Assessment of electrode coupling for tissue ablation

• US 9,254,163 B2
• Filed: 08/24/2012
• Issued: 02/09/2016
• Est. Priority Date: 12/06/2005
• 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: Paul, Saurav, Cao, Hong, Belhe, Kedar Ravindra, Thao, Chou
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/593,676
• Publication Number:
  US 20120323237A1
• Time in Patent Office: 1,264 Days
• Field of Search: 600/547, 606/34, 606/38
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators 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 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00732 Frequency
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/128 generating two or more frequencies
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter

Abstract

An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.

Claims

1. A medical system comprising:

an electrical power system configured to provide electrical power at multiple frequencies to an electrode of a catheter;

an electrical parameter measurement module configured to measure electrical parameters at each of said multiple frequencies;

an assessment module configured to;

identify one frequency of said multiple frequencies where a first measurement of a first electrical parameter of said electrical parameters is at a predetermined value; and

assess a coupling between the electrode and a tissue based on a subsequent measured change of said first electrical parameter at said one frequency relative to said predetermined value.

2. The medical system of claim 1, wherein said one frequency of said multiple frequencies comprises a target frequency and wherein said first electrical parameter comprises a baseline value.

3. The medical system of claim 1, wherein said electrical parameter measurement module is configured to measure at a second time subsequent to said first measurement of said first electrical parameter, a second measurement of said first electrical parameter at said one frequency of said multiple frequencies.

4. The medical system of claim 3, wherein said assessment module is operative to utilize said second measurement of said first electrical parameter to identify said subsequent measured change of said first electrical parameter relative to said predetermined value.

5. The medical system of claim 3, wherein said medical system is configured to apply ablation energy to said electrode after said first measurement of said first electrical parameter, wherein said second measurement of said first electrical parameter is configured to be measured after application of said ablation energy.

6. The medical system of claim 5, wherein said medical system further comprises an output for providing an indication of said subsequent measured change between said first measurement of said first electrical parameter and said second measurement of said first electrical parameter, wherein said subsequent measured change provides a measure of lesion formation in the tissue.

7. The medical system of claim 3, further comprising a data structure comprising at least one benchmark value for said first electrical parameter, wherein said assessment module is further configured to compare said subsequent measured change with said at least one benchmark value.

8. The medical system of claim 1, wherein said electrical parameter is selected from a group consisting of phase angle and reactance.

9. A medical system comprising:

an electrical power system configured to provide electrical power to an electrode of a catheter, wherein said electrical power system sequentially provides said electrical power at multiple frequencies between a low frequency and a high frequency;

an electrical parameter measurement module configured to measure first impedance parameters for each of said multiple frequencies between said low frequency and said high frequency;

an assessment module configured to generate at least one baseline coupling condition based on one of said first impedance parameters having a predetermined value for one identified frequency of said multiple frequencies between said low frequency and said high frequency;

wherein subsequent to generating said at least one baseline coupling condition, said electrical power system is configured for applying ablation energy to the electrode for treatment of a tissue; and

subsequent to applying said ablation energy, said electrical power system is configured to generate an output indicative of lesion formation based on a measured change of said one of said first impedance parameters for said one identified frequency.

10. The medical system of claim 9, wherein subsequent to applying ablation energy to the electrode for the treatment of the tissue, said electrical power system is configured to provide said electrical power at the multiple frequencies between said low frequency and said high frequency to the electrode and said electrical parameter measurement module is configured to measure second impedance parameters at said multiple frequencies between said low frequency and said high frequency.

11. The medical system of claim 10, wherein said assessment module is further configured to compare at least one of said second impedance parameters for said at least one identified frequency to said at least one baseline coupling condition and generate said measured change.

12. The medical system of claim 9, wherein said electrical power system is configured to sequentially provide said electrical power at multiple frequencies between a low frequency of about 50 kHz and a high frequency of about 1 MHz.

13. The medical system of claim 9, wherein said electrical power system is configured to incrementally change a frequency of said electrical power in at least three increments between said low frequency and said high frequency.