Arrangement of multi-channel bipolar electrode zones to minimize leakage and edge effects

• US 10,368,934 B2
• Filed: 10/21/2015
• Issued: 08/06/2019
• Est. Priority Date: 01/14/2015
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Jameson, Allen D., Bagley, Christopher L., Huszar, Hillary K.
• Primary Examiner(s): Hupczey, Jr., Ronald
• Application Number:
  US14/919,218
• Publication Number:
  US 20160199116A1
• Time in Patent Office: 1,385 Days
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• 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 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

Methods, apparatuses, and systems are described for minimizing various leakage effects of multi-zone ablation devices. Apparatuses may include an ablation device for treatment of tissue including an ablation structure with a plurality of bipolar electrode zones. Each of the zones may include an in-zone channel pair comprising a positive channel and a negative channel. The ablation structure may be configured such that, for any adjacent electrode zone pair comprising a first electrode zone and a second electrode zone adjacent to the first electrode zone, the positive channel of the first electrode zone is electrically distinct from the positive channel of the second electrode zone, and the negative channel of the first electrode zone is electrically distinct from the negative channel of the second electrode zone. Moreover, the ablation structure may be arranged such that a total number of electrically distinct channels that is less than twice a total number of the plurality of electrode zones.

Claims

1. An ablation device for treatment of tissue comprising:

an ablation structure comprising three or more bipolar electrode zones, each electrode zone comprising an in-zone channel pair comprising a positive channel and a negative channel,

wherein the ablation structure is configured such that, for any adjacent electrode zone pair comprising one electrode zone and another electrode zone adjacent to the one electrode zone, the positive channel of the one electrode zone is electrically distinct from the positive channel of the other electrode zone, and the negative channel of the one electrode zone is electrically distinct from the negative channel of the other electrode zone; and

wherein the ablation structure comprises a total number of electrically distinct channels that is less than twice a total number of the three or more bipolar electrode zones.

2. The ablation device of claim 1, wherein the ablation structure further comprises a plurality of shared-positive-channel electrode zone pairs, wherein each shared-positive-channel electrode zone pair of the plurality of shared-positive-channel electrode zone pairs comprises a negative channel pair that is electrically distinct from the negative channel pair of every other shared-positive-channel electrode zone pair of the plurality of shared-positive-channel electrode zone pairs.

3. The ablation device of claim 2, wherein the ablation structure is further configured such that every in-zone channel pair is electrically distinct from every adjacent-zone channel pair.

4. The ablation device of claim 1, wherein the ablation structure is further configured such that each electrode zone comprises an in-zone channel pair that is electrically distinct from the in-zone channel pair of every other electrode zone.

5. The ablation device of claim 1, wherein each electrode zone is configured to be selectively enabled or disabled.

6. The ablation device of claim 5, wherein each electrode zone is configured to be selectively enabled by supplying alternating current to the in-zone channel pair of each electrode zone.

7. The ablation device of claim 1, wherein the three or more bipolar electrode zones are aligned adjacent to each other.

8. The ablation device of claim 1, wherein the three or more bipolar electrode zones are all equal in width.

9. The ablation device of claim 1, further comprising:

a catheter;

an expansion member coupled with a distal portion of the catheter;

an ablation structure support coupled with the ablation structure, wherein the ablation structure and the ablation structure support are configured to at least partially unfurl or furl around the expansion member as the expansion member expands or contracts.

10. The ablation device of claim 9, wherein the expansion member comprises a balloon.

11. The ablation device of claim 10, wherein the balloon comprises a semi-compliant material.

12. The ablation device of claim 2, wherein the three or more electrode zones comprise six electrode zones, and wherein:

a first electrode zone of the six electrode zones comprises an in-zone channel pair comprising a first positive channel and a first negative channel;

a second electrode zone of the six electrode zones adjacent to the first electrode zone comprises an in-zone channel pair comprising a second positive channel and a second negative channel, wherein the first electrode zone and the second electrode zone comprise a first adjacent electrode zone pair;

a third electrode zone of the six electrode zones adjacent to the second electrode zone comprises an in-zone channel pair comprising a third positive channel and a third negative channel, wherein the second electrode zone and the third electrode zone comprise a second adjacent electrode zone pair;

a fourth electrode zone of the six electrode zones adjacent to the third electrode zone comprises an in-zone channel pair comprising the first positive channel and the fourth negative channel, wherein the third electrode zone and the fourth electrode zone comprise a third adjacent electrode zone pair;

and a fifth electrode zone of the six electrode zones adjacent to the fourth electrode zone comprises an in-zone channel pair comprising the third positive channel and the first negative channel, wherein the fourth electrode zone and the fifth electrode zone comprise a fourth adjacent electrode zone pair; and

a sixth electrode zone of the six electrode zones adjacent to the fifth electrode zone comprises an in-zone channel pair comprising the second positive channel and the third negative channel, wherein the fifth electrode zone and the sixth electrode zone comprise a fifth adjacent electrode zone pair.

13. The ablation device of claim 2, wherein the three or more electrode zones comprise six electrode zones, and wherein:

a first electrode zone of the six electrode zones comprises an in-zone channel pair comprising a first positive channel and a first negative channel;

a second electrode zone of the six electrode zones adjacent to the first electrode zone comprises an in-zone channel pair comprising a second positive channel and a second negative channel, wherein the first electrode zone and the second electrode zone comprise a first adjacent electrode zone pair;

a third electrode zone of the six electrode zones adjacent to the second electrode zone comprises an in-zone channel pair comprising a third positive channel and a third negative channel, wherein the second electrode zone and the third electrode zone comprise a second adjacent electrode zone pair;

a fourth electrode zone of the six electrode zones adjacent to the third electrode zone comprises an in-zone channel pair comprising the first positive channel and a fourth negative channel, wherein the third electrode zone and the fourth electrode zone comprise a third adjacent electrode zone pair;

and a fifth electrode zone of the six electrode zones adjacent to the fourth electrode zone comprises an in-zone channel pair comprising the second positive channel and the third negative channel, wherein the fourth electrode zone and the fifth electrode zone comprise a fourth adjacent electrode zone pair; and

a sixth electrode zone of the six electrode zones adjacent to the fifth electrode zone comprises an in-zone channel pair comprising the third positive channel and the fourth negative channel, wherein the fifth electrode zone and the sixth electrode zone comprise a fifth adjacent electrode zone pair.

14. The ablation device of claim 3, wherein the three or more electrode zones comprise seven electrode zones, and wherein:

a first electrode zone of the seven electrode zones comprises an in-zone channel pair comprising a first positive channel and a first negative channel;

a second electrode zone of the seven electrode zones adjacent to the first electrode zone comprises an in-zone channel pair comprising a second positive channel and a second negative channel, wherein the first electrode zone and the second electrode zone comprise a first adjacent electrode zone pair;

a third electrode zone of the seven electrode zones adjacent to the second electrode zone comprises an in-zone channel pair comprising a third positive channel and the first negative channel, wherein the second electrode zone and the third electrode zone comprise a second adjacent electrode zone pair;

a fourth electrode zone of the seven electrode zones adjacent to the third electrode zone comprises an in-zone channel pair comprising the second positive channel and a third negative channel, wherein the third electrode zone and the fourth electrode zone comprise a third adjacent electrode zone pair;

a fifth electrode zone of the seven electrode zones adjacent to the fourth electrode zone comprises an in-zone channel pair comprising a fourth positive channel and the first negative channel, wherein the fourth electrode zone and the fifth electrode zone comprise a fourth adjacent electrode zone pair;

a sixth electrode zone of the seven electrode zones adjacent to the fifth electrode zone comprises an in-zone channel pair comprising a fifth positive channel and the second negative channel, wherein the fifth electrode zone and the sixth electrode zone comprise a fifth adjacent electrode zone pair; and

a seventh electrode zone of the seven electrode zones adjacent to the sixth electrode zone comprises an in-zone channel pair comprising the first positive channel and the third negative channel, wherein the sixth electrode zone and the seventh electrode zone comprise a sixth adjacent electrode zone pair.

15. The ablation device of claim 3, wherein the three or more electrode zones comprise seven electrode zones, and wherein:

a first electrode zone of the seven electrode zones comprises an in-zone channel pair comprising a first positive channel and a first negative channel;

a second electrode zone of the seven electrode zones adjacent to the first electrode zone comprises an in-zone channel pair comprising a second positive channel and a second negative channel, wherein the first electrode zone and the second electrode zone comprise a first adjacent electrode zone pair;

a third electrode zone of the seven electrode zones adjacent to the second electrode zone comprises an in-zone channel pair comprising a third positive channel and the first negative channel, wherein the second electrode zone and the third electrode zone comprise a second adjacent electrode zone pair;

a fourth electrode zone of the seven electrode zones adjacent to the third electrode zone comprises an in-zone channel pair comprising the second positive channel and a third negative channel, wherein the third electrode zone and the fourth electrode zone comprise a third adjacent electrode zone pair;

a fifth electrode zone of the seven electrode zones adjacent to the fourth electrode zone comprises an in-zone channel pair comprising a fourth positive channel and the first negative channel, wherein the fourth electrode zone and the fifth electrode zone comprise a fourth adjacent electrode zone pair;

a sixth electrode zone of the seven electrode zones adjacent to the fifth electrode zone comprises an in-zone channel pair comprising a fifth positive channel and the third negative channel, wherein the fifth electrode zone and the sixth electrode zone comprise a fifth adjacent electrode zone pair; and

a seventh electrode zone of the seven electrode zones adjacent to the sixth electrode zone comprises an in-zone channel pair comprising the fourth positive channel and the second negative channel, wherein the sixth electrode zone and the seventh electrode zone comprise a sixth adjacent electrode zone pair.