Bipolar Ablation Catheter Time Slot Control
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Solution Overview
Problem
During bipolar tissue ablation procedures using a lasso-type catheter, unintended electrodes may come into contact with energized electrodes, disrupting the ablation process and potentially causing harm to the patient due to undesired Joule heating and uncontrolled tissue damage.
Innovation Solution
A method and system employing a catheter with multiple electrodes that apply bipolar ablation pulses according to a predefined pattern of time slots, where each slot defines an electrode-pair, a waveform, and a duration, with scheduled time gaps to prevent overheating and ensure safe, controlled tissue ablation, using a processor to manage the sequence and power delivery.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Area of stationary object
If multiple electrodes are activated simultaneously for extended area ablation, then treatment coverage is improved, but risk of unintended electrode contact and Joule heating increases
Solution Approach 1:
The ablation process is segmented into sequential time slots where only one electrode-pair is active at a time. The lasso catheter divides its multiple electrodes into different time slots, with each slot activating a specific electrode-pair for a defined duration. This temporal segmentation prevents simultaneous activation of all electrodes, thereby eliminating unintended electrode contact and reducing Joule heating while still achieving extended area ablation through sequential treatment of different segments.
Solution Approach 2:
The system employs periodic activation of electrode-pairs in a predefined cyclic pattern. Each electrode-pair is activated for a specific time slot within the cycle, followed by deactivation before the next electrode-pair activates. This periodic action ensures that electrodes are not continuously energized, reducing cumulative Joule heating and preventing harmful interactions between simultaneously active electrodes while maintaining effective ablation coverage over the extended tissue area.
2Productivity
If bipolar ablation pulses are applied continuously, then ablation efficiency is improved, but tissue overheating and uncontrolled damage occur
Solution Approach 1:
The bipolar ablation pulses are applied in periodic bursts rather than continuously. Each pulse train is delivered to an electrode-pair for a defined time slot, followed by a pause period where no pulses are delivered. This periodic pulsed delivery allows thermal diffusion during the pause intervals, preventing excessive temperature accumulation and uncontrolled tissue damage while maintaining high ablation efficiency during the active pulse windows.
Solution Approach 2:
The system implements preliminary cooling intervals between successive pulses and electrode-pair activations. Before delivering the next pulse train or activating the next electrode-pair, a predetermined time gap is introduced to allow thermal dissipation. This preliminary action prevents temperature buildup that would lead to uncontrolled tissue damage while preserving ablation efficiency by ensuring each subsequent pulse starts from a safer thermal baseline.
3Manufacturing precision
If electrode-pairs are sequentially activated with time slots, then control over ablation precision is improved, but treatment time increases
Solution Approach 1:
The system applies partial activation of the electrode array by selectively energizing only the necessary electrode-pairs for each time slot rather than all electrodes simultaneously. This partial action approach achieves precise spatial control over the ablation field, treating only the intended tissue regions while minimizing treatment time by avoiding the complexity of managing all electrodes at once. The predefined time slot pattern optimizes which electrode-pairs are activated based on the specific ablation geometry required.
Solution Approach 2:
The electrode activation pattern is dynamically optimized through the predefined time slot sequence, where the system adapts which electrode-pairs are active at each moment based on the desired ablation geometry. This dynamic approach allows precise spatial control by activating specific electrode-combinations for specific time windows, achieving accurate ablation boundaries while minimizing total treatment time through intelligent temporal scheduling of electrode activations rather than static simultaneous activation.
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
This approach enhances patient safety by controlling the position and timing of bipolar ablation pulses, reducing the risk of uncontrolled tissue damage and improving the uniformity of the electric field for effective tissue ablation while minimizing Joule heating.
Implementation Method 1
Various techniques for ablating an extended area of heart tissue by applying irreversible electroporation (IRE) pulses are known in the art
Implementation Method 2
potentially causing harm to the patient due to undesired Joule heating and uncontrolled tissue damage
Data Source
AI summary
A method for applying bipolar ablation pulses, the method includes positioning multiple electrodes of a catheter in contact with tissue of an organ. The tissue is ablated using the multiple electrodes in accordance with a predefined pattern including a periodic set of time slots. Each of the time slots defines (i) an electrode-pair (EP), (ii) a waveform of one or more bipolar ablation pulses (BAPs) applied to the tissue by the EP, and (iii) a duration of the time slot. The time slots are applied sequentially, and the pattern further includes at least one time slot that is empty.

