Optic-based contact sensing assembly and system

• US 9,855,410 B2
• Filed: 12/30/2009
• Issued: 01/02/2018
• Est. Priority Date: 05/01/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Paul, Saurav, Tegg, Troy T., Heimbecher, Reed R., Stehr, Richard E., Thao, Riki Chou
• Primary Examiner(s): KISH, JAMES M
• Application Number:
  US13/143,001
• Publication Number:
  US 20110270046A1
• Time in Patent Office: 2,925 Days
• 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 18/24 with a catheter A61B18/26, A61B18/28 take precedence
• CPC Class Codes: A61B 2017/00057 Light
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/061 Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body A61B1/00158 takes precedence
• CPC Class Codes: A61B 5/065 Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/68 Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6885 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61M 2025/0002 with a pressure sensor at the distal end
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided
• CPC Class Codes: A61M 25/0043 characterised by structural features
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0071 Multiple separate lumens multiple separate lumens throughout the catheter A61M25/0026
• CPC Class Codes: A61M 25/0074 : Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/01 : Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/0138 : having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• CPC Class Codes: A61M 25/0141 : having flexible regions as a result of using materials with different mechanical properties
• CPC Class Codes: A61M 39/10 : Tube connectors; Tube couplings A61M39/02 takes precedence; connecting needles to syringes or hubs A61M5/34; connecting catheter tubes to hubs A61M25/0014
• CPC Class Codes: A61N 1/00 : Electrotherapy; Circuits therefor A61N2/00 takes precedence; irradiation apparatus A61N5/00
• CPC Class Codes: A61N 1/02 : Details
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092
• CPC Class Codes: A61N 7/02 : Localised ultrasound hyperthermia hyperthermia in general A61F7/00

Abstract

A contact sensing assembly including a catheter and an electrode including a tip portion and a base portion, and a generally central axis, with the electrode being connected to a distal end of the catheter. Optical sensor(s) may be provided for emitting and/or receiving an optical signal, with a part of the optical signal being transverse to the central axis. Optical interference member(s) may be provided for interfering with the optical signal. A method for sensing contact force exerted by an electrode on a tissue includes directing an optical signal along a portion of a catheter, emitting and/or receiving an optical signal, with a part of the optical signal being at a predetermined angle relative to the central axis, and sensing changes in intensity of the optical signal based on displacement associated with the electrode tip portion based on the contact force exerted by the electrode on the tissue.

Claims

1. A contact sensing assembly comprising:

a catheter including a body having a proximal end, a distal end, and a longitudinal axis;

an electrode including a tip portion and a base portion, one of the tip portion and the base portion of the electrode being connected to the distal end of the catheter;

at least one optical sensor configured to emit and receive an optical signal along an optical path, at least a part of the optical path being transverse to the longitudinal axis, the optical sensor being operatively connected to one of the electrode and the catheter body; and

at least one optical interference member operatively connected to one of the electrode and the catheter body and configured for interfering with the transverse part of the optical path.

2. The assembly according to claim 1, wherein the distal end of the catheter includes a coupling member having a neck portion.

3. The assembly according to claim 2, wherein the neck portion of the coupling member moves relative to an external force exerted on the electrode.

4. The assembly according to claim 2, wherein the neck portion of the coupling member includes one of a twist, torsion bar, alpha, dove-tail and spring shaped elastic portion for enabling external axial and transverse forces and torques exerted on the electrode to be sensed by the optical sensor.

5. The assembly according to claim 2, wherein the coupling member includes a mounting shaft that defines an internal recessed groove for receiving at least a portion of the optical sensor.

6. The assembly according to claim 1, wherein the tip portion of the electrode includes an irrigation port.

7. The assembly according to claim 6, wherein a plurality of irrigation ports are disposed along a common axis on the tip portion of the electrode.

8. The assembly according to claim 1, wherein the optical sensor includes at least one emitter and at least one radially positioned receiver for respectively emitting and receiving the optical signal.

9. The assembly according to claim 8, wherein the distal end of the catheter includes a coupling member having an elastic neck portion.

10. The assembly according to claim 1, wherein the optical interference member is a structure formed on one of the electrode base portion and the catheter distal end.

11. The assembly according to claim 1, wherein the optical interference member is configured to interfere with the optical path by respectively first and second predetermined amounts related to first and second predetermined positions of the electrode relative to the catheter body.

12. The assembly according to claim 1, wherein a plurality of optical sensors are disposed within the body of the catheter, each optical sensor having a means for emitting and receiving light energy.

13. The assembly according to claim 12, wherein the optical sensors are circumferentially disposed within the body of the catheter.

14. The assembly according to claim 1, wherein the optical sensor includes an emitter and a receiver for respectively emitting and receiving the optical signal, wherein a plurality of emitters and a plurality of receivers are distributed about a peripheral wall of a fiber optic cable such that each emitter operatively interacts with at least one receiver.

15. The assembly according to claim 1, wherein the tip portion of the electrode includes a portion configured to perform ablation.

16. The assembly according to claim 1, wherein the optical sensor is adapted to measure a parameter selected from the group consisting of intensity, wavelength, phase, spectrum, speed, interference, transmission, absorption, reflection, refraction, diffraction, polarization, and scattering.

17. The assembly according to claim 1, further comprising a reflective surface arranged so that the optical signal is reflected by said reflective surface after being emitted and before being received by said optical sensor.

18. An optical-based catheter system comprising:

a catheter including a body having a proximal end, a distal end, and a longitudinal axis;

an electrode including a tip portion and a base portion, one of the tip portion and the base portion of the electrode being connected to the distal end of the catheter;

at least one optical sensor configured to emit and receive an optical signal along an optical path, at least a part of the optical path being transverse to the longitudinal axis, the optical sensor being operatively connected to one of the electrode and the catheter body;

at least one optical interference member operatively connected to one of the electrode and the catheter body and configured for interfering with the transverse part of the optical path;

a light energy source;

a processor; and

a catheter mapping unit for use in mapping or visualizing a location of the catheter.

19. The system according to claim 18, wherein the processor determines a displacement associated with the electrode tip portion using sensed changes in intensity of the optical signal.

20. The system according to claim 18, wherein the optical sensor is adapted to measure a parameter selected from the group consisting of intensity, wavelength, phase, spectrum, speed, interference, transmission, absorption, reflection, refraction, diffraction, polarization, and scattering.

21. The assembly according to claim 18, wherein the tip portion of the electrode includes an irrigation port.

22. An elongate medical device comprising:

an elongate shaft having a distal end portion and defining a longitudinal axis;

an electrode including a tip portion and a base portion, one of the tip portion and the base portion of the electrode being connected to the distal end portion of the elongate shaft;

an optical sensor, the optical sensor comprising an emitter configured to emit an optical signal along an optical path and a receiver configured to receive the optical signal, the optical sensor being operatively connected to one of the electrode and the elongate shaft; and

an appendage operatively connected to one of the electrode and the elongate shaft and arranged and configured so as to interfere with a part of the optical path that is transverse to the longitudinal axis.

23. The elongate medical device of claim 22, wherein the emitter is separate from the receiver.

24. The elongate medical device of claim 23, wherein the emitter is positioned radially from the receiver and emits the optical signal along a direct transverse path to the receiver.

25. The elongate medical device of claim 23, further comprising a reflective surface, wherein the emitter emits the optical signal to the reflective surface and the reflective surface directs the optical signal to the receiver.

26. The elongate medical device of claim 25, wherein the reflective surface comprises two reflective surfaces, wherein the optical path goes from the emitter to a first of the two reflective surfaces, then to a second of the two reflective surfaces, then to the receiver.

27. The elongate medical device of claim 26, wherein the transverse part of the optical path is from the first of the two reflective surfaces to the second of the two reflective surfaces.

28. The elongate medical device of claim 23, wherein the receiver comprises a plurality of separate receivers.

29. The elongate medical device of claim 28, wherein the plurality of separate receivers are positioned radially around the emitter.

30. The elongate medical device of claim 22, wherein the appendage moves longitudinally to interfere with a variable amount of the transverse part of the optical path as external forces on the electrode or catheter body change.