Systems and methods for radiofrequency ablation with phase sensitive power detection

• US 5,423,808 A
• Filed: 11/29/1993
• Issued: 06/13/1995
• Est. Priority Date: 11/08/1991
• Status: Expired due to Fees

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Edwards, Stuart D., Stern, Roger A.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): Parker, Marianne
• Application Number:
  US08/158,809
• Time in Patent Office: 561 Days
• Field of Search: 606/27-29, 606/32, 606/34, 606/35, 606/37-40, 607/1, 607/2, 607/63, 607/64, 607/68-74, 607/96, 607/98, 607/99, 607/100, 607/101, 607/115, 607/116
• US Class Current: 606/34
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• CPC Class Codes: A61B 18/1206 Generators 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 2017/00101 using an array of thermosensors
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00767 Voltage
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

Systems for ablating tissue control radiofrequency power to an ablation electrode by relying upon actual phase sensitive power measurements, unaffected by phase shifts between radiofrequency voltage and current. The systems also detect these phase differences, if they develop, and integrate this factor in making their control decisions.

Claims

1. A system for ablating tissue at an ablation site using radiofrequency energy comprising

a source of radiofrequency energy,

an electrode electrically connected to the source for emitting radiofrequency energy at the ablation site,

current monitoring means for measuring radiofrequency current delivered to the electrode and generating a measured radiofrequency current signal,

voltage monitoring means for measuring radiofrequency voltage at the electrode and generating a measured radiofrequency voltage signal,

means for multiplying the measured current signal by the measured voltage signal and deriving a phase sensitive power signal that represents real power (P_Real) transmitted to the electrode,

means for deriving a root mean squared current signal based upon the measured radiofrequency current signal,

means for deriving a root mean squared voltage signal based upon the measured radiofrequency voltage signal,

means for multiplying the root mean squared current signal by the root mean squared voltage signal and deriving a root mean squared power signal that represents the apparent power (P_Apparent) transmitted to the electrode,

means for generating a deviation signal that indicates a phase shift (φ

) between P_Real and P_Apparent, where;

space="preserve" listing-type="equation">φ

=cos.sup.-1, and

first control means for performing a function based upon the phase shift deviation signal, and

second control means for performing a function based upon the phase sensitive power signal.

2. A system according to claim 1

wherein the second control means includes display means for showing magnitude of the phase sensitive power signal.

3. A system according to claim 1

wherein the second control means includes

comparator means for comparing the derived phase sensitive power to a desired phase sensitive power and generating a deviation signal, and

command means for varying output voltage of the source in response to the deviation signal.

4. A system according to claim 1

wherein the first control means interrupts conduction of radiofrequency energy when the phase shift (φ

) exceeds a predetermined value.

5. A system according to claim 1

wherein the first control means generates a warning signal when the phase shift (φ

) exceeds a predetermined value.

6. A system according to claim 1

wherein the second control means controls voltage output of the source based upon the derived phase sensitive power when the phase shift (φ

) remains within an prescribed range.

7. A system according to claim 6

wherein the second control means reduces output voltage of the source when the phase shift (φ

) increases beyond the prescribed range.

8. A system according to claim 7

wherein the second control means interrupts power to the electrode when the phase shift (φ

) exceeds a prescribed maximum value.