WO2007067938A3 - Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system - Google Patents

Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system Download PDF

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Publication number
WO2007067938A3
WO2007067938A3 PCT/US2006/061711 US2006061711W WO2007067938A3 WO 2007067938 A3 WO2007067938 A3 WO 2007067938A3 US 2006061711 W US2006061711 W US 2006061711W WO 2007067938 A3 WO2007067938 A3 WO 2007067938A3
Authority
WO
WIPO (PCT)
Prior art keywords
electrode
navigation system
electro
tissue contact
catheter electrode
Prior art date
Application number
PCT/US2006/061711
Other languages
French (fr)
Other versions
WO2007067938A2 (en
Inventor
Saurav Paul
Hong Cao
Original Assignee
St Jude Atrial Fibrillation Di
Saurav Paul
Hong Cao
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by St Jude Atrial Fibrillation Di, Saurav Paul, Hong Cao filed Critical St Jude Atrial Fibrillation Di
Priority to AU2006321570A priority Critical patent/AU2006321570B2/en
Priority to US12/096,066 priority patent/US8369922B2/en
Priority to BRPI0621018-0A priority patent/BRPI0621018A2/en
Priority to CA2632604A priority patent/CA2632604C/en
Priority to JP2008544647A priority patent/JP5312948B2/en
Priority to EP06840133.0A priority patent/EP1962710B1/en
Publication of WO2007067938A2 publication Critical patent/WO2007067938A2/en
Publication of WO2007067938A3 publication Critical patent/WO2007067938A3/en
Priority to IL191733A priority patent/IL191733A/en
Priority to US13/745,162 priority patent/US8755860B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00297—Means for providing haptic feedback
    • A61B2018/00303—Means for providing haptic feedback active, e.g. with a motor creating vibrations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00357—Endocardium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/0075—Phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00755—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00869—Phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • A61B2090/065—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension for measuring contact or contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/053—Measuring electrical impedance or conductance of a portion of the body

Abstract

An electrode coupling output system associated with an electrode catheter that provides indication to the physician via the navigation system, concerning the electrical coupling of an electrode, such as an ablative or mapping electrode, with a patient. The indication may be provided by changing the color or other display characteristics of the electrode on the navigation system display or by way of providing a waveform indicating the electrode coupling. In this manner, electrode coupling information is provided to a physician in a manner that minimizes physician distraction.
PCT/US2006/061711 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system WO2007067938A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
AU2006321570A AU2006321570B2 (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
US12/096,066 US8369922B2 (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
BRPI0621018-0A BRPI0621018A2 (en) 2005-12-06 2006-12-06 method and instrument for displaying catheter electrode-tissue contact in electro-anatomical mapping and navigation system
CA2632604A CA2632604C (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
JP2008544647A JP5312948B2 (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in an electroanatomical mapping and navigation system
EP06840133.0A EP1962710B1 (en) 2005-12-06 2006-12-06 Apparatus for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
IL191733A IL191733A (en) 2005-12-06 2008-05-27 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
US13/745,162 US8755860B2 (en) 2005-12-06 2013-01-18 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US74823405P 2005-12-06 2005-12-06
US60/748,234 2005-12-06

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US12/096,066 A-371-Of-International US8369922B2 (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
US13/745,162 Continuation US8755860B2 (en) 2005-12-06 2013-01-18 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system

Publications (2)

Publication Number Publication Date
WO2007067938A2 WO2007067938A2 (en) 2007-06-14
WO2007067938A3 true WO2007067938A3 (en) 2007-12-06

Family

ID=38123222

Family Applications (6)

Application Number Title Priority Date Filing Date
PCT/US2006/061714 WO2007067941A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061712 WO2007067939A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061711 WO2007067938A2 (en) 2005-12-06 2006-12-06 Method for displaying catheter electrode-tissue contact in electro-anatomic mapping and navigation system
PCT/US2006/046565 WO2007067628A1 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061716 WO2007067943A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061710 WO2007067937A2 (en) 2005-12-06 2006-12-06 Design of handle set for ablation catheter with indicators of catheter and tissue parameters

Family Applications Before (2)

Application Number Title Priority Date Filing Date
PCT/US2006/061714 WO2007067941A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061712 WO2007067939A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation

Family Applications After (3)

Application Number Title Priority Date Filing Date
PCT/US2006/046565 WO2007067628A1 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061716 WO2007067943A2 (en) 2005-12-06 2006-12-06 Assessment of electrode coupling for tissue ablation
PCT/US2006/061710 WO2007067937A2 (en) 2005-12-06 2006-12-06 Design of handle set for ablation catheter with indicators of catheter and tissue parameters

Country Status (9)

Country Link
US (9) US9271782B2 (en)
EP (3) EP1962710B1 (en)
JP (3) JP5312948B2 (en)
CN (2) CN101534736B (en)
AU (3) AU2006321570B2 (en)
BR (3) BRPI0621018A2 (en)
CA (3) CA2632604C (en)
IL (3) IL191733A (en)
WO (6) WO2007067941A2 (en)

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US9492226B2 (en) 2005-12-06 2016-11-15 St. Jude Medical, Atrial Fibrillation Division, Inc. Graphical user interface for real-time RF lesion depth display
US8900229B2 (en) 2007-10-08 2014-12-02 Biosense Webster (Israel) Ltd. High-sensitivity pressure-sensing probe
US8437832B2 (en) 2008-06-06 2013-05-07 Biosense Webster, Inc. Catheter with bendable tip
US9345533B2 (en) 2008-06-06 2016-05-24 Biosense Webster, Inc. Catheter with bendable tip
US9101734B2 (en) 2008-09-09 2015-08-11 Biosense Webster, Inc. Force-sensing catheter with bonded center strut
US9326700B2 (en) 2008-12-23 2016-05-03 Biosense Webster (Israel) Ltd. Catheter display showing tip angle and pressure
US8600472B2 (en) 2008-12-30 2013-12-03 Biosense Webster (Israel), Ltd. Dual-purpose lasso catheter with irrigation using circumferentially arranged ring bump electrodes
US8475450B2 (en) 2008-12-30 2013-07-02 Biosense Webster, Inc. Dual-purpose lasso catheter with irrigation
US9204927B2 (en) 2009-05-13 2015-12-08 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for presenting information representative of lesion formation in tissue during an ablation procedure
US8920415B2 (en) 2009-12-16 2014-12-30 Biosense Webster (Israel) Ltd. Catheter with helical electrode
US9131981B2 (en) 2009-12-16 2015-09-15 Biosense Webster (Israel) Ltd. Catheter with helical electrode
US8990039B2 (en) 2009-12-23 2015-03-24 Biosense Webster (Israel) Ltd. Calibration system for a pressure-sensitive catheter
US8852130B2 (en) 2009-12-28 2014-10-07 Biosense Webster (Israel), Ltd. Catheter with strain gauge sensor
US8608735B2 (en) 2009-12-30 2013-12-17 Biosense Webster (Israel) Ltd. Catheter with arcuate end section
US9101396B2 (en) 2010-06-30 2015-08-11 Biosense Webster (Israel) Ltd. Pressure sensing for a multi-arm catheter
US8731859B2 (en) 2010-10-07 2014-05-20 Biosense Webster (Israel) Ltd. Calibration system for a force-sensing catheter
US8979772B2 (en) 2010-11-03 2015-03-17 Biosense Webster (Israel), Ltd. Zero-drift detection and correction in contact force measurements

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