Catheter having cooled multiple-needle electrode

• US 5,792,140 A
• Filed: 05/15/1997
• Issued: 08/11/1998
• Est. Priority Date: 05/15/1997
• Status: Expired due to Term

• Current Assignee: Irvine Biomedical, Inc. (Abbott Laboratories)
• Original Assignee: Irvine Biomedical, Inc. (Abbott Laboratories)
• Inventors: Tu, Hosheng, Chia, Weng-Kwen Raymond
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US08/856,726
• Time in Patent Office: 453 Days
• Field of Search: 607/100-105, 607/122, 606/41, 606/42, 606/48-50
• US Class Current: 606/41
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00136 with polymer
• CPC Class Codes: A61B 2018/00154 containing and delivering drugs
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00791 Temperature
• 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 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61B 2218/002 : Irrigation

Abstract

An improved ablation catheter with at least one multiple-needle electrode can be used in ablating the arrhythmogenic region instead of an arrhythmogenic point of a patient. This catheter is particularly useful for treating the patient with atrial fibrillation (AFib) indications. A catheter suitable for radiofrequency ablation of cardiac tissues comprises a delivery catheter and an inner catheter having a distal section, a distal end, a proximal end and at least one lumen extending therebetween. The ablation catheter has a temperature sensor and a close-loop temperature control. The ablation catheter having at least one multiple-needle electrode is inserted into the chambers of the heart to create a plurality of deep, large, and contiguous lesions by applying radiofrequency energy and cooled fluid to said electrode.

Claims

1. An ablation catheter comprising:

a delivery catheter having a distal end, a proximal end, and at least one lumen extending therebetween;

a handle attached to the proximal end of the delivery catheter;

an inner catheter located within the lumen of the delivery catheter, having a distal tip section, a distal end, a proximal end, and a central lumen extending therebetween, wherein the distal tip section has at least one electrode;

a plurality of needles on the at least one electrode which form a multiple-needle electrode, wherein each needle has a needle structure comprising a hollow passage with an outlet port; and

means formed within the needle structure for providing fluid communication and commensurate flow of fluid originating inside the needle structure to portions of the exterior surface of the said at least one electrode through the said hollow passage which direct the fluid flow from inside the central lumen of the inner catheter over the exterior surface of the needles to provide a fluid protective layer surrounding the electrode to minimize temperature elevation of the electrode with biological tissues.

2. An ablation catheter as in claim 1 further comprising a steering mechanism at the handle for controlling the deflection of said catheter.

3. An ablation catheter as in claim 2, wherein the said steering mechanism provides a plurality of deflectable curves on the distal tip section of the inner catheter.

4. An ablation catheter as in claim 2 wherein the at least one multiple-needle electrode is formed of a metal mesh, wherein a plurality of needles are secured on said metal mesh.

5. An ablation catheter as in claim 2 wherein the at least one multiple-needle electrode is formed of a metal coil, wherein a plurality of needles are secured on said metal coil.

6. An ablation catheter as in claim 2 further comprising a close-loop temperature control mechanism for the multiple-needle electrode having at least one temperature sensor mounted on the multiple-needle electrode and providing sensing signals for the close-loop controller.

7. An ablation catheter as in claim 2 further comprising wherein each needle of the at least one multiple-needle electrode has a flat top with at least one drainage trough at its flat top.

8. An ablation catheter as in claim 2 wherein a longitudinal length of the said at least one multiple-needle electrode is at least 4 mm.

9. An ablation catheter as in claim 2 wherein the at least one multiple-needle electrode comprises needles made from platinum, iridium, gold, silver, stainless steel, or Nitinol.

10. An ablation catheter as in claim 2 further comprising a coating of heparin on an exterior surface of the inner catheter to enhance biocompatibility.

11. An ablation catheter as in claim 2 further comprising a treatment on an exterior surface of the inner catheter with low surface energy substrates of fluorinated polymers to mitigate blood coagulation.

12. An ablation catheter as in claim 2 further comprising a plurality of ultrasonic visible markers being disposed at close proximity to the needles of the multiple-needle electrode.

13. A tissue ablation system using an ablation catheter comprising:

a delivery catheter having a distal end, a proximal end, and at least one lumen extending therebetween;

a handle attached to the proximal end of the delivery catheter;

an inner catheter located within the lumen of the delivery catheter, having a distal tip section, a distal end, a proximal end, and a central lumen extending therebetween, wherein the distal tip section has at least one electrode;

a plurality of needles on the at least one electrode which forms a multiple-needle electrode, wherein each needle has a needle structure comprising a hollow passage with an outlet port; and

means formed within the needle structure for providing fluid communication and commensurate flow of fluid originating inside the needle structure to portions of the exterior surface of the said at least one electrode through the said hollow passage which direct the fluid flow from inside the central lumen of the inner catheter over the exterior surface of the needles to provide a fluid protective layer surrounding the electrode to minimize temperature elevation of the electrode with biological tissues.

14. A tissue ablation system as in claim 13, further comprising RF energy generating means connected to the at least one needle electrode, wherein the RF energy is delivered to the needles of the multiple-needle electrode.