# US 12,543,990 B2 · Methods and systems for bypassing a signal converter in a cardiac sensing and pacing system

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- Number: US 12,543,990 B2
- Document ID: US12543990B2
- Status: Granted
- Kind: B2
- Application number: 17/565,608
- Filed: 2021-12-30
- Published: 2023-07-06
- Granted: 2026-02-10
- Earliest claimed: 2021-12-30
- Assignees: Biosense Webster (Israel) Ltd.
- Applicants: Biosense Webster (Israel) Ltd.
- Inventors: Assaf Govari; Vadim Gliner; Andres Claudio Altmann; Alon Boumendil
- Web page: https://patentgrep.com/patent/US12543990B2

## CPC

- A61B 5/304: Switching circuits
- A61N 1/3704: {Circuits specially adapted therefor, e.g. for sensitivity control}
- A61B 5/308: for electrocardiography [ECG]
- A61B 5/318: Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61B 5/6852: {Catheters}
- A61N 1/3625: {External stimulators}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)

## Abstract

Switching systems are positioned along a bidirectional signal carrying line, typically between an electrode in a catheter at the heart of a patient, and an external console. The switching system provides for switching the bidirectional signal carrying line between: a main line, which carries acquired electrocardiac signals from the electrode of the catheter at the heart of the patent to the external console, via a switch unit; and, a bypass line, which carries pacing signals, directly from the external console to the electrode of the catheter. The bypass line provides an uninterrupted electrical connection between the electrode and the external console, thus avoiding the switch unit.

## Claims

### Claim 1

A switching system providing bidirectional communication between one or more electrodes at a distal end of a catheter and an external console, the system comprising:
a patient interface unit (PIU) configured to sample electrocardiac signals sensed by the one or more electrodes;
a switch unit configured to convert the electrocardiac signals sampled by the PIU to an analog signal:
a bi-directional line comprising:
a main line configured to transmit analog signals from the one or more electrodes to the external console via the PIU and switch unit; and
a bypass line configured to bypass the PIU and switch unit and thereby directly communicate analog signals between the one or more electrodes and the external console; and
a pair of switches configured to toggle between communicating the analog signals via the main line and via the bypass line;
wherein the switch unit comprises:
a digital to analog converter configured to convert the electrocardiac signals sampled by the PIU to an analog signal;
a sensor configured to sense a pacing signal generated by the external console and transmitted over the main line, wherein the pacing signal is configured to be delivered to the one or more electrodes; and
a processor configured to:
operate said pair of switches for toggling between the main line and the bypass line based on output from said sensor; and
process the electrocardiac signal sampled from the PIU that is received via the main line.

### Claim 2 (depends on 1)

The switching system according to claim 1, wherein the processor is configured to toggle the pair of switches to activate the bypass line and de-activate the main line between the electrodes and the switch unit based sensing the pacing signal.

### Claim 3 (depends on 2)

The switching system according to claim 2, wherein the processor is configured to toggle the pair of switches to activate the main line and de-activate the bypass based on detecting that no pacing signals have been sensed by the sensor for a pre-defined time period of time.

### Claim 4 (depends on 1)

The switching system according to claim 1, wherein the bypass line is a bidirectional line providing bidirectional communication between the one or more electrodes at a distal end of a catheter and the external console.

### Claim 5 (depends on 1)

The switching system according to claim 1, wherein each of the main line and the bypass line is configured to transmit the analog signals collected by the one or more electrodes to the external console for display on a display screen.