Fiber-Optic Force-Sensing Catheter for Ablation Contact Control
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Solution Overview
Problem
Existing catheter-based ablation therapies for cardiac arrhythmias face challenges in accurately determining and controlling the contact force between the catheter tip and myocardial tissue, leading to inconsistent lesion formation and potential tissue damage.
Innovation Solution
A force-sensing catheter system with a deformable body and fiber-optic sensors that measure deformation to determine the force applied to the catheter tip, using processor circuitry to calculate and display the contact force, providing feedback to clinicians.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If contact force between catheter tip and myocardial tissue is increased to improve ablation efficacy, then ablation effectiveness is improved, but risk of tissue damage and excessive ablation increases
Solution Approach 1:
The patent implements a feedback mechanism by incorporating force sensing capability into the catheter tip. The sensor detects the contact force between the catheter tip and myocardial tissue in real-time, and this information is fed back to the control system. The control system then adjusts the ablation energy delivery based on the detected force, ensuring that ablation is performed only when appropriate contact force is achieved, thereby preventing both insufficient ablation and excessive tissue damage.
Solution Approach 2:
The patent replaces manual mechanical assessment of contact force with an optical sensing system. Instead of relying on clinician judgment or mechanical force sensors, the invention uses fiber optic sensors that detect contact force through optical measurements. This substitution provides more precise, real-time measurement of contact force, enabling better control over the ablation process and reducing the risk of harmful excessive force application.
2Object-affected harmful factors
If contact force is reduced to prevent tissue damage, then tissue safety is improved, but ablation efficacy is reduced
Solution Approach 1:
The feedback mechanism ensures that ablation energy is delivered only when the force sensor detects appropriate contact force between the catheter tip and tissue. This prevents premature ablation when contact is insufficient, while also preventing excessive force application that could cause tissue damage. The system continuously monitors and adjusts based on real-time force measurements, optimizing both safety and efficacy.
Solution Approach 2:
The system performs preliminary assessment of contact force before initiating ablation energy delivery. The force sensor evaluates whether appropriate contact has been achieved, and only after this preliminary check confirms sufficient contact does the system proceed with ablation. This preliminary action ensures that ablation is never performed without proper tissue contact, preventing both ineffective ablation and unsafe conditions.
3Device complexity
If manual feedback and impedance measurements are used for catheter positioning, then system complexity is reduced, but mapping accuracy deteriorates due to contact force artifacts
Solution Approach 1:
The patent replaces electrical impedance measurements with optical-based force sensing for catheter positioning and contact detection. The fiber optic sensor measures contact force through optical properties rather than electrical impedance, eliminating the artifacts that contact force introduces into impedance-based mapping. This substitution maintains relatively simple system architecture while dramatically improving mapping accuracy by removing the source of measurement errors.
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 ablation therapies by ensuring consistent force application, improving lesion uniformity and reducing the risk of tissue damage.
Implementation Method 1
a deformable body that deforms in response to the force applied
Implementation Method 2
a fiber-optic force sensor that detects components of the deformation
Data Source
AI summary
Aspects of the present disclosure are directed toward systems and methods for detecting force applied to a distal tip of a medical catheter. A medical catheter includes a deformable body near a distal tip of the catheter that deforms in response to a force applied at the distal tip, and a sensor detects various components of the deflection. Processor circuitry may then, based on the detected components of the deformation, determine a force applied to the distal tip of the catheter.


