Atrial mapping and ablation catheter system
First Claim
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1. A method of mapping and ablating surface tissue in the right atrial cardiac chamber comprising the steps of:
- (a) navigating a main catheter or sheath carrying a deployable flexible distal working catheter section through the vascular system of a patient of interest;
(b) causing the distal end of the catheter to enter the right atrial chamber optionally through a vessel selected from the group consisting of the superior vena cava and the inferior vena cava;
(c) wherein said main catheter or sheath comprises;
(1) a vascular navigating guidewire disposed to protrude from a distal end of said main catheter or sheath;
(2) a single member flexible working catheter section having a proximal and a distal end and adapted to be deployed from said main catheter or sheath via a lumen therein for containing said working catheter section and a plurality of spaced separately connected serially situated electrodes on said single member working catheter section;
(3) means for causing said working catheter section to assume an arcuate shape of controlled curvature for contacting an internal surface of said chamber and assuming an adjustable posture enabling positioning for the production of substantially linear ablation lesions along a predetermined line of the chamber surface using said plurality of spaced electrodes;
(d) causing the distal area of the working catheter section to assume a controlled curvature in contact with a desired inner atrial surface such that a relatively linear ablation lesion can be formed by energizing a plurality of said spaced serial electrodes;
(e) adjusting and positioning said single member working catheter section to ablate desired areas of said inner atrial surface;
(f) ablating tissue to form linear lesions where indicated; and
(g) reversing steps (b) and (a).
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Abstract
A recording and ablation catheter system for creating linear lesions in the right atrial chamber of a heart is disclosed which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the inner wall surface of the right atrial cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape.
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Citations
24 Claims
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1. A method of mapping and ablating surface tissue in the right atrial cardiac chamber comprising the steps of:
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(a) navigating a main catheter or sheath carrying a deployable flexible distal working catheter section through the vascular system of a patient of interest; (b) causing the distal end of the catheter to enter the right atrial chamber optionally through a vessel selected from the group consisting of the superior vena cava and the inferior vena cava; (c) wherein said main catheter or sheath comprises; (1) a vascular navigating guidewire disposed to protrude from a distal end of said main catheter or sheath; (2) a single member flexible working catheter section having a proximal and a distal end and adapted to be deployed from said main catheter or sheath via a lumen therein for containing said working catheter section and a plurality of spaced separately connected serially situated electrodes on said single member working catheter section; (3) means for causing said working catheter section to assume an arcuate shape of controlled curvature for contacting an internal surface of said chamber and assuming an adjustable posture enabling positioning for the production of substantially linear ablation lesions along a predetermined line of the chamber surface using said plurality of spaced electrodes; (d) causing the distal area of the working catheter section to assume a controlled curvature in contact with a desired inner atrial surface such that a relatively linear ablation lesion can be formed by energizing a plurality of said spaced serial electrodes; (e) adjusting and positioning said single member working catheter section to ablate desired areas of said inner atrial surface; (f) ablating tissue to form linear lesions where indicated; and (g) reversing steps (b) and (a). - View Dependent Claims (2)
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3. A recording and ablation catheter system for creating linear lesions in a heart chamber comprising:
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(a) a hollow vascular catheter or sheath; (b) a guide member for aiding the navigation of said catheter or sheath in the vascular system of a patient; (c) a guide-mounted flexible inner catheter carried by and deployable from a lumen of said vascular catheter or sheath, said inner catheter having a working catheter section having spaced distal and proximal catheter riders having bores adapted to slidably thread over said guide member and being relatively adjustable to each other such that the working catheter section intermediate said distal and said proximal catheter riders is unattached and can be adjustably arcuately flexed according to the relative separation of said rider bores on said guide member to assume a desired shape to address an inner surface of a chamber; and (d) a plurality of serial electrodes carried by said working catheter section. - View Dependent Claims (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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15. A recording and ablation catheter system for a vascular cardiac catheter for creating linear lesions to produce segmentation in a heart chamber comprising:
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(a) a hollow elongated vascular catheter or sheath having a lumen for containing in inner catheter; (b) a vascular navigating guide member disposed to protrude from a distal end of said catheter or sheath; (c) a single member flexible inner catheter having a distal working catheter section having a proximal and a distal end and adapted to be deployed from said elongated catheter or sheath, wherein the distal portion of said working catheter section further comprises guide member port through which the guide member and is slidably disposed and said guide member further comprises travel limiting means for limiting travel of the distal end of the working catheter section along the guide member so that further relative distal axial displacement of a more proximal portion of the distal working catheter section produces an arcuate protrusion thereof; and (d) a plurality of spaced, separately connected, serially situated electrodes on said single member working catheter section. - View Dependent Claims (16, 17, 18, 19, 20, 21, 22, 23)
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24. A recording and ablation catheter system for a vascular cardiac catheter for creating linear lesions to produce segmentation in the right atrial chamber comprising:
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(a) a hollow elongated vascular catheter or sheath having a distal end and a lumen for containing an inner catheter; (b) a vascular navigating guidewire having a proximal and a distal end wherein the distal end of the guidewire is disposed to protrude from the distal end of said catheter or sheath and the proximal end of the guidewire is mounted within the distal end of the catheter or sheath; (c) an inner catheter comprising a single member flexible distal working catheter section having a proximal and a distal end and adapted to be deployed from said elongated catheter or sheath in a heart chamber, said distal working catheter section being contained at the proximal end and having a free, unattached distal end and a plurality of spaced separately connected, serially situated electrodes on said single member working catheter section; and (d) wherein the distal end of said single member flexible distal working catheter section is of a predetermined generally arcuate shape assumed upon deployment.
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Specification