Ablation system, methods, and controllers

• US 9,987,070 B2
• Filed: 03/11/2014
• Issued: 06/05/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Blix, John B., Baker, James C., Ennett, Kevin K., Hein, John Eric, Brotz, Joseph Allen, Barnier, Joseph William, Froehlich, Raymond Victor, Olsen, Michael, Varadharajan, Sukanya
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US14/204,139
• Publication Number:
  US 20140276765A1
• Time in Patent Office: 1,547 Days
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• 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 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00827 Current
• CPC Class Codes: A61B 2018/00892 Voltage
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

Multi-electrode ablation systems, methods, and controllers are described. In one example, a multi-electrode ablation system includes a power supply configured to be coupled to a plurality of electrodes and a controller coupled to the power supply. The controller is configured to determine a thermal gain of each electrode of the plurality of electrodes. For each electrode of the plurality of electrodes, the controller sets a power limit based at least in part on said electrode'"'"'s determined thermal gain. The power limit establishes a maximum power that may be dissipated through said electrode.

Claims

1. A multi-electrode ablation system comprising:

a power supply configured to be coupled to a plurality of electrodes; and

a controller coupled to the power supply, the controller configured to;

determine a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power; and

for each electrode of the plurality of electrodes, set a power limit based at least in part on said electrode'"'"'s determined thermal gain, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain.

2. The system set forth in claim 1 wherein the controller is configured to compare the determined thermal gain of each electrode to the threshold thermal gain.

3. The system set forth in claim 2 wherein the controller is configured to set the power limit at a predetermined power limit for each electrode for which the determined thermal gain equals or exceeds the threshold thermal gain.

4. The system set forth in claim 1 wherein the controller is configured, for each electrode, to set and maintain the power limit at a predetermined power limit until at least one startup condition for said electrode has been met.

5. The system set forth in claim 4 wherein the at least one startup condition is a temperature of said electrode reaching a predetermined temperature threshold.

6. The system set forth in claim 4 wherein the at least one startup condition is an energy dissipated through said electrode reaching a predetermined energy threshold.

7. The system set forth in claim 4 wherein the at least one startup condition is the first to occur of a temperature of said electrode reaching a predetermined temperature threshold and an energy dissipated through said electrode reaching a predetermined energy threshold.

8. A method of operating a multi-electrode ablation system, the method comprising:

determining a thermal gain of each electrode of a plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power; and

for each electrode of the plurality of electrodes, setting a power limit based at least in part on said electrode'"'"'s determined thermal gain, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain.

9. The method set forth in claim 8 further comprising comparing the determined thermal gain of each electrode to the threshold thermal gain.

10. The method set forth in claim 8 further comprising setting and maintaining the power limit at a predetermined power limit until at least one startup condition for said electrode has been met.

11. A multi-electrode ablation system comprising:

a power supply configured to be coupled to a plurality of electrodes; and

a controller coupled to the power supply, the controller configured to;

determine a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power;

set a power limit for each electrode of the plurality of electrodes, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain; and

for each electrode of the plurality of electrodes, determine whether or not to reduce the power limit for said electrode based at least in part on the determined thermal gain of said electrode.

12. The system set forth in claim 11 wherein the controller is further configured to compare the determined thermal gain for each electrode to the threshold thermal gain.

13. The system set forth in claim 12 wherein the controller is configured to determine not to reduce the power limit for an electrode when the determined thermal gain for said electrode is greater than or equal to the threshold thermal gain.

14. The system set forth in claim 12 wherein the controller is configured to determine to reduce the power limit for an electrode when the determined thermal gain for said electrode is less than the threshold thermal gain.

15. The system set forth in claim 11 wherein the controller is further configured to reduce the power limit for an electrode by an amount proportional to a difference value that is the difference between the determined thermal gain for said electrode and the threshold thermal gain when the determined thermal gain for said electrode is less than the threshold thermal gain.

16. The system set forth in claim 15 wherein the amount by which the power limit is reduced is determined by the product of a scaling factor and the difference value.

17. A method of operating a multi-electrode ablation system, the method comprising:

determining a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power;

setting a power limit for each electrode of a plurality of electrodes, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain; and

for each electrode of the plurality of electrodes, determining whether or not to reduce the power limit for said electrode based at least in part on the determined thermal gain of said electrode.

18. The method set forth in claim 17 further comprising comparing the determined thermal gain for each electrode to the threshold thermal gain.

19. The method set forth in claim 17 further comprising reducing the power limit for an electrode by an amount proportional to a difference value that is the difference between the determined thermal gain for said electrode and the threshold thermal gain when the determined thermal gain for said electrode is less than the threshold thermal gain.

20. The method set forth in claim 19 wherein the amount by which the power limit is reduced is determined by the product of a scaling factor and the difference value.