Structures for deploying movable electrode elements

• US 5,885,278 A
• Filed: 10/11/1994
• Issued: 03/23/1999
• Est. Priority Date: 10/07/1994
• Status: Expired due to Fees

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Fleischman, Sidney D.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/321,424
• Time in Patent Office: 1,624 Days
• Field of Search: 128/642, 606/41, 606/45, 606/47, 606/49, 602/122, 602/126, 600/374
• 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: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/2911 rings
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/142 at least partly surrounding the target, e.g. concave, curved or in the form of a cave
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems

Abstract

An electrode support structure comprises a guide body having at its distal end a flexible spline leg. The spline leg is flexed to define an arcuate shape to facilitate intimate contact against tissue. An electrode element is carried by the spline leg for movement along its axis. The structure includes a control element coupled to the electrode element. The control element remotely imparts force to move the electrode element along the axis of the spline leg. Therefore, in use, the physician can cause the electrode element to travel along a path that the spline leg defines, without otherwise changing the location of the guide body.

Claims

1. An electrode support structure comprising

a guide body having a distal end,

a flexible spline leg having an axis attached to the distal end of the guide body, the spline leg being flexed to define an arcuate shape,

an electrode element carried by the spline leg for movement along its axis, and

a control element coupled to the electrode element for remotely imparting force to move the electrode element along the axis of the spline leg without rotation of the guide body, the control element including a first control wire to impart force to move the electrode element in a direction along the spline leg toward the guide body and a second control wire to impart force to move the electrode element in a direction along the spline leg away from the guide body.

4. A support structure according to claim 1 or 2 or 3

wherein the guide body includes a proximal end, and

wherein the control element is located at the proximal end of the guide body.

5. A support structure according to claim 1 or 2 or 3

wherein the electrode element comprises at least two bi-polar electrodes separated by an electrically insulating material.

6. A support structure according to claim 1 or 2 or 3

wherein the electrode element comprises at least one unipolar electrode mounted on a core body of electrically insulating material.

7. A support structure according to claim 6

wherein the electrode comprises a coil wound about the core body.

2. An electrode support structure comprising

a guide body having a distal end,

first and second flexible spline legs, each having a near end and a far end, the near ends being attached to the distal end of the guide body and positioned in a circumferentially spaced relationship with the far ends joined at a junction to define an arcuate shape between the near ends of the first and second spline legs,

an electrode element carried by at least one of the spline legs for movement along it, and

a control element coupled to the electrode element for remotely imparting force to move the electrode element along the at least one spline leg without rotation of the guide body, the control element including a first control wire to impart force to move the electrode element in a direction toward the near end of the at least one spline leg and a second control wire to impart force to move the electrode element in a direction toward the far end of the at least one spline leg.

3. An electrode support structure comprising

a guide body having a distal end,

a stiffener extending along an axis outside the distal end of the guide body,

at least one flexible spline leg having a near end attached to the distal end of the guide body and a far end extending beyond the distal end of the guide body and attached to the stiffener, the spline leg being normally flexed between the distal guide body end and the stiffener in an arcuate shape that extends along and radially outward of the axis of the stiffener,

an electrode element carried by the at least one spline leg for movement along it, and

a control element coupled to the electrode element for remotely imparting force to move the electrode element along the at least one spline leg without rotation of the guide body, the control element including a first control wire to impart force to move the electrode element in a direction toward the near end of the at least one spline leg and a second control wire to impart force to move the electrode element in a direction toward the far end of the at least one spline leg.

8. A device for ablating tissue comprising

a guide body having a distal end and a proximal end,

a flexible spline leg having an axis, the spline leg including a near end attached to the distal end of the guide body, the spline leg being flexed to define all arcuate shape,

an ablation electrode element carried by the spline leg for movement along its axis, and

a control element on the proximal end of the guide body and being coupled to the ablation electrode element for remotely imparting force to move the ablation electrode element along the axis of the spline leg without rotation of the guide body, the control element including a first control wire to impart force to move the ablation electrode element in a direction toward the near end of the spline leg and a second control wire to impart force to move the ablation electrode element in a direction away from the near end of the spline leg.

9. A support structure according to claim 8

wherein the ablation electrode element comprises at least two bi-polar electrodes separated by an electrically insulating material.

10. A support structure according to claim 8

wherein the ablation electrode element comprises at least one unipolar electrode mounted on a core body of electrically insulating material.

11. A support structure according to claim 10

wherein the electrode comprises a coil wound about the core body.

12. An electrode support structure comprising

first and second flexible spline legs, each having a near end and a far end, the near ends positioned in a circumferentially spaced relationship with the far ends joined at a junction to define an arcuate shape between the near ends of the first and second spline legs,

an electrode element carried by at least one of the spline legs for movement along it, and

a control element coupled to the electrode element for remotely imparting force to move the electrode element along the at least one spline leg, the control element including a first control wire to impart force to move the electrode element in a direction toward the near end of the at least one spline leg and a second control wire to impart force to move the electrode element in a direction toward the far end of the at least one spline leg.

13. A support structure according to claim 12

and further including a guide body having a distal end and a proximal end,

wherein the near ends of the first and second flexible spline legs are attached to the distal end of the guide body, and

wherein the control element is located at the proximal end of the guide body.

16. A support structure according to claim 12 or 14

wherein the electrode element comprises at least two bi-polar electrodes separated by an electrically insulating material.

17. A support structure according to claim 12 or 14

wherein the electrode element comprises at least one unipolar electrode mounted on a core body of electrically insulating material.

18. A support structure according to claim 17

wherein the electrode comprises a coil wound about the core body.

14. An electrode support structure comprising

a guide body having a distal end,

a stiffener extending along an axis outside the distal end of the guide body,

at least one flexible spline leg having a near end attached to the distal end of the guide body and a far end extending beyond the distal end of the guide body and attached to the stiffener, the spline leg being normally flexed between the distal guide body end and the stiffener in an arcuate shape that extends along and radially outward of the axis of the stiffener,

an electrode element carried by the at least one spline leg for movement along it, and

a control element coupled to the electrode element for remotely imparting force to move the electrode element along the at least one spline leg, the control element including a first control wire to impart force to move the electrode element in a direction toward the near end of the at least one spline leg and a second control wire to impart force to move the electrode element in a direction toward the far end of the at least one spline leg.

15. A support structure according to claim 14

wherein the guide body includes a proximal end, and

wherein the control element is located at the proximal end of the guide body.

19. A device for ablating tissue comprising

a guide body having a distal end and a proximal end,

a flexible spline leg having an axis attached to the distal end of the guide body, the spline leg being flexed to define an arcuate shape,

an ablation electrode element carried by the spline leg for movement along its axis, and

a control element on the proximal end of the guide body and being coupled to the ablation electrode element for remotely imparting force to move the ablation electrode element along the axis of the spline leg, the control element including a first control wire to impart force to move the ablation electrode element in a direction toward one end of the spline leg and a second control wire to impart force to move the ablation electrode element in a direction toward another end of the spline leg.

20. A support structure according to claim 19

wherein the ablation electrode element comprises at least two bi-polar electrodes separated by an electrically insulating material.

21. A support structure according to claim 19

wherein the ablation electrode element comprises at least one unipolar electrode mounted on a core body of electrically insulating material.

22. A support structure according to claim 21 wherein the electrode comprises a coil wound about the core body.