Radiofrequency Electrode Channeling Foreign Material in Heart Septum

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Solution Overview

Problem

Existing methods are ineffective in creating channels through foreign materials, such as synthetic materials, within the body, particularly in accessing the left side of the heart when foreign materials cover septal apertures.

Innovation Solution

A radiofrequency-based apparatus is used to create channels through foreign materials by positioning an electrode adjacent to the material and delivering radiofrequency energy to melt or vaporize the material, allowing access across septal apertures in the heart.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If mechanical methods are used to create channels through foreign materials, then channel creation is attempted, but the methods are ineffective for synthetic materials

Engineering Contradiction:
Improvechannel creation effectivenessVSAvoidmethod applicability
Core Design Contradiction:
ReliabilityVSEase of manufacture

Solution Approach 1:

The patent replaces mechanical channel creation methods with radiofrequency energy delivery. The electrode delivers RF energy to the foreign material, causing thermal effects that create channels through melting or vaporization, thereby substituting mechanical force with electromagnetic energy for effective channel creation through synthetic materials.

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

Solution Approach 2:

The patent changes the physical state of the foreign material by delivering radiofrequency energy that raises the temperature of the material to its melting or vaporization point. This parameter change (temperature increase) enables channel creation through phase transition rather than mechanical force.

Inventive Principle:
Principle #35Parameter changes

2Reliability

If radiofrequency energy is delivered to create channels through foreign materials, then channel creation is achieved, but there is risk of unintended tissue damage

Engineering Contradiction:
Improvechannel creation effectivenessVSAvoidtissue damage risk
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent applies radiofrequency energy locally at the electrode tip where the channel needs to be created. The energy delivery is concentrated at the specific location of foreign material contact, allowing channel creation through the foreign material while limiting thermal effects to the immediate vicinity and reducing risk of damage to distant healthy tissues.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The foreign material itself acts as an intermediary that absorbs the radiofrequency energy and converts it to thermal energy. The electrode delivers RF energy to the foreign material, which then heats up and creates the channel, thereby mediating the energy transfer and protecting surrounding tissues from direct exposure to high-energy RF fields.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Strength

If foreign materials are placed to cover septal apertures, then structural support and closure are provided, but access to the left side of the heart is blocked

Engineering Contradiction:
Improveseptal closure integrityVSAvoidaccessibility to left heart
Core Design Contradiction:
StrengthVSEase of operation

Solution Approach 1:

The patent creates a localized channel through the foreign material covering the septal aperture, effectively segmenting the foreign material into regions: the intact covering portions that maintain structural closure, and the created channel that provides access. This segmentation allows the foreign material to simultaneously provide both closure integrity and selective access.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The patent performs preliminary channel creation through the foreign material before attempting to advance medical instruments to the left side of the heart. By pre-establishing the access pathway through RF energy delivery, the procedure enables subsequent instrument advancement without resistance from the foreign material covering.

Inventive Principle:
Principle #10Preliminary 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 method effectively creates channels through foreign materials, enabling access to the left side of the heart without causing unintended tissue damage and allows for the advancement of medical instruments across septal apertures, thereby restoring blood flow and facilitating medical procedures.

Implementation Method 1

energizing the electrode with a radiofrequency current; and using the electrode energized with the radiofrequency current to deliver energy into the foreign material to create the channel

Methodology Applied
Scientific EffectRadiofrequency heating: Dielectric Heating

Implementation Method 2

thermal energy is transferred from the electrode upon the electrode being energized with the radiofrequency current to substantially melt the foreign material adjacent the electrode, thereby creating a channel through the foreign material

Methodology Applied
Scientific EffectThermal melting: Melting

Data Source

PatentUS9226788B2Fenestration through foreign material
Publication Date: 2016.01.05 BOSTON SCI MEDICAL DEVICE LTD
  • US9226788B2 patent drawing
  • US9226788B2 patent drawing
  • US9226788B2 patent drawing

AI summary

Described herein is a method for creating a channel through a foreign material located in a body of a patient. The foreign material defines a material first surface and a substantially opposed material second surface and the channel extends through the foreign material between the material first and second surfaces. The method uses an apparatus including an electrode, and includes the steps of: positioning the electrode substantially adjacent to the material first surface; energizing the electrode with a radiofrequency current; and using the electrode energized with the radiofrequency current to deliver energy into the foreign material to create the channel. In some embodiments, the patient's body includes a heart defining a septum, the septum defines an aperture extending there-through and the foreign material extends across the aperture to cover the aperture.