Ablation system, methods, and controllers

Patent metadata

Field	Value
Publication number	US-9713490-B2
Application number	US-201414204193-A
Country	US
Kind code	B2
Filing date	Mar 11, 2014
Priority date	Mar 15, 2013
Publication date	Jul 25, 2017
Grant date	Jul 25, 2017

Abstract

In a multi-electrode ablation system, method, and controller, the controller is configured to measure a first current through a common return path when a first voltage is applied by a power supply to a first electrode of a plurality of electrodes, measure a second current through the common return path when a second voltage is applied by the power supply to a second electrode of the plurality of electrodes, measure a third current through the common return path when a third voltage is applied by the power supply concurrently to the first electrode and the second electrode, and determine a common path impedance based at least in part on the first voltage and the first current, the second voltage and the second current, and the third voltage and the third current.

First claim

What is claimed is:

1. A method of determining a common path impedance in a multi-electrode ablation system using a single current sensor in a common return path, said method comprising:
measuring, during a measurement period, a first current through a common return path for the system when a first voltage is applied to a first electrode;
measuring, during the measurement period, a second current through the common return path when a second voltage is applied to a second electrode;
measuring, during the measurement period, a third current through the common return path when a third voltage is applied concurrently to the first electrode and the second electrode;
determining a common path impedance based at least in part on the first voltage and the first current, the second voltage and the second current, and the third voltage and the third current;
determining a therapeutic impedance for the first electrode by subtracting the common path impedance from a first branch resistance for the first electrode;
determining a therapeutic impedance for the second electrode by subtracting the common path impedance from a second branch resistance for the second electrode;
determining, after the measurement period, based on the first electrode therapeutic impedance and the second electrode therapeutic impedance, an amount of energy dissipated through each of the first and second electrodes during the measurement period; and
calculating, based on the amount of energy dissipated through each of the first and second electrodes during the measurement period, a remaining on time for each of the first and second electrodes, wherein the remaining on time is an amount of time that the associated electrode should be activated during an output period that follows the measurement period in order for the associated electrode to dissipate a predetermined total amount of energy over the measurement period and the output period.

2. The method set forth in claim 1 wherein the first voltage, the second voltage, and the third voltage are substantially equal.

3. The method set forth in claim 1 further comprising:
coupling the first voltage to the first electrode with the second voltage decoupled from the second electrode;
coupling the second voltage to the second electrode with the first voltage decoupled from the first electrode; and
coupling the third voltage concurrently to the first electrode and the second electrode.

4. The method set forth in claim 1 further comprising:
determining, based on the first electrode therapeutic impedance and the second electrode therapeutic impedance, a remaining amount of energy to be dissipated through each of the first and second electrodes during the output period.

5. The method set forth in claim 1 wherein determining a common path impedance includes determining the first branch resistance based on the first voltage and the first current, determining the second branch resistance based on the second voltage and the second current, and determining a combination branch resistance based on the third voltage and the third current.

6. A multi-electrode ablation system comprising:
a power supply configured to be coupled to a plurality of electrodes by a common return path; and
a controller configured to:
measure, during a measurement period, a first current through the common return path when a first voltage is applied by the power supply to a first electrode of the plurality of electrodes;
measure, during the measurement period, a second current through the common return path when a second voltage is applied by the power supply to a second electrode of the plurality of electrodes;
measure, during the measurement period, a third current through the common return path when a third voltage is applied by the power supply concurrently to the first electrode and the second electrode;
determine a common path impedance based at least in part on the first voltage and the first current, the second voltage and the second current, and the third voltage and the third current;
determine a therapeutic impedance for the first electrode by subtracting the common path impedance from a first branch resistance for the first electrode;
determine a therapeutic impedance for the second electrode by subtracting the common path impedance from a second branch resistance for the second electrode; and
determine, after the measurement period, based on the first electrode therapeutic impedance and the second electrode therapeutic impedance, an amount of energy dissipated through each of the first and second electrodes during the measurement period; and
calculate, based on the amount of energy dissipated through each of the first and second electrodes during the measurement period, a remaining on time for each of the first and second electrodes, wherein the remaining on time is an amount of time that the associated electrode should be activated during an output period that follows the measurement period in order for the associated electrode to dissipate a predetermined total amount of energy over the measurement period and the output period.

7. The system set forth in claim 6 wherein the first voltage, the second voltage, and the third voltage are substantially equal.

8. The system set forth in claim 6 further comprising a current sensor communicatively coupled to the controller and configured to detect current through the common return path.

9. The system set forth in claim 6 wherein the controller is further configured to couple voltage from the power supply to the plurality of electrodes based at least in part on the determined common path impedance.

10. The system set forth in claim 6 wherein the controller is further configured to determine, based on the first electrode therapeutic impedance and the second electrode therapeutic impedance, a remaining amount of energy to be dissipated through each of the first and second electrodes during the output period.

11. A controller for a multi-electrode ablation system including a plurality of electrodes and a power supply, the plurality of electrodes coupled to the power supply by a common return path, the controller comprising:
a processor; and
a memory device, the memory device including instructions that, when executed by the processor, cause the processor to:
measure, during a measurement period, a first current through the common return path when a first voltage is applied to a first electrode of the plurality of electrodes;
measure, during the measurement period, a second current through the common return path when a second voltage is applied to a second electrode of the plurality of electrodes;
measure, during the measurement period, a third current through the common return path when a third voltage is applied concurrently to the first electrode and the second electrode;
determine a common path impedance based on the first voltage and the first current, the second voltage and the second current, and the third voltage and the third current;
determine a therapeutic impedance for the first electrode by subtracting the common path impedance from a first branch resistance for the first electrode;
determine a therapeutic impedance for the second electrode by subtracting the common path impedance from a second branch resistance for the second electrode;
determine, after the measurement period, based on the first electrode therapeutic impedance and the second electrode therapeutic impedance, an amount of energy dissipated through each of the first and second electrodes during the measurement period; and
calculate, based on the amount of energy dissipated through each of the first and second electrodes during the measurement period, a remai

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Brotz Joseph Allen
• Hein John Eric
• Froehlich Raymond Vincent
• Barnier Joseph William

Classifications

• A61B2018/00267

  having a basket shaped structure · CPC title

• A61B2018/00797

  measured by multiple temperature sensors · CPC title

• A61B18/1206

  Generators therefor · CPC title

• A61B2018/00779

  Power or energy · CPC title

• A61B2018/00714

  Temperature · CPC title