Energy application apparatus for applying energy to an object

Patent metadata

Field	Value
Publication number	US-10792099-B2
Application number	US-201113704005-A
Country	US
Kind code	B2
Filing date	Jun 24, 2011
Priority date	Jun 30, 2010
Publication date	Oct 6, 2020
Grant date	Oct 6, 2020

Abstract

The invention relates to an energy application apparatus for applying energy to an object. A plurality of energy application elements ( 4 ) applies energy to the object at different locations and at least one ultrasound element ( 18 ) generates an ultrasound signal being indicative of a property of the object at the different locations, wherein at least one energy application element is individually controlled depending on an energy application influence, in particular, an ablation depth, determined for the location at which the at least one energy application element applies energy from the ultrasound signal. Thus, at least one local control point for applying energy to the object is provided, thereby improving the control of applying energy to the object.

First claim

The invention claimed is:

1. An energy application apparatus for applying energy to an object, the energy application apparatus comprising:
a plurality of energy application elements for applying ablation energy to the object at different energy application element locations;
each of the plurality of energy application elements having an integral ultrasound element, the integral ultrasound element generating ultrasound signals being indicative of a property of the object at an energy application element location of the energy application element with which the ultrasound element is integral;
an energy application influence determining unit for determining an ablation depth at each energy application location based on the generated ultrasound signals; and
a control unit adapted for individually controlling each respective energy application element based on the ablation depth determined from ultrasound signals of the ultrasound element integral to the respective energy application element.

2. The energy application apparatus as defined in claim 1 , wherein the energy application elements are ablation electrodes for creating a lesion line.

3. The energy application apparatus as defined in claim 1 , wherein the energy application apparatus comprises a catheter for introducing the plurality of energy application elements and integral ultrasound elements into the object.

4. The energy application apparatus as defined in claim 3 , wherein the catheter comprises at least one irrigation opening for allowing irrigation fluid to leave the catheter, wherein the at least one ultrasound element is arranged within the catheter such that the property of the object is sensible through the at least one irrigation opening.

5. The energy application apparatus as defined in claim 1 , wherein the ultrasound signal represents ultrasound reflection properties of the object at different depths, wherein the energy application influence determination unit is adapted to determine a discontinuity of the ultrasound signal and to determine the ablation depth as the depth of the ultrasound signal at which the discontinuity occurs.

6. The energy application apparatus as defined in claim 1 , wherein the energy application apparatus further comprises an object wall thickness determining unit for determining an object wall thickness at the location at which each energy application element applies energy from the ultrasound signal of the integral ultrasound element, wherein the control unit is adapted to control each energy application element depending on the determined object wall thickness.

7. The energy application apparatus as defined in claim 1 , wherein the ultrasound elements are placed on an outer surface of the energy application elements.

8. The energy application apparatus as defined in claim 7 , wherein the energy application elements comprise an outer surface with an opening and wherein the ultrasound elements are located within the energy application elements such that the property of the object can be sensed through the opening.

9. The energy application apparatus as defined in claim 1 , wherein the energy application influence determining unit is further adapted to estimate a time resolved shift in an ultrasound image from the ultrasound signal due to tissue expansion, calculate a shift-compensated ultrasound signal, and use the shift-compensated ultrasound signal to determine the ablation depth.

10. The energy application apparatus as defined in claim 1 , further comprising a catheter comprising a distal end, wherein the distal end comprises a circular portion, wherein the plurality of energy application elements is positioned on the circular portion such that the plurality of energy application elements is arranged in a circular arrangement, and wherein each integral ultrasound element of the plurality of energy application elements is arranged to direct ultrasound energy toward a same surface of the object.

11. A catheter for being introduced into an object, the catheter comprising:
a plurality of energy application elements for applying ablation energy to the object at different locations;
each of the plurality of energy application elements having an integral ultrasound element, the integral ultrasound element generating ultrasound signals being indicative of an ablation depth at an energy application element location;
wherein the catheter is adapted to cooperate with:
an energy application influence determining unit for determining the ablation depth at each energy application location based on the generated ultrasound signals.

12. A controller for controlling the application of energy to an object, wherein the controller is adapted to cooperate with:
a plurality of energy application elements for applying ablation energy to the object at different energy application locations; and
each of the plurality of energy application elements having an integral ultrasound element, the integral ultrasound element generating ultrasound signals being indicative of a property of the object at an energy application element location of the energy application element with which the ultrasound element is integral;
wherein the controller comprises:
an energy application influence determining unit for determining an ablation depth at each energy application location based on the generated ultrasound signals; and
a control unit adapted for individually controlling each respective energy application element based on the ablation depth determined from ultrasound signals of the ultrasound element integral to the respective energy application element.

13. A non-transient computer readable storage medium having encoded thereon a computer executable program for applying energy to an object, the program comprising program code means comprising:
program code for applying ablation energy to the object at different energy application locations by a plurality of energy application elements;
program code for generating ultrasound signals being indicative of a property of the object at the energy application locations by ultrasound elements integral with each of the plurality of energy application elements;
determining an ablation depth at each energy application location based on the generated ultrasound signals by an energy application influence determining unit; and
individually controlling each respective energy application element by a control unit, wherein the control unit is adapted to control each respective energy application element based on the ablation depth determined from ultrasound signals of the ultrasound element integral to the respective energy application element.

Assignees

• Deladi Szabolcs
• Harks Godefridus Antonius
• Gijsbers Gerardus Henricus Maria
• Suijver Jan Frederik
• Koninklijke Philips Nv

Inventors

• Deladi Szabolcs
• Harks Godefridus Antonius
• Gijsbers Gerardus Henricus Maria
• Suijver Jan Frederik

Classifications

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2018/0088

  Vibration · CPC title

• A61B2018/00654

  with individual control of each of a plurality of energy emitting elements · CPC title

• A61B2018/00982

  combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes · CPC title

• A61B2017/00106

  ultrasonic · CPC title