APPARATUS AND METHODS FOR FLUID COOLED ELECTROPHYSIOLOGY PROCEDURES

• US 20110160726A1
• Filed: 10/30/2010
• Published: 06/30/2011
• Est. Priority Date: 12/30/2009
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Ingle, Frank
• Application Number:
  US12/916,500
• Publication Number:
  US 20110160726A1
• Time in Patent Office: Days
• US Class Current: 606/49
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/0069 using fuzzy logic
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

Methods and apparatus associated with irrigated tissue ablation procedures.

Claims

1. An electrophysiology device, comprising:

an elongate body defining a distal region;

an electrode associated with the distal region of the elongate body and defining an inner surface;

a relatively thin fluid heating space associated with the inner surface of the electrode;

an inlet and an outlet associated with the relatively thin fluid heating space; and

first and second temperature sensors respectively in thermal communication with the inlet and the outlet.

2. An electrophysiology device as claimed in claim 1, wherein the elongate body comprises an elongate catheter body.

3. An electrophysiology device as claimed in claim 1, wherein the elongate body defines a distal end and the electrode is mounted on the distal end of the elongate body.

4. An electrophysiology device as claimed in claim 1, wherein the outlet comprises a plurality of outlets.

5. An electrophysiology device as claimed in claim 1, further comprising:

an insulation member defining an outer surface located in spaced relation to the inner surface of the electrode such that the relatively thin fluid heating space is located therebetween.

6. An electrophysiology device as claimed in claim 5, wherein

the inner surface of the electrode is substantially hemispherical in shape;

and

the outer surface of the insulation member is substantially hemispherical in shape.

7. An electrophysiology device as claimed in claim 5, wherein the inlet is defined by the insulation member.

8. An electrophysiology device as claimed in claim 1, wherein the electrode defines an outer surface and the outlet extends through the electrode to the outer surface.

9. An electrophysiology device as claimed in claim 1, wherein

the elongate body defines an interior;

and

the outlet is associated with the interior of the elongate body.

10. An electrophysiology device as claimed in claim 1, wherein

the electrode defines a diameter that is about 1 mm to 4 mm;

and

the relatively thin fluid heating space is about 0.05 to 0.2 thick.

11. An electrophysiology device configured to heat tissue, comprising:

an elongate body defining a distal region;

an irrigated electrode assembly, through which irrigation fluid passes, associated with the distal region of the elongate body and including an electrically and thermally conductive tissue contact surface that receives heat from tissue as it supplies electrical energy to tissue;

means for transferring substantially all of the heat received from the tissue by the tissue contact surface to the irrigation fluid that passes through the electrode assembly;

a first temperature sensor that senses the temperature of the irrigation fluid as it enters the electrode assembly; and

a second temperature sensor that senses the temperature of the irrigation fluid as it exits the electrode assembly.

12. An electrophysiology device as claimed in claim 11, wherein the elongate body comprises an elongate catheter body.

13. An electrophysiology device as claimed in claim 11, wherein the elongate body defines a distal end and the electrode is mounted on the distal end of the elongate body.

14. An electrophysiology device as claimed in claim 11, wherein the irrigated electrode assembly comprises an open irrigated electrode assembly.

15. An electrophysiology device as claimed in claim 11, wherein the irrigated electrode assembly comprises a closed irrigated electrode assembly.

16. A tissue coagulation method, comprising the steps of:

transferring power to tissue with an electrode;

receiving heat from the tissue with the electrode;

cooling the electrode with irrigation fluid;

transferring substantially all of the heat to the irrigation fluid cooling the electrode; and

measuring the change in temperature of the irrigation fluid as it cools the electrode.

17. A method as claimed in claim 16, wherein the step of cooling the electrode comprises cooling the electrode with irrigation fluid in an open irrigation process.

18. A method as claimed in claim 16, wherein the step of cooling the electrode comprises cooling the electrode with irrigation fluid in a closed irrigation process.

19. A method as claimed in claim 16, wherein the step of transferring substantially all of the heat comprises transferring substantially all of the heat to the irrigation fluid cooling the electrode as the irrigation fluid flows through a relatively thin fluid heating space.

20. A method as claimed in claim 16, wherein the step of measuring comprises sensing the temperature of the irrigation fluid as it enters the electrode and as it exits the electrode.