Cardiac ablation image analysis system and process

• US 8,702,688 B2
• Filed: 10/06/2010
• Issued: 04/22/2014
• Est. Priority Date: 10/06/2009
• Status: Active Grant

• Current Assignee: Cardiofocus Incorporated
• Original Assignee: Cardiofocus Incorporated
• Inventors: Melsky, Gerald
• Primary Examiner(s): Thomson, Bill
• Assistant Examiner(s): PAHAKIS, MANOLIS Y
• Application Number:
  US12/899,218
• Publication Number:
  US 20110082451A1
• Time in Patent Office: 1,294 Days
• Field of Search: 606 11- 12, 606 14- 15, 600/109
• US Class Current: 606/14
• CPC Class Codes: A61B 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/2025 with a pilot laser
• CPC Class Codes: A61B 2090/306 using optical fibres
• CPC Class Codes: A61B 2090/365 augmented reality, i.e. correlating a live optical image with another image
• CPC Class Codes: A61B 34/25 User interfaces for surgical systems

Abstract

A system is provided for identifying the sufficiency of lesions formed during a tissue ablation procedure. The system captures live and still images from the surgical site and provides composite imaging to the operator. Through the use of the system, the aiming light used to direct ablative energy is captured on the still images and used to indicate locations in a surgical site where energy has been directed. Through the use of processing modules, the system can analyze the lesions and determine the sufficiency thereof.

Claims

1. A tissue ablation system for identification of lesions formed by directed energy emission at a surgical site, the tissue ablation system comprising:

a tissue ablation instrument for use at the surgical site and having;

a directed energy emitter movably disposed within a lumen of a catheter and configured to emit a variable amount of directed radiant ablative energy for delivering an amount of the radiant ablative energy to tissue at the surgical site to form a lesion;

an aiming light, an illumination light;

an endoscope configured to capture live video and still images;

a controller configured to control the variable amount of directed radiant ablative energy and to direct the energy emitter within the surgical site and to determine operating information, wherein the operating information includes;

an amount of radiant energy emitted by the directed energy emitter, a distance the directed energy emitter is from the tissue at the surgical site, and a rate of movement of the directed energy emitter relative to the tissue at the surgical site; and

a computer having a processor, database and a display; and

a plurality of modules executing in the processor so as to configure the computer to perform operations including accessing data from an access module, the plurality of modules further including;

an analysis module configured to perform analysis of the live video and still images from the endoscope and the operating information from the controller and based on the analysis to determine whether the dimensions of the lesion and the amount of radiant ablative energy delivered by the directed energy emitter to the lesion are effective to form enough scar tissue in the lesion to block electrical conduction between tissue segments on opposite sides of the lesion at the surgical site, wherein the analysis further includes reflectance data of changes in lesion albedo;

a composite module for creating a composite image comprised of a series of still images taken during each emission of the directed radiant ablative energy; and

a split-screen module for simultaneously displaying the live video image and the composite image or one of the still images;

the processor further configured to provide a signal to a user of the tissue ablation instrument indicating whether a lesion formed by the tissue ablation instrument at the surgical site is determined by the analysis module to be effective to block the conduction of electrical signals at the surgical site.

2. A tissue ablation system as in claim 1, further comprising, among the plurality of modules, a mapping module for providing a visual marker on the still image corresponding to the location of at least one lesion.

3. A tissue ablation system as in claim 1, further comprising, among the plurality of modules, an illustration module operative to provide the display with illustrations of the surgical site and to indicate whether the lesions formed by said tissue ablation instrument at said surgical site are determined by the analysis module to be effective to block the conduction of electrical signals at the surgical site.

4. A tissue ablation system as in claim 1, wherein the aiming light is further configured to reflect different frequencies of light depending on a tissue type illuminated.

5. A tissue ablation system as in claim 1, wherein opacity of each of the series of the still images in the composite image can be individually set.

6. A tissue ablation system as in claim 1, wherein the aiming light is visible in each still image of the composite image.

7. A tissue ablation system as recited in claim 1, wherein said signal is an audio signal provided when the formed lesion at said surgical site is determined by the analysis module to not be effective to block the conduction of electrical signals at the surgical site.

8. A tissue ablation system as recited in claim 1, wherein said signal is a visual signal provided on a display accessible by a user of said tissue ablation instrument.

9. A tissue ablation system as recited in claim 8, wherein said visual signal is a marker trace indicating a lesion that is determined by the analysis module to not be effective to block conduction of electrical signals at the surgical site.

10. A tissue ablation system as recited in claim 8, wherein said marker trace consists of a colored trace.

11. A tissue ablation system as recited in claim 8, wherein said marker trace is superimposed on the composite or still image depicting the surgical site.