Current control methods and systems
Apparatus, systems, and methods of controlling energy delivered to electrodes used in electrically and/or thermally induced neuromodulation are provided to improve neuromodulation. In particular, a catheter treatment device having a control algorithm that regulates current or current density delivered to an electrode is provided. The electrode may maintain a known and consistent electrode contact surface area with the vessel. The control algorithm controls energy delivery to provide consistent current or current density to the treatment site, even though the tissue impedance Z may vary from patient to patient and vessel to vessel, and despite changes in impedance of the treatment, site during the course of the treatment. The controlled delivery of energy can be used to control and maintain placement of the zone of thermal treatment and reduce undesirable energy delivery to unwanted locations near the treatment site.
1. A method of controlling energy delivered to an electrode for ablation, comprising:
increasing energy delivered to the electrode to a target energy value by at least:
delivering energy to the electrode at a first rate until the energy reaches a predetermined energy threshold, the predetermined threshold being less than the target energy value;
measuring one or more treatment metrics or parameters;
determining that the one or more treatment metrics or parameters is greater than or equal to a parameter threshold; and
after the energy reaches the predetermined energy threshold, adjusting the delivery of the energy to the electrode at a second rate.
2. The method of claim 1 , wherein the one or more treatment metrics or parameters include a temperature, time, current voltage impedance, contact area, blood flow, flow velocity, volumetric flow rate, blood pressure, or heart rate.
3. The method of claim 1 , wherein delivering energy to the electrode at the first rate includes increasing a current delivered to the electrode at the first rate to begin treatment.
4. The method of claim 3 , wherein adjusting the delivery of the energy to the electrode at the second rate includes increasing the current delivered to the electrode at the second rate until the target energy value is reached, wherein the second rate is slower than the first rate.
5. The method of claim 4 , further comprising:
maintaining the current delivered to the electrode at the first limit for a treatment period;
decreasing the current delivered to the electrode; and
terminating delivery of the current to the electrode at an end of the treatment.
6. The method of claim 5 , further comprising:
maintaining the current delivered to the electrode at a second limit, wherein the second limit is lower than the first limit.
7. The method of claim 4 , wherein decreasing the current delivered to the electrode is at a third rate.
8. The method of claim 1 , wherein measuring the one or more treatment metrics or parameters includes measuring a temperature of surrounding tissue, wherein determining that the one or more treatment metrics or parameters is greater than or equal to the threshold includes determining that the temperature of the surrounding tissue is greater than or equal to a predetermined temperature value.
9. The method of claim 8 , wherein adjusting the delivery of the energy to the electrode to the second rate includes decreasing a current delivered to the electrode when the temperature of the surrounding tissue is greater than or equal to the predetermined temperature value.
10. The method of claim 1 , wherein measuring the one or more treatment metrics or parameters includes measuring the power delivered to surrounding tissue, wherein determining that the one or more treatment metrics or parameters is greater than or equal to the threshold includes determining that the power is greater than or equal to a predetermined value.
11. The method of claim 1 , wherein the first rate is linear.
12. The method of claim 1 , wherein the first rate is nonlinear.
13. A method of controlling current delivered to an electrode for ablation, comprising:
delivering current to the electrode at a first rate until the current reaches a predetermined current threshold, the predetermined current threshold being less than a target current;
measuring one or more treatment metrics or parameters; and
adjusting the delivery of the current to the electrode at a second rate when the one or more treatment metrics or parameters is greater than or equal to a parameter threshold.
14. The method of claim 13 , wherein the one or more treatment metrics or parameters include a temperature, time, current voltage impedance, contact area, blood flow, flow velocity, volumetric flow rate, blood pressure, or heart rate.
15. The method of claim 13 , wherein delivering current to the electrode at the first rate includes increasing a current delivered to the electrode at the first rate to begin treatment.
16. The method of claim 15 , wherein adjusting the delivery of the current to the electrode at the second rate includes increasing the current delivered to the electrode at the second rate until a first limit is reached, wherein the second rate is slower than the first rate.
17. The method of claim 16 , further comprising:
maintaining the current delivered to the electrode at the first limit for a treatment period;
decreasing the current delivered to the electrode; and
terminating delivery of the current to the electrode at an end of the treatment.
18. The method of claim 17 , further comprising:
maintaining the current delivered to the electrode at a second limit, wherein the second limit is lower than the first limit.
19. The method of claim 16 , wherein decreasing the current delivered to the electrode is at a third rate.
20. The method of claim 13 , wherein measuring the one or more treatment metrics or parameters includes measuring a temperature of surrounding tissue, wherein adjusting the delivery of the current to the electrode to the second rate occurs when the temperature is greater than or equal to a predetermined temperature.
21. A method of controlling current delivered to an electrode for ablation, comprising:
increasing a current delivered to the electrode at a first rate until the current reaches a first limit to begin treatment, the first limit being less than a second limit;
increasing the current delivered to the electrode at a rate different from the first rate until the second limit is reached, the different rate being slower than the first rate;
after reaching the second limit, maintaining the current delivered to the electrode for at least a period of time; and
terminating delivery of the current at an end of a treatment period.
22. The method of claim 21 , further comprising:
maintaining the current delivered to the electrode at a third limit, the third limit being lower than the second limit.