Systems and methods for creating complex lesion patterns in body tissue

• US 5,549,661 A
• Filed: 12/01/1995
• Issued: 08/27/1996
• Est. Priority Date: 10/15/1993
• Status: Expired due to Term

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Spraker, Terry E., Swanson, David K., Jackson, Jerome, Kordis, Thomas F.
• Primary Examiner(s): Zele, Krista M.
• Assistant Examiner(s): CASLER, BRIAN L
• Application Number:
  US08/566,291
• Time in Patent Office: 270 Days
• Field of Search: 128/642, 607/98, 607/99, 607/122, 607/125, 607/126
• US Class Current: 607/99
• 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 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61M 2025/0161 wherein the distal tips have two or more deflection regions
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: A61M 25/0152 with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes

Abstract

Systems and methods form curvilinear lesions in tissue within the body. The systems and methods expose tissue to electrode arrays with intersecting energy emitting elements. The systems and methods apply ablating energy for emission by the elements to create intersecting curvilinear lesion patterns in the tissue.

Claims

1. A device for forming curvilinear lesions in tissue within the body comprising

a source for generating ablating energy,

a first energy emitting electrode connected to the source, and

a second energy emitting electrode connected to the source, the second energy emitting electrode intersecting the first energy emitting electrode to form an angled junction between them creating, when ablating energy is emitted by the electrodes, an intersecting, curvilinear lesion pattern in the body tissue.

2. A device according to claim 1

wherein the electrodes are elongated and the curvilinear lesion pattern created is elongated in length.

3. A device according to claim 2

wherein the electrodes are elongated and the curvilinear lesion pattern created has a length to width ratio that is at least about 3:

1.

4. A device according to claim 3

wherein the electrodes are elongated and the curvilinear lesion pattern created has a width that is no greater than about 5 mm.

5. A device according to claim 2

wherein the electrodes are elongated and the curvilinear lesion pattern created has a length to width ratio that is in the range of about 10:

1 to 20;

1.

6. A device according to claim 5

wherein the electrodes are elongated and the curvilinear lesion pattern created has a width that is no greater than about 5 mm.

7. A device according to claim 1

wherein the first and second energy emitting electrodes are mutually resilient for bending relative to each other when exposed to body tissue.

8. A device according to claim 1

wherein the intersecting energy emitting electrodes form a slidable point of contact at the angled junction to allow relative movement between the intersecting energy emitting electrodes at the angled junction.

9. A device according to claim 8

wherein the first and second energy emitting electrodes are mutually resilient for bending relative to each other when exposed to body tissue.

10. A device for forming compound curvilinear lesions in tissue within the body comprising

a source for generating ablating energy,

a first energy emitting electrode connected to the source, and

a second energy emitting electrode connected to the source, the second energy emitting electrode intersecting the first energy emitting electrode to form a first angled junction,

a third energy emitting electrode connected to the source, the third energy emitting electrode intersecting the first energy emitting electrode to form a second angled junction for creating, when ablating energy is emitted by the first, second, and third electrodes, an intersecting compound curvilinear lesion pattern in the body tissue.

11. A device according to claim 10

wherein the electrodes are elongated and the curvilinear lesion pattern created is elongated in length.

12. A device according to claim 11

wherein the electrodes are elongated and the curvilinear lesion pattern created has a length to width ratio that is at least about 3:

1.

13. A device according to claim 12

wherein the electrodes are elongated and the curvilinear lesion pattern created has a width that is no greater than about 5 mm.

14. A device according to claim 10

wherein the electrodes are elongated and the continuous compound lesion pattern created has a length to width ratio that is in the range of about 10:

1 to 20;

1.

15. A device according to claim 14

wherein the electrodes are elongated and the continuous compound lesion pattern created has a width that is no greater than about 5 mm.

16. A device according to claim 15

wherein the electrodes are elongated and the continuous compound lesion pattern created has a width that is no greater than about 5 mm.

17. A device according to claim 10

wherein at least two of the first, second, and third energy emitting electrodes are mutually resilient for bending relative to each other when exposed to body tissue.

18. A device according to claim 10

wherein the intersecting energy emitting electrodes form a slidable point of contact at least one of the first and second angled junctions to allow relative movement between the intersecting energy emitting electrodes.

19. A device for creating curvilinear lesions in tissue within the body comprising

a source for generating ablating energy,

an array of main splines extending side by side in a spaced apart relationship to form a structure,

at least one bridge spline extending between two main splines, the bridge spline intersecting one main spline to form an angled junction,

a first region connected to the source for emitting energy on the one main spline, and

a second region connected to the source for emitting energy on the bridge spline, said first energy emitting region on said main spline and said second energy emitting region on said bridge spline intersecting each other at the angled junction to create, when ablating energy is emitted by the regions, an intersecting curvilinear lesion pattern in the body tissue.

20. A device according to claim 19

wherein the one main spline and the bridge spline are resilient for bending relative to each other when exposed to body tissue.

21. A device according to claim 19

wherein the bridge spline is free to move relative to the one main spline at the angled junction.

22. A device according to claim 19

wherein the bridge spline is fixedly attached to the one main spline.

23. A device according to claim 19

wherein the main splines form a three-dimensional basket structure that encloses an open interior, and

wherein the bridge spline is located within the open interior of the three-dimensional basket structure.

24. A device according to claim 23

wherein the bridge spline is part of a helical structure located within the open interior of the three-dimensional basket structure.

25. A device according to claim 23

wherein the bridge spline is steerable within the open interior of the three-dimensional basket structure.

26. A device according to claim 23

wherein the bridge spline is part of a three-dimensional structure located within the open interior of the three-dimensional basket structure.

27. A device according to claim 19 wherein the main splines form a three-dimensional basket structure that encloses an open interior, and

wherein the bridge spline extends outside of the three-dimensional basket structure.

28. A device according to claim 27

wherein the bridge spline comprises a helical structure wrapped about the outside of the three-dimensional basket structure.

29. A device for creating curvilinear lesions in tissue within the body comprising

a source for generating ablating energy,

an array of main splines extending side by side in a spaced apart relationship to form a structure,

at least one bridge spline extending between two main splines, the bridge spline intersecting one main spline to form a first angled junction and intersecting the other main spline to form a second angled junction,

electrodes connected to the source for emitting energy on the two main splines, and

an electrode connected to the source for emitting energy on the bridge spline, the energy emitting electrodes intersecting at the first and second angled junctions to create, when ablating energy is emitted by the electrodes, an intersecting compound curvilinear lesion pattern in the body tissue.

30. A device according to claim 29

wherein the two main splines and the bridge spline are resilient for bending relative to each other exposed to body tissue.

31. A device according to claim 29

wherein the bridge spline is free to move relative to the two main splines at the angled junctions.

32. A device according to claim 29

wherein the bridge spline is attached to the two main splines at the angled junctions.

33. A device according to claim 29

wherein the main splines form a three-dimensional basket structure that encloses an open interior, and

wherein the bridge spline is located within the open interior of the three-dimensional basket structure.

34. A device according to claim 33

wherein the bridge spline is part of a helical structure located within the open interior of the three-dimensional basket structure.

35. A device according to claim 33

wherein the bridge spline is steerable within the open interior of the three-dimensional basket structure.

36. A device according to claim 33

wherein the bridge spline is part of a three-dimensional structure located within the open interior of the three-dimensional basket structure.

37. A device according to claim 29

wherein the main splines form a three-dimensional basket structure that encloses an open interior, and

wherein the bridge spline extends outside of the three-dimensional basket structure.

38. A device according to claim 37

wherein the bridge spline comprises a helical structure wrapped about the three-dimensional basket structure.

39. A method for forming curvilinear lesions in tissue within the body comprising the steps of

exposing tissue to an electrode array comprising a first energy emitting electrode and a second energy emitting electrode that intersects the first energy emitting electrode to form an angled junction between them, and

applying ablating energy for emission by both elements to create an intersecting curvilinear lesion pattern in the tissue.

40. A method for forming compound curvilinear lesions in tissue within the body comprising the steps of

exposing tissue to an electrode array comprising a first energy emitting electrode, a second energy emitting electrode that intersects the first energy emitting electrode to form an angled junction between them, and a third energy emitting electrode that intersects one of the first and second energy emitting electrodes at a second angled junction spaced from the first mentioned angled junction, and

applying ablating energy for emission by the first, second, and third electrodes to create an intersecting compound curvilinear lesion pattern.