Apparatus and method for cardiac ablation

Surgery – Diagnostic testing – Structure of body-contacting electrode or electrode inserted...

Reexamination Certificate

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C607S122000

Reexamination Certificate

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08050732

ABSTRACT:
A system and method for cardiac mapping and ablation include a multi-electrode catheter introduced percutaneously into a subject's heart and deployable adjacent to various endocardial sites. The electrodes are connectable to a mapping unit, an ablation power unit a pacing unit, all of which are under computer control. Intracardiac electrogram signals emanated from a tachycardia site of origin are detectable by the electrodes. Their arrival times are processed to generate various visual maps to provide real-time guidance for steering the catheter to the tachycardia site of origin. In another aspect, the system also include a physical imaging system which is capable of providing different imaged physical views of the catheter and the heart. These physical views are incorporated into the various visual maps to provide a more physical representation. Once the electrodes are on top of the tachycardia site of origin, electrical energy is supplied by the ablation power unit to effect ablation.

REFERENCES:
patent: 4365639 (1982-12-01), Goldreyer
patent: 4649924 (1987-03-01), Taccardi
patent: 4660571 (1987-04-01), Hess et al.
patent: 4940064 (1990-07-01), Desai
patent: 5154501 (1992-10-01), Svenson et al.
patent: 5156151 (1992-10-01), Imran
patent: 5158092 (1992-10-01), Glace
patent: 5233515 (1993-08-01), Cosman
patent: 5383917 (1995-01-01), Desai
patent: 5433198 (1995-07-01), Desai
patent: 5443489 (1995-08-01), Ben-Haim
patent: 5494042 (1996-02-01), Panescu et al.
patent: 5542916 (1996-08-01), Hirsch et al.
patent: 5657755 (1997-08-01), Desai
patent: 6522905 (2003-02-01), Desai
patent: 2007/0161915 (2007-07-01), Desai
patent: 0 233 731 (1987-08-01), None
patent: 0 481 684 (1992-04-01), None
patent: 0 499 491 (1992-08-01), None
patent: 0 573 311 (1993-12-01), None
patent: WO 89/03657 (1989-05-01), None
patent: WO 93/00958 (1993-01-01), None
patent: WO 94/06349 (1994-03-01), None
patent: WO 94/22366 (1994-10-01), None
Calkins, Hugh, et al. “Electrogram Criteria for Identification of Appropriate Target Sites for Radiofrequency Catheter Ablation of Accessory Atrioventricular Connections”,Circulation, vol. 85, No. 2, Feb. 1992, pp. 565-573.
Desai, Jawahar, et al., “Endocardial Isochronal Patterns Near the Ventricular Tachycardia Site of Origin With Orthogonal Electrode Catheter Array”,JACC, vol. 13, No. 2, Feb. 1989, p. 167A (Abstract Only).
Desai, Jawahar, et al., “Orthogonal Electrode Catheter Array for Mapping of Endocardial Focal Site of Ventricular Activation”,PACE, vol. 14, Apr. 1991, pp. 557-574.
Desai, Jawahar, et al., “Two Phase Radiofrequency Ablation”, Journal of Pacing and Clinical Electrophysiology, vol. 14, Jul. 1991, pp. 1979-1987.
Downar, Eugene, et al., “Intraoperative Electrical Ablation of Ventricular Arrhythmias: A “Closed Hear” Procedure”,JACC, vol. 10, No. 5, Nov. 1987, pp. 1048-1056.
El-Sherif, Nabil, et al. “Reentrant Ventricular Arrhythmias in the Late Myocardial Infarction Period”,Circulation, vol. 68, No. 3, Sep. 1983, pp. 644-656.
Haines, David E. and Denny D. Watson, “Tissue Heating During Radiofrequency Catheter Ablation: A Thermodynamic Model and Observation in Isolated Perfused ad Superfused Canine Right Ventricular Free Wall,”PACE, vol. 12, Jun. 1989, pp. 962-976.
Harris, Louise, et al., “Activation Sequence of Ventricular Tachycardia: Endocardial and Epicardial Mapping Studies in the Human Ventricle,”JACC, vol. 10, No. 5, Nov. 1987, pp. 1040-1047.
Huang, Shoei K. Stephen, et al., “Transcatheter High Energy Electrical Shock in Patients With Unimorphic Sustained Ventricular Tachycardia and Coronary Artery Disease,”PACE, vol. 12, NASPE Abstracts, Apr. 1989, pp. 674-675.
Ideker, Raymond,et al.; “The Assumptions of Isocharonal Cardiac Mapping”; PACE; vol. 12; Mar. 1989; pp. 456-478.
Jazayeri, Mohammad R., et al.; “Selective Transcatheter Ablation of the Fast and Slow Pathways Using Radiofrequency Energy in Patients With Atrioventricular Nodal Reentrant Tachycardia”; Circulation; vol. 85, No. 4; Apr. 1992; pp. 1318-1328.
Josephson, Mark E., et al.; “Recurrent Sustained Ventricular Tachycardia”; Circulation; vol. 57, No. 3; Mar. 1978; pp. 440-447.
Josephson, Mark E., et al., “Role of Catheter Mapping in the Preoperative Evaluation of Ventricular Tachycardia”; The American Journal of Cardiology; vol. 49; Jan. 1982; pp. 207-220.
Kadish, Alan H., et al.; “Vector Mapping of Myocardial Activation”; Circulation; vol. 74, No. 3; Sep. 1986; pp. 603-615.
Langberg, Jonathan J., et al., ; “The Echo-Transponder Electrode Catheter: A New Method for Mapping the Left Ventricle”; JACC; vol. 12, No. 1; Jul. 1988; pp. 218-223.
Miller, John M., et al.; “Pattern of Endocardial Activation During Sustained Ventricular Tachycardia”; JACC; vol. 6, No. 6; Dec. 1985; pp. 1280-1287.
Morady, Fred, et al.; “Catheter Ablation of Ventricular Tachycardia with Intracardiac Shocks: Results in 33 patients”; Circulation; vol. 75, No. 5; May 1987; pp. 1037-1049.
Robinson, Charles J.; “Medical Electronics”; IEEE Spectrum, Jan. 1991; pp. 76-78.
Simons, Sedgwick L. Jr.; “Make Fast and Simple Contour Plots on a Microcomputer”; Byte Publications, Inc.; Nov. 1983; pp. 487-492.
Smith, W.M., et al.; “Direct Cardiac Mapping”; Cardiac Electrophysiology From Cell to Bedside.; Zipes/Jalife Chapter 88; W.B. Saunders Company, Harcourt Brace Jovanovich, Inc.; 1990; pp. 849-858.
Spach, M.S., et al.; “Resolution of Discontinuous Versus Continuous Propagation: Microscopic Mapping of the Derivatives of Extracellular Potential Waveforms”; Cardiac Electrophysiology From Cell to Bedside.; Zipes/Jalife Chapter 16; W.B. Saunders Company, Harcourt Brace Jovanovich, Inc.; 1990; pp. 139-148.
Fontaine, G., et al., “Fulguration of Chronic Ventricular Tachycardia: Results of Forty-Seven Consecutive Cases With a Follow-Up Ranging from 11 to 65 Months”;Cardiac Electrophysiology From Cell to Bedside. Zipes/Jalife Chapter 106. pp. 978-985 W.B. Saunders Company, Harcourt Brace Jovanovich, Inc. 1990.

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