RF Catheter Power Control for Tissue Remodeling

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Solution Overview

Problem

Current methods for treating atherosclerotic plaque, such as balloon angioplasty and stenting, often cause trauma to tissues and do not effectively protect healthy tissue, leading to restenosis and other complications, especially in diffuse artery disease, bifurcations, and areas susceptible to torsion, elongation, or shortening, and lack effective means for remodeling blood vessel lumens without extreme dilation or implantation.

Innovation Solution

A power generating and control apparatus that delivers controlled energy dosage using RF, ultrasound, or microwave energy through a catheter with multiple energy delivery surfaces, featuring a PID controller to maintain power output within a set range based on impedance measurements, allowing for selective tissue remodeling and minimizing damage to healthy tissue.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If balloon angioplasty and stenting are used to treat atherosclerotic plaque, then the blood vessel lumen is opened and blood flow is restored, but significant trauma is imposed on the tissues and healthy tissue is damaged

Engineering Contradiction:
Improveblood flow restorationVSAvoidtissue trauma
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The patent replaces mechanical trauma-based treatments (balloon dilation, stenting, atherectomy) with RF energy-based tissue remodeling. The RF energy system heats and remodels plaque and tissue through thermal effects without requiring mechanical force, thereby restoring blood flow while minimizing physical trauma to the vessel wall and surrounding healthy tissue.

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

Solution Approach 2:

The patent changes the physical state of tissue through controlled RF heating, transitioning tissue from a cold to a heated state to achieve remodeling. By controlling temperature parameters and energy delivery, the system selectively remodels plaque while preserving healthy tissue, avoiding the mechanical damage associated with traditional interventions.

Inventive Principle:
Principle #35Parameter changes

2Productivity

If extreme dilation or implantation is performed to treat luminal obstructions, then blood flow is restored, but invasive procedures and implants are required

Engineering Contradiction:
Improvelumen openingVSAvoidinvasive implants
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The patent eliminates the need for mechanical implants (stents, balloons) by using RF energy to directly remodel and expand the vessel lumen through thermal effects on the tissue. This energy-based approach achieves lumen opening without requiring foreign body implants or complex mechanical devices to be left in place.

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

3Adaptability or versatility

If traditional methods are used to treat diffuse artery disease and bifurcations, then some areas are treated, but areas susceptible to torsion, elongation, or shortening are not effectively protected

Engineering Contradiction:
Improvetreatment coverageVSAvoidtissue protection
Core Design Contradiction:
Adaptability or versatilityVSReliability

Solution Approach 1:

The patent uses controlled, periodic RF energy delivery to treat diffuse disease along the vessel length. The system can sequentially treat different segments of the artery, including bifurcations and areas prone to mechanical stress, by advancing the catheter and delivering energy in controlled intervals, ensuring comprehensive coverage while protecting vulnerable areas through precise energy control.

Inventive Principle:
Principle #19Periodic action

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 enables controlled tissue remodeling with reduced trauma, effective in treating atherosclerotic plaque and other luminal obstructions by maintaining a uniform temperature distribution and promoting therapeutic biological responses without the need for invasive implants or extreme dilation.

Implementation Method 1

A power generating and control apparatus that delivers controlled energy dosage using RF, ultrasound, or microwave energy

Methodology Applied
Scientific EffectRF energy heating: Dielectric Heating

Implementation Method 2

A power generating and control apparatus that delivers controlled energy dosage using RF, ultrasound, or microwave energy

Methodology Applied
Scientific EffectUltrasound heating: Ultrasonic Vibration

Implementation Method 3

A power generating and control apparatus that delivers controlled energy dosage using RF, ultrasound, or microwave energy

Methodology Applied
Scientific EffectMicrowave heating: Microwave Radiation

Implementation Method 4

featuring a PID controller to maintain power output within a set range based on impedance measurements

Methodology Applied
Scientific EffectImpedance measurement: Electrical Impedance Tomography

Implementation Method 5

enables controlled tissue remodeling with reduced trauma, effective in treating atherosclerotic plaque and other luminal obstructions by maintaining a uniform temperature distribution

Methodology Applied
Scientific EffectThermal diffusion: Conduction (thermal)

Data Source

PatentUS11071583B2Power generating and control apparatus for the treatment of tissue
Publication Date: 2021.07.27 BOSTON SCIENTIFIC SCIMED INC
  • US11071583B2 patent drawing
  • US11071583B2 patent drawing
  • US11071583B2 patent drawing

AI summary

Apparatus, systems, and methods are provided for the generation and control of energy delivery in a dosage to elicit a therapeutic response in diseased tissue. A balloon catheter can have electrodes attached to a power generator and controller such that the balloon and electrodes contact tissue during energy treatment. Energy selectively may be applied to tissue based on measured impedance to achieve gentle heating. Calibration of the apparatus and identification of attached accessories by computing the circuit impedance prior to energy dosage facilitate regulation of power delivery about a set point. Energy delivery can be controlled to achieve substantially uniform bulk tissue temperature distribution. Energy delivery may beneficially affect nerve activity.