Shock wave device with polarity switching

• US 10,226,265 B2
• Filed: 04/25/2016
• Issued: 03/12/2019
• Est. Priority Date: 04/25/2016
• Status: Active Grant

• Current Assignee: Shockwave Medical, Incorporated (Johnson & Johnson)
• Original Assignee: Shockwave Medical, Incorporated (Johnson & Johnson)
• Inventors: Ku, Vincent Wenchung, Saaibi, Camilo Perez
• Primary Examiner(s): Scherbel, Todd J
• Assistant Examiner(s): Labranche, Brooke
• Application Number:
  US15/138,147
• Publication Number:
  US 20170303946A1
• Time in Patent Office: 1,051 Days
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 17/22022 using electric discharge
• CPC Class Codes: A61B 17/22029 Means for measuring shock waves
• CPC Class Codes: A61B 2017/00172 Pulse trains, bursts, intermittent continuous operation
• CPC Class Codes: A61B 2017/0019 Means for setting or varying the pulse width
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/22001 Angioplasty, e.g. PCTA
• CPC Class Codes: A61B 2017/22021 electric leads passing through the catheter
• CPC Class Codes: A61B 2017/22025 applying a shock wave A61B2017/22091 takes precedence
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2017/22068 Centering
• CPC Class Codes: A61B 2017/22097 Valve removal in veins
• CPC Class Codes: A61B 2017/22098 Decalcification of valves

Abstract

Described here are devices and methods for forming shock waves. The devices may comprise an axially extending elongate member. A first electrode pair may comprise a first electrode and a second electrode. The first electrode pair may be provided on the elongate member and positioned within a conductive fluid. A controller may be coupled to the first electrode pair. The controller may be configured to deliver a series of individual pulses to the first electrode pair, where each pulse creates a shock wave. The controller may cause current to flow through the electrode pair in a first direction for some of the pulses in the series and in a second direction opposite the first direction for the remaining pulses in the series.

Claims

1. A shock wave device comprising:

an axially extending elongate member;

a first electrode pair comprising a first electrode and a second electrode, wherein the first electrode pair is provided on the elongate member and positioned within a conductive fluid; and

a controller coupled to the first electrode pair, wherein the controller is configured to deliver a series of individual voltage pulses to the first electrode pair such that each of the voltage pulses creates a shock wave in the conductive fluid, wherein the controller includes a voltage source having a constant polarity followed by a voltage polarity switch for switching the polarity of the voltage source and causing current to flow through the electrode pair in a first direction for some of the pulses in the series and in a second direction opposite the first direction for the remaining pulses in the series, and wherein the current flows in the second direction for between twenty five percent and fifty percent of the pulses in the series and wherein the voltage polarity switch only operates between the delivery of individual voltage pulses so that each voltage pulse delivered to the electrode pair has a single direction of current flow.

2. The device of claim 1 wherein the controller causes the current to flow in the second direction for between one third and half of the pulses in the series.

3. The device of claim 1 wherein the controller causes the current to flow in the second direction for at least about half of the pulses in the series.

4. The device of claim 1 wherein a first surface area of a first conductive region of the first electrode is smaller than a second surface area of a second conductive region of the second electrode.

5. The device of claim 1 wherein a first wire connects the first electrode to a first terminal of the voltage polarity switch, and a second wire connects the second electrode to a second terminal of the voltage polarity switch.

6. The device of claim 5 wherein the first terminal is positive and the second terminal is negative in the first direction of current flow, and the first terminal is negative and the second terminal is positive in the second direction.

7. The device of claim 1 further comprising a second electrode pair, wherein the controller comprises a multiplexer configured to selectively deliver the series of pulses to the first electrode pair and the second electrode pair.

8. The device of claim 1 further comprising a fluid enclosure surrounding the electrode pair.

9. The device of claim 8 wherein the fluid enclosure comprises a balloon surrounding a portion of the elongate member, wherein the balloon is configured to be filled with a conductive fluid, and wherein the first electrode pair is enclosed within and spaced from the balloon.

10. A shock wave device comprising:

an axially extending elongate member;

a first electrode assembly comprising a first electrode pair and a second electrode pair, wherein the first electrode assembly is provided on the elongate member and positioned within a conductive fluid; and

a controller coupled to the first electrode assembly, wherein the controller is configured to deliver a series of individual voltage pulses to the first electrode assembly such that each of the voltage pulses creates a shock wave in the conductive fluid, wherein the controller includes a voltage source having a constant polarity followed by a voltage polarity switch for switching the polarity of the voltage source and causing current to flow through the electrode assembly in a first direction for some of the pulses in the series and in a second direction opposite the first direction for the remaining pulses in the series, and wherein the current flows in the second direction for between twenty five percent and fifty percent of the pulses in the series and wherein the voltage polarity switch only operates between the delivery of individual voltage pulses so each voltage pulse delivered to the electrode assembly has a single direction of current flow.

11. The device of claim 10 wherein the first electrode assembly comprises a first electrode, a second electrode, and a common electrode, wherein the first electrode pair comprises the first electrode and the common electrode and the second electrode pair comprises the second electrode and the common electrode.

12. The device of claim 11 wherein the voltage polarity switch switches a polarity of the first electrode and the second electrode between positive and negative, wherein the first electrode and the second electrode have opposite polarities.

13. The device of claim 11 wherein a first surface area of a first conductive region of the first electrode and a second surface area of a second conductive region of the second electrode are different than a third surface area of a third conductive region of the common electrode.

14. The device of claim 11 wherein a first wire connects the first electrode to a first terminal of the voltage polarity switch, and a second wire connects the second electrode to a second terminal of the voltage polarity switch.

15. The device of claim 11 wherein a first wire connects the first electrode to a first terminal of the voltage polarity switch, a second wire connects the second electrode to a second terminal of the voltage polarity switch, and a third wire connects the common electrode to a terminal of the voltage source.

16. The device of claim 10 further comprising a second electrode assembly coupled in series to the first electrode assembly.

17. The device of claim 16 wherein a first wire connects the first electrode assembly to a first terminal of the voltage polarity switch, a second wire connects the first electrode assembly to the second electrode assembly, and a third wire connects the second electrode assembly to a second terminal of the voltage polarity switch.

18. The device of claim 10 further comprising a second electrode assembly, wherein the controller comprises a multiplexer configured to selectively deliver the series of pulses to the first electrode assembly and the second electrode assembly.

19. The device of claim 10 further comprising a fluid enclosure surrounding the first electrode assembly.

20. The device of claim 19 wherein the fluid enclosure comprises a balloon surrounding a portion of the elongate member, wherein the balloon is configured to be filled with a conductive fluid, and wherein the first electrode assembly is enclosed within and spaced from the balloon.