Ablation Electrode Contact Detection Using Time-Varying Temperature Threshold

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Solution Overview

Problem

Current methods for verifying contact between an ablation probe and tissue during minimally-invasive intra-cardiac ablation procedures are not adequately precise, particularly in determining continuous contact and varying power levels, which can lead to inconsistent tissue ablation results.

Innovation Solution

A system comprising a signal generator delivering RF signals with varying power and a processor that sets a time-varying temperature threshold based on the fourth root of the power, using coefficients for contact and non-contact scenarios to determine probe-tissue contact through temperature measurements, allowing for real-time 'contact/no-contact' indications.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a fixed temperature threshold is used to determine probe-tissue contact, then the detection method is simple, but the precision deteriorates when power levels vary

Engineering Contradiction:
Improvesimplicity of contact detectionVSAvoidprecision of contact verification
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent applies dynamics by transitioning from a fixed temperature threshold to a time-varying threshold that adapts to changing RF power levels. The threshold is dynamically adjusted based on the fourth root of the instantaneous power, allowing the contact detection system to maintain precision across varying power conditions while preserving operational simplicity through automated calculation.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The patent changes the temperature threshold parameter from a constant value to a variable that depends on RF power levels. By establishing a mathematical relationship between power and threshold (threshold proportional to the fourth root of power), the system maintains measurement precision across different power levels without increasing operational complexity.

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If temperature measurements are continuously monitored with high precision, then contact verification accuracy improves, but the device complexity increases

Engineering Contradiction:
Improveaccuracy of contact verificationVSAvoidcomplexity of detection system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent replaces complex mechanical or multi-sensor contact detection systems with a simplified thermal-based detection method. By using temperature measurements combined with a power-dependent threshold calculation, the system achieves high contact verification accuracy without requiring complex mechanical structures or multiple sensing elements.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The system uses the existing RF power delivery mechanism and temperature sensing capability to perform contact verification. The processor automatically calculates the time-varying threshold based on the fourth root of the power signal, making the system self-sufficient without requiring additional external calibration or complex auxiliary systems.

Inventive Principle:
Principle #25Self-service

3Measurement precision

If the temperature threshold is adjusted to account for varying power levels, then the precision of contact detection improves, but the device complexity increases

Engineering Contradiction:
Improveprecision of contact detectionVSAvoidcomplexity of threshold adjustment mechanism
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent implements feedback by continuously monitoring the RF power level and automatically adjusting the temperature threshold accordingly. The processor uses the measured power signal to calculate the appropriate threshold in real-time, creating a closed-loop system that maintains detection precision without requiring manual intervention or complex mechanical adjustment mechanisms.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The patent changes the threshold parameter dynamically based on power level variations. By establishing a mathematical relationship where the threshold is proportional to the fourth root of the power, the system achieves precise contact detection across varying power conditions while keeping the adjustment mechanism simple and automated.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances the precision of probe-tissue contact verification, ensuring consistent and controlled tissue ablation by accurately differentiating between contact and non-contact conditions, even with changing power levels, thereby improving the efficacy of the ablation procedure.

Implementation Method 1

a signal generator (36) delivering a Radio Frequency (RF) signal having a time-varying power to an intra-body probe, for application to tissue in a vicinity of the probe, in order to ablate the tissue

Methodology Applied
Scientific EffectJoule heating: Joule Heating

Implementation Method 2

a temperature sensor (48) measuring a temperature in a vicinity of the probe

Methodology Applied
Scientific EffectThermal conduction: Conduction (thermal)

Data Source

PatentEP2823782B1Detection of ablation electrode contact with tissue
Publication Date: 2021.05.05 BIOSENSE WEBSTER (ISRAEL) LTD
  • EP2823782B1 patent drawingFigure 1
  • EP2823782B1 patent drawingFigure 2
  • EP2823782B1 patent drawingFigure 3

AI summary

A method includes delivering a Radio Frequency (RF) signal having a time-varying power from an intra-body probe to tissue in a vicinity of the probe in order to ablate the tissue. A temperature is measured in the vicinity of the probe. A decision is made as to whether the probe is in contact with the tissue, by comparing the measured temperature to a temperature threshold that varies in time depending on the time-varying power of the RF signal.