Fluid cooled and perfused tip for a catheter

• US 5,643,197 A
• Filed: 12/21/1994
• Issued: 07/01/1997
• Est. Priority Date: 12/21/1993
• Status: Expired due to Term

• Current Assignee: Cordis Webster, Inc.
• Original Assignee: Angeion Corporation (Niterra Co., Ltd.)
• Inventors: Brucker, Gregory G., Savage, Steven D., Saul, Jerome Philip
• Primary Examiner(s): McDermott, Corrine M.
• Assistant Examiner(s): Van Over, Perry E.
• Application Number:
  US08/361,329
• Time in Patent Office: 923 Days
• Field of Search: 604/20-22, 604/27, 604/113, 604/114, 604/93, 604/264-265, 606/27-29, 606/32, 606/46, 607/119-123, 607/153, 607/99, 128/DIG. 3, 128/658, 128/668, 128/662.06, 128/695 R, 128/696
• US Class Current: 604/20
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61F 2002/30968 Sintering
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow general flow characteristics A61M2206/10
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 : Tip not integral with tube
• CPC Class Codes: A61M 25/0082 : Catheter tip comprising a tool

Abstract

The invention relates to an ablation catheter which controls the temperature and reduces the coagulation of biological fluids on a tip of a catheter, prevents the impedance rise of tissue in contact with the catheter tip, and maximizes the energy transfer to the tissue, thereby allowing an increase in the lesion size produced by the ablation. The ablation catheter includes a tip for applying electrical energy to biological tissue. Passages are positioned within the tip in a variety of manners for directing a fluid flow through the tip to the exterior surface of the tip to control the temperature and form a protective fluid layer around the tip. Monitoring structure is also positioned within the tip for measurement of the electrical potentials in a biological tissue. Ablation electrode structure is also positioned within the tip for application of ablative energy to the biological tissue. A flexible, extended embodiment electrode provides the capability to form deep, linear lesions along a portion of a heart wall during ablation for the treatment of particular arrhythmias.

Claims

1. A catheter tip for ablation of tissue comprising:

a) an elongate shaft having shaft walls defining a shaft inner lumen and shaft wall outer surfaces, the shaft having a proximal attachment end portion and a distal tip portion;

b) an electrode portion comprised of porous metal having portions mechanically connected to said shaft and electrically connected to a conductor within said shaft, said electrode placed circumferentially around a portion of said shaft and having an inner surface facing toward said shaft and an outer surface facing away from said shaft; and

c) shaft wall structures defining fluid flow apertures extending from the shaft inner lumen to the shaft wall outer surfaces;

the apertures allowing the flow of fluid from the shaft inner lumen to the porous metal electrode inner surface, and the porous metal electrode defining fluid flow apertures suitable for the flow of said fluid through the fluid flow apertures to create a protective layer of fluid around the electrode outer surface.

2. The catheter tip of claim 1 in which the porous metal electrode comprises a sintered metal material.

3. The catheter tip of claim 1 further comprising solid ring electrodes around said shaft near said porous metal electrode, said solid ring electrodes having an electrical connection to a conductor within said shaft.

4. The catheter tip of claim 1 further comprising a tip electrode at said distal tip of said shaft, said tip electrode having an electrical connection to a conductor within said shaft.

5. The catheter tip of claim 1 in which the electrode portion comprises porous metal ring electrodes separated by flexible plastic shaft wall segments.

6. The catheter tip of claim 1 in which the porous metal electrode portion comprises an elongated flexible woven mesh metal structure.

7. The catheter tip of claim 1 further comprising temperature sensing means used as a feedback system for adjusting the flow rate of a fluid through the catheter tip.

8. The catheter tip of claim 1 further comprising ablation means.