Deflectable loop design for a linear lesion ablation apparatus

• US 5,895,417 A
• Filed: 11/06/1997
• Issued: 04/20/1999
• Est. Priority Date: 03/06/1996
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Inventors: Anderson, Steven C., Sherman, Darren R., Tedder, Scott, Chapman, Troy J., Pomeranz, Mark L.
• Primary Examiner(s): Kamm, William E.
• Assistant Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/965,353
• Time in Patent Office: 530 Days
• Field of Search: 607/96, 607/98, 607/99, 607/105, 607/113, 607/116, 607/122, 607/124, 607/149, 607/153, 607/101, 607/102, 606/27-31, 606/41, 606/42, 600/372-374, 600/381
• US Class Current: 607/101
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 18/12 by passing a current through the tissue to be heated, e.g. high-frequency current
• 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 2017/00243 cardiac
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00113 with foam
• 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 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1437 whereby the windings of the spiral touch each other such as to create a continuous surface
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/06 : for high-frequency therapy

Abstract

An apparatus for ablating body tissue, and particularly for creating linear lesions within a chamber of a patient'"'"'s heart, is provided. The apparatus includes an elongate member having an ablation section which includes an infusion tube and a plurality of spaced electrodes. The infusion tube and electrodes are covered by a fluid permeable foam material, and the foam material is covered by a fluid impermeable covering having a plurality of holes formed in it. During use, the ablation section is placed against tissue to be ablated. This positioning step is facilitated because the ablation section of the inventive devices may be manipulated in various ways. When the ablation section is properly positioned, radio frequency energy is delivered to the electrodes while saline or other conductive fluid is delivered to the infusion tube. The fluid exits the infusion tube at the ablation section, contacts the electrodes, and carries RF energy from the electrodes through the foam, through the holes in the covering and into contact with the body tissue to form a burn in the body tissue.

Claims

1. An apparatus for ablating body tissue, comprising:

an elongate tubular member having an opening;

a baffle member having a distal portion slidably disposed within the tubular member, the baffle member slidable between a first position in which the distal portion extends from the opening and is folded over itself, and a second position in which the distal portion of the baffle member is contained within the elongate tubular member;

an ablation section carried by the baffle member;

at least one electrode carried by the ablation section;

a fluid permeable deformable member at least partially covering the electrodes;

means for delivering current to the electrode; and

,

means for delivering conductive fluid through the deformable member to the ablation section to cause said fluid to create a conductive path between the electrodes and the tissue when the electrodes are positioned adjacent to body tissue.

2. The apparatus of claim 1 wherein the baffle member includes a fixed distal end attached to the tubular member and a free proximal end, the free proximal end slidable relative to the tubular member to move the baffle member between the first and second positions.

3. The apparatus of claim 2 wherein the free proximal end of the baffle member diverges from the tubular member.

4. The apparatus of claim 3 wherein the baffle member has a substantially flat cross-section.

5. The apparatus of claim 3 wherein

the apparatus further comprises a second tube, wherein a portion of the baffle member is slidably received within the second tube;

the ablation element is carried by the second tube; and

when the baffle member is in the first position, the second tube is slidable over the loop to reposition the ablation element with respect to the loop.

6. An apparatus for creating lesions in body tissue, comprising:

an elongate tubular member having a distal portion, a first opening, and a second opening, the first opening being more distal relative to the second opening;

a baffle member having a fixed end attached to the tubular member and a free proximal end slidable relative to the tubular member, the baffle member forming a loop by extending from the fixed end, out the first opening of the tubular member and re-entering the tubular member at the second opening;

a pullwire having a fixed end attached to the distal portion of the tubular member;

means for actuating the pullwire to bend the distal portion of the tubular member;

an ablation section carried by the distal portion of the tubular member;

at least one electrode carried by the ablation section;

a fluid permeable deformable member at least partially covering the electrodes;

means for delivering current to the electrode; and

,

means for delivering conductive fluid through the deformable member to the ablation section to cause said fluid to create a conductive path between the electrodes and the tissue when the electrodes are position adjacent to body tissue.

7. An apparatus for creating lesions in body tissue, comprising:

an elongate tubular member having a distal portion, a first opening, and a second opening, the first opening being more distal relative to the second opening;

a baffle member having a fixed end attached to the tubular member and a free proximal end slidable relative to the tubular member, the baffle member forming a loop by extending from the fixed end, out the second opening of the tubular member and re-entering the tubular member at the first opening;

a pullwire having a fixed end attached to the distal portion of the tubular member;

means for actuating the pullwire to bend the distal portion of the tubular member;

an ablation section carried by the distal portion of the tubular member;

at least one electrode carried by the ablation section;

a fluid permeable deformable member at least partially covering the electrodes;

means for delivering current to the electrode; and

,

means for delivering conductive fluid through the deformable member to the ablation section to cause said fluid to create a conductive path between the electrodes and the tissue when the electrodes are position adjacent to body tissue.

8. The apparatus of claim 7 further comprising a guide sheath wherein the elongate member and the baffle member is slidably disposed therein.

9. The apparatus of claim 7 wherein the free proximal end of the baffle member diverges from the tubular member.

10. The apparatus of claim 7 wherein the baffle member has a substantially flat cross-section.

11. The apparatus of claim 7 wherein the distal portion of the tubular member is composed of a more flexible material.

12. The apparatus of claim 7 wherein the apparatus further includes a covering on the deformable member, the covering formed of a material substantially impermeable to fluid, the covering including at least one opening sized to allow passage of fluid out of the covering.

13. The apparatus of claim 12 wherein the deformable member includes a layer of foam over the electrodes.

14. The apparatus of claim 7 further comprising a plurality of pullwires and a plurality of means for actuating said pullwires.

15. A method of forming a linear lesion comprising using an apparatus of any one of claims 6-14.

16. The method of claim 15 further comprising positioning the loop near a tissue to be ablated.

17. The method of claim 16 wherein the positioning step includes adjusting the size of the loop by advancing or retracting the free proximal end of the baffle member.

18. The method of claim 16 wherein the positioning step includes adjusting the position of the loop by deflecting the distal portion of the tubular member.

19. A method of forming a linear lesion comprising using an apparatus of claim 8 and positioning the loop near a tissue to be ablated, and adjusting the position of the loop by rotating the loop with respect to the guide sheath.

20. An apparatus for ablating body tissue, comprising:

an elongate tubular member having a bendable distal section;

a baffle loop carried at the distal end of the tubular member;

a pullwire extending through the tubular member, the pullwire having a fixed distal end and a proximal end moveable to adjust the bend of the distal section of the tubular member; and

an ablation element carried by the bendable distal section of the tubular member.

21. An apparatus for ablating body tissue, comprising:

an elongate tubular member having an opening and a distal end;

an elongate shaft member slidably disposed within the elongate tubular member;

a baffle member carried by the shaft member and having a distal portion slidably disposed within the tubular member, the baffle member slidable between a first position in which the distal portion extends from the opening and is folded over itself, and a second position in which the distal portion of the baffle member is contained within the elongate tubular member; and

an ablation element carried by the distal end of the shaft member.

22. The apparatus of claim 21 wherein the distal end of the shaft member is bendable and wherein the apparatus further comprises:

a pullwire extending through the elongate shaft member, the pullwire having a fixed distal end and a proximal end moveable to adjust the bend of the distal section of the shaft member.

23. The apparatus of claim 21 wherein the baffle member includes a free proximal end extending laterally of the shaft member.