Dispersed irrigation configuration for catheter tip design

• US 10,285,610 B2
• Filed: 03/23/2016
• Issued: 05/14/2019
• Est. Priority Date: 03/23/2016
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Wu, Steven
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US15/078,343
• Publication Number:
  US 20170273738A1
• Time in Patent Office: 1,147 Days
• Field of Search: 600374
• 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 2018/00029 open
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1405 Electrodes having a specific shape
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 with multiple distal splines

Abstract

This disclosure is directed to a diagnostic catheter having an improved irrigation system for reducing thrombus formation. The catheter may have an irrigated electrode assembly with a plurality of spines, each with a plurality of irrigation ports to flush the device and reduce the risk of thrombus formation.

Claims

1. A catheter comprising:

an elongated catheter body having proximal and distal ends and at least one irrigation lumen therethrough; and

an irrigated electrode assembly at the distal end of the catheter body, the irrigated electrode assembly comprising a plurality of spines having proximal and distal ends, the plurality of spines being connected at their proximal ends, each spine having a plurality of electrodes, and at least one irrigation port adjacent a distal end of the elongated catheter body in fluid communication with the at least one irrigation lumen, each spine including a spine lumen and a flexible wire positioned within the spine lumen, the flexible wire including a central irrigation lumen, and each spine including at least one spine irrigation port in fluid communication with the central irrigation lumen, each central irrigation lumen being in fluid communication with the at least one irrigation lumen.

2. The catheter of claim 1, wherein each spine has a plurality of spine irrigation ports in fluid communication with the central irrigation lumen.

3. The catheter of claim 2, wherein at least one of the spine irrigation ports is a dedicated spine irrigation port.

4. The catheter of claim 2, wherein at least one of the spine irrigation ports is integrated with an electrode having a plurality of perforations.

5. The catheter of claim 2, wherein the spine irrigation ports comprise a combination of dedicated irrigation ports and integrated irrigation ports.

6. The catheter of claim 1, wherein the plurality of spines are connected at their distal ends to form an irrigated basket-shaped electrode assembly having an expanded arrangement wherein the spines bow radially outwardly and a collapsed arrangement wherein the plurality spines are arranged generally along a longitudinal axis of the catheter body.

7. The catheter of claim 6, wherein the at least one irrigation lumen comprises a second irrigation lumen having a second irrigation port adjacent the distal ends of the plurality of spines and in fluid communication with the at least one irrigation lumen.

8. The catheter of claim 7, further comprising an expander having proximal and distal ends and a central lumen in fluid communication with the at least one irrigation port adjacent the proximal end of the plurality of spines and the second irrigation port adjacent the distal ends of the plurality of spines, the expander slidably disposed within the at least one irrigation lumen and aligned with the longitudinal axis of the catheter body, wherein the plurality of spines are attached at their distal ends to the expander.

9. The catheter of claim 8, wherein each spine includes at least one spine irrigation port in fluid communication with the spine lumen, each spine lumen being in fluid communication with the at least one irrigation lumen.

10. The catheter of claim 9, wherein each spine has a plurality of spine irrigation ports in fluid communication with the spine lumen.

11. The catheter of claim 10, wherein at least one of the spine irrigation ports is a dedicated spine irrigation port.

12. The catheter of claim 10, wherein at least one of the spine irrigation ports is integrated with an electrode having a plurality of perforations.

13. The catheter of claim 10, wherein the spine irrigation ports comprise a combination of dedicated irrigation ports and integrated irrigation ports.

14. A catheter comprising an elongated catheter body having proximal and distal ends and at least one irrigation lumen therethrough and an irrigated electrode assembly at the distal end of the catheter body, the irrigated electrode assembly comprising a plurality of spines connected at their proximal ends, each spine comprising a plurality of electrodes, a spine lumen and a flexible wire positioned within the spine lumen, the flexible wire including a central irrigation lumen, the spine including at least one irrigation port in fluid communication with the central irrigation lumen, wherein each central irrigation lumen is in fluid communication with the irrigation lumen.

15. The catheter of claim 14, wherein each spine has a plurality of irrigation ports in fluid communication with the central irrigation lumen.

16. The catheter of claim 15, wherein the irrigation ports comprise a combination of dedicated irrigation ports and integrated irrigation ports.

17. The catheter of claim 15, wherein the irrigation ports are distributed evenly across the irrigated electrode assembly.

18. The catheter of claim 14, wherein at least one of the irrigation ports is a dedicated irrigation port.

19. The catheter of claim 14, wherein at least one of the irrigation ports is integrated with an electrode having a plurality of perforations.

20. The catheter of claim 14, wherein the spines have an expanded arrangement wherein the spines deflect radially outwardly and a collapsed arrangement wherein the spines are arranged generally along a longitudinal axis of the catheter body.

21. The catheter of claim 20, wherein the spines are attached at their distal ends to an expander, such that the irrigated electrode assembly has the collapsed arrangement when the expander is at a most distal position along the longitudinal axis relative to the catheter body.

22. The catheter of claim 20, wherein proximal movement of the expander through a range of travel is associated with conversion of the irrigated electrode assembly to the expanded arrangement from the collapsed configuration.

23. The catheter of claim 22, wherein the expander is routed through a lumen of an inner tubular member coaxially disposed within the at least one irrigation lumen of the elongated catheter body.

24. A method for treatment comprising:

providing a catheter comprising an elongated catheter body having proximal and distal ends and at least one irrigation lumen therethrough and an irrigated electrode assembly at the distal end of the catheter body, the irrigated electrode assembly comprising a plurality of spines having proximal and distal ends, the plurality of spines being connected at their proximal ends, each spine having a plurality of electrodes, and at least one irrigation port adjacent a proximal end of the irrigated electrode assembly in fluid communication with the at least one irrigation lumen, each spine including a spine lumen and a flexible wire positioned within the spine lumen, the flexible wire including a central irrigation lumen, and each spine further including at least one spine irrigation port in fluid communication with the central irrigation lumen, each central irrigation lumen being in fluid communication with the at least one irrigation lumen,

advancing the distal end of the catheter with the irrigated electrode assembly to a desired region within a patient;

positioning the irrigated electrode assembly such that at least one electrode is in contact with tissue; and

supplying irrigation fluid to the irrigation lumen so that the irrigation fluid perfuses through the at least one irrigation port.

25. The method of claim 24, further comprising receiving electrical signals from the at least one electrode in contact with tissue.

26. The method of claim 24, further comprising delivering radio frequency energy to the at least one electrode in contact with tissue to form a lesion.

27. The method of claim 24, wherein the desired region is an atrium or a ventricle.

28. A method for treatment comprising:

providing a catheter comprising an elongated catheter body having proximal and distal ends and at least one irrigation lumen therethrough and an irrigated electrode assembly at the distal end of the catheter body, the irrigated electrode assembly comprising a plurality of spines connected at their proximal ends, each spine comprising a plurality of electrodes, a spine lumen and a flexible wire positioned within the spine lumen, the flexible wire including a central irrigation lumen, the spine includes at least one irrigation port in fluid communication with the central irrigation lumen, wherein each central irrigation lumen is in fluid communication with the irrigation lumen,

advancing the distal end of the catheter with the irrigated electrode assembly to a desired region within a patient;

positioning the irrigated electrode assembly such that at least one electrode is in contact with tissue; and

supplying irrigation fluid to the irrigation lumen so that the irrigation fluid perfuses through the irrigation ports.

29. The method of claim 28, further comprising receiving electrical signals from the at least one electrode in contact with tissue.

30. The method of claim 28, further comprising delivering radio frequency energy to the at least one electrode in contact with tissue to form a lesion.

31. The method of claim 28, wherein the desired region is an atrium or a ventricle.