Ablation catheter positioning system

A - Human Necessities – 61 – B

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A61B 5/02 (2006.01) A61B 5/042 (2006.01) A61B 18/14 (2006.01) A61B 17/39 (1990.01)

Patent

CA 2139312

A multi-electrode cardiac catheter (10) has pairs of electrodes (13) connected to sensing circuitry (31, 32, 40) to produce a differential signal. The sensing output is sharply defined and self normalizing. Preferably, a catheter ablation tip electrode (12) is an electrode of one pair, and the differential signal becomes non-zero when the tip contacts surrounding tissue. The shape of the differential signal provides information on the degree of electrode contact, as well as on the amount of locally-sensed tissue im- pedance change. The signal may be used as a trigger enable signal for a cardiac ablation catheter (10), and the applied level of RF power may be controlled based on the indicated degree of electrode contact and value of tissue impedance.

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