Apparatus for R-F ablation

• US 5,725,524 A
• Filed: 01/03/1996
• Issued: 03/10/1998
• Est. Priority Date: 09/08/1994
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Mulier, Peter M.J., Hoey, Michael F.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/581,013
• Time in Patent Office: 797 Days
• Field of Search: 606/41, 606/27, 128/642, 607/122, 607/127, 607/105, 607/113, 607/99
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/00041 Heating, e.g. defrosting
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A method and apparatus for ablation of body tissue. A catheter provided with a hollow needle is employed both for mapping the location to be ablated by injection of an excitability reducing agent and for ablating tissue, employing RF energy in conjunction with an injected, conductive fluid.

Claims

1. An ablation catheter system, comprising:

an elongated catheter body having a proximal end and a distal end and comprising a first tube having an internal longitudinal lumen;

a hollow conductive electrode mounted to the distal end of said catheter body and having an internal lumen coupled to the internal lumen of said first tube;

fluid delivery means coupled to the internal lumen of said first tube for delivering a conductive fluid to said internal lumen of said first tube;

means for cooling said conductive fluid while in said internal lumen of said first tube; and

a source of R-F electrical energy, coupled to said electrode.

2. An ablation catheter system according to claim 1 wherein said cooling means comprises:

a second tube, located exterior to said first tube and having a distal end sealed to said electrode;

a third tube, mounted between said first and second tubes, defining a first flow path between said first and second tubes and a second flow path between said second and third tubes, said first and second flow paths in fluid communication adjacent said distal end of said second tube;

first fluid coupling means for coupling said first flow path to a source of cooling fluid; and

second fluid coupling means for coupling said second flow path to provide an outlet for said cooling fluid.

5. An ablation catheter system according to claim 1 or claim 2 or claim 3 or claim 4 wherein said electrode is a hollow needle.

6. An ablation catheter according to claim 5 wherein said electrode is a hollow, helical needle.

7. An ablation catheter according to claim 1 or claim 2 or claim 3 or claim 4 wherein said electrode is a porous, conductive electrode.

8. An ablation catheter according to claim 7 wherein said electrode is a porous, metal electrode.

3. An ablation catheter system, comprising:

an elongated catheter body having a proximal end, a distal end and an internal longitudinal lumen;

a hollow conductive electrode mounted to the distal end of said catheter body and having an internal lumen coupled to the internal lumen of said catheter body;

fluid delivery means coupled to the internal lumen of said catheter body for delivering a conductive fluid to said internal lumen of said catheter body;

means for heating said conductive fluid while in said internal lumen of said catheter body; and

a source of R-F electrical energy, coupled to said electrode.

4. An ablation catheter system according to claim 3 wherein said heating means comprises:

a second tube, located exterior to said first tube and having a distal end sealed to said electrode;

a third tube, mounted between said first and second tubes, defining a first flow path between said first and second tubes and a second flow path between said second and third tubes, said first and second flow paths in fluid communication adjacent said distal end of said second tube;

first fluid coupling means for coupling said first flow path to a source of heating fluid; and

second fluid coupling means for coupling said second flow path to provide an outlet for said heating fluid.

9. An ablation catheter system, comprising:

an elongated catheter body having a proximal end, a distal end and having an internal lumen, open to the distal end of said catheter body;

a conductive electrode within said internal lumen;

a first conductor, coupled to said electrode;

a source of R-F energy, coupled to said first conductor;

fluid delivery means coupled to said internal lumen of said catheter body for delivering a conductive fluid to said internal lumen; and

a helical member extending from the distal end of said internal lumen.

10. An ablation catheter system according to claim 9, wherein said helical member is conductive and further comprising a second electrical conductor coupled to said helical member.

11. An ablation catheter system according to claim 10, wherein said helical member is hollow and further comprising means for delivering a conductive fluid to said helical member.