Project Details
Affera
Software that creates a 3D map of the electrical activity in the heart. Used to treat atrial fibrillation.
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Atrial fibrillation affects millions of patients worldwide, yet mapping the chaotic electrical signals inside the heart remains one of the most complex challenges in electrophysiology. Clinicians need a clear, spatial understanding of activation patterns before they can confidently deliver ablation therapy. Without that clarity, procedures take longer, uncertainty increases, and teams spend critical minutes reconciling conflicting signal readouts instead of treating the patient. The product was built to collapse that uncertainty into a single, trustworthy spatial model that everyone in the room can read at a glance.
The mapping platform translates raw intracardiac signals into a real-time three-dimensional model of cardiac electrical activity. By combining catheter position data with high-density signal processing, the system gives physicians a dynamic view of how electrical waves propagate across atrial tissue during a procedure. Each beat contributes to a living map that updates as catheters move, as contact improves, and as the team narrows in on the circuits driving the arrhythmia. That continuity matters because ablation decisions are made minute by minute, often under fluoroscopy, often while multiple signals compete for attention on adjacent monitors.
Early workflow studies revealed that speed and clarity matter as much as accuracy. Operators needed to orient themselves within the model in seconds, identify re-entrant circuits without hunting through nested menus, and maintain confidence that the map reflected what they were seeing on their monitors. We observed cases where experienced users paused mid-procedure to rebuild mental models of left-right orientation, or to confirm which wall they were viewing when the anatomy folded back on itself. Those pauses were small individually, but they accumulated into friction that eroded trust in the software during the moments when trust mattered most.
The interface was structured around a persistent spatial canvas with contextual controls that appear only when relevant. Color mapping, signal review, and annotation tools were grouped into predictable zones so users could move between analysis modes without losing their place in the case. Rather than forcing users through modal workflows or stacked configuration panels, the layout keeps the map anchored while supporting tools orbit the primary view. The goal was to make advanced functionality feel ambient—available when needed, invisible when not—so the user's attention stays on anatomy and signal, not on software mechanics.
Information hierarchy played a central role in reducing cognitive load. Large-format map views carry primary attention, while secondary panels expose beat selection, reference channels, and measurement tools in compact, scannable layouts that support fast decision-making under time pressure. We tested multiple density levels for the secondary panels, comparing compact tables against card-based summaries and inline sparkline histories. The winning patterns emphasized legibility at arm's length, high contrast for active states, and strict limits on simultaneous color encodings so the map itself remained the dominant visual signal in the room.
Validation sessions with electrophysiologists highlighted the importance of legibility at a distance. Typography, contrast, and motion were tuned so critical map updates remain readable on large clinical displays, even in dimly lit lab environments. Subtle animations indicate fresh data without shimmering distractions, and stale regions desaturate gently rather than disappearing abruptly. We also aligned iconography and label language with terminology already used in lab documentation, reducing the translation overhead between what the team says out loud and what the interface displays on screen.
Collaboration workflows were another key consideration. Multiple team members often review the same map simultaneously, so the product supports shared views, synchronized navigation, and clear visual states that indicate when data is live, cached, or under review. When a colleague zooms to a region of interest, others can follow without losing global context, and annotations persist across sessions so handoffs between operators remain coherent. These details rarely appear in marketing screenshots, but they define whether a team adopts the product as their default working environment or treats it as a fallback utility.
Performance constraints shaped the design as much as aesthetics. Maps can contain hundreds of thousands of points, multiple simultaneous signals, and frequent recalculations as catheters reposition. The interface therefore prioritizes progressive rendering and stable frame rates over decorative transitions. Loading states are explicit but brief, and the system communicates when interpolation is provisional versus fully sampled. Users should never wonder whether a visual gap reflects missing data or a rendering delay, because that ambiguity directly affects clinical confidence.
Accessibility and error prevention were treated as clinical requirements, not polish items. Destructive actions require deliberate confirmation, color palettes were tested for common forms of color vision deficiency, and text sizes scale without breaking the spatial layout of adjacent controls. When signal quality drops below usable thresholds, the product surfaces actionable guidance—adjust contact, revisit reference placement, or exclude noisy beats—instead of silently degrading the map into misleading geometry.
Across iterations, the north star remained consistent: reduce the distance between what the team knows and what the software shows. Every layout decision, typography choice, and motion curve was evaluated against that standard. The result is a mapping experience designed to feel calm and precise in high-stakes moments—giving clinical teams a dependable spatial picture of cardiac activity when every minute of procedure time counts, and helping them move from interpretation to action with fewer interruptions, fewer doubts, and greater shared certainty.