System and method for presenting information representative of lesion formation in tissue during an ablation procedure

• US 10,675,086 B2
• Filed: 11/06/2015
• Issued: 06/09/2020
• Est. Priority Date: 05/13/2009
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Afonso, Valtino X., Dragnev, Lubomir V., Cumming, Sarah E., Shai, Yitzhak I., Paul, Saurav
• Primary Examiner(s): Fowler, Daniel W
• Application Number:
  US14/934,698
• Publication Number:
  US 20160128770A1
• Time in Patent Office: 1,677 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00648 using more than one sensed parameter
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/0262 using a circulating cryogenic fluid
• 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 2034/2046 : Tracking techniques
• CPC Class Codes: A61B 2034/2051 : Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 : Reference field transducer attached to an instrument or patient
• 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 2090/065 : for measuring contact or contact pressure
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems
• CPC Class Codes: A61B 5/283 : Invasive
• CPC Class Codes: A61B 5/318 : Heart-related electrical modalities, e.g. electrocardiography [ECG]
• CPC Class Codes: A61B 5/367 : Electrophysiological study [EPS], e.g. electrical activation mapping or electro-anatomical mapping
• CPC Class Codes: A61B 5/7203 : for noise prevention, reduction or removal
• CPC Class Codes: A61N 7/022 : intracavitary

Abstract

A method and system for presenting information representative of lesion formation is provided. The system comprises an electronic control unit (ECU). The ECU is configured to acquire a value for an ablation description parameter and/or a position signal metric, wherein the value corresponds to a location in the tissue. The ECU is further configured to evaluate the value, assign it a visual indicator of a visualization scheme associated with the parameter/metric corresponding to the value, and generate a marker comprising the visual indicator such that the marker is indicative of the acquired value. The method comprises acquiring a value for the parameter/metric, and evaluating the value. The method further includes assigning a visual indicator of a visualization scheme associated with the parameter/metric corresponding to the value, and generating a marker comprising the visual indicator.

Claims

1. A system for presenting information representative of lesion formation in tissue during an ablation procedure, comprising:

an electronic control unit (ECU) configured to;

acquire a first value of at least one of an ablation description parameter and a second value of the at least one of the ablation description parameter, the first value corresponding to a first location on the tissue and the second value corresponding to a second location on the tissue;

acquire a first position signal metric at the first location and a second position signal metric at the second location;

assign a first visual indicator of a visualization scheme to the first value in response to an acquisition of the first value, wherein the first visual indicator is associated with the first value and the first position signal metric and wherein the visualization scheme is associated with one or more of the first value and the first position signal metric;

assign a second visual indicator of the visualization scheme to the second value in response to an acquisition of the second value, wherein the second visual indicator is associated with the second value and the second position signal metric and wherein the visualization scheme is associated with one or more of the second value and the second position signal metric;

generate (a) a first marker responsive to the acquiring of the first value and assignment of the first visual indicator and (b) a second marker responsive to the acquiring of the second value and assignment of the second value indicator, the first marker comprising the first visual indicator and the second marker comprising the second visual indicator such that the first marker is indicative of the first value of the at least one of the ablation description parameter and the first position signal metric and the second marker is indicative of the second value of the at least one of the ablation description parameter and the second position signal metric;

determine the first location in the tissue based on a first position of a positioning sensor and the second location in the tissue based on a second position of the positioning sensor;

correlate the first value of the at least one ablation description parameter and the first position signal metric with the first location in the tissue and correlate the second value of the at least one ablation description parameter and the second position signal metric with the second location in the tissue;

calculate a distance between the first visual indicator and the second visual indicator;

generate a third marker representing the distance between the first visual indicator and the second visual indicator;

superimpose the third marker between the first marker and the second marker onto a portion of an image or model of the tissue; and

control a display device to display the image or model with the third marker superimposed thereon.

2. The system of claim 1, wherein the first position signal metric is representative of a first stability of the positioning sensor and the second position signal metric is representative of a second stability of the positioning sensor, wherein the first stability and the second stability each comprise one or more of a predetermined first maximum movement distance of the positioning electrode and a second maximum movement distance over a period of time.

3. The system of claim 1, further comprising a user input device electrically coupled to the ECU, the user input device configured to allow a user to select the at least one of the ablation description parameter and the first and second position signal metric from a plurality of ablation description parameters and at least one position signal metric, and to select the visualization scheme from a plurality of visualization schemes.

4. The system of claim 1, wherein the third marker is different from a preexisting marker.

5. The system of claim 1, wherein the ECU is further configured to:

assess the stability of the positioning electrode based on predetermined stability criteria; and

control said display device to superimpose at least one of the first marker and the second marker responsive to a determination by the ECU that the positioning electrode meets the predetermined stability criteria,

wherein the predetermined stability criteria comprises one or more of a predetermined first maximum movement distance of the positioning electrode and a second maximum movement distance over a period of time.

6. The system of claim 1, wherein the ECU is further configured to:

assess the stability of the positioning electrode based on predetermined stability criteria; and

acquire the value of the at least one ablation description parameter and the first position signal metric and second position signal metric responsive to a determination by the ECU that the positioning electrode meets the predetermined stability criteria.

7. The system of claim 1, wherein the visualization scheme comprises one or more of a color coding scheme, a volumizing scheme, a texturizing scheme, and a translucency scheme.

8. The system of claim 1, wherein the at least one of the ablation description parameter is selected from the group consisting of:

a power delivered to the tissue during the ablation procedure;

a temperature at an ablation electrode used in the ablation procedure;

an impedance of the tissue;

a detected voltage amplitude;

a degree of contact between a medical device and the tissue;

an index representative of lesion formation in the tissue;

a likelihood of barotrauma occurring in the tissue;

a predicted lesion depth;

a likelihood of a lesion achieving a predetermined depth;

a predicted temperature of the tissue; and

an intracardiac echocardiograph characteristic.

9. The system of claim 1, wherein the at least one of the ablation description parameter comprises a characteristic monitored by at least one of a visualization, navigation, and a mapping system.

19. The system of claim 9, wherein the characteristic comprises an electrogram.

21. The system of claim 2, wherein the first stability comprises a first movement distance of the positioning sensor and the second stability of the positioning sensor comprises a second movement distance of the positioning sensor.

10. A method for presenting information representative of lesion formation in tissue during an ablation procedure, comprising the steps of:

acquiring a first value for at least one of an ablation description parameter and a first position signal metric and a second value for at least one of an ablation description parameter and a second position signal metric, the first value corresponding to a first location in the tissue and the second value corresponding to a second location in the tissue;

assigning a first visual indicator and a second visual indicator of a visualization scheme associated with the at least one of the ablation description parameter and the first position signal metric to the first value in response to the acquiring of the acquiring of the first value and the second position signal metric to the second value in response to the acquiring of the second value;

generating (a) a first marker responsive to the acquiring of the first value and assignment of the first visual indicator and the first visual indicator and (b) a second marker responsive to the acquiring of the second value and the second value indicator, the first marker comprising the first visual indicator and the second marker comprising the second visual indicator such that the first marker is indicative of the first value of the at least one of the ablation description parameter and the first position signal metric and the second marker is indicative of the second value of the at least one of the ablation description parameter and the second position signal metric;

determining the first location in the tissue based on a first position of a positioning sensor and the second location in the tissue based on a second position of the positioning sensor;

correlating the first value of the at least one ablation description parameter and the first position signal metric with the first location in the tissue and correlate the second value of the at least one ablation description parameter and the second position signal metric with the second location in the tissue;

calculating a distance between the first visual indicator and the second visual indicator;

generating a third marker representing the distance between the first visual indicator and the second visual indicator;

superimposing the third marker between the first marker and the second marker onto a portion of an image or model of the tissue; and

controlling a display device to display the image or model with the third marker superimposed thereon.

11. The method of claim 10, wherein the first position signal metric is representative of a first stability of the positioning sensor and the second position signal metric is representative of a second stability of the positioning sensor.

12. The method of claim 10, further comprising a user input device electrically coupled to the ECU, the user input device configured to allow a user to select the at least one of the ablation description parameter and the first and second position signal metric from a plurality of ablation description parameters and at least one position signal metric, and to select the visualization scheme from a plurality of visualization schemes.

13. The method of claim 10, wherein the third marker is different from a preexisting marker.

14. The method of claim 10, wherein the ECU is further comprises:

assessing the stability of the positioning electrode based on predetermined stability criteria; and

controlling said display device to superimpose at least one of the first marker and the second marker responsive to a determination by the ECU that the positioning electrode meets the predetermined stability criteria,

wherein the stability criteria comprises one or more of a predetermined first maximum movement distance of the positioning electrode and a second maximum movement distance over a period of time.

15. The method of claim 10, wherein the ECU is further comprises:

assessing the stability of the positioning electrode based on predetermined stability criteria; and

acquiring the value of the at least one ablation description parameter and the first position signal metric and second position signal metric responsive to a determination by the ECU that the positioning electrode meets the predetermined stability criteria.

16. The method of claim 10, wherein the visualization scheme comprises one or more of a color coding scheme, a volumizing scheme, a texturizing scheme, and a translucency scheme.

17. The method of claim 10, wherein the at least one of the ablation description parameter is selected from the group consisting of:

a power delivered to the tissue during the ablation procedure;

a temperature at an ablation electrode used in the ablation procedure;

an impedance of the tissue;

a detected voltage amplitude;

a degree of contact between a medical device and the tissue;

an index representative of lesion formation in the tissue;

a likelihood of barotrauma occurring in the tissue;

a predicted lesion depth;

a likelihood of a lesion achieving a predetermined depth;

a predicted temperature of the tissue; and

an intracardiac echocardiograph characteristic.

18. The method of claim 10, wherein the ablation description parameter comprises a parameter of a characteristic monitored by at least one of a visualization, navigation, and a mapping system.

20. The method of claim 18, wherein the characteristic comprises an electrogram.