Catheters and methods for performing cardiac diagnosis and treatment

• US 5,313,943 A
• Filed: 09/25/1992
• Issued: 05/24/1994
• Est. Priority Date: 09/25/1992
• Status: Expired due to Term

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Houser, Russell A., Edwards, Stuart D., Kordis, Thomas F.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/951,739
• Time in Patent Office: 606 Days
• Field of Search: 128/642, 128/784-786, 128/419 P, 606/41, 607/119, 607/120, 607/122
• US Class Current: 600/374
• 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 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 with multiple distal splines
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A system and method for cardiac diagnosis and treatment inserts the distal end of a catheter into a heart chamber. The distal end of the catheter supports at least one electrode. The catheter has a fluid flow conduit extending through it. The conduit has a valve that prevents fluid flow from the heart chamber into the conduit in response to in vivo pressure generated during heart systole and diastole. The valve permits fluid flow from the conduit into the heart at a pressure above the in vivo pressure. In use, the catheter locates the electrode in contact with a portion of the endocardium, and fluid is conducted from an external source through the conduit at a pressure above the in vivo pressure to flush the area surrounding the electrode.

Claims

1. A probe for cardiac diagnosis and treatment comprising:

a catheter having a distal end for insertion into a heart chamber, means on the distal end of the catheter comprising an array of radially extending splines, each spline having a proximal end and a distal end and supporting at least one electrode, a fluid flow conduit extending through the catheter for conducting fluid from an external source through the catheter distal end, and valve means at the catheter distal end for preventing fluid flow from the heart chamber into the conduit while permitting the fluid flow through the conduit into the heart chamber wherein the distal ends of the splines are connected to an end cap, and wherein the fluid flow conduit extends through the end cap.

2. A probe according to claim 1 wherein the valve means is located within the end cap.

3. A probe according to claim 1 wherein the valve means prevents fluid flow from a heart chamber into the conduit in response to in vivo pressure generated during heart systole and diastole while permitting fluid flow from the conduit into a heart at a pressure above the in vivo pressure.

4. A probe according to claim 1

and further including a guide wire extending through the catheter for guiding the catheter,

wherein the guide wire extends through the valve means beyond the catheter distal end, and

wherein the valve means sealingly surrounds the guide wire.

5. A system for cardiac diagnosis and treatment further comprising:

a catheter having a distal end for insertion into a heart chamber, means on the distal end of the catheter comprising an array of radially extending splines, each spline having a proximal end and a distal end and supporting at least one electrode, a fluid flow conduit extending through the catheter for conducting fluid from an external source through the catheter distal end, and valve means at the catheter distal end for preventing fluid flow from the heart chamber into the conduit while permitting the fluid flow through the conduit into the heart chamber wherein the distal ends of the splines are connected to an end cap, and wherein the fluid flow conduit extends through the end cap,

a pressurized source of fluid and means for connecting said source of fluid to said fluid flow conduit.

6. A system according to claim 5 wherein said pressurized source of fluid comprises heparin.

7. A system according to claim 5 wherein said pressurized source of fluid comprises saline solution.

8. A system for cardiac diagnosis and treatment comprising:

a pressurized source of fluid,

a catheter having a distal end for insertion into a heart chamber, means on the distal end of the catheter for supporting at least one electrode, a fluid flow conduit connected to said to said source of fluid and extending through the catheter for conducting fluid from the source through the catheter distal end to flush the area surrounding the electrode, and valve means at the distal catheter end for preventing fluid flow from a heart chamber into the conduit in response to in vivo pressure generated during heart systole and diastole while permitting fluid flow from the conduit into said heart chamber at a pressure above the in vivo pressure,

and further including a guide wire extending through the catheter for guiding the catheter,

wherein the guide wire extends through the valve means beyond the distal catheter end, and

wherein the valve means sealingly surrounds the guide wire.