Systems and methods for electrode contact assessment

• US 8,162,935 B2
• Filed: 10/27/2006
• Issued: 04/24/2012
• Est. Priority Date: 10/27/2005
• Status: Expired due to Fees

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Paul, Saurav, Tegg, Troy T., Thao, Chou, Cao, Hong, Puryear, Harry, Kuehn, Fos, Heimbecher, Reed R.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/091,151
• Publication Number:
  US 20080275442A1
• Time in Patent Office: 2,006 Days
• Field of Search: 606/41, 606 48- 50, 600/587, 600/374, 600/372, 607101-102
• US Class Current: 606/41
• 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 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure

Abstract

Systems and methods are disclosed for assessing electrode-tissue contact for tissue ablation. An exemplary electrode contact sensing system comprises an electrode 10 housed within a distal portion of a catheter shaft 14. At least one electro-mechanical sensor 20 is operatively associated with the electrode 10 within the catheter shaft 14. The at least one electro-mechanical sensor 20 is responsive to movement of the electrode 10 by generating electrical signals corresponding to the amount of movement. The system may also include an output device electrically connected to the at least one electro-mechanical sensor 20. The output device receives the electrical signals for assessing a level of contact between the electrode 10 and a tissue 12.

Claims

1. An electrode contact sensing system that provides information indicative of contact between an electrode and tissue, the system comprising

an electrode housed within a distal portion of a catheter shaft having a wall;

at least one substantially arcuate electromechanical sensor inside the wall of the catheter shaft and operatively associated with the electrode, the electromechanical sensor adapted to generate an electrical signal in response to a mechanical load on said sensor resulting from contact between said electrode and the tissue, a longitudinal axis of the electromechanical sensor extending substantially parallel to a central axis of the catheter shaft; and

an output device electrically connected to said at least one sensor, the output device being adapted to receive the electrical signal and to present to a user of the system an indicator of contact between the electrode and the tissue.

2. The system of claim 1, wherein said electrical signal generated by said at least one electromechanical sensor is a variable electrical signal that varies in response to variations in said mechanical load.

3. The system of claim 2, wherein said variations of said mechanical load are indicative of contact stress between said electrode and the tissue, and said indicator of contact presented by said output device indicates to the user the contact stress between the electrode and the tissue.

4. The system of claim 2, wherein said variable electrical signal has a strength, and wherein said strength of said variable electrical signal is proportional to contact stress.

5. The system of claim 2, wherein said variable electrical signal has an amplitude, and wherein said amplitude of said variable electrical signal is proportional to the magnitude of contact stress.

6. The system of claim 2, wherein said variable electrical signal has a periodicity.

7. The system of claim 6, wherein said periodicity of said variable electrical signal corresponds to the periodicity of contact stress.

8. The system of claim 1, wherein the at least one electromechanical sensor includes a piezoelectric film.

9. The system of claim 1, wherein the at least one electromechanical sensor is laminated on a support structure and the support structure is connected directly to the electrode.

10. The system of claim 1, wherein the at least one electromechanical sensor is laminated on a support structure and the support structure is provided in a spaced-apart relation from the electrode.

11. The system of claim 1, wherein multiple electrically-isolated, electromechanical sensors are laminated on a single support structure operatively associated with the electrode.

12. The system of claim 11, wherein the multiple electrically-isolated, electromechanical sensors provide information concerning the directionality of the electrode-tissue contact.

13. The system of claim 1, wherein the at least one electromechanical sensor is housed within the electrode.

14. The system of claim 13 further comprising a plurality of electromechanical sensors housed within the electrode, said electromechanical sensors comprising a first electromechanical sensor and an adjacent electromechanical sensor, said first electromechanical sensor being radially offset from said adjacent electromechanical sensor by about 30 to about 180 degrees.

15. The system of claim 14, wherein the plurality of electromechanical sensors are a plurality of electrically-isolated piezoelectric sensors.

16. The system of claim 1, wherein the at least one electromechanical sensor contacts the electrode without being mounted to the electrode.

17. The electrode contact sensing system of claim 1, wherein the at least one arcuate electromechanical sensor is shaped substantially as a question mark.

18. A method of sensing electrode-tissue contact comprising

contacting a tissue with an electrode housed within a distal portion of a catheter;

generating electric signals in an electromechanical sensor in response to contact stress of the electrode with the tissue, the electrical signals generated by the electromechanical sensor slidably engaging the electrode; and

outputting the electrical signals to a monitoring device.

19. The method of claim 18 further comprising assessing contact stresses between the electrode and tissue based on the electric signals.

20. The method of claim 19 further comprising determining contact based on strength of the electric signals.

21. The method of claim 19 further comprising determining contact based on an amplitude of the electric signals.

22. The method of claim 19 further comprising determining contact based on periodicity of the electric signals.

23. The method of claim 19 further comprising reducing noise artifacts during distal portion movement.

24. The method of claim 19 further comprising reducing noise effects from intermittent contact of the electrode.

25. The method of claim 19 further comprising detecting stress of the electrode in any direction.

26. The method of claim 19, wherein the electromechanical sensor comprises at least two piezoelectric sensors, and further comprising determining direction and plane of tissue contact with the electrode based on relative magnitude and direction of signals obtained from each of the at least two piezoelectric sensors.

27. A system comprising

an electrode means for applying ablative energy to a tissue;

arcuate means for generating electromechanical signals corresponding to contact stress of the electrode means when the arcuate means is moved by engagement with the electrode means, wherein a longitudinal axis of the arcuate means extends substantially parallel to a central axis of a catheter shaft housing the arcuate means; and

a means for assessing contact between the electrode means and the tissue based on the electromechanical signals.

28. The system of claim 27 further comprising a means for reducing noise artifacts.

29. The system of claim 27 further comprising a means for reducing noise effects from intermittent tissue contact.

30. The system of claim 27 further comprising a means for determining direction and plane of tissue contact with the electrode means based on relative magnitude and direction of a signal obtained from each of at least two electro-mechanical sensors operatively associated with the electrode means.

31. The system of claim 30, wherein the at least two electro-mechanical sensors are two or more electrically-isolated piezoelectric sensors.