Contact quality assessment by dielectric property analysis

Patent metadata

Field	Value
Publication number	US-2018116751-A1
Application number	US-201615573491-A
Country	US
Kind code	A1
Filing date	May 11, 2016
Priority date	May 12, 2015
Publication date	May 3, 2018
Grant date	—

Abstract

Devices and methods for assessing tissue contact based on dielectric properties and/or impedance sensing are disclosed. In some embodiments, one or more probing frequencies are delivered via electrodes including an electrode in proximity to a tissue (for example, myocardial tissue). In some embodiments, dielectric parameter values, optionally together with other known and/or estimated tissue characteristics, are measured to determine a contact quality with the tissue. In some embodiments, dielectric contact quality is used, for example, in guiding the formation of a lesion (for example, RF ablation of heart tissue to alter electrical transmission characteristics).

First claim

1 - 41 . (canceled)

42 . A method of characterizing contact quality between a target tissue and an intra-body probe comprising a plurality of electrodes, the method comprising:
measuring a plurality of dielectric properties of the environment of electrodes of the intra-body probe, using an electrical circuit comprising the target tissue and the plurality of electrodes of the intra-body probe; wherein the measuring comprises carrying out measurements of a plurality of electrical field frequencies by the plurality of electrodes of the intra-body probe; and characterizing contact quality between the target tissue and the intra-body probe by mapping the plurality of measured dielectric properties to a value in a range indicating a measure of contact quality.

43 . The method of claim 42 , wherein the intra-body probe is flexible and carries a plurality of electrodes, and the flexibility of the probe allows the plurality of electrodes to be positioned along a portion of the target tissue.

44 . The method of claim 42 , wherein the intra-body probe makes a plurality of simultaneous contacts with the target tissue, and the characterizing comprises separately characterizing each of the plurality of simultaneous contacts.

45 . The method of claim 44 , wherein the intra-body probe comprises an ablation electrode, and wherein the method comprises operating the ablation electrode to ablate at each of the plurality of simultaneous contacts under separate control, based on the corresponding characterizing of contact.

46 . The method of claim 42 , wherein the characterization of the contact comprises mapping of the measured dielectric properties to a mapped value within a range of values characterizing the contact quality, and the mapped value comprises an index characterizing contact quality.

47 . The method of claim 42 , wherein the characterization of the contact comprises mapping of the measured dielectric properties to a mapped value within a range of values characterizing the contact quality, and the mapped value represents a contact force equivalent, such that a force of contact of the intra-body probe with the target tissue is represented by the mapped value.

48 . The method of claim 42 , wherein the intra-body probe comprises the electrode defining the electrical circuit.

49 . The method of claim 48 , wherein the estimation of an equivalent force of contact is substantially independent of an angle of contact between the probe and the surface of the target tissue.

50 . The method of claim 49 , wherein the equivalent force of contact changes by less than 10% through a range of angles of contact, and the range of angles of contact is within 45° of a central angle of contact.

51 . The method of claim 42 , wherein the characterizing comprises estimation of an equivalent force of contact of the probe with a surface of the target tissue, and the method comprises providing a user feedback indicating the equivalent force of contact.

52 . The method of claim 42 , comprising operating an ablation electrode based on the characterization of the contact and wherein the operating of the ablation electrode is gated to occur only when the characterized contact is within a predetermined range.

53 . The method of claim 52 , wherein the characterizing contact is performed iteratively during operating of the ablation electrode.

54 . The method of claim 42 , comprising operating an ablation electrode, wherein the operating of the ablation electrode is based on an estimated contact force of the characterized contact, such that at least one of an ablation power, a duration of ablation, a selection of an electrode, and a frequency of ablation energy, is selected based on the estimated contact force.

55 . The method of claim 42 , wherein the characterizing comprises evaluating a risk of perforation of the target tissue by the probe, and the method comprising providing a user feedback indicating the risk of perforation.

56 . The method of claim 42 , wherein the characterizing contact is based on a data structure mapping measured dielectric properties to a characterization of contact with the target tissue.

57 . The method of claim 56 , wherein the data structure comprises machine-learned associations applicable to the measured dielectric properties to convert them to the characterization of contact with the target tissue.

58 . A device for ablation of a target tissue based on dielectric contact quality of an intra-body ablation probe with the target tissue, comprising:
the intra-body ablation probe, including a plurality of electrodes; an electrical field measurement device, configured to measure dielectric properties in the environment of the plurality of electrodes based on signals sensed by a plurality of electrode pairs of the plurality of electrodes and at a plurality of frequencies; and a contact characterization module, configured to characterize contact between the intra-body ablation probe and the target tissue, based on the dielectric properties measured by the electrical field measurement device.

59 . The device of claim 58 , wherein the contact characterization module comprises a data structure mapping the dielectric properties to characterization of contact.

60 . The device of claim 59 , wherein the data structure comprises machine-learned associations applicable to the measured dielectric properties to convert them to the characterization of contact with the target tissue.

61 . The device of claim 58 , comprising a display configured to display the characterized contact as an estimate of contact force.

62 . The device of claim 58 , wherein the intra-body probe is flexible and carries a plurality of electrodes, and the flexibility of the probe allows the plurality of electrodes to be positioned along a portion of the target tissue.

63 . The device of claim 58 , wherein the intra-body probe is configured to make a plurality of simultaneous contacts with the target tissue, and the characterizing comprises separately characterizing each of the plurality of simultaneous contacts.

64 . The device of claim 62 , wherein the intra-body probe is configured to make a plurality of simultaneous contacts with the target tissue, and the characterizing comprises separately characterizing each of the plurality of simultaneous contacts.

65 . The device of claim 58 , further comprising at least one processor configured to gate the operation of an ablation electrode to occur only when the characterized contact is within a predetermined range.

66 . The device of claim 58 , wherein the contact characterization module is configured to estimate an equivalent force of contact independently of an angle of contact between the probe and the surface of the target tissue.

67 . The device of claim 66 , wherein the equivalent force of contact changes by less than 10% through a range of angles of contact, and the range of angles of contact is within 45° of a central angle of contact.

Assignees

• Navix Int Ltd

Inventors

• Schwartz Yitzhack
• Dichterman Eli
• Rabinovich Adi

Classifications

• H02J2103/30

  Simulating, planning, modelling, reliability check or computer assisted design [CAD] of electric power networks · CPC title

• A61B18/1492

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

• A61B2090/065

  for measuring contact or contact pressure · CPC title

• A61B2018/00904

  Automatic detection of target tissue · CPC title

• A61B5/0538

  invasively, e.g. using a catheter · CPC title