Angioplasty catheter system and method for making same

• US 5,779,698 A
• Filed: 05/11/1994
• Issued: 07/14/1998
• Est. Priority Date: 01/18/1989
• Status: Expired due to Fees

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Jones, Michael L., Hilal, Said S., Clayman, Ralph V.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): STRIGHT, RONALD K
• Application Number:
  US08/241,007
• Time in Patent Office: 1,525 Days
• Field of Search: 604/20, 604/96, 604/113, 604/114, 607/2, 607/96, 607/98, 607/99, 607/101, 607/115, 607/113, 607/116, 607/138, 607/148, 606/27-33, 606/45, 606/46, 606/39, 606/48, 606/50, 606/191-198
• US Class Current: 606/39
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• CPC Class Codes: A61B 17/320725 with radially expandable cutting or abrading elements A61B17/32075 takes precedence
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/22062 to be filled with liquid
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• 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 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00386 Coronary vessels
• CPC Class Codes: A61B 2018/00422 Angioplasty
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/1407 : Loop
• CPC Class Codes: A61B 2018/144 : Wire
• CPC Class Codes: A61B 2018/1475 : Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61M 2025/1093 : having particular tip characteristics
• CPC Class Codes: A61M 2205/32 : with radio-opaque indicia
• CPC Class Codes: A61M 25/09 : Guide wires
• CPC Class Codes: A61M 25/104 : used for angioplasty
• CPC Class Codes: A61M 29/02 : Dilators made of swellable material balloon catheters for angioplasty A61M25/104
• CPC Class Codes: A61M 3/0279 : Cannula; Nozzles; Tips; their connection means

Abstract

An angioplasty catheter for increasing the patency of a body vessel by altering an obstruction in the body vessel includes an elongate shaft having a proximal end and a distal end. At least one electrical conductor is disposed at the distal end and movable from a low profile position to a high profile position in proximity to the obstruction. A non-distensible balloon disposed between the conductor and the shaft is inflatable from the proximal end of the shaft to move the conductor between the low profile position and the high profile position. In the high profile position the conductor can be electrosurgically energized to ablate the obstruction and thereby increase the patency of the body vessel. The conductor may include a circuit which is printed on the exterior surface of the balloon. An overlying insulation layer can be provided with a slot to limit the exposure of the conductor to the obstruction thereby increasing the current density in the electrosurgical procedure.

Claims

1. An electrosurgical catheter system adapted to increase the patency of a body conduit, comprising:

an electrosurgical generator providing electrical energy at intensities and radio frequencies sufficient to generate electrical arcs and to ablate a material defining the body conduit;

an electrosurgical catheter including an elongate shaft extending along a central longitudinal axis between a proximal end and a distal end;

portions of the shaft defining an inflation lumen extending between the proximal end and the distal end of the shaft;

a balloon disposed at the distal end of the shaft in fluid flow communication with the inflation lumen, the balloon having an interior surface facing toward the axis of the shaft, and having an exterior surface facing away from the axis of the shaft;

a printed circuit disposed on the exterior surface of the balloon and including a plurality of discrete areas of electrically conductive material, the discrete areas of electrically conductive material being of a size and shape to receive the electrical energy from the electrosurgical generator and to deliver the electrical energy to the material defining the body conduit with a current density sufficient to define an electrical arc and to ablate the material defining the body conduit;

a layer of insulation covering each of the plurality of discrete areas of conductive material, the layer of insulation having a plurality of slits, each slit being disposed over a respective one of the discrete areas and reducing an exposure of the respective discrete area and for maintaining a gap between the plurality of discrete areas and the material defining the body conduit, to thereby increase a current density at the respective slit;

means extending from the proximal end of the shaft for conducting the electrical energy from the electrosurgical generator to the distal end of the shaft

means for electrically coupling the conducting means at the distal end of the shaft to each of the discrete areas of conductive material on the balloon;

whereby

the catheter can be inserted into the body conduit and the discrete areas can be energized in cause arcing between each of the energized discrete areas and the material defining the body conduit to electrosurgically alter the material defining the body conduit thereby increasing the patency of the body conduit.

2. The electrosurgical catheter system as recited in claim 1, wherein the printed circuit is a first printed circuit and the electrical energy conducting means comprises:

a second printed circuit disposed on the shaft and including a plurality of discrete conductors each extending along the shaft from the proximal end to the distal end; and

wherein the electrically coupling means comprises;

means disposed between the shaft and the balloon for electrically coupling each of the conductors of the second printed circuit with an associated one of the discrete areas of conductive material of the first printed circuit.

3. The electrosurgical catheter system as recited in claim 2, wherein the plurality of conductors of the second printed circuit comprise vacuum deposited conductors on the exterior surface of the shaft;

and wherein each of the discrete areas of electrically conductive material is electrically connected to the electrosurgical generator by a respective one of the vacuum-deposited plurality of conductors.

4. The electrosurgical catheter system as recited in claim 3, wherein the first printed circuit is vacuum-deposited.

5. The electrosurgical catheter system as recited in claim 4 wherein the layer of insulation comprises a vacuum-deposited layer of insulation.

6. The electrosurgical catheter system as recited in claim 1, further comprising:

logic means for selectively energizing the discrete areas of the first printed circuit in a predetermined pattern;

whereby

the material defining the body conduit can be electrosurgically cut along different lines to increase the patency of the body conduit.

7. The electrosurgical catheter system as recited in claim 6, wherein the discrete areas of electrically conductive material being arranged on the balloon in at least one of rows, diagonals, and columns, and

the logic means being adapted to selectively energize the discrete areas of electrically conductive material along at least one of the rows, diagonals, and columns, to thereby facilitate electrosurgical cutting along at least one of the rows, diagonals, and columns.

8. The electrosurgical catheter system as recited in claim 1, wherein the balloon is nondistensible.

9. The electrosurgical catheter system as recited in claim 1 wherein each slit comprises a longitudinal slot having an axis and wherein the axis of at least two of said slits are collinear.

10. An angioplasty catheter system for increasing the patency of a body vessel by altering an obstruction in the body vessel, comprising:

an electrosurgical generator providing electrical energy at intensities and radio frequencies sufficient to generate electrical arcs to ablate material defining the body conduit;

an elongate shaft extending along a central longitudinal axis between a proximal end and a distal end, the shaft having a length sufficient to extend from a percutaneous insertion site to an operative site at the location of the obstruction in the vessel;

a printed circuit having at least one electrical conductor disposed at the distal end of the shaft and in electrical connecting with the electrosurgical generator, the printed circuit being movable from a low profile position in proximity to the axis of the shaft to a high profile position in proximity to the obstruction at the operative site;

a layer of insulation covering the printed circuit and having at lest one slit disposed over the at least one conductor for reducing an exposure of the at least one conductor and for spacing the printed circuit from direct contact with the body vessel;

means operable from the proximal end of the shaft for moving the printed circuit between the low profile position and the high profile position in proximity with the obstruction; and

means for electrosurgically energizing the at least one conductor in the high profile position at the operative site to thereby generate an electric arc from the at least one conductor and through the slit to the body vessel such that the obstruction in proximity to the at least one conductor is altered.

11. The angioplasty catheter as recited in claim 10, wherein the moving means includes:

portions of the shaft defining an inflation lumen extending between the proximal end of the shaft and the distal end of the shaft;

a balloon disposed radially inwardly of the printed circuit at the distal end of the shaft in fluid flow communication with the inflation lumen of the shaft; and

means for introducing an inflation medium into the inflation lumen at the proximal end of the shaft for inflating the balloon at the distal end of the shaft to move the printed circuit between the low profile position and the high profile position.

12. The angioplasty catheter as recited in claim 11, wherein the printed circuit is disposed on the exterior surface of the balloon.

13. The angioplasty catheter as recited in claim 10, wherein the means for electrosurgically energizing the at least one conductor includes means for receiving a radio frequency electrical current from the electrosurgical generator at the proximal end of the shaft and for introducing the radio frequency electrical current to the at least one conductor at the distal end of the shaft.