System and method for selectively energizing catheter electrodes

Patent metadata

Field	Value
Publication number	US-9510893-B2
Application number	US-201514985239-A
Country	US
Kind code	B2
Filing date	Dec 30, 2015
Priority date	Dec 30, 2005
Publication date	Dec 6, 2016
Grant date	Dec 6, 2016

Abstract

The present invention is directed to a system, a method and a catheter that provide improved ablation capabilities and improved energy efficiency by selectively energizing catheter electrodes on the basis of impedance measurements. In particular, the invention is directed to the selective energization of catheter radial electrodes that together with a tip electrode form a generally continuous tissue contact surface, wherein the selection is made on the basis of impedance measurement as an indication of the amount of tissue contact of each radial electrode.

First claim

What is claimed is:

1. A system for selectively energizing electrodes on a catheter, comprising:
a catheter having a catheter body, and a tip section carrying a tip electrode and a plurality of radial electrodes proximal the tip electrode;
a signal generator to provide impedance test signals;
an impedance measurement circuitry adapted to provide impedance measurements of each of the radial electrodes as an indication of tissue contact;
an ablation energy source separate from the signal generator;
a multiplexer comprising at least two channels, each channel being in communication with one of the plurality of radial electrodes, wherein the multiplexer is adapted to operate in a switch mode wherein the multiplexer continuously switches between the channels to change electrical connection between the signal generator and a specific one of the radial electrodes, and a lock mode wherein the multiplexer connects the signal generator to the single radial electrode having the highest impedance measurement; and
a switch to connect the ablation energy source to the single radial electrode having the highest impedance measurement to the exclusion of the remaining radial electrodes via the multiplexer operating in the lock mode.

2. A system of claim 1 , further comprising a microcontroller adapted to command the multiplexer to operate in the switch mode or the lock mode.

3. A system of claim 2 , wherein the microcontroller is further adapted to identify the single radial electrode having the highest impedance measurement.

4. A system of claim 2 , further comprising a user input configured to be activated by a user, and wherein the microcontroller is configured to command the multiplexer to operate in the lock mode in response to activation of the user input, and to command the multiplexer to operate in the switch mode when the user input is not activated.

5. A system of claim 1 , wherein each of the radial electrodes is configured to form a specific generally continuous elongated tissue contact surface with the tip electrode.

6. A system of claim 5 , wherein the tip electrode and the single radial electrode having the highest impedance measurement are configured to receive an ablation current from the ablation energy source.

7. A system of claim 1 , wherein the plurality of radial electrodes is about four.

8. A system of claim 1 , wherein the radial electrodes are generally equi-sized.

9. A system of claim 1 , wherein the radial electrodes are generally equi-angular about the tip section.

10. A system of claim 1 , further comprising a memory to store the impedance measurements.

11. A system of claim 10 , wherein the memory is configured to be continuously refreshed with new impedance measurements while the multiplexer is operating in the switch mode.

12. A system of claim 1 , wherein the impedance measurement circuitry comprises a differential amplifier and a synchronous detector.

13. A system of claim 12 , wherein the impedance measurement circuitry further comprises an amplifier.

14. A system of claim 12 , further comprising a return electrode in communication with the signal generator, wherein the differential amplifier of the impedance measurement circuitry is configured to measure a difference signal comprising a voltage across the specific one of the radial electrodes and the return electrode.

15. A system of claim 14 , wherein the impedance circuitry further comprises an amplifier configured to amplify the difference signal from the differential amplifier and output the amplified difference signal to the synchronous detector.

16. A system of claim 15 , wherein the synchronous detector is configured to transform an AC signal of the amplified difference signal to a DC signal.

17. A system of claim 16 , further comprising a microcontroller configured to continuously store in a memory a plurality of different impedance signals from the synchronous detector, and to store in the memory identification information on which of the at least two channels of the multiplexer is associated with each of the different impedance signals stored in the memory.

18. A system of claim 1 , wherein the impedance test signals comprise an alternating current in the frequency range of about 10 kHz to about 100 kHz.

19. A system of claim 1 , wherein the impedance test signals comprise an alternating current with a frequency of about 50 kHz.

20. A system of claim 1 , wherein the plurality of radial electrodes ranges between about two and about eight.

Assignees

• Biosense Webster Inc

Inventors

• Jimenez Eduardo

Classifications

• A61B2018/1467

  using more than two electrodes on a single probe · CPC title

• A61B2017/00026

  Conductivity or impedance, e.g. of tissue · CPC title

• A61B18/1492 Primary

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

• A61B2018/00577

  Ablation · CPC title

• A61B2018/00351

  Heart · CPC title