Systems and methods for assessing tissue contact

Patent metadata

Field	Value
Publication number	US-10799176-B2
Application number	US-201414151273-A
Country	US
Kind code	B2
Filing date	Jan 9, 2014
Priority date	Oct 13, 2005
Publication date	Oct 13, 2020
Grant date	Oct 13, 2020

Abstract

Systems and methods are disclosed for assessing tissue contact, e.g., for mapping, tissue ablation, or other procedures. An exemplary tissue contact sensing system comprises a flexible tip device. At least one piezoelectric sensor is housed within the flexible tip device. The at least one piezoelectric sensor is responsive to contact stress of the flexible tip device by generating electrical signals corresponding to the amount of contact stress. An output device is electrically connected to the at least one piezoelectric sensor. The output device receives the electrical signals for assessing tissue contact by the flexible tip device. Methods for assembling and using the flexible tip device are also disclosed.

First claim

What is claimed is:

1. A tissue contact sensing system comprising:
a plurality of sensors extending in a direction coaxial to a central longitudinal axis of a shaft and offset within a tip of the shaft; and
a signal processing device electrically connected to the sensors, the signal processing device configured to receive electrical signals from the plurality of sensors which are generated in response to contact stress of the tip, and assesses a direction of tissue contact on the tip based on the received electrical signals.

2. The tissue contact sensing system of claim 1 , wherein the sensors are arranged within the tip to detect axial stress.

3. The tissue contact sensing system of claim 1 , wherein the sensors are arranged within the tip to detect angular stress.

4. The tissue contact sensing system of claim 1 , wherein the sensors are arranged within the tip to detect radial stress.

5. The tissue contact sensing system of claim 1 , wherein the sensors are arranged within the tip to detect both axial stress and angular stress.

6. The tissue contact sensing system of claim 1 , further comprising an opening formed through a center of the sensors.

7. The tissue contact sensing system of claim 1 , wherein the sensors are arranged to provide an irrigation path to irrigated electrodes in the tip.

8. The tissue contact sensing system of claim 1 , wherein the sensors are individually insulated.

9. The tissue contact sensing system of claim 1 , wherein the sensors are provided in a conductive compliant section.

10. The tissue contact sensing system of claim 1 , further comprising a conductive layer surrounding a non-conductive compliant section of the tip.

11. The tissue contact sensing system of claim 1 , further comprising a non-conductive shield between the shaft and the tip and a conductive layer.

12. The tissue contact sensing system of claim 11 , wherein the non-conductive shield insulates the conductive layer along a length of the shaft except at a distal portion of the tip for delivering radio frequency (RF) energy.

13. The tissue contact sensing system of claim 12 , wherein the conductive layer is configured to delivery RF energy.

14. The tissue contact sensing system of claim 13 , wherein the non-conductive compliant section is configured to insulate the sensors.

15. A catheter comprising:
a plurality of sensors extending in a direction coaxial to a central longitudinal axis of a shaft and offset within a tip of the shaft, the plurality of sensors generating electrical signals generated in response to contact stress of the tip for assessing a direction of tissue contact on the tip.

16. The catheter of claim 15 , wherein the sensors are arranged within the tip to detect at least one of axial stress, angular stress, and radial stress.

17. The catheter of claim 15 , wherein the sensors are individually insulated.

18. The catheter of claim 15 , wherein the sensors are provided in a conductive compliant section.

19. The catheter of claim 15 , further comprising a conductive layer surrounding a non-conductive compliant section of the tip, and a non-conductive shield between the shaft and the tip and a conductive layer, wherein the non-conductive shield insulates the conductive layer along a length of the shaft except at a distal portion of the tip for delivering radio frequency (RF) energy.

20. A catheter with tissue contact assessment, comprising:
a conductive layer surrounding a non-conductive compliant section of a tip; and
a plurality of sensors within the non-conductive compliant section of the tip, the plurality of sensors generating electrical signals generated in response to contact stress of the tip to detect at least one of axial stress, angular stress, and radial stress indicative of a direction of tissue contact on the tip.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Thao Riki
• Paul Saurav

Classifications

• A61B18/14 Primary

  Probes or electrodes therefor · CPC title

• A61B2018/00839

  Bioelectrical parameters, e.g. ECG, EEG · CPC title

• A61B18/1492

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

• A61B2018/143

  multiple needles · CPC title

• A61B2018/00351

  Heart · CPC title