Contact-sensitive pressure-sensitive conductive composite electrode and method for ablation

• US 20080161789A1
• Filed: 12/29/2006
• Published: 07/03/2008
• Est. Priority Date: 12/29/2006
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Paul, Saurav, Cao, Hong, Belhe, Kedar Ravindra, Thao, Chou
• Granted Patent: US 7,883,508 B2
• Time in Patent Office: Days
• US Class Current: 606/34
• 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 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension

Abstract

A catheter assembly for pressure-sensitive control of ablation treatment is disclosed. The assembly includes a conductive element, an electrode, and a pressure sensitive conductive composite member positioned between the conductive element and the electrode. At least one of the conductive pin, the pressure sensitive conductive composite element and the ablation electrode are moveable to create an engagement position and a non-engagement position. In the engagement position, the elements are electrically coupled such that ablation energy may be delivered from the conductive pin to the ablation electrode via the pressure sensitive conductive composite element. In the non-engagement position, the elements are electrically decoupled such that ablation energy is not delivered to the ablation electrode. A related method for pressure-sensitive control of ablation is also disclosed.

Claims

1. An electrode assembly comprising:

a conductive pin for conducting ablation energy;

an ablation electrode at a distal end of the electrode assembly; and

a pressure sensitive conductive composite element disposed between the conductive pin and the ablation electrode;

said pressure sensitive conductive composite element being positioned such that when it is compressed between the conductive pin and the ablation electrode, the pressure sensitive conductive composite element conducts ablation energy from the conductive pin to the ablation electrode.

2. The electrode assembly of claim 1 further comprising:

a first shaft in which the ablation electrode is disposed at a distal end;

a second shaft in which the conductive pin is disposed; and

a spring that permits the first and second shafts to be compressed toward each other.

3. The electrode assembly of claim 2 further comprising:

a collar on each of the first and second shafts such that the spring may be anchored between the two collars during compression.

4. The electrode assembly of claim 2 wherein the pressure sensitive conductive composite element comprises a quantum tunneling composite material.

5. A catheter assembly for conducting ablative energy, said assembly comprising:

a catheter body having an ablation electrode; and

a pressure sensitive conductive composite member;

a conductive pin for conducting ablation energy; and

a spring that is capable of being in at least a first state and a second state,

said first state being one in which the spring electrically decouples the electrode from at least one of the conductive pin and the pressure sensitive conductive composite member; and

said spring being compressible into a second state wherein pressure is applied to the pressure sensitive conductive composite member to place it in a conductive state, thereby transferring ablation energy from the conductive pin to the ablation electrode.

6. The catheter assembly of claim 5, wherein the ablation electrode is located on a distal end of the catheter assembly, and wherein the pressure sensitive conductive member is disposed in physical contact with the electrode along the longitudinal axis of the electrode assembly.

7. The catheter assembly of claim 5, further comprising at least one pressure transfer member disposed between the pressure sensitive conductive composite member and the ablation electrode, such that pressure applied to the ablation electrode is transferred through the at least one pressure transfer member to the pressure sensitive conductive composite member.

8. The catheter assembly of claim 5 further comprising:

a collar on each of the first and second shafts such that the spring may be anchored between the two collars during compression.

9. A method of treating tissue, the method comprising:

providing an electrode assembly having;

a conductive element for conducting RF energy;

an ablation electrode at a distal end of the electrode assembly; and

a pressure sensitive conductive composite member disposed between the conductive element and the ablation electrode;

positioning the electrode assembly in contact with a tissue to be treated;

exerting sufficient force upon the tissue through the electrode assembly such that the pressure sensitive conductive composite member becomes conductive and permits the delivery of RF energy to the tissue.

10. The method of claim 9, wherein at least two of the conductive element, the ablation electrode and the pressure sensitive conductive composite element are electrically decoupled, the method further comprising:

moving at least one of the conductive element, the ablation electrode and the pressure sensitive conductive composite element to electrically couple the conductive pin, the pressure sensitive conductive composite element and the ablation electrode, such that ablation energy may be delivered from the conductive pin to the ablation electrode via the pressure sensitive conductive composite element.

11. The method of claim 9, further comprising:

measuring the resistance along a path of pressure sensitive conductive composite member;

generating a signal that is indicative of the measured resistance having dropped below a set threshold, thereby indicating a desired level of contact between the pressure sensitive conductive composite material and the tissue.

12. The method of claim 9, further comprising:

using a generator to deliver RF energy to the conductive element, said generator having a switch to control delivery of RF energy;

measuring the resistance along a path of pressure sensitive conductive composite member;

generating a signal that is indicative of the measured resistance having dropped below a set threshold;

waiting a predetermined period of time; and

controlling the switch of the generator to turn off the RF energy.

13. The method of claim 9, further comprising:

using a generator to deliver RF energy to the conductive element, said generator having a switch to control delivery of RF energy;

monitoring at least one of the generator and the catheter to determine when delivery of RF energy to the tissue has commenced and generating a signal to indicate that delivery of RF energy has commenced;

waiting a predetermined period of time; and

controlling the switch of the generator to turn off the RF energy.

14. The method of claim 9, wherein the electrode assembly is being using to ablate tissue without any external fluid being added, and wherein at least two of the conductive element, the ablation electrode and the pressure sensitive conductive composite element are electrically decoupled, the method further comprising:

moving at least one of the conductive element, the ablation electrode and the pressure sensitive conductive composite element to electrically couple the conductive pin, the pressure sensitive conductive composite element and the ablation electrode, such that ablation energy may be delivered slowly via the pressure sensitive conductive composite element so as to mitigate the effects of arcing.

15. An electrode assembly comprising:

a conductive pin for conducting ablation energy;

an ablation electrode at a distal end of the electrode assembly;

a pressure sensitive conductive composite element disposed between the conductive pin and the ablation electrode; and

an engagement assembly that moves at least one of the conductive pin, the pressure sensitive conductive composite element and the ablation electrode to create an engagement position and a non-engagement position,

wherein the engagement position electrically couples the conductive pin, the pressure sensitive conductive composite element and the ablation electrode, such that ablation energy may be delivered from the conductive pin to the ablation electrode via the pressure sensitive conductive composite element; and

wherein the non-engagement position electrically decouples at least two of the conductive pin, the pressure sensitive conductive composite element, and the ablation electrode, such that ablation energy is not delivered to the ablation electrode.

16. The electrode assembly of claim 15 wherein the engagement assembly comprises:

a first shaft in which the ablation electrode is disposed at a distal end;

a second shaft in which the conductive pin is disposed; and

a spring that permits the first and second shafts to be compressed toward each other.

17. The electrode assembly of claim 16 further comprising:

an anchor on each of the first and second shafts such that the spring is secured between the two anchors during compression.

18. The electrode assembly of claim 16 wherein the pressure sensitive conductive composite element comprises a quantum tunneling composite material.