System and method for controlling delivery of ablation energy to tissue

• US 9,597,148 B2
• Filed: 10/26/2015
• Issued: 03/21/2017
• Est. Priority Date: 05/04/2012
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Olson, Eric Steven
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US14/922,986
• Publication Number:
  US 20160106500A1
• Time in Patent Office: 512 Days
• Field of Search: 606/14, 606/34, 606/174
• 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 method for controlling delivery of energy to a first and second electrode, comprising:

delivering a first amount of energy to the first electrode and a second amount of energy to the second electrode;

receiving, with a processor, a first measurement signal indicative of a first characteristic associated with delivery of the first amount of energy to the first electrode and a second measurement signal indicative of a second characteristic associated with delivery of the second amount of energy to the second electrode; and

varying at least one of the first amount of energy based on the first measurement signal and the second amount of energy based on the second measurement signal.

2. The method of claim 1, wherein the method includes implementing a closed-loop feedback method for varying the at least one of the first amount of energy and the second amount of energy.

3. The method of claim 1, further comprising:

receiving the first and second measurement signals from a catheter that includes the first and second electrodes; and

generating a first control signal from the first measurement signal and a second control signal from the second measurement signal.

4. The method of claim 3, further comprising providing the first control signal and the second control signal to a generator, the first control signal being configured to cause the generator to vary the first amount of energy and the second control signal being configured to cause the generator to vary the second amount of energy.

5. The method of claim 1, further comprising causing a generator to vary at least one of the first and second amounts of energy in response to at least one of the respective first and second measurement signal meeting a determined condition relative to a threshold value.

6. The method of claim 1, further comprising causing a generator to continuously vary at least one of the first and the second amount of energy in response to at least one of the respective first and second measurement signal meeting a determined condition relative to a threshold value.

7. The method of claim 1, further comprising causing a generator to continuously vary at least one of the first and second amount of energy in response to a change in at least one of the respective first and second measurement signal when a value of at least one of the respective first and second measurement signal is between a first threshold value and a second threshold value.

8. The method of claim 1, wherein delivering the first amount of energy to a first electrode and the second amount of energy to a second electrode includes causing a generator to generate a first amount of energy and a second amount of energy, the generator being configured to deliver the first amount of energy to the first electrode and the second amount of energy to the second electrode.

9. A system for controlling delivery of energy to an electrode, the system comprising:

a processor; and

a non-transitory computer readable medium coupled with the processor, the non-transitory computer readable medium storing instructions executable by the processor to;

cause a generator to deliver an amount of energy to an electrode disposed on a catheter;

receive a measurement signal from the electrode;

generate a control signal based on the measurement signal meeting a determined condition relative to a threshold value; and

send the control signal to the generator, the control signal being configured to cause the generator to vary the amount of energy.

10. The system of claim 9, further comprising instructions executable to determine, based on the measurement signal from the electrode, a value for a characteristic associated with delivery of the amount of energy to the electrode.

11. The system of claim 10, wherein the amount of energy assumes a maximum value when the determined value of the characteristic is between a first threshold value and a second threshold value.

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

13. The system of claim 10, wherein:

the amount of energy is higher when the determined value of the characteristic is between a first threshold value and a second threshold value than when the determined value of the characteristic is not between the first threshold value and the second threshold value; and

the first threshold value is lower than the second threshold value.

14. The system of claim 10, further comprising instructions executable to establish a control function correlating desired amounts of energy to be delivered to the electrode based on values of the characteristic.

15. The system of claim 9, wherein the measurement signal is associated with a temperature measurement.

16. The system of claim 9, wherein the measurement signal is associated with an impedance measurement.

17. A medical device, comprising:

an elongated body, the elongated body including a proximal portion and a distal portion;

a first electrode and a second electrode disposed along the distal portion of the elongated body;

the medical device being configured to;

deliver a first amount of energy to the first electrode and a second amount of energy to the second electrode;

generate a first and second measurement signal from the first and second electrode, respectively;

vary at least one of the first amount of energy based on the first measurement signal and the second amount of energy based on the second measurement signal.

18. The medical device of claim 17, wherein the medical device is configured to generate a first and second control signal based on a respective one of the first and second measurement signal meeting a determined condition relative to a threshold value.

19. The medical device of claim 17, wherein the first measurement signal is indicative of a value of a first characteristic associated with delivery of the first amount of energy to the first electrode and the second measurement signal is indicative of a value of a second characteristic associated with delivery of the second amount of energy to the second electrode.

20. The medical device of claim 19, wherein at least one of the first amount of energy and the second amount of energy continuously varies in response to a change in a value of at least one of the first characteristic and the second characteristic when the value of the at least one of the first characteristic and the second characteristic is between a first threshold value and a second threshold value.