Method for predicting the probability of steam pop in RF ablation therapy
A method and apparatus that utilizes a force-time integral for real time estimation of steam pop in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and an energization parameter delivered to the ablation probe. The exerted force and energization parameter can be utilized to provide an estimation of the probability of steam pop. In one embodiment, the force and energization metrics can be used as feedback to establish a desired contact force and energization level combination to prevent steam popping.
1. A method for delivering ablation power from a power source to a target tissue during a medical procedure using a processor connected to a storage medium that stores programming instructions to be carried out by the processor, the programming instructions comprising the following:
receiving an output signal from a force sensor operatively coupled with an ablation head of a catheter in contact with the target tissue during the medical procedure, wherein the output signal is indicative of a contact force exerted on the ablation head by the target tissue;
estimating a probability of steam pop based on the output signal and a level of ablation power; and
delivering the level of ablation power from the power source to the target tissue via the ablation head, wherein the delivered level of ablation power is based on the contact force such that a corresponding estimated probability of steam pop remains no greater than an acceptable value and such that the delivered level of ablation power is sufficiently high to form a lesion on the target tissue.
2. The method of claim 1 , wherein the power source is configured to generate radio-frequency power to energize the ablation head.
3. The method of claim 1 , wherein the power source is configured to generate electrical current to energize the ablation head.
4. The method of claim 1 , wherein the power source is configured to keep the delivered level of ablation power between 20 and 30 watts, and wherein the processor is further adapted to deliver ablation power to the ablation head only when the contact force is between 10 and 30 gmf.
5. The method of claim 1 , wherein the acceptable value of the probability of steam pop is zero.
6. The method of claim 1 , further comprising providing visualization to an operator of the ablation head related to the contact force exerted on the ablation head by the target tissue and the delivered level of ablation power.
7. The method of claim 1 , further comprising outputting a control signal to a robotic controller of the ablation head based on the sensed output signal from the force sensor.
8. The method of claim 1 , further comprising utilizing a zone of optimum combinations of the force sensor output signal and the delivered level of ablation power, wherein the zone of optimum combinations (i) ensures that the delivered level of ablation power is sufficiently high to form the lesion on the target tissue and (ii) maintains the delivered level of ablation power relative to the contact force such that the corresponding estimated probability of steam pop remains no greater than the acceptable value.
9. The method of claim 8 , wherein the acceptable value of the probability of steam pop is zero.
10. The method of claim 8 , wherein the zone of optimum combinations is determined by the processor based at least in part on experimental data for the ablation head stored in the storage medium.
11. The method of claim 8 , wherein the delivered ablation power is based at least in part on the zone of optimum combinations.
12. The method of claim 8 , wherein the zone of optimum combinations is determined in part by data acquired during the medical procedure and stored in the storage medium.
13. The method of claim 1 , wherein the step of delivering the level of ablation power further comprises controlling the delivered level of ablation power
(i) to decrease the delivered level of ablation power when the output signal from the force sensor is indicative of increased contact force, and the combination of the delivered level of ablation power and the sensed contact force increases the estimated probability of steam pop above the acceptable value, and
(ii) to increase the delivered level of ablation power when the output signal from the force sensor is indicative of decreased contact force, and the combination of the delivered level of ablation power and the sensed contact force is insufficient to form the lesion on the target tissue.
14. The method of claim 1 , wherein said force sensor is adapted to produce the output signal that correlates with said contact force, and the processor accesses the storage medium to access memory which correlates the received output signal from the force sensor with the sensed force at the ablation head.