Monitoring apparatus for monitoring an ablation procedure

Patent metadata

Field	Value
Publication number	US-11096659-B2
Application number	US-201815872037-A
Country	US
Kind code	B2
Filing date	Jan 16, 2018
Priority date	Jan 14, 2009
Publication date	Aug 24, 2021
Grant date	Aug 24, 2021

Abstract

The present invention relates to a monitoring apparatus (101) for monitoring an ablation procedure. The monitoring apparatus (101) comprises an ultrasound signal providing unit for providing an ultrasound signal that depends on received echo series of an object (4) that is ablated. The monitoring apparatus (101) further comprises an ablation depth determination unit (103) for determining an ablation depth from the provided ultrasound signal. The ablation depth can be determined directly from the ultrasound signal and is an important parameter while performing an ablation procedure. For example, it can be used for determining the progress of ablation within the object (4) and for determining when the ablation has reached a desired progression.

First claim

The invention claimed is:

1. A system for planning an ablation procedure of an organ, comprising:
a catheter comprising an ablation element and an ultrasound unit in its tip, wherein the system is configured for tracking a position of the catheter tip within the organ; and
a computing system coupled to the catheter and configured to determine a thickness of a tissue wall of the organ from reflected ultrasound signals received by the ultrasound unit at the position of the catheter tip within the organ and wherein the computing system unit is configured to automatically determine an ablation parameter based on the determined thickness of the tissue wall, wherein the ablation parameter comprises a degree of transmurality, and to automatically discontinue the ablation procedure when the determined degree of transmurality exceeds a desired transmurality for the ablation procedure.

2. The system of claim 1 , wherein the desired transmurality is a predetermined value based upon the position of a desired lesion within the patient.

3. The system of claim 2 wherein the computing system is further configured to store a look up table of parameters, wherein the desired degree of transmurality is determined based on the parameters in the look up table.

4. The system of claim 1 , wherein the computing system is further-configured to store a plurality of predefined transmurality parameters, and wherein the ablation parameter is determined by comparing the determined transmurality to one of the predefined transmurality parameters.

5. The system of claim 4 , wherein the predefined transmurality parameters are based on at least one of the position of a desired lesion within the organ, and/or an age of a patient.

6. The system of claim 1 , wherein the computing system tracks the position of the catheter tip within the organ based on at least one of a:
determination of the position and/or orientation of the catheter tip by using an X-ray fluoroscopy system;
locating the catheter tip comprising a tracking coil by a magnetic resonance imaging system.

7. The system of claim 1 , further comprising a visualization unit and wherein the system is configured to display the thickness of the tissue wall in an image of the organ at the position for which the respective thickness of the tissue wall has been determined.

8. The system of claim 7 , wherein the thickness of the tissue wall is determined for multiple different locations within the organ.

9. The system of claim 1 , further comprising an ablation unit connected to the ablation element, wherein the computing system is connected to the ablation unit and is configured to transmit the automatically determined ablation parameter to the ablation unit.

10. A method of planning an ablation procedure of an organ, comprising:
tracking a position of a catheter tip within the organ;
receiving reflected ultrasound signals by an ultrasound unit located in the tip of the catheter;
determining a thickness of a tissue wall of the organ from the received ultrasound signals at the position of the catheter tip within the organ;
determining an ablation parameter based on the determined thickness of the tissue wall, wherein the ablation parameter comprises a degree of transmurality; and
automatically discontinuing ablation when the determined degree of transmurality exceeds a desired transmurality for the ablation procedure.

11. The method of claim 10 , wherein the determining of the ablation parameter comprises selecting one of a plurality of predefined ablation parameters assigned to different tissue wall thicknesses.

12. The method of claim 11 , wherein the predefined ablation parameters are based on the position of a desired lesion within the organ, and/or an age of a patient.

13. The method of claim 11 , wherein the predefined ablation parameters are based on the position of a desired lesion within the organ, and/or an age of a patient.

14. The method of claim 10 , wherein the method is performed by a computing system configured to determine the degree of transmurality is determined based on a look-up table stored by the computing system.

15. The method of claim 10 wherein the automatic discontinuing comprises obtaining the desired transmurality from a plurality of predetermined transmurality values stored in a lookup table of a computing system.

Assignees

• Koninklijke Philips Nv

Inventors

• Harks Erik A
• Deladi Szabolcs
• Suijver Jan F
• Jankovic Ladislav
• Shi Yan
• Rensen Wouter H
• Barley Maya E
• Van Der Vaart Nijs C

Classifications

• A61B8/445

  Details of catheter construction · CPC title

• A61B8/12

  in body cavities or body tracts, e.g. by using catheters · CPC title

• A61B2090/3784

  both receiver and transmitter being in the instrument or receiver being also transmitter · CPC title

• A61B18/1492

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

• A61B8/0858 Primary

  involving measuring tissue layers, e.g. skin, interfaces · CPC title