Electrode and associated systems using thermally insulated temperature sensing elements

• US 5,897,552 A
• Filed: 09/04/1997
• Issued: 04/27/1999
• Est. Priority Date: 11/08/1991
• Status: Expired due to Term

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Edwards, Stuart D., Stern, Roger A.
• Primary Examiner(s): Tucker, Guy V.
• Application Number:
  US08/923,363
• Time in Patent Office: 600 Days
• Field of Search: 606/29, 606/30, 606/31, 606/27, 606/28, 600/549, 604/97, 604/100, 604/101, 604/102, 604/154
• US Class Current: 606/31
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• 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 2017/00017 Electrical control of surgical instruments
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2018/00101 low, i.e. thermally insulating
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 Power or energy
• 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 2018/00803 with temperature prediction
• 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 2018/00916 : with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2090/0803 : Counting the number of times an instrument is used
• CPC Class Codes: A61B 2562/08 : Sensors provided with means for identification, e.g. barcodes or memory chips
• CPC Class Codes: A61M 2205/6018 : providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6027 : Electric-conductive bridges closing detection circuits, with or without identifying elements, e.g. resistances, zener-diodes
• CPC Class Codes: A61M 2205/70 : with testing or calibration facilities

Abstract

An ablation electrode carries a temperature sensing element for measuring the temperature of the tissue being ablated. A thermal insulating element associated with the sensing element blocks the transfer of heat energy from between the temperature sensing element and the body. The temperature sensing element therefore measures temperature without being affected by the surrounding thermal mass of the electrode.

Claims

1. An apparatus for transmitting energy to ablate tissue, comprising:

an electrode element adapted to be connected to an energy source, the electrode element being formed from a heat conducting material and defining an outer surface and a cavity extending generally inwardly from the outer surface;

a temperature sensor element located within the cavity; and

a thermal insulator located within at least a portion of the cavity between the electrode element and the temperature sensor element and adapted to substantially prevent the conduction of heat energy between the temperature sensor element and the electrode element.

2. An apparatus as claimed in claim 1, wherein the thermal insulator comprises a tube formed from insulating material.

3. An apparatus as claimed in claim 1, further comprising:

an electrical insulator between the temperature sensor element and the thermal insulator.

4. An apparatus as claimed in claim 3, wherein the electrical insulator comprises a potting compound.

5. An apparatus as claimed in claim 1, wherein a portion of the temperature sensor element is exposed outside the cavity.

6. An apparatus as claimed in claim 1, wherein the temperature sensor element comprises a thermistor.

7. An apparatus as claimed in claim 1, wherein the cavity comprises a plurality of cavities and a respective temperature sensor element is located in each of the cavities.

8. An apparatus as claimed in claim 7, wherein a respective thermal insulator is located within at least a portion of the each of the cavities between the electrode element and the temperature sensor elements.

9. An apparatus as claimed in claim 1, wherein the thermal insulator extends to the surface of the electrode.

10. An apparatus as claimed in claim 1, wherein the electrode element defines a distal tip and the cavity and temperature sensor element are associated with the distal tip.

11. An apparatus as claimed in claim 1, wherein the electrode element is adapted to be connected to a radio frequency energy source.

12. An apparatus for transmitting energy to ablate tissue, comprising:

an electrode element adapted to be connected to an energy source, the electrode element being formed from a heat conducting material and defining a predetermined surface;

a temperature sensor element associated with the predetermined surface of the electrode element; and

a thermal insulator located between the electrode element and the temperature sensor element and adapted to substantially prevent the conduction of heat energy between the temperature sensor element and the electrode element.

13. An apparatus as claimed in claim 12, further comprising:

an electrical insulator between the temperature sensor element and the thermal insulator.

14. An apparatus as claimed in claim 13, wherein the electrical insulator comprises a potting compound.

15. An apparatus as claimed in claim 12, wherein a portion of the temperature sensor element is exposed outside the electrode element.

16. An apparatus as claimed in claim 12, wherein the temperature sensor element comprises a thermistor.

17. An apparatus as claimed in claim 12, wherein the predetermined surface comprises a plurality of predetermined surfaces and the temperature sensor element comprises a plurality of temperature sensor elements associated with respective predetermined surfaces.

18. An apparatus as claimed in claim 17, wherein a respective thermal insulator is located between the respective predetermined surfaces of the electrode element and the temperature sensor elements.

19. An apparatus as claimed in claim 12, wherein the electrode element defines a distal tip and the temperature sensor element is associated with the distal tip.

20. An apparatus as claimed in claim 12, wherein the electrode element is adapted to be connected to a radio frequency energy source.

21. An apparatus for transmitting radio frequency energy to ablate endocardial tissue, the apparatus comprising:

an electrode element adapted to be coupled to a source of radio frequency energy, the electrode element including a distal tip end for contacting endocardial tissue for transmitting radio frequency energy from the source into tissue, the distal tip end including an open cavity, the electrode element being made of a heat conducting material;

a temperature sensor carried within the cavity at the distal tip end of the electrode element, the temperature sensor including a sensing tip in thermal communication with the tissue that the distal tip end of the electrode contacts, the sensing tip being operative for sensing tissue temperature contacting the distal tip end of the electrode element while the electrode element transmits radio frequency energy; and

thermal insulating material occupying the cavity around the temperature sensor for blocking the conduction of heat energy between the electrode element and the sensing tip.

22. An apparatus for transmitting energy to ablate tissue within the heart, the apparatus comprising:

an electrode element for contacting tissue while transmitting energy from a source to ablate the tissue, the electrode element being made of a heat conducting material;

a temperature sensing element carried in the electrode element, the temperature sensing element including a sensor having a region for sensing tissue temperature conditions in thermal communication with the tissue; and

thermal insulating material in the electrode element around the temperature sensing element, except for the sensor region, for blocking the thermal conduction of heat energy between the electrode element and the sensor to make the sensor region more responsive to sensed tissue temperature conditions than to the thermal mass of the electrode element.

23. An apparatus for transmitting energy to ablate tissue within the heart, the apparatus comprising:

an electrode element for contacting tissue while transmitting energy from a source to ablate the tissue, the electrode element having a thermal mass;

a temperature sensing element carried in the electrode element, the temperature sensing element including a sensor having a region in thermal communication with the tissue to sense tissue temperature conditions; and

thermal insulating material in the electrode element between the sensor and the thermal mass of the electrode element, except for the sensor region, for thermally insulating the sensor from the thermal mass of the electrode element to make the sensor region more responsive to sensed tissue temperature conditions than to the thermal mass of the electrode element.

24. An apparatus for transmitting energy to ablate tissue within the heart, the apparatus comprising:

an electrode element for contacting tissue while transmitting energy from a source to ablate the tissue, the electrode element being made of a heat conducting material;

multiple temperature sensing elements carried in the electrode element, each temperature sensing element including a sensor having a region for sensing tissue temperature conditions in thermal communication with the tissue; and

thermal insulating material in the electrode element around each temperature sensing element, except for the sensor region of each temperature sensing element, for blocking the thermal conduction of heat energy between the electrode element and the sensor of each temperature sensing element to make the sensor region of each temperature sensing element more responsive to sensed tissue temperature conditions than to the thermal mass of the electrode element.

25. An apparatus for transmitting energy to ablate tissue within the heart, the apparatus comprising

an electrode element for contacting tissue while transmitting energy from a source to ablate the tissue, the electrode element being made of a heat conducting material;

multiple temperature sensing elements carried in the electrode element, each temperature sensing element including a sensor having a region for sensing tissue temperature conditions in thermal communication with the tissue, and

thermal insulating material in the electrode element around at least one of the temperature sensing elements, except for the sensor region of the at least one temperature sensing element, for blocking the thermal conduction of heat energy between the electrode element and the sensor of the at least one temperature sensing element to make the sensor region of the at least one temperature sensing element more responsive to sensed tissue temperature conditions than to the thermal mass of the electrode element.

26. An apparatus for transmitting energy to ablate tissue, comprising:

an electrode element adapted to be connected to an energy source, the electrode element being formed from a heat conducting material and defining an outer surface and a cavity extending generally inwardly from the outer surface such that the cavity defines an opening in the outer surface of the electrode element; and

a temperature sensor element located within the cavity substantially adjacent to the opening.

27. An apparatus as claimed in claim 26, further comprising:

an electrical insulator located within at least a portion of the cavity between the electrode element and the temperature sensor element.

28. An apparatus as claimed in claim 27, wherein the electrical insulator comprises a potting compound.

29. An apparatus as claimed in claim 27, wherein the temperature sensor element comprises a thermistor.

30. An apparatus as claimed in claim 29, wherein the electrical insulator encapsulates at least a substantial portion of the thermistor.

31. An apparatus as claimed in claim 29, wherein the thermistor includes a pair of lead wires and the electrical insulator encapsulates at least a substantial portion of the thermistor and a portion of the lead wires.

32. An apparatus as claimed in claim 26, wherein a portion of the temperature sensor element is exposed.

33. An apparatus as claimed in claim 26, wherein the temperature sensor element comprises a thermistor.

34. An apparatus as claimed in claim 26, wherein at least a portion of the temperature sensor element lies within the opening.

35. An apparatus as claimed in claim 26, wherein at least a portion of the temperature sensor element is located within the cavity such that it will be in thermal communication with the tissue with no structural element therebetween.

36. An apparatus as claimed in claim 26, wherein the cavity defines a cavity surface and the temperature sensor element is located in spaced relation to the cavity surface.

37. An apparatus as claimed in claim 26, further comprising a pair of wires connected to the temperature sensor element.