Robotic surgical system and method for automated creation of ablation lesions

Patent metadata

Field	Value
Publication number	US-10258285-B2
Application number	US-64729606-A
Country	US
Kind code	B2
Filing date	Dec 29, 2006
Priority date	May 28, 2004
Publication date	Apr 16, 2019
Grant date	Apr 16, 2019

Abstract

A system for ablating tissue includes an ablation catheter for insertion into the body of a patient and a robotic controller for moving the catheter within the body. The robotic controller advances the catheter until the catheter contacts the tissue surface, maintains contact between the catheter and the tissue surface, and moves the catheter along a predetermined path to create a substantially continuous lesion of ablated tissue. A display device may be used to present a graphical representation of an area of tissue to be ablated. A user interface permits selection of a plurality of treatment points on the graphical representation. The interface is preferably coupled to the controller and catheter such that the controller may cause the catheter to automatically ablate tissue at and between the plurality of treatment points in response to the received user input.

First claim

What is claimed is:

1. A method of ablating tissue, comprising the steps of:
analyzing areas of ablated tissue to identify at least a first ablated area and a second ablated area separated by a gap of unablated tissue;
robotically moving a catheter to a treatment area near a tissue surface, said catheter having an ablation electrode located near a distal end of the catheter;
monitoring proximity or degree of contact between the catheter and the tissue surface;
robotically advancing the catheter to contact a point in the first ablated area;
automatically robotically moving the catheter to a point in the second ablated area in a way that maintains contact between the catheter and the tissue surface, thereby defining a path along the gap between the first ablated area and the second ablated area;
activating the ablation electrode to ablate the tissue after the catheter reaches the point in the second ablated area; and
automatically robotically withdrawing the catheter along the path along the gap between the first ablated area and the second ablated area from the point in the second ablated area to the point in the first ablated area while the ablation electrode is active,
thereby ablating the tissue along the path along the gap between the first ablated area and the second ablated area.

2. The method of claim 1 , wherein the step of monitoring comprises monitoring a contact sensor that is located near a distal end of the catheter.

3. The method of claim 1 , wherein the step of monitoring comprises monitoring a force sensor that is located at a distal end of the catheter for a degree of force that is indicative of contact between the catheter and the tissue surface.

4. The method of claim 3 , further comprising utilizing information from the force sensor to orient the catheter in a preset orientation relative to the tissue surface.

5. The method of claim 4 , further comprising utilizing information from the force sensor to orient the catheter substantially orthogonally to the tissue surface.

6. A method of ablating tissue, comprising the steps of:
analyzing areas of ablated tissue to identify at least a first ablated area and a second ablated area separated by a gap of unablated tissue;
robotically moving a catheter to a treatment area near a tissue surface within the first ablated area, said catheter having an ablation electrode and a contact sensor located near a distal end of the catheter;
while monitoring the contact sensor for contact between the catheter and the tissue surface, advancing the catheter until the catheter contacts the tissue surface at a point in the first ablated area;
automatically robotically moving the catheter from the point in the first ablated area, through the gap of unablated tissue, and to a point in the second ablated area while maintaining contact between the catheter and the tissue surface, thereby defining a path between the point in the first ablated area and the point in the second ablated area;
activating the ablation electrode to ablate the tissue after reaching the point in the second ablated area;
robotically moving the catheter from the point in the second ablated area, along the path between the point in the first ablated area and the point in the second ablated area, to the point in the first ablated area with the ablation electrode active,
thereby ablating the tissue along the path between the point in the first ablated area and the point in the second ablated area.

7. The method of claim 6 , wherein the contact sensor is a force sensor, and wherein the step of monitoring comprises monitoring the force sensor for a degree of force that is indicative of contact between the catheter and the tissue surface.

8. The method of claim 6 , further comprising:
generating a three-dimensional model of at least a portion of the tissue surface;
presenting a graphical representation of the three-dimensional model; and
receiving input from a user that identifies at least two target locations that define the point in the first ablated area and the point in the second ablated area.

9. A method of ablating tissue, comprising the steps of:
analyzing, using an electrophysiology processor, areas of ablated tissue to identify at least a first ablated area and a second ablated area separated by a gap, the gap being characterized by tissue that has not been ablated;
robotically moving a catheter to a point on a surface of the first ablated area, such that the catheter is in contact with the first ablated area;
robotically moving the catheter to a point in the second ablated area along a path between the first ablated area and the second ablated area;
activating an ablation electrode on the catheter to ablate the tissue after reaching the point in the second ablated area; and
robotically moving the catheter from the point in the second ablated area, along the path between the first ablated area and the second ablated area, to the point on the surface of the first ablated area with the ablation electrode active.

10. The method of claim 9 , further comprising:
monitoring a degree of contact between the catheter and tissue being ablated;
wherein the ablation is carried out while maintaining contact between the catheter and the tissue being ablated.

11. The method of claim 9 , further comprising:
generating a three-dimensional model of a tissue surface to be ablated;
presenting a graphical representation of the three-dimensional model of the tissue surface; and
receiving input from a user that identifies at least two target locations that define the path between the first ablated area and the second ablated area that includes at least a portion of the gap, whereby the tissue along the path will be ablated,
wherein the ablation is carried out along the path input by the user.

12. A method of ablating tissue, comprising the steps of:
receiving, from a probe and at an electrophysiology processor, measured electrophysiology information for a plurality of measurement points on a surface of a heart, the probe including a measurement device for measuring electrophysiology information;
analyzing, using the electrophysiology processor, the measured electrophysiology information to identify areas with previously ablated tissue;
generating a three-dimensional surface model of a portion of the heart;
presenting a graphical representation of the three-dimensional surface model of the heart;
superimposing on the graphical representation information to identify the areas with previously ablated tissue;
receiving input from a user that identifies at least two target locations that define a predetermined path on the graphical representation of the three-dimensional model of the heart, whereby tissue along the path will be ablated, said predetermined path including tissue that has not been previously ablated;
robotically moving an ablation electrode to one of the at least two target locations along the predetermined path;
robotically moving the ablation electrode along the predetermined path defined by the at least two target locations; and
robotically moving the ablation electrode along the predetermined path defined by the at least two target locations in reverse with the ablation electrode activated to ablate tissue along the predetermined path.

13. The method of claim 12 , further comprising:
monitoring a degree of contact between the catheter and tissue being ablated; and
wherein the ablation is carried out while maintaining contact between the catheter and the tissue being ablated.

14. The method of claim 12 , wherein the probe is a catheter, and wherein the ablation electrode is loca

Assignees

• Hauck John A
• Schweitzer Jeffrey A
• Belhe Kedar Ravindra
• Burrell Jeffrey L
• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Hauck John A
• Schweitzer Jeffrey A
• Belhe Kedar Ravindra
• Burrell Jeffrey L

Classifications

• A61B34/20

  Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis · CPC title

• A61B5/6885 Primary

  Monitoring or controlling sensor contact pressure · CPC title

• A61B34/71

  Manipulators operated by drive cable mechanisms · CPC title

• A61M25/0105

  Steering means as part of the catheter or advancing means; Markers for positioning (systems for detection of markers A61B) · CPC title

• A61B2034/107

  Visualisation of planned trajectories or target regions · CPC title