# US 8,784,413 B2 · Catheter with pressure sensing > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,784,413 B2 - Document ID: US8784413B2 - Status: Granted - Kind: B2 - Application number: 13/705,518 - Filed: 2012-12-05 - Published: 2013-04-18 - Granted: 2014-07-22 - Earliest claimed: 2007-10-08 - Assignees: Biosense Webster (Israel) Ltd. - Applicants: Biosense Webster (Israel), Ltd. - Inventors: Assaf Govari; Andres Claudio Altmann; Yaron Ephrath; Yitzhack Schwartz - Web page: https://patentgrep.com/patent/US8784413B2 ## CPC - A61B 18/18: by applying electromagnetic radiation, e.g. microwaves - A61B 5/06: Devices, other than using radiation, for detecting or locating foreign bodies {; Determining position of diagnostic devices within or on the body of the patient} - A61B 5/065: {Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe} - A61B 5/6843: {Monitoring or controlling sensor contact pressure} - A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)} - A61N 1/056: {Transvascular endocardial electrode systems} - A61B 2018/00351: {Heart} - A61B 2018/00702: {Power or energy} - A61B 2034/2051: {Electromagnetic tracking systems} - A61B 2090/064: {for measuring force, pressure or mechanical tension} - A61B 2090/065: {for measuring contact or contact pressure} - A61B 2090/067: {for measuring angles} - A61B 2090/3958: {emitting a signal} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B) ## Abstract A medical probe includes a flexible insertion tube, having a distal end for insertion into a body cavity of a patient, and a distal tip, which is disposed at the distal end of the insertion tube and is configured to be brought into contact with tissue in the body cavity. A resilient member couples the distal tip to the distal end of the insertion tube and is configured to deform in response to pressure exerted on the distal tip when the distal tip engages the tissue. A position sensor within the probe senses a position of the distal tip relative to the distal end of the insertion tube, which changes in response to deformation of the resilient member. ## Claims ### Claim 1 An ablation catheter for use in a tissue ablation procedure comprising: an insertion tube, the insertion tube being a flexible insertion tube, the insertion tube having a distal end for insertion into a body cavity of a patient; a distal tip electrode disposed at the distal end of the insertion tube and configured to be brought into contact to ablate tissue in the body cavity; a resilient member comprising a spring which couples the distal tip electrode to the distal end of the insertion tube and is configured to deform in response to pressure exerted on the distal tip electrode when the distal tip electrode engages the tissue during the tissue ablation procedure; and a magnetic position sensor disposed at the distal end of the insertion tube near the distal tip electrode for sensing a position of the distal tip electrode relative to the distal end of the insertion tube, which changes in response to deformation of the resilient member, to give a total magnitude of the movement of distal tip electrode relative to the distal end of insertion tube, so as to give a measure of the deformation of resilient member, and the magnetic position sensor is configured to generate a signal, responsively to the deformation, which is indicative of the pressure exerted on the distal tip electrode during the tissue ablation procedure; wherein the magnetic position sensor is configured to generate a signal indicative of the position of the distal tip electrode responsively to a magnetic field that is generated in a vicinity of the distal tip electrode; wherein the ablation catheter comprises a magnetic field generator within the distal end of the insertion tube for generating the magnetic field. ### Claim 2 (depends on 1) The ablation catheter according to claim 1, wherein the magnetic position sensor is configured to generate a signal indicative of an axial displacement and an orientation of the distal tip electrode relative to the distal end of the insertion tube. ### Claim 3 (depends on 1) The ablation catheter according to claim 1, wherein the magnetic position sensor is disposed in the distal end of the insertion tube, and wherein the ablation catheter comprises a magnetic field generator near distal tip electrode for generating the magnetic field. ### Claim 4 (depends on 1) The ablation catheter according to claim 1, wherein the magnetic position sensor and the magnetic field generator comprise coils. ### Claim 5 (depends on 1) The ablation catheter according to claim 1, wherein the resilient member is covered by a flexible insulating material. ### Claim 6 Apparatus for performing a tissue ablation procedure on tissue inside a body of a patient, the apparatus comprising: a first magnetic field generator, for disposition outside the body of the patient, for generating a first magnetic field within the body; a probe, which comprises: an insertion tube having a distal end for insertion into a body cavity of a patient; a second magnetic field generator within the distal end of the insertion tube for generating a second magnetic field; a distal tip electrode, which is flexibly coupled to the distal end of the insertion tube; a resilient member, which couples the distal tip electrode to the distal end of the insertion tube; and a sensor disposed at the distal end of the insertion tube near the distal tip electrode and is configured to generate first and second signals responsively to the first and second magnetic fields, respectively; and a processor, which is coupled to receive and process the first signal so as to determine coordinates of the distal tip electrode within the body and to receive and process the second signal so as to detect changes in a position of the distal tip electrode relative to the distal end of the insertion tube; wherein the resilient member is configured to deform in response to pressure exerted on the distal tip electrode when the distal tip electrode engages tissue inside the body during the tissue ablation procedure, and wherein the changes in the position of the distal tip electrode are indicative of deformation of the resilient member, wherein the processor is configured to generate, responsively to the deformation, an output that is indicative of the pressure exerted on the distal tip electrode during the tissue ablation procedure. ### Claim 7 (depends on 6) The apparatus according to claim 6, wherein the changes in the position of the distal tip electrode detected by the processor comprise axial displacement of the distal tip electrode and deflection of the distal tip electrode relative to the distal end of the insertion tube. ### Claim 8 (depends on 6) The apparatus according to claim 6, wherein the sensor and the second magnetic field generator comprise coils. ### Claim 9 (depends on 6) The apparatus according to claim 6, wherein the resilient member comprises a spring. ### Claim 10 (depends on 6) The apparatus according to claim 6, wherein the resilient member is covered with a flexible insulating material. ### Claim 11 (depends on 6) The apparatus according to claim 6, wherein the processor is configured to generate a control input for automatically controlling motion of the probe within the body cavity responsively to the first and second signals. ### Claim 12 Apparatus for performing a tissue ablation procedure inside a body of a patient, the apparatus comprising: a probe comprising: an insertion tube having a distal end for insertion into a body cavity of a patient; a distal tip electrode, which is flexibly coupled to the distal end of the insertion tube; a resilient member covered with a flexible insulting material, which flexibly couples the distal tip electrode to the distal end of the insertion tube; a magnetic field generator disposed on one end of the resilient member and configured to generate a magnetic field; and a magnetic sensor disposed on another end of the resilient member for generating a signal in response to the magnetic field; and a processor, which is coupled to receive and process the signal so as to detect changes in a position of the distal tip electrode relative to the distal end of the insertion tube, wherein the resilient member is configured to deform in response to pressure exerted on the distal tip electrode when the distal tip electrode engages tissue inside the body, and wherein the changes in the position of the distal tip electrode are indicative of deformation of the resilient member, wherein the processor is configured to generate, responsively to the deformation, an output that is indicative of the pressure exerted on the distal tip electrode. ### Claim 13 A catheter for performing a tissue ablation procedure inside a body of a patient comprising: an insertion tube having a distal end for insertion into a body cavity of a patient; a distal tip electrode which is flexibly coupled to the distal end of the insertion tube; a spring covered with a flexible insulting material which flexibly couples the distal tip electrode to the distal end of the insertion tube; a magnetic field generator disposed on one end of the resilient member and configured to generate a magnetic field; and a magnetic sensor disposed on another end of the resilient member for generating a signal in response to the magnetic field; wherein the spring is configured to deform in response to pressure exerted on the distal tip electrode when the distal tip electrode engages tissue inside the body, and wherein the changes in the position of the distal tip electrode are indicative of deformation of the spring, wherein the processor is configured to generate, responsively to the deformation, an output that is indicative of the pressure exerted on the distal tip electrode. ### Claim 14 (depends on 13) The catheter of claim 13 wherein the spring permits axial displacement of the distal tip electrode of between approximately 1 millimeters and 2 millimeters. ### Claim 15 (depends on 13) The catheter of claim 13 wherein the spring permits angular deflection of the distal tip electrode up to approximately 30 degrees. ### Claim 16 (depends on 13) The catheter of claim 13 wherein the distal tip electrode is an RF electrode operated at a frequency range between approximately 16 kHz and 25 kHz.