St Jude Medical, Atrial Fibrillation Division, Inc

St. Jude Medical, Cardiology Division, Inc.

Jeffrey Michael Fish

Israel A Byrd

Jeremy David Dando

Saurav Paul

Harry A Puryear

Troy Terrance Tegg

Derek C Sutermeister

Christopher J Geurkink

Lynn E Clark

Theodore Arthur Johnson

Sacha C Hall

Jeffrey A Schweitzer

Gregory K Olson

Timothy G Curran

Valtino X Afonso

Brett Allen Hillukka

Jacob John Daly

Daniel Joe Potter

Timothy S Marass

Lynn E Gilmour

Rohan Lathia

Frederik H M Wittkampf

Lakshya Mittal

John Tranter

Frederik H Wittkampf

Lynn Clark

Aspects of the present disclosure are directed to, for example, a method for determining a temperature distribution across an ablation catheter tip. The method including contacting tissue with a distal tip of an ablation catheter, receiving temperature data from a plurality of thermocouples distributed about the distal tip of the ablation catheter, and based on the received temperature data, determine a temperature distribution across the distal tip of the ablation catheter. Also disclosed is a method of controlling the temperature of an ablation catheter tip while creating a desired lesion using various energy sources and energy delivery methodologies.

Methods and devices for estimating tip-tissue coupling of an ablation catheter tip

A method for determining a predicted lesion size formed in a tissue by receiving or calculating a measure of contact force between the electrode and the tissue, determining a tissue characterization, and calculating the predicted lesion size using both the measure of contact force and the tissue characterization. A system comprising an electronic control unit configured to receive or determine a measure of contact force between the electrode and the tissue, characterize the tissue based on both the measure of impedance and the measure of contact force, and cause the tissue characterization to be either (a) presented to a user, or (b) applied to calculate a metric and cause the metric to be presented to the user.

Lesion prediction based in part on tissue characterization

The present disclosure provides electroporation systems, methods of controlling electroporation systems to limit electroporation arcs through intracardiac catheters, and catheters for electroporation systems. One method of controlling an electroporation system including a direct current (DC) energy source, a return electrode connected to the DC energy source, and a catheter connected to the DC energy source is disclosed. The catheter has a at least one catheter electrode. The method includes positioning the return electrode near a target location within a body and positioning the catheter electrode adjacent the target location within the body. A system impedance is determined with the return electrode positioned near the target location and the catheter electrode positioned within the body. The system impedance is adjusted to a target impedance to arcing from the catheter electrode.

Electroporation systems and catheters for electroporation systems

A system for displaying characteristics of target tissue during an ablation procedure is provided that includes an electronic control unit (ECU) configured to receive data regarding electrical properties of the target tissue for a time period. The ECU is also configured to determine a value responsive to the data and indicative of at least one of a predicted depth of a lesion in the target tissue, a predicted temperature of the target tissue, and a likelihood of steam pop of the target tissue for the time period. The system further includes a display device operatively connected to the ECU. The display device is configured to receive the value and display a visual representation indicative of at least one of a predicted depth of a lesion in the target tissue, a predicted temperature of the target tissue, and a likelihood of steam pop of the target tissue for the time period.

Graphical user interface for real-time RF lesion depth display

A system that automatically detects a myocardial barotrauma (i.e., tissue pop) event so that proper post-procedure care can be given includes an electronic control unit (ECU), a computer-readable memory coupled with the ECU, and detection logic stored in the memory configured to be executed by the ECU. The detection logic is configured to receive a signal generated by an electro-acoustic transducer related to acoustic activity within the patient, monitor the signal for a pre-determined indication of a barotrauma event, and output a notification when the pre-determined indication is detected. The transducer can be integrated with an extra-body patch that includes one or more electrodes for use with a medical device navigation system.

Automatic monitoring for and detection of tissue pop

A method and system for assessing lesion formation in tissue is provided. The system includes an electronic control unit (ECU) configured to acquire magnitudes for a component of a complex impedance between an electrode and tissue, and the power applied to the tissue during lesion formation. The ECU is configured to calculate a value responsive to the complex impedance component and the power. The value is indicative of a predicted lesion depth, a likelihood the lesion has reached a predetermined depth, or a predicted tissue temperature. The method includes acquiring magnitudes for a component of a complex impedance between an electrode and tissue and the power applied during lesion formation. The method includes calculating a value responsive to the complex impedance component and the power, the value being indicative of a predicted lesion depth, a likelihood the lesion has reached a predetermined depth, and/or a predicted tissue temperature.

System and method for assessing the formation of a lesion in tissue

A method and system for determining a likelihood of barotrauma occurring in tissue during formation of a lesion therein is provided. The system includes an electronic control unit (ECU). The ECU is configured to acquire at least one value of at least one component of a complex impedance between an electrode and the tissue. The ECU is configured to calculate an index responsive to the at least one value of the at least one complex impedance component. The index is indicative of a likelihood of barotrauma occurring in the tissue. The method comprises acquiring at least one value of at least one component of a complex impedance between an electrode and the tissue. The method comprises calculating an index responsive to the at least one value of the at least one complex impedance component. The calculated index is indicative of a likelihood of barotrauma occurring in the tissue.

Systems and methods for determining the likelihood of endocardial barotrauma in tissue during ablation

An electrophysiology catheter includes an elongate catheter body having an elastically-deformable distal region predisposed to assume a spiral shape and a first plurality of electrodes disposed thereon. Each of the first plurality of electrodes includes an electrically active region limited to the inner surface of the spiral shape for use in non-contact electrophysiology studies. A second plurality of electrodes may also be disposed on the distal region interspersed (e.g., alternating) with the first plurality of electrodes, with each of the second plurality of electrodes having an electrically active region extending into the outer surface of the spiral shape for use in contact electrophysiology studies. The distal region may be deformed into a straight configuration for insertion into and navigation through the patient's vasculature, for example via use of a tubular introducer. As the distal region deploys beyond the distal end of the introducer, it resumes the spiral shape.

Apparatus for contactless electrophysiology studies

Apparatus and methods for contactless electrophysiology studies

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Maple Grove, MN, United States of America

Jeffrey Michael Fish