IP Library › Granted Patent US 10,307,206
Granted Patent B2
US 10,307,206 · App. 15/179,196 · Granted Jun 4, 2019

Temperature controlled short duration ablation

Inventors: Assaf Govari (Haifa, IL); Yaron Ephrath (Karkur, IL); Andres Claudio Altmann (Haifa, IL); Israel Zilberman (Yokneam, IL)
Assignee: Biosense Webster (Israel) Ltd.
A61B18/1492A61B2018/00029A61B2018/00351A61B2018/00577A61B2018/00642A61B2018/00666A61B2018/00678A61B2018/00702A61B2018/00708A61B2018/00714A61B2018/00791
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Quick Facts
Patent No.
US 10,307,206
App. No.
15/179,196
Granted
Jun 4, 2019
Kind
B2
Abstract

A method, including selecting a first maximum radiofrequency (RF) power to be delivered by an electrode within a range of 70 W-100 W, and selecting a second maximum RF power to be delivered by the electrode within a range of 20 W-60 W. The method also includes selecting an allowable force on the electrode within a range of 5 g-50 g, selecting a maximum allowable temperature, of tissue to be ablated, within a range of 55° C.-65° C., and selecting an irrigation rate for providing irrigation fluid to the electrode within a range of 8-45 ml/min. The method further includes performing an ablation of tissue using the selected values by initially using the first power, switching to the second power after a predefined time between 3 s and 6 s, and terminating the ablation after a total time for the ablation between 10 s and 20 s.

Claims (51)

1. A method, comprising:

performing an ablation procedure on biological tissue using radiofrequency (RF) power by delivering a first level of RF power to the tissue;

measuring at respective times a temperature of the tissue; and

when the temperature exceeds a preset maximum allowable temperature, reducing the RF power by delivering a second level of RF power to the tissue,

wherein the first level of RF power is in a range of 70 W-100 W, and the second level of RF power is in a range of 20 W-60 W.

2. The method according to claim 1 , wherein the temperature of the tissue is measured at a frequency of at least 30 Hz.

3. The method of claim 1 , further comprising:

measuring an impedance to the RF power during the procedure; and

when a change in the impedance exceeds a preset value, halting supply of the RF power to the tissue.

4. The method of claim 3 , wherein the change is at least 7Ω.

5. The method of claim 1 , wherein the delivery of the RF power further comprises:

a first time period during which the first level of RF power is operative for 1 s to 6 s and a second time period during which the second level of RF power is operative for up to 14 s.

6. The method of claim 1 , further comprising a delivery of the RF power, wherein the RF power is operative for an overall time period of 1 s to 20 s.

7. A method, comprising:

performing an ablation procedure on biological tissue using radiofrequency (RF) power;

measuring at respective times a temperature of the tissue; and

when the temperature exceeds a preset maximum allowable temperature, reducing a level of the RF power supplied to the tissue according to the following equations:

Δ P =min(Δ P ( T ),Δ P ( p )),

where ΔP(T)=(a(T t-1 −T t )/T)+(b(T t-1 −T t )/T), and

where ΔP(p)=(P−P t )/P.

8. The method of claim 7 , wherein a=10 and b=1.

9. Apparatus, comprising:

a power control module configured to perform an ablation procedure on biological tissue using radiofrequency (RF) power; and

a processor configured to:

deliver to the tissue a first level of RF power supplied by the power control module;

measure at respective times a temperature of the tissue; and

when the temperature exceeds a preset maximum allowable temperature, reduce the RF power supplied to the tissue by the power control module to the tissue by delivering a second level of RF power,

wherein the first level of RF power is in a range of 70 W-100 W, and the second level of RF power is in a range of 20 W-60 W.

10. The apparatus according to claim 9 , wherein the temperature of the tissue is measured at a frequency of at least 30 Hz.

11. The apparatus of claim 9 , wherein the processor is configured to

measure an impedance to the RF power during the procedure; and

when a change in the impedance exceeds a preset value, halt supply of the RF power to the tissue.

12. The apparatus of claim 11 , wherein the change is at least 7Ω.

13. The apparatus of claim 9 , wherein the processor is configured to deliver the RF power in a first time period during which the first level of RF power is operative for 1 s to 6 s and a second time period during which the second level of RF power is operative for up to 14 s.

14. The apparatus of claim 9 , wherein the processor is configured to deliver the RF power in an overall time period of 1 s to 20 s.

15. Apparatus, comprising:

a power control module configured to perform an ablation procedure on biological tissue using radiofrequency (RF) power; and

a processor configured to:

deliver to the tissue a first level of RF power supplied by the power control module;

measure at respective times a temperature of the tissue; and

when the temperature exceeds a preset maximum allowable temperature, reduce the RF power supplied to the tissue by the power control module to the tissue according to the following equation:

Δ P =min(Δ P ( T ),Δ P ( p )),

where ΔP(T)=(a(T t-1 −T t )/T)+(b(T t-1 −T t )/T), and

where ΔP(p)=(P−P t )/P.

16. The apparatus of claim 15 , wherein a=10 and b=1.

17. The apparatus of claim 15 , wherein the processor is further configured to:

measure an impedance to the RF power during the procedure, and

when a change in the impedance exceeds a preset value, halt supply of the RF power to the tissue.

18. The apparatus of claim 17 , wherein the change is at least 7Ω.

19. The apparatus of claim 15 , wherein the first level of RF power is operative for 1 s to 6 s and a second level of RF power is operative for up to 14 s.

20. The apparatus of claim 15 , wherein the processor is configured to deliver the RF power in an overall time period of 1 s to 20 s.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 25, 2016
From: GOVARI, ASSAF; EPHRATH, YARON; ALTMANN, ANDRES CLAUDIO; ZILBERMAN, ISRAEL
To: BIOSENSE WEBSTER (ISRAEL) LTD.
Reel/Frame 039544/0051 →
Continuity (2)
Provisional Application 62286534 · Jan 25, 2016
Related Publication 20170209211A1 · Jul 27, 2017
Cited By (1)
US 12,213,728