Catheters for imaging, sensing electrical potentials, and ablating tissue

• US 6,004,269 A
• Filed: 06/07/1995
• Issued: 12/21/1999
• Est. Priority Date: 07/01/1993
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Corporation
• Inventors: Ropiak, Susan M., Lennox, Charles D., Crowley, Robert J., Abele, John E.
• Primary Examiner(s): Jaworski, Francis J.
• Application Number:
  US08/473,137
• Time in Patent Office: 1,658 Days
• Field of Search: 128/642, 128/660.03, 128/662.06, 606/45, 606/49-50, 606/27, 604/22, 604/96-103, 607/122, 600/374, 600/439, 600/443, 600/462-463
• US Class Current: 600/439
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• 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 2017/00924 for ultrasonic waves
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22077 with a part piercing the tissue A61B2017/22044 takes precedence
• CPC Class Codes: A61B 2017/22082 after introduction of a substance
• CPC Class Codes: A61B 2017/22084 stone- or thrombus-dissolving
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• 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 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00232 having an irregular shape
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00797 : measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00869 : Phase
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/1435 : Spiral
• CPC Class Codes: A61B 2090/065 : for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/378 : using ultrasound
• CPC Class Codes: A61B 2090/3782 : transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 8/06 : Measuring blood flow measuring volume flow in general G01F, e.g. G01F1/66, G01F1/72; measuring speed of fluids in general G01P5/00
• CPC Class Codes: A61B 8/12 : in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 : Details of catheter construction
• CPC Class Codes: A61B 8/4461 : Features of the scanning mechanism, e.g. for moving the transducer within the housing of the probe
• CPC Class Codes: A61B 8/543 : involving acquisition triggered by a physiological signal
• CPC Class Codes: A61B 90/39 : Markers, e.g. radio-opaque or breast lesions markers

Abstract

An acoustic imaging system for use within a heart has a catheter (6), an ultrasound device (10) incorporated into the catheter (6), and an electrode (300, 304, 334, 394) mounted on the catheter (6). The ultrasound device (10) directs ultrasonic signals toward an internal structure in the heart to create an ultrasonic image, and the electrode (300, 304, 334, 394) is arranged for electrical contact with the internal structure. A chemical ablation device (55, 86, 314, 396) mounted on the catheter (6) ablates at least a portion of the internal structure by delivery of fluid to the internal structure. The ablation device (55) may include a material that vibrates in response to electrical excitation, the ablation being at least assisted by vibration of the material. The ablation device may alternatively be a transducer (414) incorporated into the catheter (6), arranged to convert electrical signals into radiation and to direct the radiation toward the internal structure. The electrode may be a sonolucent structure (304, 334) incorporated into the catheter (6).

Claims

1. An acoustic imaging system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being,

an ultrasound device incorporated into said elongated, flexible catheter, said ultrasound device being arranged to direct ultrasonic signals toward an internal structure within said body of said living being for the purpose of creating an ultrasonic image of said internal structure,

an electrode mounted on a distal portion of said elongated, flexible catheter, said electrode being arranged for electrical contact with said internal structure imaged by said ultrasound device,

a balloon mounted on said distal portion of said elongated, flexible catheter, said balloon being constructed to cause ablation of at least a portion of said internal structure imaged by said ultrasound device, said balloon comprising a material that vibrates in response to electrical excitation, said ablation being at least assisted by vibration of said material, and

a plurality of electrical conductors extending from a proximal portion of said elongated, flexible catheter to said distal portion, at least two of said plurality of electrical conductors being connected to said ultrasound device, at least one of said plurality of electrical conductors being connected to said electrode, and at least two of said plurality of electrical conductors being connected to said material of said balloon to cause vibration thereof.

2. An acoustic imaging system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being, said catheter comprising a tubular shaft member,

an ultrasound device incorporated into said elongated, flexible catheter, said ultrasound device being arranged to direct ultrasonic signals toward an internal structure within said body of said living being for the purpose of creating an ultrasonic image of said internal structure,

an electrode mounted on a distal portion of said elongated, flexible catheter on said tubular shaft member, said electrode being arranged for electrical contact with said internal structure imaged by said ultrasound device,

a plurality of electrical conductors extending from a proximal portion of said elongated, flexible catheter to said distal portion, at least two of said plurality of electrical conductors being connected to said ultrasound device and at least one of said plurality of electrical conductors being connected to said electrode, and

a balloon mounted on said distal portion of said elongated, flexible catheter, said balloon is constructed to assist in positioning said catheter in the vicinity of said internal structure and to press said catheter against a wall of said internal structure of said body of said living being.

3. An ablation system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being,

an ablation device mounted on a distal portion of said elongated, flexible catheter, said ablation device comprising a balloon, said balloon comprising a wall with ports for delivery of a fluid to said internal structure of said body of said living being, and

a plurality of electrical conductors extending from a proximal portion of said elongated, flexible catheter to said distal portion,

said ablation device comprising a material that vibrates in response to electrical excitation, at least two of said plurality of electrical conductors being connected to said material to cause vibration thereof, said ablation device being constructed and arranged to cause ablation of at least a portion of an internal structure within said body of said living being, said ablation being at least assisted by vibration of said material.

4. An ablation system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being,

an ablation device mounted on a distal portion of said elongated, flexible catheter, said ablation device comprising a balloon,

a plurality of electrical conductors extending from a proximal portion of said elongated, flexible catheter to said distal portion,

said ablation device comprising a material that vibrates in response to electrical excitation, at least two of said plurality of electrical conductors being connected to said material to cause vibration thereof, said ablation device being constructed and arranged to cause ablation of at least a portion of an internal structure within said body of said living being, said ablation being at least assisted by vibration of said material, and

a needle constructed to inject a fluid into said internal structure of said body of said living being, said vibration of said balloon assisting in delivery of fluid into said internal structure.

5. An ablation system in accordance with claim 4, wherein said needle extends from a side wall of said catheter.

6. An ablation system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being,

an ablation device mounted on a distal portion of said elongated, flexible catheter, and

a plurality of electrical conductors extending from a proximal portion of said elongated, flexible catheter to said distal portion,

said ablation device comprising a material that vibrates in response to electrical excitation, said material being sonolucent, at least two of said plurality of electrical conductors being connected to said material to cause vibration thereof, said ablation device being constructed and arranged to cause ablation of at least a portion of an internal structure within said body of said living being, said ablation being at least assisted by vibration of said material.

7. An ablation system in accordance with claim 6, wherein said material is polyvinylidene fluoride.

8. An ablation system in accordance with claim 6, wherein said ablation device comprises a needle.

9. An ablation system in accordance with claim 8, wherein said needle is constructed to inject a fluid into said internal structure of said body of said living being.

10. An ablation system in accordance with claim 6, further comprising an ultrasound device incorporated into said elongated, flexible catheter, said ultrasound device being arranged to direct ultrasonic signals toward said internal structure within said body of said living being for the purpose of creating an ultrasonic image of said internal structure, and said ablation device arranged for ablation of at least a portion of said internal structure imaged by said ultrasound device.

11. An ablation system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being,

an ablation device mounted on a distal portion of said catheter, said ablation device comprising a balloon, and

a plurality of electrical conductors extending from a proximal portion of said catheter to said distal portion,

said ablation device comprising a material that vibrates in response to electrical excitation, at least two of said plurality of electrical conductors being connected to said material to cause vibration thereof, said ablation device being constructed and arranged to cause ablation of at least a portion of an internal structure within said body of said living being, said ablation being at least assisted by vibration of said material.

12. An acoustic imaging system for use within a body of a living being, comprising:

an elongated, flexible catheter constructed to be inserted into said body of said living being, said catheter comprising a steering device constructed to cause bending of said distal portion of said catheter, said steering device comprising a control mechanism at a proximal portion of said catheter arranged to control said bending of said distal portion of said catheter,

an ultrasound device incorporated into said catheter, said ultrasound device being arranged to direct ultrasonic signals toward an internal structure within said body of said living being for the purpose of creating an ultrasonic image of said internal structure,

an electrode mounted on a distal portion of said catheter, said electrode being arranged for electrical contact with said internal structure imaged by said ultrasound device,

a plurality of electrical conductors extending from a proximal portion of said catheter to said distal portion, at least two of said plurality of electrical conductors being connected to said ultrasound device, and at least one of said plurality of electrical conductors being connected to said electrode, and

a balloon mounted on said distal portion of said catheter and constructed to cause ablation of at least a portion of said internal structure imaged by said ultrasound device, said balloon comprising a material that vibrates in response to electrical excitation, at least two of said plurality of electrical conductors being connected to said material to cause vibration thereof, said ablation being at least assisted by vibration of said material.

13. An acoustic imaging system for use within a body of a living being, comprising:

an elongated, flexible catheter having a tubular shaft member and constructed to be inserted into said body of said living being, said catheter comprising a steering device constructed to cause bending of said distal portion of said catheter, said steering device comprising a control mechanism at a proximal portion of said catheter arranged to control said bending of said distal portion of said catheter,

an ultrasound device incorporated into said catheter, said ultrasound device being arranged to direct ultrasonic signals toward an internal structure within said body of said living being for the purpose of creating an ultrasonic image of said internal structure,

an electrode mounted on a distal portion of said catheter on said tubular shart mebmer, said electrode being arranged for electrical contact with said internal structure imaged by said ultrasound device,

a plurality of electrical conductors extending from a proximal portion of said catheter to said distal portion, at least two of said plurality of electrical conductors being connected to said ultrasound device, and at least one of said plurality of electrical conductors being connected to said electrode, and

a balloon mounted on said distal portion of said catheter and constructed to assist in positioning said catheter in the vicinity of said internal structure and press said catheter against a wall of said internal structure of said body of said living being.