System and method for controlling delivery of ablation energy to tissue

• US 9,179,972 B2
• Filed: 03/14/2013
• Issued: 11/10/2015
• Est. Priority Date: 05/04/2012
• 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: Olson, Eric Steven
• Primary Examiner(s): Lavert, Nicole F
• Application Number:
  US13/826,227
• Publication Number:
  US 20130296850A1
• Time in Patent Office: 971 Days
• Field of Search: 606/14, 606/34
• US Class Current: 1/1
• 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 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure

Abstract

A system for controlling delivery of ablation energy by an ablation catheter to tissue in a body is provided. The system includes an electronic control unit configured to determine, responsive to a measurement signal from the ablation catheter, a value for a characteristic associated with the delivery of ablation energy to the tissue. In one embodiment, the characteristic is the degree of contact between the ablation catheter and the tissue. The unit is further configured to generate a control signal, responsive to the determined value of the characteristic, to control an amount of energy delivered from an ablation delivery element on the ablation catheter to the tissue. The amount of energy varies in response to the determined value of the characteristic when the determined value of the characteristic meets a predetermined condition relative to a threshold value for the characteristic.

Claims

1. A system for controlling delivery of ablation energy from an ablation catheter to tissue in a body, comprising:

an electronic control unit configured to;

determine, responsive to a measurement signal from the ablation catheter, a value for a characteristic associated with the delivery of ablation energy to the tissue; and

generate a first control signal, responsive to the determined value of the characteristic, to control an amount of energy delivered from the ablation delivery element to the tissue;

wherein the amount of energy varies continuously in response to a change in the determined value of the characteristic when the determined value of the characteristic is between a first threshold value and a second threshold value.

2. The system of claim 1 wherein the characteristic comprises a degree of contact between an ablation delivery element on the ablation catheter and the tissue.

3. The system of claim 1 wherein the characteristic comprises a level of conductivity in the tissue.

4. The system of claim 1 wherein the characteristic comprises an identity of a cardiac rhythm.

5. The system of claim 1 wherein the measurement signal is indicative of a temperature at a distal end of the ablation catheter.

6. The system of claim 1 wherein the measurement signal is indicative of an impedance between an ablation delivery element on the ablation catheter and the tissue.

7. The system of claim 1 wherein the measurement signal is indicative of an electrogram amplitude.

8. The system of claim 1 wherein the amount of energy also varies in response to the determined value of the characteristic when the determined value of the characteristic does not meet the predetermined condition relative to the first threshold value.

9. The system of claim 1 wherein the amount of energy assumes a maximum value when the determined value of the characteristic is between the first threshold value and the second threshold value.

10. The system of claim 9 wherein, for values of the characteristic including and between the first and second threshold values, the amount of energy assumes a minimum value when the determined value of the characteristic is at one of the first and second threshold values.

11. The system of claim 1 wherein the first threshold value is indicative of a relatively low value of the characteristic and the second threshold value is indicative of a relatively high value of the characteristic and the amount of energy is higher when the determined value of the characteristic is between the first and second threshold values than when the determined value of the characteristic is not between the first and second threshold values.

12. The system of claim 1, further comprising:

a radio frequency generator configured to generate an ablation signal responsive to the first control signal, the ablation signal controlling the amount of energy delivered from an ablation delivery element on the ablation catheter to the tissue.

13. The system of claim 1, further comprising a remote catheter guidance system configured to control movement of said ablation catheter wherein said electronic control unit is further configured to generate a second control signal, responsive to the determined value of the characteristic, and provide said second control signal to said remote catheter guidance system.

14. The system of claim 1 wherein said electronic control unit is further configured to establish a control function correlating desired amounts of energy to be delivered from the ablation delivery element to the tissue with values for the characteristic.

15. The system of claim 14 wherein said electronic control unit is further configured, in establishing said control function, to:

receive a plurality of input signals, each of said input signals indicative of an amount of energy to be delivered by the ablation delivery element to the tissue for one of a plurality of selected value of said characteristic; and

,

determine an amount of energy for a plurality of unselected values of said characteristic.

16. An article of manufacture, comprising:

a non-transitory computer readable storage medium having a computer program encoded thereon that when executed by an electronic control unit controls delivery of ablation energy from an ablation catheter to tissue in a body, the computer program including code for;

determining, responsive to a measurement signal from the ablation catheter, a value for a characteristic associated with the delivery of ablation energy to the tissue; and

generating a first control signal, responsive to the determined value of the characteristic, to control an amount of energy delivered from the ablation delivery element to the tissue;

wherein the amount of energy varies continuously in response to a change in the determined value of the characteristic when the determined value of the characteristic is between a first threshold value and a second threshold value.

17. The article of manufacture of claim 16 wherein the amount of energy assumes a maximum value when the determined value of the characteristic is between the first threshold value and the second threshold value.

18. The article of manufacture of claim 16, wherein the computer program further includes code for generating a second control signal, responsive to the determined value of the characteristic, to control a remote catheter guidance system and movement of a distal end of the ablation catheter.

19. The article of manufacture of claim 16 wherein the computer program further includes code for establishing a control function correlating desired amounts of energy to be delivered from the ablation delivery element to the tissue with values for the characteristic.

20. The article of manufacture of claim 19 wherein the code for establishing the control function includes code for:

receiving a plurality of input signals, each of said input signals indicative of an amount of energy to be delivered by the ablation delivery element to the tissue for one of a plurality of selected value of said characteristic; and

,

determining an amount of energy for a plurality of unselected values of said characteristic.