Abstract:
Systems and methods for heating body tissue places a multi-function structure (22) having an exterior wall in contact with body tissue. The structure includes an array of electrically conducting electrode segments (44) carried by the exterior wall. An electrically conductive network is coupled to the electrode segments, including at least one electrically conductive path (32) individually coupled to each electrode segment. The systems and methods operate in a first mode during which the network is electrically conditioned to individually sense at each electrode segment local electrical events in tissue, such as electrical potentials, resistivity, or impedance. The systems and methods operate in a second mode during which the network is electrically conditioned, based at least in part upon local electrical events sensed by the electrode segments, to couple at least two electrode segments together to simultaneously trasmit electrical energy to heat or ablate a region of body tissue.
Abstract:
This invention is systems and methods for ablating body tissue use, and electrode (16) for contacting tissue. The electrode (16) is coupled to a source of ablation energy (12) for transmitting ablation energy at a prescribed ablation power level into tissue to form, over a prescribed time period, a therapeutic result. The systems and methods include an element (50) to cool the electrode (16). An input element (100) inputs a desired result, and a processing element (98) retains a function correlating an observed relationship among lesion boundary depth, ablation power level, ablation time and temperature. The processing element (98) compares the desired result to the function and selects an operating condition based upon the comparison to achieve the desired result.
Abstract:
Systems (10) for examining heart tissue morphology deploy one or more electrodes (38) into the heart in contact with endocardial tissue. The systems transmit electrical current from the electrodes (38) in paths through the contacted endocardial tissue. Based upon these current transmissions, the systems derive the electrical characteristics of tissue lying in the path. This electrical characteristc can be directly correlated to tissue morphology. The systems maximize surface contact with endocardial tissue, while minimizing contact with the surrounding blood pool, to obtain accurate tissue electrical characteristic measurements.
Abstract:
An electrode circuit (34) has a distal region (32) for carrying at least one electrode, a proximal region (30) for connection to an external apparatus, and an intermediate region electrically coupling the distal region with the proximal region. At least one, and preferably all, of the regions comprises a flexible ribbon cable having two or more adjacent tracks (T1-T6) of electrical conduction material and adjoining electrical insulating material. Use of ribbon cable makes possible reliable connections without the need for complicated multiplexing schemes at the distal region.
Abstract:
Porous electrode assemblies for tissue heating and ablation systems and methods enable ionic transport of electrical energy to occur substantially free of liquid perfusion.
Abstract:
This invention is devices and methods for ablating body tissue which use wire (44) wound about a support body (12) in adjacent windings to form one or more elongated electrodes. A connection couples the wire to a source of ablation energy for transmission by the elongated electrode to ablate tissue. The adjacent windings are spaced apart to impart enhanced flexibility to the elongated electrode during use.
Abstract:
Systems and methods use an array (20) of multiple electrodes (24) supported for operative association with a region of heart tissue, in tandem with a roving second electrode (36) supported for movement relative to the multiple electrodes for operative association with selected different regions of endocardial tissue within the heart. An analog or digital processing element (32) conditions one of the multiple electrodes and the roving electrode to emit a pacing signal while the other one of the multiple electrodes and the roving electrode records paced electro-grams occurring as a result of the pacing signal. A template of cardiac event of known diagnosis sensed using the array of multiple electrodes is input. A sample of a cardiac event acquired by pacing from at least one roving electrode and sensed with the array of multiple electrodes is input. The processing element and method electronically compare the sample to a template and generate an output.
Abstract:
Systems and methods provide nonlinear, non-median filters (56) for signals derived from biological events. The systems and methods select a set of n sample values arranged with respect to time from the derived biological signal input. The systems and methods arrange the n sample values of the set into ordered positions following a predetermined permutation. The systems and methods select one of the ordered positions z within the permutation, where z is an odd positive integer greater or equal to one but less than or equal to n. The systems and methods generate a processed output (54) comprising the sample value occupying the ordered position z in the permutation.
Abstract:
Systems and methods employ an energy emitting electrode (16) to heat tissue. The systems and methods follow a prescribed temperature set curve in which a set point temperature changes over time to control the application of energy to the electrode (16).
Abstract:
This invention is systems and methods to examine heart tissue morphology using a pair of electrodes (38), at least one of which is located in contact with heart tissue (12). The systems and methods transmit electrical current in a path through the contacted heart tissue (12) between the pair of the electrodes to derive a tissue electrical characteristic based, at least in part, upon sensing the impedance of the tissue lying in the path. The system and methods also sense with at least one of the electrodes the timing of local depolarization events in the contacted heart tissue. The systems and methods make possible the use of multiple endocardial electrodes (30) for taking multiple measurements of the electrical characteristics of heart tissue. Multiplexing can be used to facilitate data processing. The systems and methods also make possible the identification of regions of low relative electrical characteristics, indicative of infarcted tissue, without invasive surgical techniques.