Electrophysiology device

• US 5,676,693 A
• Filed: 06/14/1994
• Issued: 10/14/1997
• Est. Priority Date: 11/13/1992
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: LaFontaine, Daniel Marc
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US08/259,663
• Time in Patent Office: 1,218 Days
• Field of Search: 128/639, 128/642, 607/115-116, 607/120, 607/122, 607/124, 607/133-8, 607/154, 606/32, 606/41, 606/48, 606/194, 604/52-3, 604/96, 604/104
• US Class Current: 607/116
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• 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 2018/00065 porous
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/003 using a spray or a foam
• CPC Class Codes: A61N 1/04 Electrodes electrosurgical electrodes A61B18/14
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/40 Applying electric fields by inductive or capacitive coupling microwave apparatus A61N5/00; Applying radio-frequency signals
• CPC Class Codes: A61N 1/44 Applying ionised fluids ion generators H01J37/00

Abstract

An ablation and mapping catheter is disclosed which incorporates a fluid electrode for contacting tissue. The fluid emerges along the length of the catheter to generate a linear lesion in the cardiac tissue.

Claims

1. An electrophysiology device for treating tissue by energy delivered from an energy source, comprising:

an elongate catheter body having a lumen for carrying fluid and having a distal end and a proximal end;

a plurality of electrodes located proximate said distal end;

a wire for connection to at least one of said electrodes and to said energy source;

at least one aperture in said catheter body communicating with said lumen;

a porous dielectric sheath located proximate said aperture and located proximate at least one of said electrodes whereby said tissue is insulated from said direct contact with said electrode by said porous dielectric sheath;

a source of electrolyte fluid in communication with said lumen;

whereby, energy from said energy source is directed by said wire from said energy source to said electrode, and energy is coupled to said electrolyte fluid at said electrode and communicated to said tissue through said porous dielectric sheath;

at least some of said electrodes having an independent electrical connection at said proximal end of said elongate catheter body, whereby adjacent sets of electrodes may be individually accessed.

2. A method of treating tissue comprising the steps of:

(a) locating a multiple electrode catheter body proximate said tissue, said catheter body having a proximal end and a distal end and more than one electrode in said distal end;

at least some of said electrodes having an independent electrical connection to said proximal end;

(b) positioning a porous dielectric surface between each of said electrodes and said tissue, said porous dielectric surface located adjacent said tissue;

(c) directing electrolyte fluid into contact with said porous dielectric surface, whereby contact with tissue occurs, through said porous dielectric surface;

(d) passing radio frequency current through said tissue by passing radio frequency current through said electrodes and through said electrolyte fluid, and through said porous dielectric surface.