System and method for assessing coupling between an electrode and tissue

• US 9,173,586 B2
• Filed: 02/26/2013
• Issued: 11/03/2015
• Est. Priority Date: 12/06/2005
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Deno, Don Curtis, Miller, Stephan P., Hill, Lewis C., Malinin, Yuriy, Sih, Haris J.
• Primary Examiner(s): LANDRY II, GERALD ERNEST
• Application Number:
  US13/777,580
• Publication Number:
  US 20140107430A1
• Time in Patent Office: 980 Days
• Field of Search: 600/424, 600/508, 600/547, 606/32, 702/65
• US Class Current: 1/1
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00773 Sensed parameters
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 5/053 Measuring electrical impedance or conductance of a portion of the body
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/6886 Monitoring or controlling distance between sensor and tissue

Abstract

A system and method for assessing a degree of coupling between an electrode and tissue in a body is provided. Values for first and second components of a complex impedance (e.g., resistance and reactance or impedance magnitude and phase angle) between the electrode and the tissue are obtained. These values are used together with a standardization value indicative of a deviation from a reference standard by a parameter associated with at least one of the body, the electrode and another component of the system to calculate a coupling index that is indicative of a degree of coupling between the electrode and the tissue. The coupling index may be displayed to a clinician in a variety of ways to indicate the degree of coupling to the clinician. The system and method find particular application in ablation of tissue by permitting a clinician to create lesions in the tissue more effectively and safely.

Claims

1. A system for assessing a degree of coupling between a first electrode and a tissue in a body, comprising:

a complex impedance sensor; and

,

an electronic control unit configured to acquire values for first and second components of a complex impedance between said first electrode and said tissue responsive to one or more signals output by said complex impedance sensor and to calculate a first coupling index responsive to said values and a first variable parameter associated with said system, said first coupling index indicative of a degree of coupling between said first electrode and said tissue.

2. The system of claim 1 wherein said electronic control unit is further configured, in calculating said first coupling index, to apply an offset to said values of said first and second components of said complex impedance responsive to said first variable parameter.

3. The system of claim 1 wherein said electronic control unit is further configured, in calculating said first coupling index, to scale at least one of said values of said first and second components of said complex impedance responsive to said first variable parameter.

4. The system of claim 1 wherein said electronic control unit is further configured, in calculating said first coupling index to scale one of said values of said first and second components of said complex impedance responsive to said first variable parameter and scale another of said values of said first and second components of said complex impedance responsive to one of said first variable parameter and a second variable parameter associated with said system.

5. The system of claim 1 wherein said electronic control unit is configured to calculate said first coupling index in accordance with the equation aR+bX+c wherein R and X correspond to said values for said first and second components of said complex impedance between said first electrode and said tissue and a, b, and c correspond to a first standardization value indicative of a deviation from a reference standard by said first variable parameter, a second standardization value indicative of a deviation from a reference standard by one of said first variable parameter and a second variable parameter associated with said system, and a third standardization value indicative of a deviation from a reference standard by one of said first variable parameter, said second variable parameter and a third variable parameter associated with said system.

6. The system of claim 5 wherein R comprises a mean value of a plurality of values for said first component of said complex impedance and X comprises a mean value for a plurality of values for said second component of said complex impedance.

7. The system of claim 1 wherein said first variable parameter comprises one or more of a temperature of said body, an electrolyte concentration in said body, and a size of said first electrode.

8. The system of claim 1 wherein said electronic control unit is further configured to identify a type of said tissue responsive to said first coupling index.

9. The system of claim 1 wherein said electronic control unit is further configured to determine at least one of a proximity of said first electrode to said tissue and an orientation of said first electrode relative to said tissue responsive to said first coupling index.

10. The system of claim 1 wherein said electronic control unit is further configured to:

acquire values for first and second components of a complex impedance between a second electrode and said tissue responsive to one or more signals output by said complex impedance sensor and to calculate a second coupling index responsive to said values for said first and second components of said complex impedance between said second electrode and said tissue and one of said first variable parameter and a second variable parameter associated with said system, said second coupling index indicative of a degree of coupling between said second electrode and said tissue; and

,

determine which of said first and second electrodes has a higher impedance responsive to said first and second coupling indeces.

11. The system of claim 1, further comprising a display configured to display a representation of said first coupling index.

12. The system of claim 11 wherein a characteristic of said representation assumes one of a first state and a second state depending on a value of said first coupling index relative to a threshold value.

13. The system of claim 1, further comprising a display configured to display a representation of said first electrode wherein a characteristic of said representation assumes one of a first state and a second state depending on a value of said first coupling index relative to a threshold value.

14. A method for assessing a degree of coupling between a first electrode and a tissue in a body, comprising:

acquiring values for first and second components of a complex impedance between said first electrode and said tissue response to one or more signals output by a complex impedance sensor; and

,

calculating a first coupling index responsive to said values and a first variable parameter associated with a system controlling said first electrode, said first coupling index indicative of a degree of coupling between said first electrode and said tissue.

15. The method of claim 14, wherein calculating said first coupling index includes applying an offset to said values of said first and second components of said complex impedance responsive to said first variable parameter.

16. The method of claim 14, wherein calculating said first coupling index includes scaling at least one of said values of said first and second components of said complex impedance responsive to said first variable parameter.

17. The method of claim 14, wherein calculating said first coupling index includes:

scaling of one of said values of said first and second components of said complex impedance responsive to said first variable parameter; and

scaling another of said values of said first and second components of said complex impedance responsive to one of said first variable parameter and a second variable parameter associated with said system.

18. The method of claim 14 wherein said first coupling index in calculated in accordance with the equation aR+bX+c wherein R and X correspond to said values for said first and second components of said complex impedance between said first electrode and said tissue and a, b, and c correspond to a first standardization value indicative of a deviation from a reference standard by said first variable parameter, a second standardization value indicative of a deviation from a reference standard by one of said first variable parameter and a second variable parameter associated with said system, and a third standardization value indicative of a deviation from a reference standard by one of said first variable parameter, said second variable parameter and a third variable parameter associated with said system.

19. The method of claim 18 wherein R comprises a mean value of a plurality of values for said first component of said complex impedance and X comprises a mean value for a plurality of values for said second component of said complex impedance.

20. The method of claim 14 wherein said first variable parameter comprises one or more of a temperature of said body, an electrolyte concentration in said body, and a size of said first electrode.

21. The method of claim 14, further comprising one or more of identifying a type of said tissue, determining a proximity of said first electrode to said tissue, and determining an orientation of said first electrode relative to said tissue responsive to said first coupling index.

22. The method of claim 14, further comprising:

acquiring values for first and second components of a complex impedance between a second electrode and said tissue responsive to one or more signals output by said complex impedance sensor;

calculating a second coupling index responsive to said values for said first and second components of said complex impedance between said second electrode and said tissue and one of said first variable parameter and a second variable parameter associated with said system, said second coupling index indicative of a degree of coupling between said second electrode and said tissue; and

,

determining which of said first and second electrodes has a higher impedance responsive to said first and second coupling indeces.

23. The method of claim 14, further comprising displaying a representation of said first coupling index wherein a characteristic of said representation assumes one of a first state and a second state depending on a value of said first coupling index relative to a threshold value.

24. The method of claim 14, further comprising displaying a representation of said first electrode wherein a characteristic of said representation of said first electrode assumes one of a first state and a second state depending on a value of said first coupling index relative to a threshold value.