CONTROLLED RF ENERGY IN A MULTI-ELECTRODE CATHETER

• US 20150272655A1
• Filed: 03/27/2014
• Published: 10/01/2015
• Est. Priority Date: 03/27/2014
• Status: Abandoned Application

• Current Assignee: Medtronic Ablation Frontiers LLC (Medtronic Plc)
• Original Assignee: Medtronic Ablation Frontiers LLC (Medtronic Plc)
• Inventors: CONDIE, Catherine R., SHERMAN, Marshall L.
• Application Number:
  US14/227,601
• Publication Number:
  US 20150272655A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

A system and method for preventing unintended tissue damage from the delivery of unintended bipolar radiofrequency energy. The system may include a multi-electrode ablation device and an RF delivery unit. The RF delivery unit may transmit unipolar energy to the plurality of electrodes, the energy being in phase, with all electrodes delivering the same voltage and being activated at the same time to deliver no bipolar energy. Additionally or alternatively, the RF delivery unit may transmit bipolar energy to the electrodes. Here, voltage differences between each pair of adjacent electrodes may be monitored and the level of bipolar energy being delivered may be calculated. The voltage of energy delivered to at least one electrode in each adjacent electrode pair may be adjusted if the amount of delivered bipolar energy exceeds a safety threshold.

Claims

1. A system for preventing unintended tissue damage from the delivery of bipolar radiofrequency energy, the system comprising:

an ablation device including a plurality of electrodes; and

a radiofrequency energy delivery unit, the delivery unit being in electrical communication with each of the plurality of electrodes;

the energy delivery unit being programmed to transmit unipolar radiofrequency energy to each of the plurality of electrodes, the transmission of radiofrequency energy to each of the plurality of electrodes being started at the same time, being in phase, and having the same voltage.

2. The system of claim 1, wherein the energy delivery unit is further programmed to transmit radiofrequency energy having a same recurring waveform to each of the plurality of electrodes.

3. The system of claim 1, wherein the delivery unit includes at least one processor and a programmable logic device.

4. The system of claim 3, wherein the programmable logic device creates a timing signal that causes the delivery unit to transmit radiofrequency energy having square waves.

5. The system of claim 4, wherein the radiofrequency energy having square waves is filtered such that the radiofrequency energy has a sinusoidal waveform, the sinusoidal waveform radiofrequency energy being delivered by each of the plurality of electrodes.

6. The system of claim 1 wherein the delivery unit is programmed to delivery radiofrequency energy in unipolar mode only.

7. The system of claim 1, wherein the energy delivery unit is further programmed to transmit bipolar radiofrequency energy.

8. The system of claim 7, wherein the bipolar radiofrequency energy transmitted to each electrode includes waves that are out of phase from radiofrequency energy transmitted one or more adjacent electrodes.

9. The system of claim 7, wherein the delivery unit is further programmed to monitor an amount of bipolar energy delivered between each pair of adjacent electrodes.

10. The system of claim 9, wherein monitoring the amount of bipolar energy delivered between each pair of adjacent electrodes includes at least one of monitoring a voltage difference between each pair of adjacent electrodes and the power delivered to each of the plurality of electrodes.

11. The system of claim 10, wherein the control unit is further programmed to determine whether the amount of bipolar energy delivered by each pair of adjacent electrodes exceeds a predetermined safety threshold.

12. The system of claim 11, wherein the predetermined safety threshold voltage is determined before radiofrequency energy is transmitted to the plurality of electrodes.

13. The system of claim 11, wherein the delivery unit is further programmed to reduce the voltage of radiofrequency energy transmitted to an electrode of a pair of adjacent electrodes that is delivering energy at a higher voltage than another of the pair of adjacent electrodes when the delivery unit determines that the amount of bipolar energy delivered between the pair of adjacent electrodes exceeds the predetermined safety threshold.

14. The system of claim 13, wherein the voltage of radiofrequency energy transmitted to the electrode of a pair of adjacent electrodes that is delivering energy at a higher voltage than the other of the pair of adjacent electrodes is reduced such that both electrodes of the pair of adjacent electrodes each deliver radiofrequency energy having substantially the same voltage.

15. The system of claim 11, wherein the delivery unit is further programmed to at least one of deactivate an electrode of a pair of adjacent electrodes that is delivering energy at a lower voltage than another of the pair of adjacent electrodes and deactivating both electrodes of the pair of adjacent electrodes, when the delivery unit determines that the amount of bipolar energy delivered between the pair of adjacent electrodes exceeds the predetermined safety threshold.

16. The system of claim 11, wherein the delivery unit is further programmed to deliver energy to a pair of adjacent electrodes according to a duty cycle.

17. The system of claim 16, wherein the duty cycle includes delivering radiofrequency energy at the same voltage to each electrode of the pair of adjacent electrodes.

18. The system of claim 1, wherein the ablation device further includes a plurality of carrier arms, at least one of the plurality of electrodes being located on each carrier arm.

19. A system for preventing unintended tissue damage from the delivery of bipolar radiofrequency energy, the system comprising:

an ablation device including a plurality of electrodes, each of the plurality of electrodes having at least one adjacent electrode;

a radiofrequency energy delivery unit in electrical communication with each of the plurality of electrodes, the radiofrequency energy delivery unit being configured to deliver radiofrequency energy including radiofrequency energy waves; and

a return electrode in electrical communication with the delivery unit, the radiofrequency energy delivery unit being programmable to;

transmit unipolar radiofrequency energy to the plurality of electrodes when the radiofrequency energy transmitted to each of the plurality of electrodes is in phase, has the same voltage, and when the energy delivery unit starts the delivery of radiofrequency energy to each of the plurality of electrodes simultaneously;

transmit bipolar radiofrequency energy to the plurality of electrodes when the radiofrequency waves are out of phase;

monitor voltage differences between each pair of adjacent electrodes; and

adjust at least one electrode in a pair of electrodes when the radiofrequency energy delivery unit determines that the voltage difference between the pair of electrodes indicates that bipolar energy is being delivered at a level that exceeds a predetermined safety threshold.

20. The system of claim 19, wherein adjusting at least one electrode in a pair of electrodes includes reducing the radiofrequency energy voltage delivered by an electrode of the pair of electrodes that is delivering the higher voltage of radiofrequency energy to a voltage that is substantially the same as the voltage delivered to an electrode of the pair of electrodes that is delivering the lower voltage of radiofrequency energy.

21. The system of claim 19, wherein adjusting at least one electrode in a pair of electrodes includes deactivating an electrode of the pair of electrodes that is delivering the lower voltage of radiofrequency energy.

22. The system of claim 19, wherein adjusting at least one electrode in a pair of electrodes may include deactivating both electrodes of the pair of adjacent electrodes.

23. A system for preventing unintended tissue damage from the delivery of bipolar radiofrequency energy, the system comprising:

an ablation device including a plurality of electrodes, each of the plurality of electrodes having at least one adjacent electrode; and

a radiofrequency energy delivery unit in electrical communication with each of the plurality of electrodes, the radiofrequency energy delivery unit being configured to deliver radiofrequency energy including radiofrequency energy waves, the radiofrequency energy delivery unit being programmed to;

monitor voltage differences between each pair of adjacent electrodes; and

adjust at least one electrode in a pair of electrodes when the radiofrequency energy delivery unit determines that the voltage difference between the pair of electrodes indicates that bipolar energy is being delivered at a level that exceeds a predetermined safety threshold.

24. The system of claim 23, wherein adjusting at least one electrode in a pair of electrodes includes at least one of:

reducing the voltage of radiofrequency energy transmitted to an electrode of a pair of electrodes that is delivering energy at a higher voltage than another of the pair of electrodes; and

deactivating an electrode of a pair of electrodes that is delivering energy at a lower voltage than another of the pair of electrodes.

25. The system of claim 23, wherein the radiofrequency energy delivery unit is further programmed to monitor power differences between each pair of adjacent electrodes and adjust at least one electrode in a pair of electrodes when the radiofrequency energy delivery unit determines that the power difference between the pair of electrodes indicates that bipolar energy is being delivered at a level that exceeds a predetermined safety threshold.

26. A method for preventing unintended tissue damage, the method comprising:

transmitting unipolar radiofrequency energy to a plurality of electrodes of a multi-electrode medical device, the radiofrequency energy being transmitted coherently to each of the plurality of electrodes, the radiofrequency transmitted to each of the plurality of electrodes being in phase with the radiofrequency energy delivered to the other of the plurality of electrodes, and the radiofrequency energy transmitted to each of the plurality of electrodes having the same voltage.

27. The method of claim 26, further comprising transmitting radiofrequency energy to each of the plurality of electrodes according to a duty cycle.

28. The method of claim 27, wherein each of the plurality of electrodes has at least one adjacent electrode to create a pair of adjacent electrodes, the plurality of electrodes including a plurality of adjacent pairs of electrodes, the method further comprising:

transmitting bipolar radiofrequency energy between at least one pair of adjacent electrodes when radiofrequency energy delivered to a first electrode of the pair of adjacent electrodes is out of phase with or at a different voltage than radiofrequency energy delivered to a second electrode of the pair of adjacent electrodes;

monitoring voltage differences between the at least one pair of adjacent electrodes; and

adjusting radiofrequency energy delivered to at least one electrode in the at least one pair of adjacent electrodes when the radiofrequency energy delivery unit determines that the voltage difference between the electrodes of the at least one pair of adjacent electrodes indicates that bipolar energy is being delivered at a level that exceeds a predetermined safety threshold.

29. The method of claim 28, wherein adjusting at least one electrode in the at least one pair of adjacent electrodes includes at least one of:

reducing the radiofrequency energy voltage transmitted to an electrode of the at least one pair of adjacent electrodes that is delivering the higher voltage of radiofrequency energy such that both electrodes in the at least one pair of adjacent electrodes deliver substantially the same voltage; and

deactivating an electrode of the at least one pair of adjacent electrodes that is delivering the lower voltage of radiofrequency energy.