Ablation catheters

• US 5,571,088 A
• Filed: 06/06/1995
• Issued: 11/05/1996
• Est. Priority Date: 07/01/1993
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Corporation
• Original Assignee: Boston Scientific Corporation
• Inventors: Beaudet, Stephen P., Lennox, Charles D., Roberts, Troy W., Ropiak, Susan M.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US08/471,647
• Time in Patent Office: 518 Days
• Field of Search: 604/96, 604/20, 604/49, 604/52, 604/53, 604/97-103, 604/113, 604/114, 606/194, 606/28, 606/31, 606/41
• US Class Current: 604/96.01
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• 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 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00924 for ultrasonic waves
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22077 with a part piercing the tissue A61B2017/22044 takes precedence
• CPC Class Codes: A61B 2017/22082 after introduction of a substance
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00232 having an irregular shape
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2034/2063 Acoustic tracking systems, e.g. using ultrasound
• CPC Class Codes: A61B 8/12 : in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 : Details of catheter construction
• CPC Class Codes: A61B 8/4461 : Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe

Abstract

A balloon catheter is provided that includes a catheter shaft constructed for insertion into a blood vessel, an inflatable balloon mounted on a distal portion of the catheter shaft, a heating device mounted on the distal portion of the catheter arranged for heating tissue in contact with the balloon while the balloon is inflated, and an ablation electrode. The catheter shaft and the balloon are sized and constructed to permit the distal portion of the catheter shaft to be inserted into an atrium or ventricle of a heart while the balloon is deflated. The distal portion of the catheter is positioned within the atrium or ventricle and adjacent to a wall of the atrium or ventricle. The balloon is inflated with fluid while the balloon is within the atrium or ventricle, and while the balloon is inflated it is engaged in direct contact with a wall of the atrium or ventricle. Tissue surrounding the balloon is heated through use of the heating device while the balloon is inflated. In one embodiment the balloon disposed is annularly around a distal tip of the catheter shaft, and the electrode is located on the distal tip of the catheter for directly contacting tissue while the balloon is pressed against the tissue in an axial direction. In other embodiments, a suction port is located at the distal tip of the catheter, and a tissue-engagement device surrounds the distal port and is constructed to engage tissue with suction when the port is placed adjacent to the tissue.

Claims

1. A method of ablating heart tissue within a body of a living being, comprising the steps of:

providing a catheter comprising;

a catheter shaft constructed for insertion into a blood vessel;

an inflatable balloon mounted on a distal portion of said catheter shaft, said catheter shaft and said balloon being sized and constructed to permit said distal portion of said catheter shaft to be inserted into an atrium or ventricle of a heart while said balloon is deflated and to permit said balloon to be filled with a fluid inside said atrium or ventricle, said balloon being sufficiently deformable under stress to conform to the shape of said atrium or ventricle; and

a heating device mounted on said distal portion of said catheter shaft and constructed to cause a large area of tissue in contact with said balloon while said balloon is inflated to be heated;

inserting said catheter into said body;

positioning said distal portion of said catheter within said atrium or ventricle and adjacent to a wall of said atrium or ventricle;

inflating said balloon within said atrium or ventricle, and engaging said balloon, while said balloon is inflated, in direct contact with said wall of said atrium or ventricle; and

heating, through use of said heating device, said large area of tissue of said atrium or ventricle in contact with said balloon while said balloon is inflated.

2. A method in accordance with claim 1, wherein said step of heating said tissue comprises heating fluid within said balloon, said tissue being heated by thermal conduction through a wall of said balloon.

3. A method in accordance with claim 1, wherein said catheter further comprises a temperature feedback device mounted on said distal portion of said catheter shaft, and wherein said method further comprises the step of monitoring temperature using said temperature feedback device.

4. A method in accordance with claim 1, wherein said catheter further comprises an electrode located on a distal portion of said catheter shaft, and wherein said method further comprising the step of monitoring electrical potentials within said heart using said electrode.

5. A method in accordance with claim 4, wherein said electrode is mounted directly on said catheter shaft.

6. A method in accordance with claim 4, wherein said electrode is coated onto said balloon, which is mounted on said catheter shaft.

7. A method in accordance with claim 1, wherein said catheter further comprises an electrode located on said distal portion of said catheter shaft, and wherein said method further comprising the step of ablating tissue within said heart using said electrode.

8. A method in accordance with claim 1, wherein said catheter further comprises an ultrasound device on said distal portion of said catheter shaft, and wherein said method further comprising the step of imaging said heart using said ultrasound device.

9. A method in accordance with claim 1, wherein said step of engaging said balloon in direct contact with said tissue comprises engaging a side wall of said balloon with said tissue in a radial direction.

10. A method in accordance with claim 1, wherein said step of engaging said balloon in direct contact with said tissue comprises engaging a distal end wall of said balloon with said tissue in an axial direction.

11. A method in accordance with claim 1, wherein said catheter further comprises an anchoring device mounted on said distal portion of said catheter shaft, and wherein said step of positioning said distal portion of said catheter shaft in said atrium or ventricle comprising anchoring said distal portion of said catheter shaft in a fixed location using said anchoring device.

12. A method in accordance with claim 1 further comprising the step of adjusting the pressure inside the balloon to adjust the length of the balloon and control the area of heating.