Measuring usability to reduce cognitive load in cardiac ablation procedures

Designing and validating an AI interface to support electrophysiologists in high-stakes environments

Volta develops an AI-powered decision-support interface for electrophysiologists performing cardiac ablation procedures — complex interventions aimed at reducing the risk of atrial fibrillation. During these procedures, physicians rely on intra-cardiac mapping catheters and real-time signal analysis to identify abnormal zones.

When I joined Volta’s R&D team as Senior Product Designer, the company faced a new challenge: a technical breakthrough allowed the system to display up to 48 signal channels instead of the usual 10. The opportunity promised greater diagnostic precision — but also raised a critical question: could physicians handle this increase without cognitive overload in the operating room?

joule

Initial screen with the catheter schematic in the center

Structuring usability testing for medical-grade reliability

Before my arrival, formative and summative tests were already part of Volta’s medical device procedures — but they were conducted in a “quick and dirty” fashion, without clear metrics or structured methodology.

 

As Senior Product Designer, I took the lead in formalizing and structuring these usability practices to make them measurable, repeatable, and clinically reliable.

Working closely with AI engineers, physicians, the product manager, and the regulatory team, I designed a testing protocol aligned with both medical device compliance and UX research standards.

 

Because testing in a real surgical environment was not possible, I created realistic interactive prototypes in Figma, faithfully replicating Volta’s interface behavior and visual dynamics.

This setup enabled controlled usability simulations, measuring how interface complexity and signal density impacted perception, attention, and coordination under time pressure.

figma-scenarios

Scenarios file in Figma

explo-24

Visual exploration

Designing simulations to measure perception, attention, and coordination

We built a simulation protocol inspired by Measuring the User Experience (Tullis & Halbert), defining clear performance indicators such as:

 

  • Detection errors (missed visual signals)
  • Announcement errors (verbal communication issues between physician and mapping engineer)
  • Input errors (incorrect tagging in the mapping software)

 

Each simulation progressively increased the number of signal channels — from 10 to 24 — to evaluate the tipping point where the interface would become cognitively overwhelming.

Over 15 simulation sessions involving 18 participants (physicians, mapping engineers, and clinical specialists), we captured both quantitative performance data and qualitative feedback on visual comfort and workload.

Sessions were recorded, coded, and analyzed to identify cognitive breakdowns and determine an optimal usability threshold.

Example of simulation session

session-simulation

Session with a participant

Finding the threshold — balancing precision and usability

The data revealed a clear limit: beyond 16 channels, both signal detection accuracy and communication between the physician and the engineer began to deteriorate.Stress indicators and confusion increased sharply past that threshold, confirming that more data did not mean better decision-making.

Physicians unanimously favored the 16-channel configuration, which provided sufficient signal coverage without compromising focus or workflow continuity.

 

“With too many channels, we lose focus and forget what was already called out,” one physician said during the tests.

 

This insight led to a decisive design recommendation: limit the interface display to 16 channels for clinical use. That configuration is now part of the commercial product deployed in hospitals, praised by physicians for maintaining both precision and clarity.

final-16-channels

Final screen with 16 channels

Building design maturity inside the R&D team

Beyond the test results, the project became a turning point for Volta’s design maturity.

 

Starting from a blank slate, I introduced Figma as a design and prototyping tool, built a component library to quickly replicate test scenarios, and trained engineers and PMs in usability testing methods.

 

I also helped the regulatory team integrate this new process into Volta’s documentation framework, bridging user experience validation and medical compliance.

 

Despite limited resources and physician availability, this approach de-risked the interface before release and established a shared understanding of design’s value in product reliability.

🌟 Impact

The project had a lasting impact across product, clinical, and organizational dimensions:

  • Adoption of the 16-channel configuration, now a validated standard in Volta’s system.
  • Higher user satisfaction and reduced cognitive stress in clinical feedback.
  • Redesign of the main operating-room interface, improving usability and adoption of underused components.
  • Establishment of Volta’s usability testing culture, making design a key contributor to R&D decision-making.

Let’s work together

Do you have any questions? Would you like a quote for a service?

Get in Touch

Measuring usability

User research, PRODUCT DESIGN

Measuring usability to reduce cognitive load in cardiac ablation procedures

Designing and validating an AI interface to support electrophysiologists in high-stakes environments

Volta develops an AI-powered decision-support interface for electrophysiologists performing cardiac ablation procedures — complex interventions aimed at reducing the risk of atrial fibrillation. During these procedures, physicians rely on intra-cardiac mapping catheters and real-time signal analysis to identify abnormal zones.

When I joined Volta’s R&D team as Senior Product Designer, the company faced a new challenge: a technical breakthrough allowed the system to display up to 48 signal channels instead of the usual 10. The opportunity promised greater diagnostic precision — but also raised a critical question: could physicians handle this increase without cognitive overload in the operating room?

joule

Initial screen with the catheter schematic in the center

Structuring usability testing for medical-grade reliability

Before my arrival, formative and summative tests were already part of Volta’s medical device procedures — but they were conducted in a “quick and dirty” fashion, without clear metrics or structured methodology.

 

As Senior Product Designer, I took the lead in formalizing and structuring these usability practices to make them measurable, repeatable, and clinically reliable.

Working closely with AI engineers, physicians, the product manager, and the regulatory team, I designed a testing protocol aligned with both medical device compliance and UX research standards.

 

Because testing in a real surgical environment was not possible, I created realistic interactive prototypes in Figma, faithfully replicating Volta’s interface behavior and visual dynamics.

This setup enabled controlled usability simulations, measuring how interface complexity and signal density impacted perception, attention, and coordination under time pressure.

figma-scenarios

Scenarios file in Figma

explo-24

Visual exploration

Designing simulations to measure perception, attention, and coordination

We built a simulation protocol inspired by Measuring the User Experience (Tullis & Halbert), defining clear performance indicators such as:

 

  • Detection errors (missed visual signals)
  • Announcement errors (verbal communication issues between physician and mapping engineer)
  • Input errors (incorrect tagging in the mapping software)

 

Each simulation progressively increased the number of signal channels — from 10 to 24 — to evaluate the tipping point where the interface would become cognitively overwhelming.

Over 15 simulation sessions involving 18 participants (physicians, mapping engineers, and clinical specialists), we captured both quantitative performance data and qualitative feedback on visual comfort and workload.

Sessions were recorded, coded, and analyzed to identify cognitive breakdowns and determine an optimal usability threshold.

Example of simulation session

session-simulation

Session with a participant

Finding the threshold — balancing precision and usability

The data revealed a clear limit: beyond 16 channels, both signal detection accuracy and communication between the physician and the engineer began to deteriorate.Stress indicators and confusion increased sharply past that threshold, confirming that more data did not mean better decision-making.

Physicians unanimously favored the 16-channel configuration, which provided sufficient signal coverage without compromising focus or workflow continuity.

 

“With too many channels, we lose focus and forget what was already called out,” one physician said during the tests.

 

This insight led to a decisive design recommendation: limit the interface display to 16 channels for clinical use. That configuration is now part of the commercial product deployed in hospitals, praised by physicians for maintaining both precision and clarity.

final-16-channels

Final screen with 16 channels

Building design maturity inside the R&D team

Beyond the test results, the project became a turning point for Volta’s design maturity.

 

Starting from a blank slate, I introduced Figma as a design and prototyping tool, built a component library to quickly replicate test scenarios, and trained engineers and PMs in usability testing methods.

 

I also helped the regulatory team integrate this new process into Volta’s documentation framework, bridging user experience validation and medical compliance.

 

Despite limited resources and physician availability, this approach de-risked the interface before release and established a shared understanding of design’s value in product reliability.

🌟 Impact

The project had a lasting impact across product, clinical, and organizational dimensions:

  • Adoption of the 16-channel configuration, now a validated standard in Volta’s system.
  • Higher user satisfaction and reduced cognitive stress in clinical feedback.
  • Redesign of the main operating-room interface, improving usability and adoption of underused components.
  • Establishment of Volta’s usability testing culture, making design a key contributor to R&D decision-making.

Let’s work together

Do you have any questions? Would you like a quote for a service?

Get in Touch

Measuring usability

User research, PRODUCT DESIGN

Measuring usability to reduce cognitive load in cardiac ablation procedures

Designing and validating an AI interface to support electrophysiologists in high-stakes environments

Volta develops an AI-powered decision-support interface for electrophysiologists performing cardiac ablation procedures — complex interventions aimed at reducing the risk of atrial fibrillation. During these procedures, physicians rely on intra-cardiac mapping catheters and real-time signal analysis to identify abnormal zones.

When I joined Volta’s R&D team as Senior Product Designer, the company faced a new challenge: a technical breakthrough allowed the system to display up to 48 signal channels instead of the usual 10. The opportunity promised greater diagnostic precision — but also raised a critical question: could physicians handle this increase without cognitive overload in the operating room?

joule

Initial screen with the catheter schematic in the center

Structuring usability testing for medical-grade reliability

Before my arrival, formative and summative tests were already part of Volta’s medical device procedures — but they were conducted in a “quick and dirty” fashion, without clear metrics or structured methodology.

 

As Senior Product Designer, I took the lead in formalizing and structuring these usability practices to make them measurable, repeatable, and clinically reliable.

Working closely with AI engineers, physicians, the product manager, and the regulatory team, I designed a testing protocol aligned with both medical device compliance and UX research standards.

 

Because testing in a real surgical environment was not possible, I created realistic interactive prototypes in Figma, faithfully replicating Volta’s interface behavior and visual dynamics.

This setup enabled controlled usability simulations, measuring how interface complexity and signal density impacted perception, attention, and coordination under time pressure.

explo-24

Visual exploration

figma-scenarios

Scenarios file in Figma

Designing simulations to measure perception, attention, and coordination

We built a simulation protocol inspired by Measuring the User Experience (Tullis & Halbert), defining clear performance indicators such as:

 

  • Detection errors (missed visual signals)
  • Announcement errors (verbal communication issues between physician and mapping engineer)
  • Input errors (incorrect tagging in the mapping software)

 

Each simulation progressively increased the number of signal channels — from 10 to 24 — to evaluate the tipping point where the interface would become cognitively overwhelming.

Over 15 simulation sessions involving 18 participants (physicians, mapping engineers, and clinical specialists), we captured both quantitative performance data and qualitative feedback on visual comfort and workload.

Sessions were recorded, coded, and analyzed to identify cognitive breakdowns and determine an optimal usability threshold.

Example of simulation session

session-simulation

Session with a participant

Finding the threshold — balancing precision and usability

The data revealed a clear limit: beyond 16 channels, both signal detection accuracy and communication between the physician and the engineer began to deteriorate.Stress indicators and confusion increased sharply past that threshold, confirming that more data did not mean better decision-making.

Physicians unanimously favored the 16-channel configuration, which provided sufficient signal coverage without compromising focus or workflow continuity.

 

“With too many channels, we lose focus and forget what was already called out,” one physician said during the tests.

 

This insight led to a decisive design recommendation: limit the interface display to 16 channels for clinical use. That configuration is now part of the commercial product deployed in hospitals, praised by physicians for maintaining both precision and clarity.

final-16-channels

Final screen with 16 channels

Building design maturity inside the R&D team

Beyond the test results, the project became a turning point for Volta’s design maturity.

 

Starting from a blank slate, I introduced Figma as a design and prototyping tool, built a component library to quickly replicate test scenarios, and trained engineers and PMs in usability testing methods.

 

I also helped the regulatory team integrate this new process into Volta’s documentation framework, bridging user experience validation and medical compliance.

 

Despite limited resources and physician availability, this approach de-risked the interface before release and established a shared understanding of design’s value in product reliability.

🌟 Impact

The project had a lasting impact across product, clinical, and organizational dimensions:

  • Adoption of the 16-channel configuration, now a validated standard in Volta’s system.
  • Higher user satisfaction and reduced cognitive stress in clinical feedback.
  • Redesign of the main operating-room interface, improving usability and adoption of underused components.
  • Establishment of Volta’s usability testing culture, making design a key contributor to R&D decision-making.