Ablation catheter with electrical coupling via foam drenched with a conductive fluid

• US 6,032,077 A
• Filed: 07/03/1997
• Issued: 02/29/2000
• Est. Priority Date: 03/06/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation), New World Pawdsign Ltd
• Original Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Inventors: Pomeranz, Mark L.
• Primary Examiner(s): SCHAETZLE, KENNEDY
• Application Number:
  US08/887,522
• Time in Patent Office: 971 Days
• Field of Search: 607/96, 607/98, 607/99, 607/101, 607/102, 607/104, 607/100, 607/105, 607/112, 607/113, 607/115, 607/116, 607/119, 607/122, 607/148, 607/149, 607/152, 607/153, 607/154, 606/27-33, 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 ablation catheter for ablating tissue, such as endocardial tissue. The ablation catheter includes a foam tip with an electrode embedded therein. Conductive fluid, such as saline solution, is pumped through the foam tip out to the tissue adjacent to the foam tip. The conductive fluid electrically couples the electrode embedded in the foam tip with the tissue to be ablated in order to effect ablation. The flow of the conductive fluid and the foam tip both help prevent any combustible products of the ablation from reaching the high current surfaces of the electrode itself.

Claims

1. An ablation catheter assembly comprising:

a elongate catheter shaft with an elongate lumen defined therein so that a conductive fluid can be pumped through the lumen;

a foam portion mounted on the tip of the catheter shaft which allows the infusion of a conductive fluid therethrough;

a lead wire mounted in said catheter shaft; and

an electrode connected to the lead wire and embedded in the foam portion, said electrode being cup shaped and including a plurality of apertures therein.

2. The ablation catheter assembly according to claim 1 wherein the foam portion is made of polymeric material.

3. The ablation catheter assembly according to claim 1 wherein said electrode is formed as an uninsulated portion at the distal end of the lead wire.

4. The ablation catheter assembly according to claim 1 further including a power supply, connected to the lead wire, for generating radio frequency (RF) electrical energy.

5. The ablation catheter assembly according to claim 1, further including a pump for pumping conductive fluid into the proximal end of the catheter shaft so that the fluid flows through the lumen in the catheter shaft and into the foam tip.

6. The ablation catheter assembly according to claim 5, wherein the pump is adapted to pump saline solution as the conductive fluid.

7. An ablation catheter system for treating cardiac tissue comprising:

an elongated catheter, said catheter having a fluid carrying lumen therein;

a porous tip located at the distal end of the catheter, said tip formed from a compressible foam;

a conductive wire extending through said catheter and being electrically coupled to an electrode located within said porous tip and spaced away from the outer surface of the porous tip, wherein said electrode is cup shaped and includes a plurality of apertures therein;

a source of RF energy coupled to said wire; and

a source of conductive fluid coupled to said lumen such that in operation, the conductive fluid travels down said lumen and out of said porous tip and carries the RF energy to the cardiac tissue to be treated.

8. The ablation catheter assembly according to claim 7 wherein the foam portion is made of polymeric material.

9. The ablation catheter assembly according to claim 7 wherein said electrode is formed as an uninsulated portion at the distal end of the conductive wire.

10. The ablation catheter assembly according to claim 7 further including a power supply, connected to the conductive wire, for generating radio frequency (RF) electrical energy.