Catheter system having a tip with fixation means

• US 5,891,137 A
• Filed: 05/21/1997
• Issued: 04/06/1999
• Est. Priority Date: 05/21/1997
• Status: Expired due to Fees

• Current Assignee: Irvine Biomedical, Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Irvine Biomedical, Inc. (Abbott Laboratories Incorporated)
• Inventors: Tu, Hosheng, Chia, Weng-Kwen Raymond
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): EVANISKO, GEORGE ROBERT
• Application Number:
  US08/861,271
• Time in Patent Office: 685 Days
• Field of Search: 607/122, 607/126-128, 607/130, 607/131, 606/41, 606/49
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2018/00279 deployable
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• 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

Abstract

A catheter system having a tip with fixation means for use in treatment of tissues, such as ablating tumors in a natural body conduit or cavity by applying RF energy through the tip, wherein the catheter system passes through a natural body opening to reach the target tissue, wherein the catheter system stays at a desired position via its fixation means, and delivers therapeutic RF energy to the target tissue for improved tissue treatment.

Claims

1. A catheter system comprising:

(a) a catheter sheath with a distal section, a distal end, a proximal end, and at least one lumen extending therebetween;

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

(c) an inner catheter, which is longer than said catheter sheath and located inside the lumen of the catheter sheath, comprising a flexible elongate tubular member having a distal section, and proximal and distal extremities, at least one ablation electrode mounted on the distal section of the flexible elongate tublar member of the inner catheter, and wherein said handle is attached to the proximal extremity of the inner catheter; and

(d) the distal section of said catheter sheath having a retractable time fixation deployment means secured at a securing point on the flexible elongate tubular member of the inner catheter, wherein the securing point is located proximal to the distal section of the flexible elongate tubular member of the inner catheter, and wherein said retractable time fixation deployment means includes a plurality of spaced apart expandable members, wherein the retractable time fixation means has a non-deployed state and a distended deployed state, whereby the non-deployed state is used for advancing and removing the catheter and the distended deployed state is used for fixing the catheter to a targeted location.

2. The catheter system of claim 1, wherein the plurality of spaced apart expandable members has at least 4 spaced apart members.

3. The catheter system as in claim 1 further comprising at least one ultrasonic visible marker disposed on the distal section of the flexible elongate tubular member of the inner catheter.

4. The catheter system as in claim 1 further comprising a steering mechanism at the handle for controlling the deflection of the distal section of the flexible elongate tubular member of said inner catheter.

5. The catheter system of claim 4, wherein the 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 elongate tubular member of the inner catheter when the deployment means is deployed.

6. The catheter system of claim 4, wherein the expandable members of said retractable fixation deployment means have a preshaped memory, and extend at an angle of less than 45 degrees relative to the elongate tubular member of the inner catheter when the deployment means is deployed.

7. The catheter system of claim 4, wherein the 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 elongate tubular member of the inner catheter when the deployment means is deployed.

8. The catheter system as in claim 4 further comprising a temperature sensor mounted on the at least one electrode at the distal section of the flexible elongate tubular member of the inner catheter and providing sensing signals for the close-loop controller for the catheter system.

9. A method for operating a catheter system comprising the steps of:

(a) introducing the catheter system having an inner catheter and an outer catheter sheath under a non-deployed state into the body through a small surgery hole or through the natural body openings,

wherein the catheter system comprises;

a catheter sheath with a distal section, a distal end, a proximal end, and at least one lumen extending therebetween;

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

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

the distal section of said catheter sheath having a retractable time fixation deployment means secured at a securing point on the flexible elongate tubular member of the inner catheter, wherein the securing point is located proximal to the distal section of the flexible elongate tubular member of the inner catheter, and wherein said retractable time fixation deployment means includes a plurality of spaced apart expandable members, wherein the retractable time fixation means has a non-deployed state and a distended deployed state, whereby the non-deployed state is used for advancing and removing the catheter and the distended deployed state is used for fixing the catheter to a targeted location; and

(b) once approaching the target tissue, deploying the retractable time fixation deployment means at distal section of said catheter sheath by a deployment mechanism located at the handle.

10. The method for operating the catheter system as in claim 9, the catheter system comprising an EKG monitor, a RF generating means, and an electrical conductor connected to the electrode, further comprising the steps of:

after deploying the retractable fixation deployment means, measuring the endocardial electricity from or applying RF energy through the electrical conductor to the at least one electrode on the distal section of the flexible elongate tubular member of the inner catheter.

11. The method for operating the catheter system as in claim 9, the catheter system comprising at least one ultrasonic visible marker disposed on the distal section of the flexible elongate tubular member of the inner catheter, further comprising advancing the electrode into position by using the ultrasonically visible marker.

12. The method for operating the catheter system as in claim 9, the catheter system further comprising a steering mechanism at the handle for controlling the deflection of the distal section of the flexible elongate tubular member of said inner catheter.