Ablation system, methods, and controllers

Patent metadata

Field	Value
Publication number	US-9987070-B2
Application number	US-201414204139-A
Country	US
Kind code	B2
Filing date	Mar 11, 2014
Priority date	Mar 15, 2013
Publication date	Jun 5, 2018
Grant date	Jun 5, 2018

Abstract

Multi-electrode ablation systems, methods, and controllers are described. In one example, a multi-electrode ablation system includes a power supply configured to be coupled to a plurality of electrodes and a controller coupled to the power supply. The controller is configured to determine a thermal gain of each electrode of the plurality of electrodes. For each electrode of the plurality of electrodes, the controller sets a power limit based at least in part on said electrode's determined thermal gain. The power limit establishes a maximum power that may be dissipated through said electrode.

First claim

What is claimed is:

1. A multi-electrode ablation system comprising:
a power supply configured to be coupled to a plurality of electrodes; and
a controller coupled to the power supply, the controller configured to:
determine a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power; and
for each electrode of the plurality of electrodes, set a power limit based at least in part on said electrode's determined thermal gain, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain.

2. The system set forth in claim 1 wherein the controller is configured to compare the determined thermal gain of each electrode to the threshold thermal gain.

3. The system set forth in claim 2 wherein the controller is configured to set the power limit at a predetermined power limit for each electrode for which the determined thermal gain equals or exceeds the threshold thermal gain.

4. The system set forth in claim 1 wherein the controller is configured, for each electrode, to set and maintain the power limit at a predetermined power limit until at least one startup condition for said electrode has been met.

5. The system set forth in claim 4 wherein the at least one startup condition is a temperature of said electrode reaching a predetermined temperature threshold.

6. The system set forth in claim 4 wherein the at least one startup condition is an energy dissipated through said electrode reaching a predetermined energy threshold.

7. The system set forth in claim 4 wherein the at least one startup condition is the first to occur of a temperature of said electrode reaching a predetermined temperature threshold and an energy dissipated through said electrode reaching a predetermined energy threshold.

8. A method of operating a multi-electrode ablation system, the method comprising:
determining a thermal gain of each electrode of a plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power; and
for each electrode of the plurality of electrodes, setting a power limit based at least in part on said electrode's determined thermal gain, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain.

9. The method set forth in claim 8 further comprising comparing the determined thermal gain of each electrode to the threshold thermal gain.

10. The method set forth in claim 8 further comprising setting and maintaining the power limit at a predetermined power limit until at least one startup condition for said electrode has been met.

11. A multi-electrode ablation system comprising:
a power supply configured to be coupled to a plurality of electrodes; and
a controller coupled to the power supply, the controller configured to:
determine a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power;
set a power limit for each electrode of the plurality of electrodes, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain; and
for each electrode of the plurality of electrodes, determine whether or not to reduce the power limit for said electrode based at least in part on the determined thermal gain of said electrode.

12. The system set forth in claim 11 wherein the controller is further configured to compare the determined thermal gain for each electrode to the threshold thermal gain.

13. The system set forth in claim 12 wherein the controller is configured to determine not to reduce the power limit for an electrode when the determined thermal gain for said electrode is greater than or equal to the threshold thermal gain.

14. The system set forth in claim 12 wherein the controller is configured to determine to reduce the power limit for an electrode when the determined thermal gain for said electrode is less than the threshold thermal gain.

15. The system set forth in claim 11 wherein the controller is further configured to reduce the power limit for an electrode by an amount proportional to a difference value that is the difference between the determined thermal gain for said electrode and the threshold thermal gain when the determined thermal gain for said electrode is less than the threshold thermal gain.

16. The system set forth in claim 15 wherein the amount by which the power limit is reduced is determined by the product of a scaling factor and the difference value.

17. A method of operating a multi-electrode ablation system, the method comprising:
determining a thermal gain of each electrode of the plurality of electrodes, wherein the thermal gain of each electrode is determined based on temperature readings provided by one temperature sensor and wherein the thermal gain is a ratio of a change in measured temperature to an amount of applied power;
setting a power limit for each electrode of a plurality of electrodes, wherein the power limit establishes a maximum power that may be dissipated through said electrode, and wherein the power limit is proportional to a difference between the thermal gain and a threshold thermal gain; and
for each electrode of the plurality of electrodes, determining whether or not to reduce the power limit for said electrode based at least in part on the determined thermal gain of said electrode.

18. The method set forth in claim 17 further comprising comparing the determined thermal gain for each electrode to the threshold thermal gain.

19. The method set forth in claim 17 further comprising reducing the power limit for an electrode by an amount proportional to a difference value that is the difference between the determined thermal gain for said electrode and the threshold thermal gain when the determined thermal gain for said electrode is less than the threshold thermal gain.

20. The method set forth in claim 19 wherein the amount by which the power limit is reduced is determined by the product of a scaling factor and the difference value.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Blix John B
• Baker James C
• Ennett Kevin K
• Hein John Eric
• Brotz Joseph Allen
• Barnier Joseph William
• Froehlich Raymond Victor
• Olsen Michael
• Varadharajan Sukanya

Classifications

• A61B2018/00434

  Neural system · CPC title

• A61B18/1233

  with circuits for assuring patient safety · CPC title

• A61B2018/00821

  measured by a thermocouple · CPC title

• A61B2018/00666

  using a threshold value · CPC title

• A61B18/1492 Primary

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