Cardiac Electrophysiology Consulting

Find the critical isthmus — in the circuit, and in the problem.

Clinical electrophysiology advisory, physician education, and simulation technology for medical device companies and EP training programs.

Advisory Device design input, advisory boards, KOL programs
Education Proctoring, hands-on courses, curriculum design
Simulation CardaxEP — a full EP lab, in software
Critical Isthmus Consulting mark
Ablation & Mapping Complex Arrhythmia Device Advisory Fellow Education Simulation Technology

What we do

Four ways we work.

Every engagement starts from the same place: an experienced electrophysiologist sitting down with your team and getting specific about the actual problem — the design question, the training gap, the study endpoint that won't hold up.

01

Clinical & Technical Advisory

Practicing-EP perspective on catheter, mapping, and energy-delivery design — brought in early enough to change the outcome rather than validate it after the fact.

  • Device and catheter design review
  • Advisory board participation and facilitation
  • Workflow and human-factors assessment
  • Competitive and clinical landscape analysis
02

Physician Education & Proctoring

Case-based teaching that respects the learner's time. Hands-on technology sessions, procedural proctoring, and curricula built for how EP is actually practiced.

  • Procedural proctoring and case support
  • Hands-on technology demonstration sessions
  • Fellowship and CME curriculum design
  • Faculty development and speaker training
03

Evidence & Study Support

Help getting the science right before it goes to a journal, a regulator, or a payer — from endpoint selection to the sentence that reviewers will stop on.

  • Protocol and endpoint design review
  • Data interpretation and analysis planning
  • Manuscript, abstract, and white-paper development
  • Peer-review and editorial perspective
04

Simulation & Training Technology

Purpose-built simulation for electrophysiology — including CardaxEP, our own biophysically grounded EP lab environment for training and technology demonstration.

  • CardaxEP platform access and deployment
  • Custom arrhythmia scenarios and case libraries
  • Competency assessment content
  • Simulation-based demonstration events
In active development

The platform

CardaxEP

A complete electrophysiology laboratory in software. Real anatomy, real conduction physics, real catheters — and a pacing box that behaves the way one does at two in the morning when the tachycardia won't entrain.

CardaxEP was built because the gap between reading about reentry and seeing a circuit collapse under a well-placed lesion is enormous — and until now there was no safe place to close it. Fellows can be wrong here. Engineers can iterate here.

Request early access →
CardaxEP interface showing a bi-atrial activation map with a peri-tricuspid reentrant circuit alongside a 20-channel intracardiac electrogram display
Typical atrial flutter — counterclockwise peri-tricuspid, CTI-dependent. Halo, CS, HRA, His and ablation catheters live; CL 277 ms, ±0 ms over 8 beats.

Biophysical, not scripted

Activation emerges from a monodomain reaction–diffusion solve over an anisotropic bi-atrial mesh with human atrial ionic kinetics — not from a pre-recorded animation.

Real anatomy

Bi-atrial geometry from a published statistical shape atlas with fiber architecture, or import a mesh straight from a clinical mapping system.

Multi-catheter electrograms

Halo, coronary sinus, HRA, His and ablation channels rendered as timing-accurate bipolar signals — the same strip you read in the lab.

Programmed stimulation

S1–S2 drive trains, burst pacing, decremental protocols and entrainment from any electrode — with the interface pushing back when your drive isn't faster than the tachycardia.

Ablate and watch it change

Place lesions on the surface and see the circuit respond — block, slow, reorganize, or terminate. Line integrity is judged by the physics, not by a checkbox.

Substrate you can dial

A remodeling control moves the tissue from normal toward diseased — shortened refractoriness, slowed conduction, scar — so one anatomy yields many teaching cases.

Three-dimensional bi-atrial activation map with fiber vectors and an ablation line encircling the cavotricuspid isthmus region
Activation map · fiber architecture · catheter positions
Twenty-channel intracardiac electrogram display showing sequential Halo activation with coronary sinus and His recordings
Timing-accurate intracardiac electrograms · automatic cycle-length measurement
Solver
openCARPMonodomain, anisotropic
Ionic model
CourtemancheHuman atrial myocyte
Anatomy
Bi-atrial atlasPlus clinical mesh import
Views
AP · RAO · LAO · PAFluoro-equivalent projections

CardaxEP is an educational and technology-demonstration platform. It is not a medical device and is not intended for diagnosis, treatment planning, or any clinical decision-making.

Who we work with

Two audiences, one problem.

Whether you are building the technology or teaching people to use it, the bottleneck is the same: translating what happens inside the atrium into something a room full of people can see and act on.

Medical device industry

Ablation, mapping, and diagnostic technology teams who want an electrophysiologist in the room while decisions are still reversible — and a compelling way to show what the technology does when it matters.

Design input Advisory boards Tech demonstrations Clinical strategy Evidence generation Speaker programs

Training programs & fellowships

Fellowship directors, simulation centers, and academic EP programs building a curriculum that gets trainees to competence faster — with somewhere safe to make the mistakes that actually teach.

Simulation curricula Case libraries Competency assessment Course design Visiting faculty CME content

How engagements work

Short path from question to answer.

Scoping call

Thirty minutes, no charge. We establish what you're actually trying to decide, what you already know, and whether this is a problem worth outside help at all.

Defined proposal

A written scope with deliverables, timeline, and fee structure — hourly, day rate, or project — plus whatever contracting, disclosure, and compliance paperwork your organization requires.

Work and handoff

Deliverables arrive as agreed, with a walkthrough rather than a document dump. Ongoing retainer arrangements available where the relationship warrants one.

Get in touch

Start a conversation.

Tell us what you're working on. If we're the right fit we'll say so, and if we're not we'll usually know someone who is.

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