IRRIGATED ABLATION CATHETER WITH CONTACT FORCE SENSING MECHANISM

• US 20130172784A1
• Filed: 12/29/2011
• Published: 07/04/2013
• Est. Priority Date: 12/29/2011
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Kirschenman, Mark B.
• Granted Patent: US 9,039,700 B2
• Time in Patent Office: Days
• US Class Current: 600/587
• 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 2018/00029 open
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/6852 Catheters

Abstract

A catheter is configured to indicate contact force between the catheter and tissue. The catheter includes an elongate deformable shaft having proximal and distal ends. The catheter includes an inner tip member projecting outwardly from the distal end, the inner tip member defining a fluid delivery lumen extending therethrough, and an outer tip member coupled to the distal end and disposed about the inner tip member. The inner and outer tip members define a gap therebetween in fluid communication within the fluid delivery lumen and the tip members are configured such that the size of the gap varies in response to contact of the outer tip member with the tissue. The catheter further includes first and second fluid sensing tubes defining ports upstream and downstream from the gap; wherein a difference in fluid pressure between the ports is indicative a contact force between the catheter and the external surface.

Claims

1. A catheter comprising:

an elongate deformable shaft having a proximal end and a distal end;

an inner tip member projecting outwardly from said distal end of said shaft, said inner tip member defining a fluid delivery lumen extending therethrough;

an outer tip member coupled to said distal end of said shaft and disposed about said inner tip member, an inner surface of said outer tip member and an outer surface of said inner tip member defining a gap therebetween in fluid communication with, and configured to receive fluid from, said fluid delivery lumen, wherein said outer and inner tip members are configured such that a size of said gap varies in response to contact of said outer tip member with an external surface;

a first fluid sensing tube defining a first port upstream from said gap; and

,

a second fluid sensing tube defining a second port downstream from said gap;

wherein a difference in fluid pressure between said first and second ports is indicative of a contact force between said catheter and said external surface.

2. The catheter of claim 1 further comprising a strut disposed within said shaft, said inner tip member supported on said strut.

3. The catheter of claim 1 wherein said fluid delivery lumen is disposed along a center axis of said inner tip member.

4. The catheter of claim 1 wherein said first fluid sensing tube is concentric with said fluid delivery lumen.

5. The catheter of claim 1 wherein said fluid delivery lumen surrounds said first fluid sensing tube.

6. The catheter of claim 1 wherein said outer tip member comprises an electrode.

7. The catheter of claim 6 wherein said electrode is configured to deliver ablation energy to said external surface.

8. The catheter of claim 1 wherein said second port is in fluid communication with a region outside said shaft.

9. The catheter of claim 1 further comprising a third fluid sensing tube defining a third port upstream from said gap wherein a difference in fluid pressure between said second and third ports is indicative of a contact force between said catheter and said external surface.

10. The catheter of claim 9 further comprising a fourth fluid sensing tube defining a fourth port upstream from said gap wherein a difference in fluid pressure between said second and fourth ports is indicative of a contact force between said catheter and said external surface.

11. The catheter of claim 1 wherein said distal end of said shaft comprises an elastomeric material configured such that contact of said outer tip member with said external surface causes compression of said distal end of said shaft and variation in said size of said gap.

12. The catheter of claim 1 wherein said outer and inner tip members are configured such that when fluid is flowing through said gap, fluid pressure between said inner surface of said outer tip member and said outer surface of said inner tip member acts as a spring exerting a biasing force in opposition to said contact force.

13. A system for measuring contact force between a catheter and tissue in a body, the system comprising:

a catheter, comprising;

an elongate deformable shaft having a proximal end and a distal end;

an inner tip member projecting outwardly from the distal end of said shaft, said inner tip member defining a fluid delivery lumen extending therethrough;

an outer tip member coupled to said distal end of said shaft and disposed about said inner tip member, an inner surface of said outer tip member and an outer surface of said inner tip member defining a gap therebetween in fluid communication with, and configured to receive fluid from, said fluid delivery lumen, wherein said outer and inner tip members are configured such that a size of said gap varies in response to contact of said outer tip member with an external surface;

a first fluid sensing tube defining a first port upstream from said gap; and

,

a second fluid sensing tube defining a second port downstream from said gap; and

,

a pressure sensor generating a signal indicative of a difference in fluid pressure between said first and second ports;

wherein said pressure sensor is configured to transmit said signal to an electronic control unit configured to determine a contact force between said catheter and said tissue responsive to said signal.

14. The system of claim 13 wherein said fluid delivery lumen surrounds said first fluid sensing tube.

15. The system of claim 13 wherein said outer tip member comprises an electrode.

16. The system of claim 13 wherein said second port is in fluid communication with a region outside said shaft.

17. The system of claim 13 further comprising a third fluid sensing tube defining a third port upstream from said gap wherein a difference in fluid pressure between said second and third ports is indicative of a contact force between said catheter and said external surface.

18. The system of claim 17 further comprising a fourth fluid sensing tube defining a fourth port upstream from said gap wherein a difference in fluid pressure between said second and fourth ports is indicative of a contact force between said catheter and said external surface.

19. The system of claim 13 wherein said distal end of said shaft comprises an elastomeric material configured such that contact of said outer tip member with said external surface causes compression of said distal end of said shaft and variation in said size of said gap.

20. The system of claim 13 wherein said outer and inner tip members are configured such that when fluid is flowing through said gap, fluid pressure between said inner surface of said outer tip member and said outer surface of said inner tip member acts as a spring exerting a biasing force in opposition to said contact force.