Mapping and ablation catheter system with locking mechanism

• US 5,842,984 A
• Filed: 11/12/1997
• Issued: 12/01/1998
• Est. Priority Date: 12/03/1993
• Status: Expired due to Term

• Current Assignee: Boaz Avitall
• Original Assignee: Boaz Avitall
• Inventors: Avitall, Boaz
• Primary Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/968,159
• Time in Patent Office: 384 Days
• Field of Search: 600/373-375, 600/377, 600/381, 606/41, 606/47, 607/98, 607/99, 607/101, 607/122, 607/125, 607/126
• US Class Current: 600/374
• CPC Class Codes: A61B 18/14 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 2017/22038 with a guide wire
• 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 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00351 Heart
• 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 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/005 using gas or vapor, e.g. for protection or purging
• CPC Class Codes: A61B 2562/043 : in a linear array
• CPC Class Codes: A61B 5/287 : Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 : with a distal curved tip
• CPC Class Codes: A61B 5/6856 : with a distal loop
• CPC Class Codes: A61B 5/6859 : with multiple distal splines
• CPC Class Codes: A61B 90/39 : Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/06 : for high-frequency therapy

Abstract

A recording and ablation catheter method and system for creating linear lesions in an atrial or other chamber of a heart is disclosed which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the inner wall surface of the right atrial cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape.

Claims

1. A recording and ablation system for accessing a cardiac chamber of interest, mapping, creating linear ablation lesions in said cardiac chamber of interest comprising:

(a) a hollow other catheter or sheath;

(b) a said guide member for navigating a catheter or sheath in the vascular system of a patient, said guide member comprising a distal stop means for containing the distal travel of a guide member eye, threaded thereover and wherein the guide member is inserted within the catheter or sheath;

(c) an inner deployable system operable within said outer catheter or sheath and including a flexible distal electroded recording and ablation device extendable to protrude and be deployed from a distal opening in said outer catheter or sheath, said electroded device being axially adjustable relative to said guide member and having at least a distal guide member eye that slidably threads over said guide member to said distal stop means such that the electroded section proximal said distal guide member eye can be adjustably arcuately flexed according to the relative motion of said distal guide member eye and said electroded section protruding from said distal opening as contained by said distal stop means to produce a desired shape to address an inner surface of said chamber of interest;

(d) locking mechanism to prevent relative rotation between said electroded device and said guide member; and

(e) a plurality of spaced serial electrodes carried by said electroded recording and ablation device.

2. The apparatus of claim 1 wherein said outer catheter or sheath is a sheath and further comprises a directional sheath deflection system proximal said distal opening for enhancing control of the shape assumed by the sheath proximal to said distal opening.

3. The apparatus of claim 1 wherein said locking mechanism further comprises a keying arrangement between said distal stop means and said guide member eye.

4. The apparatus of claim 1 wherein said locking mechanism further comprises a locking clip arrangement.

5. The apparatus of claim 1 wherein said locking mechanism includes a ball and socket arrangement.

6. The apparatus of claim 1 wherein said recording and ablation device is fixed to said guidewire.