Assessment of electrode coupling of tissue ablation
An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.
1. A medical system comprising
an electrical power source at least interconnectable with a first ablation electrode and configured to apply electrical energy to said first ablation electrode;
a data structure having a plurality of empirically predetermined excessive electrical coupling benchmark values corresponding to empirical amounts of electrical energy passing between a testing electrode and a corresponding plurality of types of tissue during ablation that form excessively deep lesions in each of the corresponding plurality of types of tissue, wherein each empirically predetermined excessive electrical coupling benchmark value is related to electrical conductivity and tissue compliance of each of the corresponding plurality of types of tissue, the corresponding plurality of types of tissue including a target tissue;
a coupling assessment module configured to monitor an electrical coupling condition between said first ablation electrode and the target tissue during application of the electrical energy to the target tissue, wherein said coupling assessment module is configured, during application of the electrical energy to said first ablation electrode, to identify development of an elevated electrical coupling condition by comparing at least a portion of an impedance signal measured between said first ablation electrode and the target tissue with one of said plurality of empirically predetermined excessive electrical coupling benchmark values corresponding to the target tissue; and
a display device configured to, upon identification of said development of said elevated electrical coupling condition, generate an output indicative of said elevated electrical coupling condition.
2. The medical system of claim 1 , wherein said coupling assessment module is configured to utilize a reactance component of said impedance signal to identify said development of said elevated electrical coupling condition.
3. The medical system of claim 1 , wherein said coupling assessment module is configured to compare a phase angle to at least one phase angle benchmark value to identify said elevated coupling condition.
4. The medical system of claim 1 , wherein said coupling assessment module is configured to compare a frequency, at which phase angle has a preset value, to at least one benchmark frequency value to identify said elevated coupling condition.
5. The medical system of claim 1 , wherein said coupling assessment module is configured to compare a frequency, at which reactance has a preset value, to at least one benchmark frequency value to identify said elevated coupling condition.
6. The medical system of claim 1 , further comprising a return electrode, wherein said first ablation electrode and said return electrode are associated with different catheters.
7. The medical system of claim 6 , wherein each of said first ablation electrode and said return electrode are disposable in a common heart chamber.
8. The medical system of claim 6 , wherein said return electrode has a larger surface area than said first ablation electrode.