Selection of displayed objects or displayed text elements (G06F3/0482 takes precedence)
- G06F 40/169: Annotation, e.g. comment data or footnotes
- G06T 11/26: Drawing of charts or graphs
- A61B 5/0538: invasively, e.g. using a catheter
- A61B 5/063: {using impedance measurements}
- A61B 5/287: Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
- A61B 5/6852: {Catheters}
- A61B 5/7221: {Determining signal validity, reliability or quality (preventing, reducing or removing noise induced by motion artefacts A61B5/7207; noise originating from a therapeutic or surgical apparatus A61B5/7217)}
- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61B 2018/00351: {Heart}
- A61B 2018/00577: {Ablation}
- A61B 2018/00839: {Bioelectrical parameters, e.g. ECG, EEG}
- A61B 2018/00875: {Resistance or impedance}
- A61B 2034/2051: {Electromagnetic tracking systems}
- A61B 2562/04: Arrangements of multiple sensors of the same type
- A61B 2562/06: Arrangements of multiple sensors of different types
- G06T 2200/24: involving graphical user interfaces [GUIs]
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G06F: ELECTRIC DIGITAL DATA PROCESSING (computer systems based on specific computational models G06N)
- G06T: IMAGE DATA PROCESSING OR GENERATION, IN GENERAL

## Abstract

Systems and methods for facilitating processing of cardiac information based on sensed electrical signals include a processing unit configured to receive a set of electrical signals; receive an indication of a measurement location corresponding to each electrical signal of the set of electrical signals; and generate, based on at least one of an annotation waveform corresponding to each electrical signal of the set of electrical signals and a set of annotation mapping values, an annotation histogram.

## Claims

### Claim 1

A system for facilitating processing of cardiac information based on sensed electrical signals, the system comprising:
a processing unit configured to:
receive a set of electrical signals;
receive an indication of a measurement location corresponding to each electrical signal of the set of electrical signals;
generate an annotation waveform corresponding to the set of electrical signals, the annotation waveform based on deflections of the set of electrical signals from a baseline signal, wherein the baseline signal comprises at least one non-zero value and a deflection of the deflections from the baseline signal for the annotation waveform is from the non-zero value; and
generate, based on the annotation waveform and a set of annotation mapping values, an annotation histogram.

### Claim 2 (depends on 1)

The system of claim 1, wherein the processing unit is further configured to:
generate, based on the set of electrical signals and corresponding locations, an electroanatomical cardiac map; and
facilitate presentation, on a display device, of a graphical user interface (GUI) that includes the cardiac map and at least one of a representation of the annotation histogram.

### Claim 3 (depends on 2)

The system of claim 2, wherein the annotation histogram represents a surface area of the cardiac map corresponding to certain annotation values.

### Claim 4 (depends on 3)

The system of claim 3, wherein the processing unit is further configured to:
facilitate presentation, on the display device, of an interactive representation of a caliper;
receive, via a user input device, an indication of a user selection of a portion of the representation of the annotation histogram; and
facilitate, based on the annotation histogram, presentation of a representation of an amount of surface area of the map corresponding to the selected portion of the annotation histogram.

### Claim 5 (depends on 4)

The system of claim 4, wherein the representation of the amount of surface area of the map corresponding to the selected portion of the annotation histogram comprises at least one of a highlighted portion of the cardiac map and a numerical representation of the amount of surface area.

### Claim 6 (depends on 4)

The system of claim 4, wherein the representation of the amount of surface area of the map corresponding to the selected portion of the annotated histogram comprises at least one of a representation of an absolute amount of surface area and a representation of a relative amount of surface area.

### Claim 7 (depends on 2)

The system of claim 2, the GUI including the representation of the annotation histogram, wherein the representation of the annotation histogram comprises at least one of a discrete histogram and a continuous histogram, wherein a continuous histogram is represented as a displayed waveform.

### Claim 8 (depends on 7)

The system of claim 7, wherein the processing unit determines whether to facilitate presentation of a representation of a discrete histogram or a continuous histogram based on number of values included in one or more of the bins of the annotation histogram.

### Claim 9 (depends on 2)

The system of claim 2, the GUI further including a selection tool, and wherein the processor is configured to:
determine that the selection tool is positioned in a first position;
determine a selected region based on the first position and one or more selection parameters; and
generate the annotation waveform, the annotation waveform corresponding to a subset of the set of electrical signals associated with the selected region.

### Claim 10 (depends on 9)

The system of claim 9, wherein the processing unit is further configured to facilitate presentation, in response to determining that the selection tool is positioned in the first position, of at least one of the representation of the annotation waveform and the representation of the annotation histogram.

### Claim 11 (depends on 1)

The system of claim 1, wherein the annotation comprises at least one of activation, voltage, fractionation, and velocity.

### Claim 12

A system of facilitating display of cardiac information, the system comprising:
a display device configured to present a representation of a cardiac map; and
a processing unit configured to:
receive a set of electrical signals;
receive an indication of a measurement location corresponding to each electrical signal of the set of electrical signals;
generate, based on the set of electrical signals, the cardiac map;
facilitate presentation, on the display device, of a graphical user interface (GUI) that includes the cardiac map and a virtual probe;
determine that the virtual probe is positioned in a first position;
determine a selected region based on the first position and one or more selection parameters; and
generate an annotation waveform, the annotation waveform corresponding to a subset of the set of electrical signals associated with the selected region, wherein the annotation waveform is based on deflections of the set of electrical signals from a baseline signal, wherein the baseline signal comprises at least one non-zero value and a deflection of the deflections from the baseline signal for the annotation waveform is from the non-zero value.

### Claim 13 (depends on 12)

The system of claim 12, wherein the processing unit is further configured to facilitate presentation, in response to determining that the virtual probe is positioned in the first position, of at least one of the representation of the annotation waveform and a representation of an annotation histogram.

### Claim 14 (depends on 13)

The system of claim 13, wherein the annotation comprises at least one of activation, voltage, fractionation, and velocity.

### Claim 15

A method of facilitating processing of cardiac information, the method comprising:
receiving a set of electrical signals;
receiving an indication of a measurement location corresponding to each of the set of electrical signals;
generating an annotation waveform corresponding to the set of electrical signals, the annotation waveform based on deflections of the set of electrical signals from a baseline signal, wherein the baseline signal comprises at least one non-zero value and a deflection of the deflections from the baseline signal for the annotation waveform is from the non-zero value; and
generating, based on at least one of the annotation waveform and a set of annotation mapping values, an annotation histogram.

### Claim 16 (depends on 15)

The method of claim 15, further comprising:
generating, based on the set of electrical signals and corresponding locations, an electroanatomical cardiac map of a cardiac structure; and
facilitating presentation, on a display device, of a graphical user interface (GUI) that includes the at least one of the cardiac map and a representation of the annotation histogram.

### Claim 17 (depends on 16)

The method of claim 16, further comprising:
facilitating presentation, on the display device, of an interactive representation of a caliper;
receiving, via a user input device, an indication of a user selection of a portion of the representation of the annotation histogram; and
facilitating, based on the annotation histogram, presentation of a representation of an amount of surface area of the map corresponding to the selected portion of the annotation histogram.

### Claim 18 (depends on 17)

The method of claim 17, wherein the representation of the amount of surface area of the map corresponding to the selected portion of the annotation histogram comprises at least one of a highlighted portion of the cardiac map and a numerical representation of the amount of surface area, the representation of the amount of surface area of the map corresponding to the selected portion of the annotated histogram comprising at least one of a representation of an absolute amount of surface area and a representation of a relative amount of surface area.

### Claim 19 (depends on 16)

The method of claim 16, wherein the representation of the annotation histogram comprises at least one of a discrete histogram and a continuous histogram, wherein a continuous histogram is represented as a displayed waveform.

### Claim 20 (depends on 19)

The method of claim 19, further comprising determining whether to facilitate presentation of a representation of a discrete histogram or a continuous histogram based on number of values included in one or more of the bins of the annotation histogram.