Loop electrode array mapping and ablation catheter for cardiac chambers

• US 5,555,883 A
• Filed: 01/30/1995
• Issued: 09/17/1996
• Est. Priority Date: 02/24/1992
• Status: Expired due to Term

• Current Assignee: Boaz Avitall
• Original Assignee: Boaz Avitall
• Inventors: Avitall, Boaz
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): GILBERT, SAMUEL G
• Application Number:
  US08/380,204
• Time in Patent Office: 596 Days
• Field of Search: 128/639, 128/642, 607/115, 607/119, 607/122, 606/41, 606/47, 606/49
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00738 part of the tool being offset with respect to a main axis, e.g. for better view for the surgeon
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/282 Holders for multiple electrodes for introduction into the body A61B5/287
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61M 2025/0161 wherein the distal tips have two or more deflection regions
• CPC Class Codes: A61M 2025/0163 Looped catheters
• CPC Class Codes: A61M 2025/09191 made of twisted wires
• CPC Class Codes: A61M 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A cardiac arrhythmia mapping and ablation catheter has a main catheter that is provided with a loop-shaped mapping and ablation system attached to its distal end in which the loop is optionally adjustable or of relatively fixed shape resumable upon deployment. The loop carries an electrode array including a plurality of separately operable recording (mapping)/ablation electrodes in conductive relation to the external environment and arranged in spaced serial relation along the loop. Insulated conductors connect the electrodes electrically with input/output devices outside the catheter for mapping the electrical activity of the chamber wall contacted and ablating tissue as indicated. A distal extension or guide member may optionally be provided to adapt the loop specifically to addressing the tricuspid annulus or other desired location.

Claims

1. A cardiac catheter system comprising:

(a) a main vascular catheter having a distal and a proximal end and capable of negotiating a vascular system to enter into a cardiac chamber of interest, the main catheter further describing an internal lumen extending from the proximal end to the distal end;

(b) a recording and ablation working catheter system associated with the distal end of the main catheter and further including,

(1) an open terminal loop of memoried shape self-assumed by said loop upon deployment subject to external constraining forces forming a portion of said working catheter system, the loop having an exterior surface and carrying an electrode array including a plurality of individual electrode means for performing procedures selected from the group consisting of recording and ablation, including linear ablation, each said electrode means having an electrically conductive, externally exposed surface, the electrode array being arranged in spaced serial relation along the loop, wherein said memoried shape self-assumed by said loop upon deployment is asymmetric,

(2) a relatively short intermediate segment joining the loop with the distal end of the main catheter and determining a relative posture between said loop and said main catheter,

(3) insulated conductor means for connecting each of said electrode means individually with an electrical input/output device outside the catheter.

2. A cardiac catheter system comprising:

(a) a main vascular catheter having a distal and a proximal end and capable of negotiating a vascular system to enter into a cardiac chamber of interest, the main catheter further describing an internal 1amen extending from the proximal end to the distal end;

(b) a recording and ablation working catheter system associated with the distal end of the main catheter and further including,

(1) an open terminal loop of memoried shape self-assumed by said loop upon deployment subject to external constraining forces forming a portion of said working catheter system, the loop having an exterior surface and carrying an electrode array including a plurality of individual electrode means for performing procedures selected from the group consisting of recording and ablation, including said ablation, each electrode means having an electrically conductive, externally exposed surface, the electrode array being arranged in spaced serial relation along the loop,

(2) a relatively short intermediate segment joining the loop with the distal end of the main catheter and determining a relative posture between said loop and said main catheter,

(3) insulated conductor means for connecting each of said electrode means individually with an electrical input/output device outside the catheter; and

(4) deflection control wire means for modulating a posture of the loop with respect to that of the main catheter anchored to said intermediate segment proximal to said terminal loop.