SYSTEMS AND METHODS FOR PREVENTING TISSUE POPPING CAUSED BY BUBBLE EXPANSION DURING TISSUE ABLATION

• US 20090287205A1
• Filed: 05/11/2009
• Published: 11/19/2009
• Est. Priority Date: 05/16/2008
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Ingle, Frank
• Application Number:
  US12/463,904
• Publication Number:
  US 20090287205A1
• Time in Patent Office: Days
• US Class Current: 606/33
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/22009 reduced or prevented
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2090/378 using ultrasound

Abstract

A system for controllably delivering ablation energy to tissue includes an ablation device operable to supply ablation energy to body tissue causing bubbles to form in the tissue, an ultrasound transducer configured to detect energy spontaneously emitted by collapsing or shrinking bubbles that are resonating in the tissue, and a control element operably coupled to the ablation device and the ultrasound transducer element, the control element being configured to adjust the ablation energy supplied to the tissue in response to the energy detected by the ultrasound transducer to prevent tissue popping caused by bubble expansion.

Claims

1. A system for controllably delivering ablation energy to tissue, comprising:

an energy transmitter operable to transmit ablation energy into body tissue;

an ultrasound detector configured to detect energy emitted by collapsing or shrinking bubbles resonating in body tissue receiving ablation energy transmitted by the energy transmitter; and

a control element operatively coupled to the energy transmitter and ultrasound detector, the control element configured to adjust an amount of ablation energy being transmitted by the energy transmitter in response to the energy detected by the ultrasound detector.

2. The system of claim 1, wherein the detector is configured to detect energy at a resonant frequency based on a particular bubble size.

3. The system of claim 2, wherein the control element is configured to adjust the ablation energy to maintain bubble diameters at less than about 100 micrometers.

4. The system of claim 1, wherein the control element is configured to adjust the ablation energy based on an amplitude of the detected energy.

5. The system of claim 1, wherein the detector is configured to detect energy emitted by collapsing bubbles at a frequency higher than a frequency of a beating heart sound wave.

6. The system of claim 1, the ultrasound detector comprising a first transducer element, the system further comprising a second transducer element configured to insonate body tissue receiving ablation energy from the energy transmitter with an interrogation signal.

7. The system of claim 6, the interrogation signal comprising a single interrogation frequency.

8. The system of claim 6, the interrogation signal comprising a band limited spread spectrum signal.

9. The system of claim 6, wherein the interrogation signal is transmitted at a first frequency, and the energy emitted by collapsing or shrinking bubbles has a second frequency.

10. The system of claim 9, wherein the second frequency comprises a plurality of harmonics or sub-harmonics of the first frequency.

11. The system of claim 9, the second frequency being a harmonic or a sub-harmonic of the first frequency.

19. The system of claim 9, wherein the frequency of the energy emitted by collapsing or shrinking bubbles in the body tissue comprises a plurality of harmonics or sub-harmonics of the interrogation frequency.

12. A method of controllably ablating body tissue, comprising:

applying ablation energy to body tissue;

detecting ultrasound energy emitted by collapsing or shrinking bubbles that resonating within the body tissue receiving the ablation energy; and

adjusting the ablation energy being applied to the body tissue in response to the detected energy.

13. The method of claim 12, wherein detecting ultrasound energy by collapsing or shrinking bubbles comprises detecting ultrasound energy at a resonant frequency that is based on a size of a bubble.

14. The method of claim 12, wherein the ablation energy is adjusted based on an amplitude of the detected energy.

15. The method of claim 12, wherein the ablation energy is adjusted to maintain bubble diameters less than about 100 micrometers.

16. The method of claim 12, further comprising interrogating body tissue receiving ablation energy with a single interrogation ultrasound frequency.

17. The method of claim 12, further comprising interrogating body tissue receiving ablation energy with a band limited spread spectrum signal.

18. The method of claim 12, further comprising interrogating body tissue receiving ablation energy with an interrogation signal transmitted at a frequency differing from a frequency of the energy emitted by collapsing or shrinking bubbles in the body tissue.