Systems and methods for actively cooling ablation electrodes using diodes

• US 5,800,432 A
• Filed: 05/01/1995
• Issued: 09/01/1998
• Est. Priority Date: 05/01/1995
• Status: Expired due to Fees

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Swanson, David K.
• Primary Examiner(s): Shay, David M.
• Application Number:
  US08/432,325
• Time in Patent Office: 1,219 Days
• Field of Search: 606/29-52, 607/98-106, 128/736, 604/20, 600/549
• US Class Current: 606/49
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/0069 using fuzzy logic
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00886 Duration
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia

Abstract

Systems and methods for ablating body tissue using actively cooled electrodes deploy the electrode for contacting tissue to form a tissue-electrode interface. The systems and methods conduct ablation energy to the electrode for transmission by the electrode into tissue at the tissue-electrode interface. The systems and methods simultaneously cool the electrode while the electrode transmits ablation energy using a diode coupled to the electrode for conducting heat energy from the electrode in response to current flow from a current source.

Claims

1. A system for ablating body tissue exposed to a blood pool comprising

a catheter body having a distal end,

an electrode having a thermal mass carried on the distal end for contact with tissue,

a heat dispersing element carried outside the catheter body in a spaced apart relationship from the electrode for thermal conductive contact with the blood pool and not tissue contacted by electrode;

a diode carried within the catheter body, the diode having one region couple in thermal conductive contact with the electrode for conducting heat energy from the thermal mass of the electrode in response to current flow through the diode, the diode including another region coupled in thermal conductive contact with the heat dispersing element for conducting the heat energy to the heat dispersing element for dispersion by conductive cooling by the blood pool;

a source of ablation energy coupled to the electrode for conveying ablation energy to the electrode for transmission by the electrode into tissue,

a source of current coupled to the diode for conveying current through the diode, and

a controller coupled to the source of ablation energy and to the source of current for operating the ablation energy source simultaneously with the current source to transmit ablation energy from the electrode into tissue simultaneous with the conduction of heat energy from the electrode into the blood pool by the diode.

2. A system according to claim 1

and further including a temperature sensor in thermal conductive contact with the electrode to sense temperature of the thermal mass, and

wherein the controller is also coupled to the temperature sensor to either transmit ablation energy from the electrode or conduct heat energy from the electrode into the blood pool by the diode, or both, in response, at least in part, the temperature sensed by the temperature sensor.

3. A system according to claim 1

and further locating a tissue temperature sensing element in thermal conductive contact with tissue beneath the tissue-electrode interface, and

wherein the controller is also coupled to the tissue temperature sensing element to either transmit ablation energy from the electrode or conduct heat energy from the electrode into the blood pool by the diode, or both, in response, at least in part, the temperature sensed by the tissue temperature sensing element.

4. A method for ablating tissue in a heart chamber exposed to a blood pool comprising the steps of

deploying into the heart chamber a catheter body having a distal end, an electrode having a thermal mass carried on the distal end, a heat dispersing element carried outside the catheter body in a spaced apart relationship from the electrode, and a diode carried within the catheter body, the diode having one region coupled in thermal conductive contact with the electrode and another region coupled in thermal conductive contact with the heat dispersing element,

placing the electrode in contact with heart tissue to form a tissue-electrode interface,

locating the heat dispersing element in thermal conductive contact with the blood pool and not tissue contacted by the electrode,

conducting ablation energy to the electrode for transmission by the electrode into tissue at the tissue-electrode interface, and

simultaneously conducting a current flow to the diode to conduct heat energy from the thermal mass of the electrode to the heat dispersing element for dispersion by conductive cooling by the blood pool.

5. A method according to claim 4 and further including the steps of

locating a tissue temperature sensing element in thermal conductive contact with tissue beneath the tissue-electrode interface,

sensing tissue temperature with the tissue temperature sensing element, and

controlling either the step of conducting ablation energy or the step of simultaneously conducting the current flow or both steps based, at least in part, upon temperature sensed by the tissue temperature sensing element.

6. A method according to claim 4 and further including the steps of

locating a temperature sensor in thermal conductive contact with the electrode to sense temperature of the thermal mass,

sensing temperature of the thermal mass of the electrode, and

controlling at least one of the steps of conducting ablation energy and simultaneously conducting the current flow in response, at least in part, to temperature sensed by the temperature sensor.