Multi-rate fluid flow and variable power delivery for ablation electrode assemblies used in catheter ablation procedures

Patent metadata

Field	Value
Publication number	US-12089890-B2
Application number	US-202117193859-A
Country	US
Kind code	B2
Filing date	Mar 5, 2021
Priority date	Dec 28, 2010
Publication date	Sep 17, 2024
Grant date	Sep 17, 2024

Abstract

A system for providing irrigation fluid during ablation of tissue includes a catheter, an electrode assembly, at least one thermal sensor adapted to be connected to the catheter, and a control system. The electrode assembly is adapted to be connected to an ablation generator. The thermal sensor is adapted to be operatively connected to an electronic control unit (ECU). The ECU receives as an input temperature measurement data from the thermal sensor; determines a power delivery rate value for the ablation generator responsive to the temperature measurement data; and outputs the power delivery rate value. The control system also delivers irrigation fluid to the irrigated catheter at a first flow rate in a first time period and at a second flow rate in a second time period that is temporally after the first time period. The second flow rate is at least half of the first flow rate.

First claim

What is claimed is:

1. A method of delivering fluid to an irrigated catheter including an ablation electrode assembly, comprising:
delivering a pulsatile flow of irrigation fluid within at least a portion of the irrigated catheter;
wherein the irrigation fluid has a first flow rate in a first time period and the irrigation fluid has a second flow rate in a second time period,
wherein the first flow rate and the second flow rate are different,
wherein the first flow rate and the second flow rate are based at least in part on a plurality of temperature measurements taken by thermal sensors disposed within the irrigated catheter, wherein the thermal sensors include at least two thermal sensors positioned to take temperature measurements of the irrigation fluid as the irrigation fluid flows in a direction to exit the irrigated catheter through the ablation electrode assembly, and
wherein the first flow rate and the second flow rate alternate and recur at intervals over time.

2. The method of claim 1 , wherein the first flow rate and the second flow rate are based in part on temperature measurements taken by thermal sensors disposed within the irrigated catheter and in part on impedance measurements taken by positioning electrodes located on the irrigated catheter.

3. The method of claim 1 , wherein the first flow rate is higher than the second flow rate.

4. The method of claim 3 , wherein the second flow rate is at least about half of the first flow rate.

5. The method of claim 1 , wherein the first time period is about 10-15 seconds and the second time period is about 75-80 seconds.

6. The method of claim 1 , further comprising:
delivering ablation energy from the electrode assembly connected to the irrigated catheter;
wherein the ablation energy has a first power level during the first time period and the ablation energy has a second power level during the second time period.

7. The method of claim 6 , wherein the first power level is higher than the second power level.

8. The method of claim 7 , wherein the second power level is at least about one third of the first power level.

9. The method of claim 1 , wherein delivering the pulsatile flow of irrigation fluid further comprises directing the irrigation fluid within at least a portion of at least one of an inner core member, an outer shell, and an annular space between the inner core member and the outer shell, the annular space radially surrounding the inner core member.

10. The method of claim 9 , wherein the inner core member comprises a first radially extending passageway that extends from an inner chamber through an outer surface of the inner core member, wherein the first radially extending passageway is in fluid communication with the annular space.

11. The method of claim 1 , wherein the first time period and the second time period are based at least in part on the temperature measurements taken by the thermal sensors disposed within the irrigated catheter.

12. A method of delivering fluid and energy to an irrigated catheter including an ablation electrode assembly, comprising:
delivering a pulsatile flow of irrigation fluid within at least a portion of the irrigated catheter; and
delivering ablation energy from connected to the irrigated catheter;
wherein the irrigation fluid has a first flow rate in a first time period and the irrigation fluid has a second flow rate in a second time period, wherein the first flow rate and the second flow rate are different, and wherein the first flow rate and the second flow rate are based at least in part on a plurality of temperature measurements taken by thermal sensors disposed within the irrigated catheter, wherein the thermal sensors include at least two thermal sensors positioned to take temperature measurements of the irrigation fluid as the irrigation fluid flows in a direction to exit the irrigated catheter through the ablation electrode assembly;
wherein the ablation energy has a first power level during the first time period and the ablation energy has a second power level during the second time period, wherein the first power level and the second power level are different, and
wherein the first time period and the second time period alternate and recur at intervals over time.

13. The method of claim 12 , wherein the first flow rate and the second flow rate are based in part on the temperature measurements taken by the thermal sensors disposed within the irrigated catheter and in part on impedance measurements taken by positioning electrodes located on the irrigated catheter.

14. The method of claim 12 , wherein the first flow rate is higher than the second flow rate, and wherein the first power level is higher than the second power level.

15. The method of claim 14 , wherein the second flow rate is at least about half of the first flow rate, and wherein the second power level is at least about one third of the first power level.

16. The method of claim 12 , wherein the first time period is about 10-15 seconds and the second time period is about 75-80 seconds.

17. The method of claim 12 , wherein delivering the pulsatile flow of irrigation fluid further comprises directing the irrigation fluid within at least a portion of at least one of an inner core member, an outer shell, and an annular space between the inner core member and the outer shell, the annular space radially surrounding the inner core member.

18. The method of claim 17 , wherein the inner core member comprises a first radially extending passageway that extends from an inner chamber through an outer surface of the inner core member, wherein the first radially extending passageway is in fluid communication with the annular space.

19. The method of claim 12 , wherein the first time period and the second time period are based at least in part on the temperature measurements taken by the thermal sensors disposed within the irrigated catheter.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Christian Steven C
• Johnson Theodore A

Classifications

• A61B2034/2053

  Tracking an applied voltage gradient · CPC title

• A61B2218/002

  Irrigation · CPC title

• A61B2018/1861

  with an instrument inserted into a body lumen or cavity, e.g. a catheter · CPC title

• A61B2018/0212

  using an instrument inserted into a body lumen, e.g. catheter · CPC title

• A61B2018/00863

  Fluid flow · CPC title