Catheter system and methods thereof

• US 5,876,399 A
• Filed: 05/28/1997
• Issued: 03/02/1999
• Est. Priority Date: 05/28/1997
• 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 F
• Application Number:
  US08/864,716
• Time in Patent Office: 643 Days
• Field of Search: 606/41, 606/42, 606/45-50, 600/374, 607/115, 607/116, 607/100-102, 607/122, 607/126, 607/127
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61M 2025/0076 Unidirectional valves
• CPC Class Codes: A61M 2025/0175 having telescopic features, interengaging nestable members movable in relations to one another
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool

Abstract

This invention discloses an ablation catheter system with fixation means for use in treatment of cardiac tissues and in other medical applications, such as ablating tumors in a natural body conduit or cavity by applying RF energy, and an inner catheter having alternate energy sources for enhanced ablation. The catheter system passes through a natural body opening to reach the target tissue, where the catheter system stays in a desired position via its fixation means and delivers therapeutic energy selected from the group of laser energy, microwave, inductive radiofrequency and ultrasonic energy to the target tissue for improved treatment.

Claims

1. A catheter system comprising:

(a) a catheter assembly with a tip section, a distal end, a proximal end, a surface, and at least one lumen extending therebetween, wherein the tip section has at least one electrode;

(b) a handle attached to the proximal end of said catheter assembly;

(c) a catheter sheath having a retractable fixation deployment means secured at a securing point on the surface of the catheter assembly, wherein the securing point is located proximal to the tip section of the catheter assembly, and wherein said retractable fixation deployment means includes a plurality of spaced apart expandable members, comprising a non-deployed state for said retractable fixation means when said catheter system is advanced into the body of a patient and/or removed from the body, and further comprising a distended deployed state for said retractable fixation deployment means when said catheter system is inside the body of a patient;

(d) an inner catheter, which is located inside the at least one lumen of the catheter assembly, comprising a flexible elongate tubular member having a distal section, and proximal and distal extremities, wherein said proximal extremity of the inner catheter is attached to the handle.

2. The catheter system of claim 1, wherein the inner catheter is an ablation catheter which is connected to deliver alternate energy for enhanced ablation.

3. The catheter system of claim 2, wherein the alternate energy is selected from the group of laser energy, microwave, inductive radiofrequency and ultrasonic energy.

4. The catheter system as in claim 3 further comprising means for supplying a fluid the distal section of the inner catheter.

5. The catheter system of claim 4, wherein the fluid conveyed is selected from the group of saline, antibiotics, heparin, chemotherapy fluids, and therapeutic fluids.

6. The catheter system as in claim 3 further comprising at least one electrode mounted on the distal section of the inner catheter.

7. The catheter system as in claim 6 further comprising ultrasonic visible markers being disposed on the tip section of the catheter assembly.

8. The catheter system as in claim 3 further comprising a steering mechanism at the handle for controlling the deflection of the tip section of the catheter assembly.

9. The catheter system of claim 8, wherein said steering mechanism provides a plurality of deflectable curves on the tip section of the catheter assembly.

10. The catheter system of claim 8, wherein said expandable members of said retractable fixation deployment means have a preshaped memory, and extend at an angle of less than 90 degrees relative to the longitudinal axis of the catheter assembly when the deployment means is deployed.

11. The catheter system of claim 8, wherein said expandable members of said retractable fixation deployment means have a preshaped memory, and extend with a curved fashion at an acute angle relative to the longitudinal axis of the catheter assembly when the deployment means is deployed.

12. The catheter system as in claim 8 further comprising a temperature sensor at the tip section of the catheter assembly and a close-loop temperature control mechanism for the catheter system.

13. A method for operating a catheter system, the catheter assembly having a tip section, a distal end, a proximal end, a surface, and at least one lumen extending therebetween, wherein the tip section has at least one electrode;

a handle attached to the proximal end of said catheter assembly;

a catheter sheath having a retractable fixation deployment means secured at a securing point on the surface of the catheter assembly, wherein the securing point is located proximal to the tip section of the catheter assembly, and wherein said retractable fixation deployment means includes a plurality of spaced apart expandable members, comprising a non-deployed state for said retractable fixation means when said catheter system is advanced into the body of a patient and/or removed from the body, and further comprising a distended deployed state for said retractable fixation deployment means when said catheter system is inside the body of a patient;

an inner catheter, which is located inside the lumen of the catheter assembly, comprising a flexible elongate tubular member having a distal section, and proximal and distal extremities, wherein said proximal extremity of the inner catheter is attached to the handle, and wherein at least one electrode is mounted on the tip section of the inner catheter;

the method comprising;

introducing the catheter system having an inner catheter, a catheter assembly and an outer catheter sheath with a retractable fixation deployment means under a non-deployed state, into the body through a natural body opening;

once approaching the target tissue, deploying the retractable fixation deployment means of said catheter sheath by a deployment mechanism located at the handle;

measuring the endocardial electricity from or applying alternate energy to the at least one electrode on the distal section of the inner catheter; and

applying the alternate energy source for enhanced ablation.

14. The method for operating a catheter system of claim 13, wherein the alternate energy is selected from the group of laser energy, microwave, inductive radiofrequency and ultrasonic energy.

15. The method for operating a catheter system as in claim 13 further comprising moving the electrode into position by using at least one ultrasonically visible marker.

16. The method for operating a catheter system as in claim 13, further comprising a steering mechanism at the handle for controlling the deflection of the tip section of the catheter assembly.

17. The method for operating a catheter system of claim 14, wherein said expandable members of said retractable fixation deployment means have a preshaped memory, and extend with a curved fashion at an acute angle relative to the longitudinal axis of the catheter assembly when the deployment means is deployed.

18. A tissue ablation catheter system comprising:

a catheter assembly with a distal section, a distal end, a proximal end, an exterior surface, and at least one lumen extending therebetween;

a handle attached to the proximal end of said catheter assembly;

a catheter sheath having a retractable fixation deployment means secured at a securing point on the exterior surface of the catheter assembly, wherein the securing point is located proximal to the tip section of the catheter assembly, and wherein said retractable fixation deployment means including a plurality of spaced apart expandable members, comprising a non-deployed state for said retractable fixation means when said catheter system being advanced into the body of a patient and/or being removed from the body, and further comprising a distended deployed state for said retractable fixation deployment means when said catheter system is positioned inside the body of a patient; and

an inner catheter, which is located inside the at least one lumen of the catheter assembly, comprising a flexible elongate tubular member having a distal section, and proximal and distal extremities, wherein said proximal extremity of the inner catheter is attached to the handle.

19. The tissue ablation catheter system of claim 18, wherein said inner catheter is an ablation catheter which is adapted to deliver alternate energy selected from the group of laser energy, microwave, inductive radiofrequency and ultrasonic energy.