Catheter kinematics and control to enhance cardiac ablation

Abstract

Catheter ablation is the preferred minimally invasive treatment for cardiac arrhythmias. Limited maneuverability of currently available catheters undermines the success of this treatment and subjects operations to prolonged repeated attempts to pace suspicious zones and ablate the arrhythmogenic substrates under ionizing radiation of fluoroscopy. To compensate for such inefficiencies, a control system that can replace operator's hand during the procedure is desired. This system should be able to direct catheter tip toward the ablation site and maintain its contact with the substrate during ablation, accelerating the process and enhancing its precision. To realize such a system, the first step is to kinematically model the catheter and to devise a control strategy to embed the kinematics of the catheter. This paper proposes a simplified approach to model and control a general single-segment active catheter as a continuum robot. In this approach, the flexible catheter is modeled as a rigid manipulator having coupled joints. Utilizing the structural coupling of the catheter, joint-variables are reduced to actuatable parameters thus lifting some of the mathematical difficulties in formulation of a control strategy for redundant manipulators. The modeling is validated through experiments with a typical steerable ablation catheter equipped with an electromagnetic tracker in vitro.