Fluid cooled ablation catheter

• US 5,334,193 A
• Filed: 11/13/1992
• Issued: 08/02/1994
• Est. Priority Date: 11/13/1992
• Status: Expired due to Fees

• Current Assignee: American Cardiac Ablation Company Incorporated
• Original Assignee: American Cardiac Ablation Company Incorporated
• Inventors: Nardella, Paul C.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/975,662
• Time in Patent Office: 627 Days
• Field of Search: 607/98, 607/99, 607/101, 607/102, 607/105, 607/113, 607/122, 607/154, 607/156, 606/38-41, 606/34, 606/45, 606/48, 606/49, 606/50
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 2018/00017 with gas
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1435 Spiral

Abstract

A thin, elongate and flexible ablation catheter, suitable for delivery to an internal organ, comprises a fluid delivery lumen centrally located within the catheter, and first and second electrodes disposed on an outer surface of the catheter. The electrodes preferably are helically oriented about the catheter. At least one of the electrodes is in communication with a source of electrosurgical energy so as to deliver ablative electrosurgical energy to tissue. The lumen communicates with a fluid supply source such that fluid is conveyed through the lumen and is discharged to adjacent tissue during the delivery of ablative energy. The fluid delivered through the lumen assists in optimizing the electrode temperature. A method and apparatus is also provided to regulate the fluid flow rate based on monitored electrode temperature and/or tissue impedance.

Claims

1. A method for controlling the temperature of an energy delivering electrode disposed on an ablation catheter, comprising:

providing an ablation catheter in the form of a thin, flexible elongate member having disposed at a distal portion thereof at least one energy delivering electrode, the catheter having a fluid delivering lumen associated therewith and being adapted for intravascular delivery to an internal organ and being in electrical communication with an electrosurgical generator unit;

intravascularly delivering the catheter to an internal organ;

delivering electrosurgical energy from the generator unit through the catheter to the energy delivering electrode and adjacent tissue;

measuring the temperature of the energy delivering electrode and generating a signal representative thereof;

comparing the measured temperature of the energy delivering electrode to a predetermined maximum temperature value and generating a signal representative of the difference between the measured temperature and the predetermined temperature;

selectively delivering fluid through the lumen of the catheter at a desired flow rate; and

adjusting the flow rate of fluid through the lumen of the catheter based on the difference between measured temperature and the predetermined temperature to maintain the measured temperature at or below the predetermined temperature.

2. The method of claim 1 wherein the step of selectively delivering fluid further comprises the step of allowing the fluid to exit the catheter at a distal thereof.

3. The method of claim 2 wherein the flow rate is adjusted by a pump means for controlling fluid flow rate that operates in response to a signal representative of the difference between the measured temperature and the predetermined temperature.

4. The method of claim 1 wherein the fluid flow rate ranges from 1 to 50 ml/minute.

5. The method of claim 1 further comprising the step of controlling an amount of electrosurgical energy delivered by the generator unit in conjunction with controlling the temperature of the energy delivering electrode by:

measuring the impedance of the tissue based on the energy applied thereto and generating a signal representative of the measured tissue impedance value;

comparing the measured tissue impedance value with a predetermined maximum impedance value; and

transmitting to the generator unit a signal to cease further energy delivery if the measured tissue exceeds the predetermined maximum impedance value.

6. A system for controlling the temperature of an energy delivering electrode disposed on an ablation catheter, comprising:

a thin, flexible elongate catheter having a central lumen disposed therein to enable fluid to be conveyed through the catheter, at a variable rate of flow, for discharge at a distal portion of the catheter, the catheter having at least one energy delivering electrode disposed at a distal portion of the catheter and the catheter having dimensions suitable for intravascular delivery;

an electrosurgical generator unit in electrical communication with the catheter for providing a desired electrosurgical energy output to the electrode for delivery to tissue adjacent the electrode;

a fluid supply source in communication with the lumen;

temperature sensing means associated with the catheter for sensing the temperature of the energy delivering electrode and generating a signal representative of measured electrode temperature;

comparator means for comparing the measured electrode temperature and a predetermined maximum temperature value and generating a signal representative of the temperature difference; and

a fluid control means for regulating the rate of flow of fluid through the lumen in response to the signal from the comparator means representative of the temperature difference to maintain the measured electrode temperature at or below the predetermined temperature.

7. The system of claim 6 wherein the temperature sensing means comprises a thermistor or a thermocouple.

8. The system of claim 6, further comprising a subsystem for controlling the electrosurgical energy output of the generator unit, the subsystem comprising:

impedance measuring means for measuring the impedance value of tissue based on the energy applied thereto;

impedance comparing means for comparing the measured impedance value of tissue to a predetermined maximum impedance value, the impedance comparing means generating a disabling signal if the measured impedance value exceeds the predetermined maximum impedance value; and

means for communicating the disabling signal to the generator unit to cease further delivery of energy from the generator unit to the catheter.

9. A system for controlling the temperature of an energy delivering electrode disposed on an ablation catheter, comprising:

a thin, flexible elongate catheter having a central lumen disposed therein to enable fluid to be conveyed through the catheter, at a variable flow rate, for discharge at a distal portion of the catheter, the catheter having at least one energy delivering electrode disposed at a distal portion of the catheter and the catheter having dimensions suitable for intravascular delivery;

an electrosurgical generator unit in electrical communication with the catheter for supplying electrosurgical energy to the electrode for delivery to tissue adjacent the electrode;

a fluid supply source in communication with the lumen;

impedance measuring mean for measuring the impedance value of tissue based on the energy applied thereto;

impedance comparing means for comparing the measured impedance value of tissue to a predetermined maximum impedance value, the impedance comparing means generating a signal representative of the difference between the measured impedance value and the predetermined maximum in impedance value; and

a fluid control means for regulating the rate of flow of fluid through the lumen in response to the signal from the impedance comparing means representative of the impedance difference to maintain the measured impedance value at or below the predetermined maximum impedance value.