Single fiber force-sensing of both axial and bending catheter tip forces

Patent metadata

Field	Value
Publication number	US-10219702-B2
Application number	US-201514668574-A
Country	US
Kind code	B2
Filing date	Mar 25, 2015
Priority date	Mar 26, 2014
Publication date	Mar 5, 2019
Grant date	Mar 5, 2019

Abstract

A single optical fiber force-sensing assembly includes a catheter configured to detect both axial and bending tip displacement. The catheter includes a flexible structure located adjacent to a distal tip portion of the catheter. The single optical fiber within the catheter defines a first reflective surface. A second reflective surface is located closely adjacent to the first reflective surface.

First claim

What is claimed is:

1. A force-sensing assembly comprising:
a catheter shaft comprising a proximal section and a distal section, the distal section comprising a distal tip portion, wherein the distal tip portion comprises ablation electrode;
a flexible structure located adjacent the distal tip portion, the flexible structure having a calibratable stiffness;
no more than one optical fiber extending longitudinally along at least a portion of the catheter shaft and defining a first Fabry-Perot reflective surface adjacent to the flexible structure, the optical fiber configured to communicate optical interference data; and
a second Fabry-Perot reflective surface located closely adjacent to the first Fabry-Perot reflective surface, wherein the first and second Fabry-Perot reflective surfaces are separated by a gap comprising part of the flexible structure and configured to facilitate relative movement between the first and second Fabry-Perot reflective surfaces when the distal section of the catheter shaft is deflected.

2. The force-sensing assembly of claim 1 , wherein the first Fabry-Perot reflective surface and the second Fabry-Perot reflective surface together comprise a Fabry-Perot interferometer.

3. The force-sensing assembly of claim 1 , wherein the first and second Fabry-Perot reflective surfaces are separated by a wedge angle.

4. The force-sensing assembly of claim 3 , wherein the flexible structure is configured to enable the wedge angle to vary between about 0.0 degrees and about 10 degrees.

5. The force-sensing assembly of claim 1 , wherein the single optical fiber is configured to be axially centered within the catheter shaft in a region adjacent to a proximal side of to the flexible structure.

6. The force-sensing assembly of claim 1 , wherein a diameter of the second Fabry-Perot reflective surface is greater than a diameter of the first Fabry-Perot reflective surface.

7. The force-sensing assembly of claim 1 , wherein the gap is between about 60 microns and about 80 microns.

8. The force-sensing assembly of claim 1 , further comprising a processor configured to use the optical interference data and the calibrated stiffness of the flexible structure to determine at least an axial force and a bending force at the distal tip portion of the catheter.

9. The force-sensing assembly of claim 1 , wherein the calibrated stiffness of the flexible structure includes a calibrated axial stiffness and a calibrated bending stiffness.

10. The force-sensing assembly of claim 1 , wherein the optical interference data includes an optical interference fringe spacing and an optical interference fringe visibility;
wherein the optical interference fringe spacing corresponds to an axial deflection of the distal tip portion of the catheter; and
wherein the optical interference fringe visibility corresponds to a bending deflection of the distal tip portion of the catheter.

11. The force-sensing assembly of claim 1 , wherein the flexible structure comprises a flexible annular band oriented transverse to a longitudinal axis of the catheter shaft.

12. The force-sensing assembly of claim 11 , wherein the flexible annular band spans an entire circumference of the catheter shaft.

13. The force-sensing assembly of claim 1 , wherein the flexible structure comprises a metal tube with a laser-cut pattern, the laser-cut pattern comprising at least one of a plurality of angled slots, a plurality of cross-hatched slots, a plurality of closely-arrayed holes, and at least one helical spring.

14. The force-sensing assembly of claim 1 , wherein the flexible structure comprises an elastic material.

15. The force-sensing assembly of claim 1 , wherein the catheter further comprises at least a first position sensor and a second position sensor, wherein the first position sensor is located adjacent to the distal tip portion of the catheter, and wherein the second position sensor is located proximal to the flexible structure.

16. A force-sensing assembly comprising:
a catheter shaft comprising a proximal section and a distal section, the distal section comprising a distal tip portion;
a flexible structure located adjacent the distal tip portion, the flexible structure having a calibratable stiffness;
no more than one optical fiber extending longitudinally along at least a portion of the catheter shaft and defining a first Fabry-Perot reflective surface adjacent to the flexible structure, the optical fiber configured to communicate optical interference data;
a second Fabry-Perot reflective surface located closely adjacent to the first Fabry-Perot reflective surface, wherein the first and second Fabry-Perot reflective surfaces are separated by a gap comprising part of the flexible structure and configured to facilitate relative movement between the first and second Fabry-Perot reflective surfaces when the distal section of the catheter shaft is deflected; and
a processor configured to use the optical interference data and the calibrated stiffness of the flexible structure to determine at least an axial force and a bending force at the distal tip portion of the catheter;
wherein the first Fabry-Perot reflective surface and the second Fabry-Perot reflective surface together comprise a Fabry-Perot interferometer;
wherein the first and second Fabry-Perot reflective surfaces are separated by a wedge angle between about 0 degrees and 10 degrees;
wherein the detected optical interference data includes an optical interference fringe spacing and an optical interference fringe visibility;
wherein the optical interference fringe spacing corresponds to an axial deflection of the distal tip portion of the catheter; and
wherein the optical interference fringe visibility corresponds to a bending deflection of the distal tip portion of the catheter.

17. A force-sensing assembly comprising:
a catheter shaft comprising a proximal section and a distal section, the distal section comprising a distal tip portion;
a flexible structure located adjacent the distal tip portion, the flexible structure having a calibratable stiffness;
no more than one optical fiber extending longitudinally along at least a portion of the catheter shaft and defining a first Fabry-Perot reflective surface adjacent to the flexible structure, the optical fiber configured to communicate optical interference data;
a second Fabry-Perot reflective surface located closely adjacent to the first Fabry-Perot reflective surface, wherein the first and second Fabry-Perot reflective surfaces are separated by a gap comprising part of the flexible structure and configured to facilitate relative movement between the first and second Fabry-Perot reflective surfaces when the distal section of the catheter shaft is deflected; and
a processor configured to use the optical interference data and the calibrated stiffness of the flexible structure to determine at least an axial force and a bending force at the distal tip portion of the catheter.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Sliwa John W
• Schmitt Joseph M
• Liu Yu

Classifications

• A61B5/0084 Primary

  for introduction into the body, e.g. by catheters (A61B5/1459 takes precedence) · CPC title

• A61B2562/0238

  Optical sensor arrangements for performing transmission measurements on body tissue · CPC title

• A61B5/6885

  Monitoring or controlling sensor contact pressure · CPC title