Radiofrequency (RF) ablation
No need to choose between technology advancement and a seamless experience. With you and your patient experiences in mind, we are committed to maintaining an integrated design that complements your existing workflows.
As ablation energy sources evolve, the fully-integrated CARTO™ 3 System is the cornerstone of catheter ablation to enable accurate, real-time catheter visualization and empower you to make optimal, patient-tailored treatment decisions.
Our ‘Integrated by Design’ approach goes far beyond a portfolio
Our suite of products have been designed and engineered to work seamlessly together, ensuring optimal functionality, and compatibility.
This integration goes beyond the simple coexistence of different instruments – it is a conscious effort to create a synergistic system that enhances overall performance and outcomes.
A smarter ablation in a fraction of the time*1
QDOT MICRO™ Catheter
Advanced ablation: With QMODE+™ Module temperature control, the generator delivers the high RF energy at the set power for the set short duration or until the target temperature is reached.
Optimized irrigation: Irrigation rate varies automatically for optimized power delivery, ensuring the tip is within the allowed target temperature range.**2
Improved temperature monitoring: Temperature sensitivity that enables temperature control on an irrigated catheter with the addition of 6 thermocouples embedded into the tip.**3
Higher signal resolution: QDOT MICRO™ Catheter includes 3 microelectrodes providing high resolution electrograms and discrete local signals.**
Uniform cooling for optimal efficiency
THERMOCOOL SMARTTOUCH™ SF Catheter
THERMOCOOL SMARTTOUCH™ SF Catheter – the most commonly used catheter in the world today. The porous tip of the catheter paired with contact force technology is designed to optimize efficiency. The THERMOCOOL SMARTTOUCH™ SF Catheter provides uniform cooling at half the flow rate of earlier generation irrigated catheters, easing the fluid management process.
The THERMOCOOL SMARTTOUCH™ SF Bi-Directional Navigation Catheter is a multi-electrode luminal catheter with a deflectable tip designed to facilitate electrophysiological mapping of the heart and to transmit radiofrequency (RF) energy to the catheter tip electrode for ablation purposes.
The catheter shaft measures 7.5 F with 8 F ring electrodes. For ablation, the catheter is used in conjunction with a compatible RF generator and a dispersive pad (indifferent electrode). The catheter has force-sensing technology that provides a real-time measurement of contact force between the catheter tip and the heart wall.
Dr. Jose Osorio, MD, FHRS
Supporting with excellence
Expertise at your side
Our team of clinical specialists have a deep knowledge in every aspect of the mapping technology to complement your team’s skills and offer real-time insights when you need them.
Training expertise centers
We offer a comprehensive site visit program to physicians and fellows who are interested in observing safe and effective utilization of our current technology during complex ablations in a clinical setting.
Therapy advancement program
Through every step of your journey, our Therapy Advancement Program (TAP) empowers you with the resources, tools, and support to treat more AFib patients—while potentially increasing access to care.
Patient education resources
With a focus on clear and accessible AFib education, insights from physician thought leaders, and compelling patient stories, Get Smart About AFib aims to be a trusted resource where physicians and providers can confidently refer their patients.
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References
*Shorter ablation and RF application times and less irrigation fluid load when compared to conventional ablation with RF catheters.
**When compared to THERMOCOOL SMARTTOUCH™ Catheter and THERMOCOOL SMARTTOUCH™ SF Catheter
- Osorio J, Hussein AA, Delaughter MC, et al. Very high-power short-duration, temperature-controlled radiofrequency ablation in paroxysmal atrial fibrillation: the prospective multicenter Q-FFICIENCY trial. JACC Clin Electrophysiol. Published online January 18, 2023. doi: 10.1016_j.jacep.2022.10.019.
- Reddy VY, Grimaldi M, De Potter T, et al. Pulmonary Vein Isolation With Very High Power, Short Duration, Temperature-Controlled Lesions: The QDOT-FAST Trial. JACC Clin Electrophysiol. 2019;5(7):778-786.
- De Potter T, Grimaldi M, Jensen HK, et al. Temperature-Controlled Catheter Ablation for Paroxysmal Atrial Fibrillation: the QDOT-MICRO Workflow Study. J Atr Fibrillation. 2021;13(6):20200460.
The Johnson & Johnson and its affiliates QDOT MICRO™ Catheters and related accessory devices are indicated for catheter-based cardiac electrophysiological mapping (stimulating and recording) and, when used in conjunction with a compatible radiofrequency generator, for the treatment of:
Type I atrial flutter in patients age 18 or older.
Drug refractory recurrent symptomatic paroxysmal atrial fibrillation, when used with compatible three-dimensional electroanatomic mapping systems.
The Johnson & Johnson and its affiliates QDOT MICRO™ Catheters provide real-time measurement of contact force between the catheter tip and heart wall, as well as location information when used with CARTO™ 3 Navigation System.
Biosense Webster, Inc.’s portfolio of products with FDA approved/cleared instructions for use to support fluoro alternative workflows when used with the CARTO System include the following: THERMOCOOL SMARTTOUCH™ SF catheter, THERMOCOOL SMARTTOUCH™ Catheter, CARTO VIZIGO™ Bi-Directional Guiding Sheath, PENTARAY™ NAV ECO High Density Mapping Catheter, DECANAV™ Mapping Catheters, and Webster™ CS Catheter
Always verify catheter tip location using common clinical practice for real-time verification (inspection of IC signals, direct imaging guidance such as fluoroscopy or ultrasound, etc.) and consult the CARTO™ 3 System User Guide regarding recommendations for fluoroscopy use.
Canpolat, U. et al (2020). State of Fluoroless Procedures in Cardiac Electrophysiology Practice. J Innov Cardiac Rhythm Management. 11(3), 4018–4029.
Sommer, P. et al (2018) Safety profile of near-zero fluoroscopy atrial fibrillation ablation with non-fluoroscopic catheter visualization: experience from 1000 consecutive procedures, EP Europace, Volume 20, Issue 12, Pages 1952–1958.
The THERMOCOOL SMARTTOUCH™ SF Catheter is indicated for the treatment of drug refractory recurrent symptomatic paroxysmal atrial fibrillation (AF) and for drug refractory recurrent symptomatic persistent AF (continuous AF > 7 days but < 1 year), refractory or intolerant to at least 1 Class I or III AAD, when used with the CARTO™ 3 System.
Important information: Prior to use, refer to the instructions for use supplied with this device for indications, contraindications, side effects, warnings and precautions. Caution: US law restricts this device to sale by or on the order of a physician.
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