RF Energy Generator for Cardiac Ablation with Independent Electrode Control

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Solution Overview

Problem

Current ablation techniques for treating atrial fibrillation are limited by their complexity, time-consuming nature, and risk of damaging untargeted tissue, with existing methods being inefficient and often ineffective in creating precise lesions safely.

Innovation Solution

The development of radiofrequency (RF) energy generators and ablation catheter systems that allow for the precise and safe delivery of RF energy to the heart, enabling the creation of targeted lesions with minimal damage to surrounding tissue through independent control of monopolar and bipolar energy delivery, adjustable voltage and phase angles, and closed-loop temperature control.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If traditional ablation techniques are used to treat atrial fibrillation, then tissue lesions can be created, but the procedure is time-consuming and complex

Engineering Contradiction:
Improveprocedure timeVSAvoidablation system complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The ablation catheter is divided into multiple segments or electrodes along its length, allowing simultaneous ablation at multiple locations. This segmentation enables parallel processing of tissue ablation, significantly reducing the overall procedure time while maintaining manageable system complexity through modular electrode design.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system employs periodic or pulsed RF energy delivery to multiple electrodes in a coordinated sequence, enabling efficient tissue ablation across large surface areas. This periodic action allows the system to treat extensive atrial tissue regions without requiring continuous high-power delivery, thereby reducing procedure time while maintaining safety.

Inventive Principle:
Principle #19Periodic action

2Reliability

If ablation is performed to remove or modify tissue, then undesired tissue can be treated, but there is risk of inadvertently damaging untargeted tissue

Engineering Contradiction:
Improvelesion precisionVSAvoiddamage to untargeted tissue
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The system delivers RF energy with locally optimized parameters to each electrode based on its specific location and tissue contact characteristics. This local quality control ensures that ablation is precisely confined to the intended target area while adapting energy delivery to local tissue properties, thereby preventing damage to adjacent untargeted structures.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The ablation system incorporates real-time feedback mechanisms including temperature sensing and impedance monitoring at each electrode. This feedback allows the control system to dynamically adjust RF power delivery to maintain safe temperature gradients, ensuring that heat is confined to the target tissue and preventing thermal damage to surrounding untargeted structures.

Inventive Principle:
Principle #23Feedback

3Manufacturing precision

If RF energy is delivered to create lesions, then tissue ablation can be achieved, but control over lesion depth and precision is limited

Engineering Contradiction:
Improvelesion depth controlVSAvoidlesion configuration flexibility
Core Design Contradiction:
Manufacturing precisionVSAdaptability or versatility

Solution Approach 1:

The system dynamically adjusts RF energy delivery parameters including power level, duty cycle, and pulse duration for each electrode based on real-time tissue response. This dynamic control enables precise modulation of lesion depth and morphology, allowing the system to adapt to varying tissue properties and achieve consistent lesion quality across different anatomical locations.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The ablation system utilizes multiple controllable parameters including RF power, electrode-to-tissue pressure, contact area, and delivery duration to precisely control lesion characteristics. By independently adjusting these parameters for each electrode, the system achieves versatile lesion configurations with controlled depth and width, adapting to various clinical requirements.

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

The system provides maximum flexibility, efficacy, and safety in creating precise lesions, reducing procedure time and minimizing risk to untargeted tissue, while allowing for variable-depth and length lesions, thus effectively treating atrial fibrillation and other conditions involving disorganized electrical conduction.

Implementation Method 1

Ablation procedures may also involve the modification of the tissue without removal, such as to stop electrical propagation through the tissue in patients with an arrhythmia condition. Often the ablation is performed by passing energy, such as electrical energy, through one or more electrodes and causing the tissue in contact with the electrodes to heat up to an ablative temperature.

Methodology Applied
Scientific EffectJoule heating: Joule Heating

Implementation Method 2

radiofrequency (RF) energy generators that create safe, precision lesions in tissue such as cardiac tissue

Methodology Applied
Scientific EffectRadiofrequency heating: Dielectric Heating

Data Source

PatentUS10219857B2RF energy delivery system
Publication Date: 2019.03.05 MEDTRONIC ABLATION FRONTIERS LLC
  • US10219857B2 patent drawing
  • US10219857B2 patent drawing
  • US10219857B2 patent drawing

AI summary

A radio frequency tissue ablation system with a radio frequency generator, the generator comprising a radio frequency source, at least four independently controllable radio frequency outputs, a user interface and a controller configured to delivery radio frequency energy from the radio frequency source to the radio frequency outputs in one of at least two different output configurations in response to a configuration selection made through the user.