RF ablation apparatus and method using unipolar and bipolar techniques

• US 6,200,314 B1
• Filed: 02/09/2000
• Issued: 03/13/2001
• Est. Priority Date: 05/05/1998
• Status: Active Grant

• Current Assignee: Heart Rhythm Technologies, Inc.
• Original Assignee: Cardiac Pacemakers Incorporated (Boston Scientific Corporation)
• Inventors: Sherman, Marshall L.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/501,472
• Time in Patent Office: 398 Days
• Field of Search: 606/32, 606/33, 606/34, 606/35, 606/38, 606/41, 606/42, 606/50, 607/101, 607/102, 607/119, 607/122, 607/154
• US Class Current: 606/34
• 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 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/0075 Phase
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1273 including multiple generators in one device
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Claims

1. A method for delivering energy to a biological site, said method comprising the steps of:

positioning a catheter having a plurality of electrodes at its distal end at the biological site;

positioning a backplate proximal the biological site so that the biological site is interposed between the electrode device and the backplate;

providing power to each of the electrodes, the power having a duty cycle with an on period and an off period;

during a first segment of the on period, establishing a voltage potential between at least one electrode and the backplate so that energy flows through the biological site between the electrode and the backplate; and

during a second segment of the on period, establishing a voltage potential between at least two of the electrodes so that energy flows through the biological site between the electrodes.

2. The method of claim 1 wherein the duration of the first segment is approximately one-fourth of the on period and the duration of the second segment is approximately three-fourths of the on period.

3. The method of claim 1 wherein, during the first segment, each electrode has substantially the same voltage level such that substantially no current flows between the electrodes.

4. The method of claim 1 wherein, during the second segment, the voltage potential between at least two electrodes is established by providing power to each of the electrodes having voltage levels that differ from each other.

5. The apparatus of claim 4 wherein the step of providing power comprises the further step of providing the power with different phase angles to at least two of the electrodes.

6. The method of claim 5 wherein the step of providing power comprises the further step of providing power that differs in phase by an amount greater than zero degrees but less than 180 degrees to at least two of the electrodes.

7. The method of claim 5 wherein the step of providing power that differs in phase angle comprises the step of providing power that differs in phase by approximately 132 degrees to at least two of the electrodes.

8. The method of claim 4 wherein the step of providing power comprises the step of providing power having different phase angles to adjacent electrodes.

9. The method of claim 4 further comprising the step of providing separate power to each of the plurality of electrodes and individually controlling the power to each electrode as to phase angle.

10. The method of claim 4 further comprising the step of providing separate power to each of the plurality of electrodes and individually controlling the power to each electrode as to duty cycle.

11. The method of claim 1 wherein, during the second segment, the voltage potential between at least two electrodes is established by connecting at least one electrode to a first potential and providing power to at least one of the electrodes having a voltage level different than the first potential.

12. The method of claim 1 further comprising, during the second segment, the steps of:

forming the plurality of electrodes into a first electrode group and a second electrode group with at least one electrode in each group;

connecting all electrodes in the first group to a first potential; and

applying power to all electrodes in the second group from the power control system with the power establishing a second potential different from the first potential at each of the electrodes in the second electrode group.

13. The method of claim 12 comprising the further step of interspacing the electrodes from the first group of electrodes with the electrodes of the second group of electrodes such that each electrode from the first group is adjacent at least one electrode from the second group.

14. The method of claim 12 wherein the electrodes are arranged into a linear array at the distal end of the catheter.