Ablation catheter having flexible tip with multiple flexible electrode segments

• US 10,220,187 B2
• Filed: 06/14/2011
• Issued: 03/05/2019
• Est. Priority Date: 06/16/2010
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: De La Rama, Alan, Hata, Cary
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): Good, Samantha
• Application Number:
  US13/159,446
• Publication Number:
  US 20110313417A1
• Time in Patent Office: 2,821 Days
• Field of Search: 606 41, 606 49- 50, 607122
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61M 25/0052 Localized reinforcement, e.g. where only a specific part of the catheter is reinforced, for rapid exchange guidewire port

Abstract

A catheter apparatus comprises an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, each pair of neighboring flexible electrode segments being spaced from each other longitudinally by a corresponding electrically nonconductive segment. Each flexible electrode segment comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter body. The electrically nonconductive segment is substantially smaller in length than each of the corresponding pair of neighboring flexible electrode segments.

Claims

1. A catheter apparatus comprising:

an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and

a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, the plurality of flexible electrode segments comprising at least one pair of neighboring flexible electrode segments spaced from each other longitudinally by a corresponding electrically nonconductive segment, wherein each flexible electrode segment of the plurality of flexible electrode segments is configured to produce an ablation zone when energy is supplied thereto, and wherein a length of the electrically nonconductive segment is sufficiently small such that the ablation zones of the at least one pair of neighboring flexible electrode segments overlap and form a continuous lesion;

wherein the corresponding electrically non-conductive segment is not as flexible as the neighboring flexible electrode segments; and

wherein said each flexible electrode segment comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter.

2. The catheter apparatus of claim 1,

wherein the electrically nonconductive segment is less than 0.25 times of a length of each of the corresponding pair of neighboring flexible electrode segments.

3. The catheter apparatus of claim 1,

wherein the electrically nonconductive segment is sufficiently small in length to provide substantially continuous flexibility across the flexible electrode segments and the corresponding electrically nonconductive segment.

4. The catheter apparatus of claim 1, further comprising:

a plurality of spring coils corresponding to the plurality of flexible electrode segments, each of the spring coils being disposed within the catheter body and supported at both ends within the catheter body to provide resilient biasing support for the corresponding flexible electrode segment.

5. The catheter apparatus of claim 4,

wherein each of the spring coils biases the corresponding flexible electrode segment to stretch lengthwise.

6. The catheter apparatus of claim 4,

wherein each of the spring coils resiliently maintains the corresponding flexible electrode segment in a preset configuration in a resting state where no applied force is placed on the distal portion.

7. The catheter apparatus of claim 6,

wherein the preset configuration for the corresponding flexible electrode segment is selected from the group consisting of a straight configuration and a curved configuration.

8. The catheter apparatus of claim 1,

wherein the one or more elongated stiffness reductions include a helical stiffness reduction forming a helical pattern on the sidewall and outlining alternating interlocking blocks.

9. The catheter apparatus of claim 1,

wherein the one or more elongated stiffness reductions are selected from the group consisting of channels, gaps, grooves, and through-thickness openings.

10. The catheter apparatus of claim 1,

wherein the one or more elongated stiffness reductions are one or more elongated through-thickness openings;

and

wherein the at least one fluid lumen includes a lumen extension member, the lumen extension member extending along at least part of a length of each of the plurality of flexible electrode segments and having a plurality of openings configured and arranged to produce a predetermined fluid flow from the lumen extension member out of the one or more elongated through-thickness openings of each of the flexible electrode segments.

11. The catheter apparatus of claim 10,

wherein the predetermined fluid flow is a substantially uniform fluid flow out of the one or more elongated through-thickness openings of each of the flexible electrode segments.

12. The catheter apparatus of claim 1, further comprising:

a first diagnostic electrode disposed on the catheter body between the at least one pair of neighboring flexible electrode segments.

13. The catheter apparatus of claim 12, further comprising:

at least one second diagnostic electrode disposed on the catheter body proximally of the plurality of flexible electrode segments.

14. The catheter apparatus of claim 1, further comprising:

a measurement circuit coupled with the plurality of flexible electrode segments to perform impedance measurement of measuring impedance associated with tissue-electrode coupling; and

a processor coupled with the measurement circuit and configured to determine at least one of reactance component or phase angle component of the impedance measurement, and based on the at least one of reactance component or phase angle component, to determine a corresponding tissue-electrode coupling condition for each of the plurality of flexible electrode segments.

15. The catheter apparatus of claim 14, further comprising:

a memory to store previously determined tissue-electrode coupling conditions corresponding to previously stored information pertaining to the at least one of reactance component or phase angle component for a range of tissue types and at various frequencies of electrical energy supplied to the plurality of flexible electrode segments for the impedance measurement;

wherein the stored previously determined tissue-electrode coupling conditions are to be used by the processor to determine the corresponding tissue-electrode coupling condition.

16. A catheter apparatus comprising:

an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and

a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, the plurality of flexible electrode segments comprising at least one pair of neighboring flexible electrode segments spaced from each other longitudinally by a corresponding electrically nonconductive segment, wherein each flexible electrode segment of the plurality of flexible electrode segments is configured to produce an ablation zone when energy is supplied thereto, and wherein a length of the electrically nonconductive segment is sufficiently small such that the ablation zones of the at least one pair of neighboring flexible electrode segments overlap and form a continuous lesion;

wherein said each flexible electrode segment comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter body; and

wherein the corresponding electrically nonconductive segment is not as flexible as the neighboring flexible electrode segments and is smaller in length than each of the corresponding pair of neighboring flexible electrode segments to provide substantially continuous flexibility across the flexible electrode segments and the corresponding electrically nonconductive segment.

17. The catheter apparatus of claim 16, wherein the electrically nonconductive segment is less than 1.09 times of a diameter of the distal portion.

18. The catheter apparatus of claim 16, further comprising:

a plurality of spring coils corresponding to the plurality of flexible electrode segments, each of the spring coils being disposed within the catheter body and supported at both ends within the catheter body to provide resilient biasing support for the corresponding flexible electrode segment; and

wherein each of the spring coils resiliently maintains the corresponding flexible electrode segment in a preset configuration in a resting state where no applied force is placed on the distal portion.

19. A catheter apparatus comprising:

an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and

a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, the plurality of flexible electrode segments comprising at least one pair of neighboring flexible electrode segments spaced from each other longitudinally by a corresponding electrically nonconductive segment, wherein each flexible electrode segment of the plurality of flexible electrode segments is configured to produce an ablation zone when energy is supplied thereto, and wherein a length of the electrically nonconductive segment is sufficiently small such that the ablation zones of the at least one pair of neighboring flexible electrode segments overlap and form a continuous lesion;

wherein each said flexible electrode comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter body;

wherein the corresponding electrically nonconductive segment is not as flexible as the neighboring flexible electrode segments; and

wherein the electrically nonconductive segment is smaller in length than each of the corresponding pair of neighboring flexible electrode segments.

20. The catheter apparatus of claim 19,

wherein a ratio between a length of each of corresponding said pair of neighboring flexible electrode segments and a diameter of the distal portion is less than 1.7.

21. The catheter apparatus of claim 19, further comprising:

a first diagnostic electrode disposed on the catheter body between each said pair of neighboring flexible electrode segments; and

at least one second diagnostic electrode disposed on the catheter body proximally of the plurality of flexible electrode segments.