Multi-electrode ablation catheter

• US 5,893,885 A
• Filed: 11/01/1996
• Issued: 04/13/1999
• Est. Priority Date: 11/01/1996
• Status: Expired due to Term

• Current Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Original Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Inventors: Webster, Wilton W. Jr.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/742,352
• Time in Patent Office: 893 Days
• Field of Search: 606/31, 606/41, 606/42, 606/45-50, 600/372-374, 607/100-102, 607/122
• US Class Current: 607/122
• 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 2017/00097 one of the thermometric elements being an electrode or the heating element
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

A multi-electrode ablation catheter comprises a plurality of thick-walled gold alloy electrodes mounted on the tip section of an elongated electrophysiology catheter. Each electrode is electrically connected to a switching unit by leads comprising paired copper and constantan wires. The switching unit is electrically connected to an RF generator, a temperature monitor and an ECG monitor. The switching unit enables an operator to switch between a first mode for monitoring ECG and a second mode for delivering RF energy for tissue ablation to a selected electrode and monitoring the temperature of that electrode. The copper wire of the lead delivers RF energy and the copper wire and constantan wire combine to form a thermocouple for temperature monitoring.

Claims

1. An ablation catheter comprising:

an elongated catheter body having proximal and distal ends and a lumen therethrough;

a catheter tip section at the distal end of the catheter body having a lumen extending through at least a portion of the catheter tip in communication with the lumen of the catheter body;

an electrode mounted on the catheter tip section; and

a conductive lead extending from the electrode and through the lumens of the catheter body and catheter tip section, said lead comprising a first wire of a first high conductivity material and a second wire of a second high strength material different from the first material non-conductively bonded to the first wire, wherein each of the first and second wires are electrically bonded to an internal surface of the electrode.

2. An ablation catheter as claimed in claim 1 where the first material is copper.

3. An ablation catheter as claimed in claim 1 wherein the second material is constantan.

4. An ablation catheter as claimed in claim 1 wherein the first material is copper and the second material is constantan.

5. An ablation catheter as claimed in claim 1 wherein the electrode is made of a gold alloy.

6. An ablation catheter as claimed in claim 5 wherein the electrode is a ring electrode and the thickness of the electrode is about 0.008 inches.

7. An ablation catheter as claimed in claim 1 comprising at least two electrodes mounted on the catheter tip section.

8. An ablation catheter as claimed in claim 7 wherein the electrodes are spaced apart a distance of from about 2 to about 5 mm.

9. An ablation catheter as claimed in claim 7 wherein the electrodes are spaced apart a distance of from about 3 to about 4 mm.

10. An ablation catheter according to claim 1, wherein the first wire of the conductive lead is electrically connected, either directly or indirectly, to both an RF energy source and to a temperature monitor.

11. A deflectable ablation catheter comprising:

an elongated catheter body having proximal and distal ends and a lumen therethrough;

a catheter tip section at the distal end of the catheter body having an outer wall and first and second off-axis lumens extending through at least a portion of the catheter tip and being separated from each other by a wall, both first and second lumens being in communication with the lumen of the catheter body;

an electrode mounted on the catheter tip section;

a conductive lead extending from the electrode and through the lumen of the catheter body and the first lumen of the catheter tip section, said lead comprising a first wire of a first, high conductivity material and a second wire of a second, high strength material different from the first material from the first material non-conductively bonded to the first wire, wherein each of the first and second wires are electrically bonded to an inside surface of the electrode;

a puller wire extending through the lumen of the catheter body and the second lumen of the catheter tip section, said puller wire being fixedly attached at its distal end to the catheter tip section adjacent the distal end of the catheter tip section; and

means for moving the puller wire longitudinally relative to the catheter body to thereby cause deflection of the tip section.

12. A deflectable ablation catheter as claimed in claim 11 wherein the first material is copper.

13. A deflectable ablation catheter as claimed in claim 11 wherein the second material is constantan.

14. A deflectable ablation catheter as claimed in claim 11 wherein in the first material is copper and the second material is constantan.

15. A deflectable ablation catheter as claimed in claim 11 wherein the electrode is made of a gold alloy.

16. A deflectable ablation catheter as claimed in claim 15 wherein the electrode is a ring electrode and the thickness of the ring electrode is about 0.008 inches.

17. A deflectable ablation catheter as claimed in claim 11 comprising at least two electrodes mounted on the catheter tip section.

18. A deflectable ablation catheter as claimed in claim 17 wherein the electrodes are spaced apart a distance of from about 2 to about 5 mm.

19. A deflectable ablation catheter as claimed in claim 17 wherein the electrodes are spaced apart at a distance of from about 3 to about 4 mm.

20. A deflectable ablation catheter as claimed in claim 11 wherein the lead in the first lumen of the catheter tip section extends through the outer wall of the catheter tip section at a location adjacent the first lumen to reach the electrode.

21. An ablation catheter as claimed in claim 11 wherein the lead extending through the first lumen of the catheter tip section extends through the wall of the catheter tip section lying between the first and second lumens and through the outer wall of the catheter tip section adjacent the second lumen to reach the electrode.

22. A deflectable ablation catheter according to claim 11, wherein the first wire of the conductive lead is electrically connected, either directly or indirectly, to both an RF energy source and to a temperature monitor.

23. A system for creating linear lesions in the endocardium by ablation comprising:

an ablation catheter comprising;

an elongated catheter body having proximal and distal ends and a lumen therethrough;

a catheter tip section at the distal end of the catheter body having a lumen extending through at least a portion of the catheter tip in communication with the lumen of the catheter body;

a plurality of electrodes mounted on the catheter tip section; and

an electrode lead extending from each electrode through the lumens of the catheter tip section to the proximal end of the catheter body, each of said leads comprising a first wire of a first material and a second wire of a second material different from the first material, said second wire being non-conductively bonded to the first wire, each wire being electrically connected to the electrode;

an ECG monitor;

a source of RF energy comprising at least one RF energy lead;

a temperature monitor; and

a switching unit electrically connected to each of the wires of the electrode leads, to at least one RF energy lead, to the temperature monitor and to the ECG monitor, said switching unit comprising means for switching between a first mode wherein an electrical connection is established between the ECG monitor and the electrode leads and a second mode wherein an electrical connection is established between one RF energy lead and a selected electrode lead and simultaneously an electrical connection is made between the temperature monitoring means and the selected electrode lead.

24. A system as claimed in claim 23 further comprising a second means for monitoring temperature and wherein, in the second mode, an electrical connection is established between a second RF energy lead and a second selected electrode lead and an electrical connection is further established between the second temperature monitoring means and the second selected electrode lead.