Collapsible spline structure using a balloon as an expanding actuator

• US 6,142,993 A
• Filed: 02/27/1998
• Issued: 11/07/2000
• Est. Priority Date: 02/27/1998
• Status: Expired due to Term

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Whayne, James, Yang, Yi
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/032,226
• Time in Patent Office: 984 Days
• Field of Search: 606/41, 600/374, 600/381, 600/393, 607/99, 607/113, 607/122
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00232 having an irregular shape
• 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 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/0075 Phase
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1497 Electrodes covering only part of the probe circumference

Abstract

A collapsible electrode catheter assembly (10) having a delivery system (12) for controlling a catheter guide tube (16) having a catheter distal end assembly (22) thereon. The catheter distal end assembly (22) has an electrode structure (28) on an expanding assembly (34) for enlarging the electrode structure (28) in an expanded condition. A balloon structure (48) is used to expand and contract the expanding assembly (34) when an inflation medium (64) is alternately introduced into and withdrawn from the balloon structure (48).

Claims

1. A device for forming lesions in tissue within the body, comprising:

a catheter end assembly having a generally tubular main body;

a generally tubular expanding portion having a guide collar at a proximal portion thereof slidably attached to said main body;

an electrode structure adapted to transmit electrical energy to body tissue in order to form a lesion therein and carried by said expanding portion such that expansion of said expanding portion causes the electrode structure to effectively expand; and

a balloon structure within said expanding portion such that expansion of said balloon structure causes said expanding portion to expand and said guide collar to slide linearly along said main body.

2. The device of claim 1, wherein:

said expanding portion has a plurality of elongated slits therein alternating with a like plurality of elongated splines, such that expansion of said balloon structure causes the splines to move apart from each other.

3. The device of claim 2, wherein:

said electrode structure is a conductive coating at least partially covering the exterior of the splines.

4. The device of claim 2, wherein:

the quantity of splines is eight.

5. The device of claim 1, and further including:

said catheter end assembly having a proximal end and a catheter tube affixed to said proximal end of said catheter end assembly for guiding said catheter end assembly.

6. The device of claim 1, and further including:

at least one sensor positioned on said expanding portion for providing data relating to the instantaneous temperature of tissue contacting said catheter end assembly.

7. The device of claim 1, wherein:

said electrode structure includes a plurality of individual electrodes distributed on said expanding portion.

8. The device of claim 1, wherein:

at least a portion of said expanding portion is constructed from material having a shape memory such that inflation and deflation of said balloon structure will cause said expanding portion to first expand and then contract.

9. The device of claim 1, wherein:

said generally tubular expanding portion includes a distal end and said balloon structure is affixed to said distal end of said generally tubular expanding portion.

10. An improved catheter, comprising:

a handle;

a main body tube having a proximal end engaged to said handle and a distal end;

a distal end assembly extending from said distal end of said main body tube and including a generally tubular main body;

an expandable end assembly having a guide collar at a proximal portion thereof slidably attached to said main body of the distal end assembly;

an expandable electrode adapted to transmit electrical energy to body tissue in order to form a lesion therein and carried by said expandable end assembly such that expansion of said expandable end assembly enlarges an effective surface of said expandable electrode; and

a balloon interior to said expandable end assembly such that inflation of said balloon causes said expandable end assembly to expand and said guide collar to slide linearly alone said main body of the distal end assembly.

11. The improved catheter of claim 10, wherein:

said expandable end assembly includes a generally tubular structure having a plurality of longitudinal slits therein and a like plurality of longitudinal splines separated by the slits such that expansion of said balloon causes the splines to be urged apart at the slits.

12. A device for forming lesions in tissue within a chamber of the body, comprising:

a catheter end assembly having a generally tubular main body;

a generally tubular expanding portion having a proximal portion attached to said main body and a plurality of elongated slits therein alternating with a like plurality of elongated splines;

an inflatable balloon structure within said expanding portion, such that expansion of said balloon structure causes said expanding portion to expand and said splines to move apart from each other;

an electrode structure adapted to transmit electrical energy to body tissue in order to form a lesion therein, and carried by said expanding portion such that expansion of said expanding portion causes the electrode structure to effectively expand; and

wherein said expanding portion is sized, such that expansion of said expanding portion within the body chamber causes said electrode structure to be placed in substantial circumferential contact with the tissue of the body chamber.

13. The device of claim 12, wherein:

said electrode structure is a conductive coating at least partially covering the exterior of the splines.

14. The device of claim 12, wherein:

the quantity of splines is eight.

15. The device of claim 12, wherein:

said electrode structure includes a plurality of individual electrodes distributed on said expanding portion.

16. The device of claim 12, wherein a proximal end of said expanding portion has a guide collar slidably attached to said main body, said guide collar sliding linearly along said main body when said expanding portion is expanding.