# US 11,896,296 B2 · End expirium identification methods, systems, and processes > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,896,296 B2 - Document ID: US11896296B2 - Status: Granted - Kind: B2 - Application number: 17/094,302 - Filed: 2020-11-10 - Published: 2022-05-12 - Granted: 2024-02-13 - Earliest claimed: 2020-11-10 - Assignees: Biosense Webster (Israel) Ltd. - Applicants: Biosense Webster (Israel) Ltd. - Inventors: Kfir Kalman Kozokaro; Meir Bar-Tal; Shiran Eliyahu; Tal Yehezkel - Web page: https://patentgrep.com/patent/US11896296B2 ## CPC - A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)} - 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} - A61B 2017/00243: {cardiac} - A61B 2017/00699: {correcting for movement caused by respiration, e.g. by triggering} - A61B 2018/00351: {Heart} - A61B 2018/00541: {Lung or bronchi} - A61B 2018/00577: {Ablation} - A61B 2018/00773: {Sensed parameters} - A61B 2018/00875: {Resistance or impedance} - A61B 2034/2051: {Electromagnetic tracking systems} - A61B 2034/2072: {Reference field transducer attached to an instrument or patient} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract The present disclosure provides systems, apparatuses and methods that identify end expirium data based on catheter movement data. ## Claims ### Claim 1 A method of identifying an end expirium, the method comprising: (i) identifying an initial end expirium prior to ablation, the initial end expirium associated with a first catheter position; (ii) determining catheter velocity and catheter position during ablation; and (iii) identifying an estimated end expirium during ablation among a plurality of end expiriums when the catheter velocity is less than a predetermined velocity, and when the catheter position is less than a predetermined distance from the first catheter position; wherein the estimated end expirium is identified among the plurality of end expiriums based on the estimated end expirium having a lowest catheter velocity for a longest period of time among the plurality of end expiriums. ### Claim 2 (depends on 1) The method of claim 1, wherein the predetermined velocity is 5 mm/second. ### Claim 3 (depends on 1) The method of claim 1, wherein the predetermined distance is 3 mm. ### Claim 4 (depends on 1) The method of claim 1, further comprising setting an ablation tag at the estimated end expirium. ### Claim 5 (depends on 1) The method of claim 1, further comprising: determining a period between the initial end expirium and ablation when the catheter velocity is greater than the predetermined velocity. ### Claim 6 (depends on 1) The method of claim 1, wherein the ablation uses radiofrequency signals having an output power of 90 watts. ### Claim 7 (depends on 1) The method of claim 1, wherein the estimated end expirium is identified independent from respiration indicators. ### Claim 8 A method, comprising: (i) identifying an initial end expirium prior to ablation; (ii) monitoring a catheter velocity from a first time corresponding to the initial end expirium to a second time corresponding to ablation; (iii) identifying a period between the first time and the second time during which the catheter velocity is greater than a velocity threshold; and (iv) setting an ablation tag at a position of the catheter during ablation, responsive to the identified period being greater than a duration threshold. ### Claim 9 A method, comprising: (i) identifying an initial end expirium prior to ablation; (ii) monitoring a catheter velocity from a first time corresponding to the initial end expirium to a second time corresponding to ablation; (iii) identifying a period between the first time and the second time during which the catheter velocity is greater than a velocity threshold; and (iv) setting an ablation tag at the first time, responsive to the identified period being less than a duration threshold. ### Claim 10 A system for identifying an end expirium, the system comprising: a catheter configured to be inserted into a cavity of a patient; at least one sensor configured to detect a position of the catheter; and a processor configured to identify an estimated end expirium during ablation among a plurality of end expiriums based on the estimated end expirium having a lowest catheter velocity for a longest period of time among the plurality of end expiriums. ### Claim 11 (depends on 10) The system of claim 10, wherein the predetermined velocity is 5 mm/second. ### Claim 12 (depends on 10) The system of claim 10, wherein the predetermined distance is 3 mm. ### Claim 13 (depends on 10) The system of claim 10, wherein the at least one sensor is configured to detect respiration indicators, and the processor is configured to identify the estimated end expirium without relying on the respiration indicators. ### Claim 14 (depends on 10) The system of claim 10, wherein the processor is further configured to provide an ablation tag at the estimated end expirium. ### Claim 15 (depends on 10) The system of claim 10, wherein the processor is further configured to determine a period between the initial end expirium and ablation when the catheter velocity is greater than the predetermined velocity, and set an ablation tag at a first position during ablation when the period is greater than a predetermined length. ### Claim 16 (depends on 10) The system of claim 10, wherein the processor is further configured to determine a period between the initial end expirium and ablation during which the catheter velocity is greater than the predetermined velocity, and is configured to set an ablation tag at the initial end expirium when the period is less than a predetermined length. ### Claim 17 (depends on 10) The system of claim 10, wherein the catheter is configured to ablate using radiofrequency signals having an output power of 90 watts. ### Claim 18 (depends on 10) The system of claim 10, wherein the processor is configured to identify the estimated end expirium when a velocity of the catheter is less than a predetermined velocity, and the position of the catheter is less than a predetermined distance from a first position of the catheter during an initial end expirium prior to ablation. ### Claim 19 (depends on 10) The system of claim 10, wherein the processor is configured to identify the end expirium solely based on catheter movement data.