Ablation catheter with electrode temperature monitoring

• US 6,425,894 B1
• Filed: 07/12/2000
• Issued: 07/30/2002
• Est. Priority Date: 07/12/2000
• Status: Expired due to Term

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Brucker, Gregory, Penny, William
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Schopfer, Kenneth G
• Application Number:
  US09/614,362
• Time in Patent Office: 748 Days
• Field of Search: 606/31, 606/41, 606/42, 607/101, 607/102, 600/549
• US Class Current: 606/41
• CPC Class Codes: A61B 18/14 Probes or electrodes 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 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• 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 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially

Abstract

An ablation catheter is provided which comprises an elongated catheter body, a plurality of electrodes, and a thermal monitoring circuit. The thermal monitoring circuit is comprised of a plurality of thermocouples joined in series. The thermocouples thermoconductively coupled to the electrodes. The thermal monitoring circuit will require only two wires to travel through the elongated catheter body in order to monitor a plurality of electrodes.

Claims

1. A catheter comprising:

an elongated catheter body having a proximal and distal end;

a plurality of electrodes mounted on said distal end of said catheter body; and

a thermal monitoring circuit, said thermal monitoring a circuit comprising a plurality of thermocouples conductively connected in series, said thermocouples located at said distal end of said elongated catheter body, said thermocouples being each thermoconductively coupled to a separate electrode.

2. The catheter of claim 1 wherein said thermocouples each comprise a sensing junction thermoconductively coupled to an electrode and a reference junction which is thermally insulated from said electrode.

3. The catheter of claim 1 wherein said elongated catheter body has a central lumen extending therethrough, and wherein said thermocouples each comprise of a sensing junction thermoconductively coupled to an electrode, and a reference junction spaced from said electrode and positioned within said central lumen.

4. The catheter of claim 1 wherein said thermocouples each comprise two junctions and wherein 50% of the total junctions are thermoconductively coupled to electrodes and the other 50% of total junctions are thermally isolated.

5. The catheter of claim 1 wherein said thermocouples each comprise a sensing junction thermoconductively coupled to an electrode and a sealed and insulated reference junction.

6. The catheter in claim 1 wherein a single pair of lead wires extends from said thermal monitoring circuit to said proximal end of said elongated catheter body.

7. The catheter in claim 1 wherein each thermocouple comprises copper and constantan wires.

8. An ablation catheter comprising:

an elongated body having a proximal and distal end;

a plurality of electrodes mounted on the distal end of the catheter body, each electrode having a separate electrode circuit wire attached thereto providing a means for selectively delivering RF energy to each individual electrode; and

a thermal monitoring circuit, the thermal monitoring circuit comprising a plurality of thermocouples conductively connected in series and located at said distal end of said elongated catheter body, said thermal monitoring circuit having a single pair of lead wires extending from said thermal monitoring circuit to said proximal end of said elongated catheter body, said thermocouples being each thermoconductively coupled to a separate electrode.

9. The ablation catheter of claim 8 wherein said single pair of lead wires are conductively connected to a T-type connecter.

10. The ablation catheter of claim 8 wherein a series junction from each thermocouple is thermoconductively coupled to a separate electrode.

11. The ablation catheter of claim 8 wherein said thermocouples each comprise a sensing junction thermoconductively coupled to an electrode and a reference junction which is thermally insulated from the electrode.

12. The ablation catheter of claim 8 wherein said elongated catheter body has a central lumen extending therethrough, and wherein said thermocouples each comprise a sensing junction thermoconductively coupled to an electrode, and a reference junction, spaced from said electrode and positioned within said central lumen.

13. An ablation catheter monitoring system comprising:

an ablation catheter comprising an elongated catheter body having proximal and distal ends, a plurality of electrodes mounted on the distal end of said catheter body, each electrode having separate electrode circuit wires attached thereto providing a means for selectively delivering RF energy to each individual electrode, and a heat monitoring circuit, said heat monitoring circuit comprising a plurality of thermocouples conductively connected in series and located at said distal end of said elongated catheter body, a single pair of lead wires extending from said heat monitoring circuit to said proximal end of the elongated catheter body, said thermocouples being each thermoconductively coupled to a separate electrode;

processing means for reading a voltage across said single pair of lead wires extending from said heat monitoring circuit and calculating a temperature reading therefrom; and

display means for displaying said calculated temperature reading, said display means connected in a circuit to the processing means.

14. The ablation catheter monitoring system of claim 13 further comprising an RF generating means for selectively delivering RF energy to each electrode through said electrode wires.

15. The ablation catheter monitoring system of claim 13 further comprising means for synchronously delivering RF energy to each electrode.

16. The ablation catheter heat monitoring system of claim 13 wherein each thermocouple comprises a sensing junction positioned adjacent to said electrode and a reference junction which is thermally insulated from said electrode.

17. The ablation heat monitoring system of claim 13 wherein said elongated catheter body has a central lumen extending therethrough, and wherein said thermocouples each comprise sensing junctions thermoconductively coupled to said electrodes and reference junctions which are spaced from said electrodes and positioned within said lumen.

18. A method for determining the temperature of an activated electrode in an ablation catheter having a plurality of electrodes attached thereto, the method comprising:

thermoconductively coupling each electrode to a separate thermocouple connected together in series as a heat monitoring circuit;

electrically activating one of said electrodes;

measuring a voltage across said heat monitoring circuit, and

calculating the temperature of said electrode from said voltage across said heat monitoring circuit.

19. The method of claim 18 wherein each thermocouple has a sensing junction and a reference junction, each sensing junction being thermoconductively coupled to different electrodes, and each reference junction being thermally insulated from said electrodes.

20. The method of claim 18 in which a plurality of said electrodes are simultaneously electrically activated and an average temperature of said electrodes is calculated.