Graphical user interface for real-time RF lesion depth display

• US 10,201,388 B2
• Filed: 09/26/2016
• Issued: 02/12/2019
• Est. Priority Date: 12/06/2005
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Fish, Jeffrey M., Byrd, Israel A., Dando, Jeremy D.
• Primary Examiner(s): Fowler, Daniel W
• Application Number:
  US15/275,530
• Publication Number:
  US 20170065348A1
• Time in Patent Office: 869 Days
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00256 Creating an electrical block
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00803 with temperature prediction
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00886 Duration
• CPC Class Codes: A61B 2034/104 Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
• CPC Class Codes: A61B 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 34/10 Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery

Abstract

A system for displaying characteristics of target tissue during an ablation procedure is provided that includes an electronic control unit (ECU) configured to receive data regarding electrical properties of the target tissue for a time period. The ECU is also configured to determine a value responsive to the data and indicative of at least one of a predicted depth of a lesion in the target tissue, a predicted temperature of the target tissue, and a likelihood of steam pop of the target tissue for the time period. The system further includes a display device operatively connected to the ECU. The display device is configured to receive the value and display a visual representation indicative of at least one of a predicted depth of a lesion in the target tissue, a predicted temperature of the target tissue, and a likelihood of steam pop of the target tissue for the time period.

Claims

1. A system including a graphical user interface for displaying characteristics of target tissue during an ablation procedure, the system comprising:

an electronic control unit (ECU) configured to;

receive a signal indicative of a contact force measured between a first electrode and the target tissue for a time period, wherein the time period is a time during which ablation energy is applied to the target tissue;

receive at least one characteristic of the target tissue;

measure a temperature during the time period;

determine a predicted depth value of a lesion in the target tissue based on each of the following;

i) the time period, ii) the signal indicative of the contact force, and iii) the temperature;

associate the predicted depth value with the at least one characteristic of the target tissue; and

output the predicted depth value; and

a display device operatively connected to the ECU, wherein the display device is configured to receive the predicted depth value and display a visual representation of the predicted depth value and one or more colors associated with the predicted depth value of the lesion in the target tissue for the time period.

2. The system of claim 1, the ECU further configured to

receive as an input data a complex impedance measured between a second electrode and the target tissue for the time period during the ablation procedure;

and

determine a predicted depth value of a lesion in the target tissue based on each of the following;

i) the time period, ii) the signal indicative of the contact force, iii) the temperature and iv) the complex impedance.

3. The system of claim 2, wherein the ECU is further configured to determine a predicted temperature of the tissue at a predetermined depth below a surface of the tissue using one or more of (i) components of the complex impedance, (ii) an instantaneous power, (iii) the time period, and (iv) the temperature.

4. The system of claim 1, wherein the one or more colors comprise a first color associated with a first range of predicted depth values of the lesion in the target tissue for the time period.

5. The system of claim 4, wherein the one or more colors further comprises a second color associated with a second range of predicted depth values of the lesion in the target tissue for the time period.

6. The system of claim 5, wherein the one or more colors further comprises a third color associated with a third range of predicted depth values of the lesion in the target tissue for the time period.

7. The system of claim 1, wherein the visual representation is displayed and continuously updated during the time period.

8. The system of claim 1, wherein the at least one characteristic of the target tissue comprises a thickness of the target tissue.

9. The system of claim 1, wherein the display device is further configured to display a visual representation indicative of an ablation catheter used to perform the ablation procedure.

10. The system of claim 9, wherein the visual representation indicative of the ablation catheter used to perform the ablation procedure includes a first view along a first axis of a body upon which the ablation procedure is performed and includes a second view along a second axis of the body upon which the ablation procedure is performed.

11. The system of claim 1, wherein the display device is further configured to display a visual representation indicative of the transmurality of a lesion in the targeted tissue.

12. The system of claim 1, wherein the ECU is configured to store the predicted depth value, to retrieve the stored predicted depth value subsequent to the time period, and to output the stored predicted depth value to the display device subsequent to the time period, and wherein the display device is configured to display a visual representation of the stored predicted depth value of the lesion in the target tissue subsequent to the time period.

13. The system of claim 1, wherein the display device is further configured to display a slider bar configured to adjust a threshold against which the predicted depth value of the lesion in the target tissue may be compared, thereby adjusting a sensitivity of the graphical user interface system.

14. A system including a graphical user interface for displaying characteristics of target tissue during an ablation procedure, the system comprising:

an ablation catheter comprising

a first sensor configured for obtaining data regarding a contact force measured between a first electrode and the target tissue for the time period, wherein the time period is a time during which ablation energy is applied to the target tissue,

a second sensor proximate a distal end of the ablation catheter configured for obtaining data regarding a temperature measured for the time period;

an electroanatomic visualization, mapping, and navigation system configured for generating an anatomical model of at least the target tissue, the electroanatomic visualization, mapping, and navigation system including a display device for displaying the anatomical model; and

a graphical user interface system comprising;

an electronic control unit (ECU) configured to receive as an input data a signal indicative of the contact force for the time period;

receive as an input an input data the temperature;

determine a predicted depth value of a lesion in the target tissue based on each of the following;

i) the time period, ii) the signal indicative of the contact force, and iii) the temperature;

associate the predicted depth value with the thickness of the target tissue; and

output the predicted depth value;

wherein the display device is operatively connected to the ECU and is configured to receive the predicted depth value and to display i) a visual representation of the predicted depth value of the lesion in the target tissue for the time period and ii) a visual representation of the thickness of the target tissue.

15. The system of claim 14, the ablation catheter further comprising

a third sensor configured for obtaining data regarding a complex impedance measured between a second electrode and the target tissue for a time period during the ablation procedure,

the ECU further configured to receive as an input data the complex impedance for the time period;

receive as an input data a thickness of the target tissue;

determine a predicted depth value of a lesion in the target tissue based on each of the following;

i) the time period, ii) the signal indicative of the contact force, iii) the temperature, and iv) the complex impedance.

16. The system of claim 14, wherein the display device is further configured to display a visual representation indicative of a location of the ablation catheter used to perform the ablation procedure relative to the anatomical model generated by the electroanatomical model generated by the electroanatomical visualization, mapping, and navigation system.

17. The system of claim 14, wherein at least one of the display device and the ablation catheter is configured to present at least one of an audible indication, a tactile indication, and a vibrational indication if the predicted depth value of the lesion in the target tissue for the time period exceeds a predetermined threshold.

18. A method for displaying characteristics of target tissue during an ablation procedure, the method comprising:

obtaining data regarding a thickness of the target tissue;

displaying a visual representation indicative of the thickness of the target tissue;

obtaining data regarding a contact force measured between a first electrode and the target tissue for the time period, wherein the time period is a time during which ablation energy is applied to the target tissue;

obtaining data regarding a temperature measured within the time period proximate the target tissue;

determining a predicted depth value of a lesion in the target tissue based on each of the following;

i) the time period, iii) the signal indicative of the contact force, and iii) the temperature;

associating the predicted depth value with the thickness of the target tissue; and

displaying a visual representation of the predicted depth value of the lesion in the target tissue for the time period.

19. The method of claim 18, further comprising

obtaining data regarding a complex impedance measured between a second electrode and the target tissue for a time period during the ablation procedure,

determining a predicted depth value of a lesion in the target tissue based on each of the following:

i) the time period, iii) the signal indicative of the contact force, iii) the temperature; and

iv) the complex impedance.