US 12,213,728 B2
Temperature controlled short duration ablation with resistive heating
Keshava Datta, Chino Hills, CA (US); Kristine Fuimaono, Costa Mesa, CA (US); Assaf Govari, Haifa (IL); Andres Claudio Altmann, Haifa (IL); and Tushar Sharma, Arcadia, CA (US)
Assigned to Biosense Webster (Israel) Ltd., Yokneam (IL)
Filed by BIOSENSE WEBSTER (ISRAEL) LTD., Yokneam (IL)
Filed on Apr. 23, 2020, as Appl. No. 16/856,458.
Claims priority of provisional application 62/841,754, filed on May 1, 2019.
Prior Publication US 2020/0345414 A1, Nov. 5, 2020
Int. Cl. A61B 18/00 (2006.01); A61B 18/14 (2006.01)
CPC A61B 18/1492 (2013.01) [A61B 2018/00577 (2013.01); A61B 2018/00738 (2013.01); A61B 2018/00761 (2013.01); A61B 2018/00791 (2013.01)] 6 Claims
OG exemplary drawing
 
1. A method of ablation comprising:
inserting a catheter into a subject, the catheter having an ablation electrode configured for tissue contact;
performing an ablation session on the tissue for a predetermined total duration of time less than about 18 seconds, including:
applying resistive heating to the tissue by radiofrequency (RF) power via the electrode within a range of about 75 W-95 W for a first duration of about 4 seconds to form a lesion with a depth of about 3.5 mm;
suspending application of RF power to the electrode for a second duration no greater than 10 seconds, during which a temperature of the lesion continues to increase, to allow tissue surrounding the lesion to heat by conduction from the lesion;
measuring temperature of the tissue at least every 33 ms at a depth of about 3 mm to determine dissipation of about 90% of heat of the tissue within about 4 seconds; and
while the tissue surrounding the lesion remains heated by conduction from the lesion, reapplying resistive heating by RF power via the electrode within the range of about 75 W-95 W for a third duration of about 4 seconds to the lesion to increase depth of the lesion to about 4.5 mm into the surrounding tissue.