Radio frequency ablation servo catheter and method

• US 8,206,383 B2
• Filed: 12/15/2009
• Issued: 06/26/2012
• Est. Priority Date: 05/28/2004
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Hauck, John A., Olson, Eric, Schweitzer, Jeff A., Burrell, Jeff, Johnson, Mark T.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/638,814
• Publication Number:
  US 20100094281A1
• Time in Patent Office: 924 Days
• Field of Search: 606 32- 41, 604/95.04, 604/95.05
• US Class Current: 606/34
• 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 2034/105 Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/301 for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient

Abstract

A system that interfaces with a workstation endocardial mapping system allows for the rapid and successful ablation of cardiac tissue. The system allows a physician to see a representation of the physical location of a catheter in a representation of an anatomic model of the patient'"'"'s heart. The workstation is the primary interface with the physician. A servo catheter having pull wires and pull rings for guidance and a servo catheter control system are interfaced with the workstation. Servo catheter control software may run on the workstation. The servo catheter is coupled to an RF generator. The physician locates a site for ablation therapy and confirms the location of the catheter. Once the catheter is located at the desired ablation site, the physician activates the RF generator to deliver the therapy.

Claims

1. A catheter system comprising:

a. a catheter having a catheter body and having a distal end and a proximal end;

b. an ablation electrode at said distal end and a location electrode proximate said distal end;

c. said catheter having a plurality of pull wires within said catheter body;

d. each pull wire having a distal end and a proximal end;

e. two or more pull rings located within said body near said distal tip;

f. each pull wire distal end coupled to a pull ring;

g. a servo translation mechanism coupled to each of said pull wire proximal ends;

whereby manipulation of said pull wires by said servos alters the shape and location of said catheter;

h. an interactive catheter location system to determine the location of the catheter in space and to define a target site for the catheter; and

i. control software to automatically move the catheter from said location to said target site.

2. The system according to claim 1, wherein the servo translation mechanism comprises a stepper mechanism.

3. The system according to claim 1, wherein the servo translation mechanism comprises a ball screw slider mechanism.

4. The system according to claim 1, wherein the catheter further comprises a force transducer operably coupled to the control software.

5. The system according to claim 4, wherein the force transducer comprises a strain gauge.

6. The system according to claim 1, further comprising a carriage, wherein the catheter is coupled to the carriage such that operation of the carriage causes the catheter to advance or retract in space.

7. A catheter system comprising:

a catheter having a distal end and a deflection mechanism operable to deflect the distal end of the catheter, wherein the deflection mechanism comprises one or more pull wires coupled to one or more pull rings;

at least one electrode positioned near the distal end of the catheter;

a first servo mechanism operably coupled to the deflection mechanism for deflecting the distal end of the catheter;

a mapping system for detecting a position of the catheter in space; and

control software that;

receives as input a target site for the catheter;

receives as input the position of the catheter in space; and

actuates the first servo mechanism to automatically move the catheter from the position of the catheter in space to the target site for the catheter.

8. The system according to claim 7, further comprising a second servo mechanism operably coupled to the catheter for advancing and retracting the catheter, and wherein the control software actuates the first and second servo mechanisms to automatically move the catheter from the position of the catheter in space to the target site for the catheter.

9. The system according to claim 8, wherein the second servo mechanism comprises a ball screw mechanism.

10. The system according to claim 7, wherein the at least one electrode comprises at least one ablation electrode.

11. The system according to claim 7, wherein the at least one electrode comprises at least one location electrode.

12. The system according to claim 7, wherein the catheter further comprises a force transducer.

13. The system according to claim 7, wherein the first servo mechanism comprises a stepper mechanism.

14. The system according to claim 7, wherein the first servo mechanism comprises a ball screw mechanism.

15. A method of navigating a catheter within a patient, comprising:

connecting a catheter having at least one deflection mechanism to one or more servo mechanisms, wherein the at least one deflection mechanism comprises one or more pull wires coupled to one or more pull rings;

connecting an interactive control system to the one or more servo mechanisms;

connecting a mapping system to the interactive control system;

receiving, via the interactive control system, a target site for the catheter within the patient;

measuring, via the mapping system, a location of the catheter within the patient; and

automatically actuating the one or more servo mechanisms to navigate the catheter from the location of the catheter within the patient to the target site for the catheter within the patient.

16. The method according to claim 15, wherein the at least one deflection mechanism comprises at least one pull wire, and wherein the step of automatically actuating the one or more servo mechanisms comprises automatically actuating the one or more servo mechanisms to place the at least one pull wire in tension, thereby deflecting a distal end of the catheter.

17. The method according to claim 15, further comprising computing an actuation matrix that relates servo mechanism movements to catheter movements.

18. The method according to claim 15, wherein the step of automatically actuating the one or more servo mechanisms to navigate the catheter from the location of the catheter within the patient to the target site for the catheter within the patient comprises navigating the catheter from the location of the catheter within the patient to a point within about 0.5 mm of the target site.

19. The method according to claim 15, further comprising displaying a model of a portion of the patient'"'"'s anatomy, and wherein the step of receiving, via the interactive control system, a target site for the catheter within the patient comprises using the interactive control system to identify the target site on the displayed model.