System and method for measuring force and torque applied to a catheter electrode tip

• US 8,864,757 B2
• Filed: 12/31/2008
• Issued: 10/21/2014
• Est. Priority Date: 12/31/2008
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Klimovitch, Gleb V., Sliwa, John W.
• Primary Examiner(s): Szmal, Brian
• Assistant Examiner(s): NGUYEN, HUONG Q
• Application Number:
  US12/347,607
• Publication Number:
  US 20100168620A1
• Time in Patent Office: 2,120 Days
• Field of Search: 600/587
• US Class Current: 606/37
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 7/022 intracavitary

Abstract

A contact sensing assembly including a catheter including an electrode having a base portion mounted adjacent a head portion of the catheter body. A sensor is disposed adjacent the base portion for measuring compression or tensile forces applied to an electrode tip portion, and includes a predetermined sensitivity. The base and head portions include predetermined rigidity so that forces applied to the electrode tip portion are determinable as a function of the sensitivity and a sensor output. A contact sensing assembly also includes an electrode pipe operatively connected to the catheter body for movement and bending with the catheter body, and an electrode wire disposed in the electrode pipe and including insulation. A change in capacitance resulting from movement of the electrode wire toward the electrode pipe or contact of the electrode wire with the electrode pipe during bending of the catheter correlates to a force applied to the catheter.

Claims

1. A contact sensing assembly comprising:

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

a bendable electrode pipe comprising an inner surface, a proximal end, and a distal end;

wherein the electrode pipe is completely enclosed in the catheter body; and

a flexible electrode wire including insulation thereon and comprising a proximal end and a distal end, wherein the electrode wire is completely enclosed in the electrode pipe and setoff from the inner surface of the electrode pipe when the catheter body is in a non-bent configuration, wherein the proximal end of the electrode wire is mechanically coupled to the proximal end of the electrode pipe; and

wherein a non-coupled portion of the electrode wire is adapted to move toward and away from the inner surface of the electrode pipe when the catheter body bends,

wherein a change in capacitance resulting from a change in a relative distance between the non-coupled portion of the electrode wire and the inner surface of the electrode pipe during bending of the electrode pipe directly correlates to a force applied to the catheter.

2. The assembly according to claim 1, wherein an electrode operatively connected to the catheter comprises one of an RF ablation electrode, a HIFU ablation transducer, a laser ablation apparatus, a cryogenic ablation assembly, an ultrasonic imaging transducer, a cardiac pacing electrode, and a cardiac sensing electrode.

3. The assembly according to claim 1, wherein the force applied to the catheter is utilized for at least one of:

a) automatically limiting a maximum force;

b) warning of a high or unacceptable force;

c) giving visual or audible feedback to a practitioner regarding a tissue contact force;

d) warning of a loss of contact force or contact; and

e) warning of a contact force which is too low.