Expandable recording and ablation catheter system

• US 5,702,438 A
• Filed: 06/08/1995
• Issued: 12/30/1997
• Est. Priority Date: 06/08/1995
• Status: Expired due to Fees

• Current Assignee: Avitall, Boaz
• Original Assignee: Avitall, Boaz
• Inventors: Avitall, Boaz
• Primary Examiner(s): Lacyk, John P.
• Application Number:
  US08/482,675
• Time in Patent Office: 936 Days
• Field of Search: 607/120-126, 607/128, 128/642, 606/46, 606/41
• US Class Current: 607/122
• 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 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

A recording/ablation system includes an inner working catheter for deployment from a distal port in an outer sheath or catheter in a heart chamber, or the like, which has a plurality of divergent electroded spines each constrained at the proximal end with a substantially free distal end for controlled separation. The divergent electroded spines are collapsible to a substantially parallel configuration for transport and stowage. A single deflecting spine version is also disclosed.

Claims

1. An expandable electroded system for recording and ablation designed to traverse a lumen of an elongated outer catheter or sheath and expand upon emergence from an opening in the distal end thereof comprising a pair of proximally constrained diverging spines, said spines being sufficiently rigid to maintain a predisposed shape but adapted to be deflected by the walls of a chamber in which they are deployed, having distal tips free to separate as independent elements, the spines separating to form the shape of a "V" upon expansion and at least one ablation electrode, located on the distal tip of each spine, said system further comprising at least one resilient spine connecting member joining said pair of spines stabilizing and limiting the separation thereof.

2. The apparatus of claim 1 further comprising axially displaceable control element attached to said at least one resilient spine connecting member intermediate said spines and operable axially relative thereto to deflect or release said spine connecting member for causing said spine connecting member to fold or to extend to thereby collapse and expand said electroded system.

3. The apparatus of claim 2 comprising a plurality of said spine connecting members each connected to said control element.

4. The apparatus of claim 2 wherein said expandable system further comprises a plurality of intersecting pairs of diverging spines.

5. The apparatus of claim 4 comprising a plurality of spine connecting members associated with each pair of diverging spines.

6. The apparatus of claim 2 further comprising a plurality of serially spaced ablation electrodes carried by each spine.

7. The apparatus of claim 3 further comprising a plurality of serially spaced ablation electrodes carried by each spine.

8. The apparatus of claim 5 further comprising a plurality of serially spaced ablation electrodes carried by each spine.

9. The apparatus of claim 1 wherein said electrodes are ring or bead electrodes having a length of 3-5 mm.

10. The apparatus of claim 1 further comprising a pair of recording ring electrodes, one fixed to each of said spines proximally spaced from each ablation electrode.

11. The apparatus of claim 6 wherein said electrodes are ring or bead electrodes having a length of 3-5 mm.

12. The apparatus of claim 7 wherein said electrodes are ring or bead electrodes having a length of 3-5 mm.

13. An expanding recording and ablation catheter system comprising:

(a) an outer catheter or sheath having a lumen therein disposed to carry an inner catheter;

(b) an inner catheter having a distal end carrying an expanding electroded system;

(c) an expanding electroded system comprising a pair of elongated spines having proximal and distal ends, said spines being sufficiently rigid to maintain a predisposed shape but adapted to be deflected by the walls of a lumen or cavity of a body organ in which they are deployed, said proximal ends being mutually constrained, and said distal end being free to separate as independent elements and one or more electrodes on each said spines;

(d) at least one connecting member connected between said pair of spines to control the relative separation thereof; and

(e) axially displaceable control element connected to said at least one connecting member intermediate said spines for deflecting said at least one connecting member to collapse or deploy the system and to control the separation of said spines.

14. An expanding recording/ablation electrode system designed to be carried in a lumen of an outer sheath or catheter and deployed from a distal port in said outer sheath or catheter in a heart chamber, or other body organ, said recording/ablation system further comprising:

(a) an outer catheter or sheath having a lumen therein designed to carry an expanding electroded system;

(b) an elongated inner catheter suitable for insertion through said outer catheter or sheath having a proximal and a distal portion;

(c) an expanding flexible recording/ablation electroded system having the distal portion of said inner catheter and having a pair of divergent electroded spines each having constrained proximal ends and diverging distal ends said spines being sufficiently rigid to maintain a predisposed shape but adapted to be deflected by the walls of a chamber in which they are deployed;

(d) control system for controlling the relative separation of said pair of divergent electroded spines between a collapsed, substantially parallel configuration and a fully deployed spread condition; and

(e) wherein said control system further comprises;

(1) at least one resilient spine connecting member joining said pair of spines, and

(2) axially displaceable control element attached to said at least one resilient spine connecting member intermediate said pair of spines and operable axially relative thereto to deflect or release said at least one spine connecting member cause said spine connecting member to fold or to release said resilient spine connecting member to thereby collapse and expand said expandable catheter.

15. The apparatus of claim 14 wherein said distal control element is less flexible than other control elements.

16. A recording/ablation device comprising an electroded spine member designed to be carried by an inner catheter in a lumen of an outer sheath or catheter and to be axially deployed from a distal port in said outer sheath or catheter, said device comprising:

(a) a flexible element or spine carrying a plurality of serially situated separately connected electrodes;

(b) a plurality of axially operable control elements having distal ends connected at spaced locations to said flexible element and proximal ends threaded through said catheter or sheath to be controlled beyond said catheter or sheath; and

(c) wherein the axial adjustment of said control elements adjusts the shape assumed by said flexible element.

17. The apparatus of claim 16 wherein one of said control elements is a distal control element connected in the vicinity of the distal end of said spine.

18. The apparatus of claim 16 wherein said spine is free to rotate relative to the connections between said control element and said spine.

19. An expanding recording and ablation catheter system comprising:

(a) an outer catheter or sheath having a lumen therein disposed to carry an inner catheter;

(b) an inner catheter having a distal end carrying an expanding electroded system, said electroded system further comprising;

(1) a flexible element or spine carrying a plurality of serially situated separately connected electrodes;

(2) a plurality of axially operable control elements having distal ends connected at spaced locations to said flexible element and proximal ends threaded through said catheter or sheath to be controlled beyond said catheter or sheath; and

(3) wherein the axial adjustment of said control elements adjusts the shape assumed by said flexible element; and

(4) wherein one of said control elements is a distal control element connected in the vicinity of the distal end of said spine.

20. The apparatus of claim 19 wherein sufficient axial retraction of said distal control element causes said spine to form a loop.

21. The apparatus of claim 20 wherein the further axial retraction or extension of other control elements distorts said loop.

22. An expanding recording/ablation system designed to be carried in a lumen of a sheath or catheter and deployed from a distal port in said sheath or catheter for use in a heart chamber, or a lumen of a cavity of another body organ, said recording/ablation system comprising:

(a) an elongated body designed to traverse the lumen of a catheter sheath and having a distal portion comprising an expanding flexible recording/ablation electroded system further comprising one or more pairs of electroded spines said spines being sufficiently rigid to maintain a predisposed shape but adapted to be deflected by the walls of a chamber in which they are deployed, each having constrained proximal ends and separable distal ends;

(b) spine connecting means comprising a resilient spine connecting member connected between each of said at least one pair of said electroded spines for controlling the separation thereof; and

(c) an axially displaceable control element attached to each said resilient spine connecting member intermediate the pair of spines connected by said spine connecting member and operable axially relative thereto to cause said spine connecting member to deflect and fold or to be released to thereby collapse and expand said recording/ablation system for controlling the relative separation of each pair of said plurality of electroded spines between a collapsed, substantially parallel configuration and a fully deployed diverging condition.

23. The apparatus of claim 22 comprising a plurality of said spine connecting members each connected to said control element.

24. The apparatus of claim 23 further comprising a plurality of serially spaced ablation electrodes carried by each spine.

25. The apparatus of claim 24 wherein said electrodes are ring or bead electrodes having a length of 3-5 mm.

26. An expanding recording/ablation system designed to be carried in a lumen of a sheath or catheter and deployed from a distal port in said outer sheath or catheter in a heart chamber, or other body organ, said recording/ablation system comprising:

(a) an elongated body designed to traverse the lumen of a catheter or sheath and having a distal portion comprising an expanding flexible recording/ablation electroded system further comprising a plurality of electroded spines each having constrained proximal ends and separable distal ends, said electroded spines further comprising a plurality of serially spaced ablation electrodes carried by each spine;

(b) spine connecting means interconnecting the separable distal ends for controlled separation; and

(c) control system for controlling the relative separation of said plurality of electroded spines between a collapsed, substantially parallel configuration and a fully deployed spread condition.