Ablation catheter with multiple flexible curves

• US 5,782,828 A
• Filed: 12/11/1996
• Issued: 07/21/1998
• Est. Priority Date: 12/11/1996
• Status: Expired due to Term

• Current Assignee: Irvine Biomedical, Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Irvine Biomedical, Inc. (Abbott Laboratories Incorporated)
• Inventors: Chen, Peter Cheng, de la Rama, Alan
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/763,614
• Time in Patent Office: 587 Days
• Field of Search: 606/41, 606/42, 606/45-50, 604/22, 604/95, 600/370-374, 607/100-102, 607/122
• US Class Current: 606/42
• CPC Class Codes: A61B 18/1206 Generators 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 2017/003 Steerable
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

An electrophysiology catheter suitable for radiofrequency ablation of cardiac tissue endocardially or epicardially comprises a catheter shaft whereby a distal tip section having multiple steerable curved portions, multiple long electrodes and multiple temperature sensors, further comprising a close-loop control mechanism for each electrode with a temperature sensor.

Claims

1. An ablation catheter comprising:

(a) a catheter shaft having a distal section, a proximal end, a distal end, and at least one lumen extending therebetween, wherein a plurality of long electrodes are disposed on the distal section, and wherein the distal section is deflectable;

(b) a plurality of temperature sensors located on the plurality of long electrodes;

(c) a programmed control mechanism connected to the plurality of temperature sensors and the plurality of long electrodes for independently selecting and control energy delivery to each of the long electrodes;

(d) a handle attached to the proximal end of the catheter shaft;

(e) a steering mechanism disposed on the handle, wherein the steering mechanism comprises one steering wire and one flat planar wire, wherein at least one slot is positioned at predetermined positions on the flat planar wire, and wherein the steering wire passes through at least one of the slots;

(f) a means on the steering mechanism at the handle for selectively applying tension to the steering wire to cause a plurality of consecutive deflections of the distal section, wherein a next consecutive deflection is on an opposite side of the flat planar wire relative to a prior deflection;

(g) a means connected to the programmed control mechanism and the plurality of long electrodes for delivering RF energy from an external RF generator to each of the plurality of long electrodes, wherein the RF energy delivery to each of the long electrodes is done in one of a simultaneous or sequential mode.

2. An ablation catheter as in claim 1, further comprising at least two consecutive deflections of the distal section.

3. An ablation catheter as in claim 1, further comprising a surface coating of heparin, hirudin, a antibiotics on the plurality of long electrodes of the catheter to enhance biocompatibility.

4. An ablation catheter as in claim 1, further comprising a coating of low surface energy substrates on a surface of the catheter shaft to mitigate blood coagulation during high energy ablation.

5. A method for operating an ablation catheter, the catheter comprising a catheter shaft having a distal section, a proximal end, a distal end, and at least one lumen extending therebetween, wherein a plurality of long electrodes are disposed on the distal section, and wherein the distal section is deflectable, a plurality of temperature sensors located on the plurality of long electrodes, a handle attached to the proximal end of the catheter shaft, a steering mechanism disposed on the handle, wherein the steering mechanism comprises one steering wire and one flat planar wire, wherein at least one slot is positioned at pre-determined locations on the flat planar wire, and wherein the steering wire passes through the at least one slot, and means on the steering mechanism at the handle for selectively applying tension to the steering wire to cause a plurality of consecutive deflections of the distal section, wherein a next consecutive deflection is on an opposite side of the flat planar wire relative to a prior deflection, the method comprising the steps of:

(a) percutaneously introducing the distal end of the catheter through a blood vessel to the heart chamber, wherein a first of the consecutive deflections of the catheter is positioned around the coronary sinus;

wherein a second of the consecutive deflections is positioned to fit a side of a mitral annulus location; and

(b) delivering RF energy from an external RF generator to each of the plurality of long electrodes, wherein the RF energy delivery to each of the plurality of long electrodes is done in one of a simultaneous or a sequential mode.

6. A method for operating an ablation catheter as in claim 5, further comprising providing a surface coating of heparin, hirudin, or antibiotics on the plurality of long electrodes of the catheter to enhance biocompatibility.

7. A method for operating an ablation catheter as in claim 5, further comprising providing a surface coating of low surface energy substrates on a surface of the catheter shaft to mitigate blood coagulation during high energy ablation.