Expandable vein ligator catheter and method of use

• US 6,165,172 A
• Filed: 10/26/1997
• Issued: 12/26/2000
• Est. Priority Date: 09/11/1997
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: VNUS Medical Technologies Incorporated (Medtronic Plc)
• Inventors: Jones, Christopher S., Parker, Mark P., Farley, Brian E., Tartaglia, Joseph M., Henderson, Dawn A.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): ROLLINS, ROSILAND STACIE
• Application Number:
  US08/958,766
• Time in Patent Office: 1,157 Days
• Field of Search: 604/48, 604/52, 604/53, 604/93, 604/96, 604/114, 606/40, 606/49, 606/50, 606/51, 606/52, 606/33
• US Class Current: 606/33
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2017/22038 with a guide wire
• 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 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2090/3782 transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with a hollow anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a balloon is inflated to occlude the structure before the application of energy. Where the structure is a vein, the inflated balloon obstructs blood flow and facilitates the infusion of saline, medication, or a high-impedance fluid to the vein in order to reduce the occurrence of coagulation and to improve the heating of the vein by the catheter. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

Claims

1. An apparatus for ligating a hollow anatomical structure having an inner wall, comprising:

a catheter having a sheath and a working end, wherein a tip, a port and an opening are located at the working end of the catheter, and the port is in fluid communication with a lumen;

a balloon located at the working end of the catheter, wherein the port is located between the balloon and the tip;

an inner member disposed within the sheath such that the inner member and the sheath are capable of being moved relative to one another;

a plurality of leads, each lead having a distal end, the plurality of leads being coupled with the inner member such that the distal ends of the plurality of leads become extended out of the opening at the working end of the catheter when the sheath is moved relative to the inner member, each lead being formed to move the distal end away from a longitudinal axis defined by the sheath when the plurality of leads are extended out the opening and into non-penetrating apposition with the inner wall of the hollow anatomical structure;

wherein the distal end of each lead is capable of delivering energy to the inner wall of the anatomical structure.

2. The apparatus of claim 1, wherein the leads do not have sufficient strength to prevent the reduction of the diameter of the hollow anatomical structure, wherein, as the diameter of the hollow anatomical structure is reduced, the distal ends of the leads remain in non-penetrating apposition with the wall and move inward with the wall of the hollow anatomical structure when energy is applied by the distal end of the leads.

3. The apparatus of claim 1, further comprising a secondary lead having a distal secondary end, the secondary lead being coupled with the inner member such that the distal secondary end of secondary lead is extended out of the opening at the working end of the catheter when the inner member is moved relative to the sheath, wherein the distal ends of the leads are located between the distal secondary end, of the secondary lead and the inner member.

4. The apparatus of claim 3, wherein the leads are electrically connected to a power source such that the polarity of each lead can be switched.

5. The apparatus of claim 3, wherein the plurality of leads and the secondary lead are electrically connected to a power source such that the polarity of the plurality of leads can be changed independently of the polarity of the secondary lead.

6. The apparatus of claim 3, wherein the plurality of leads and the secondary lead are electrically connected to a power source, wherein the polarity of the plurality of leads can be switched to have either the same polarity or to have opposing polarities for adjacent distal ends of the leads, and the polarity of the secondary lead can be switched between having a polarity and being neutral.

7. The apparatus of claim 1, wherein a fluid is present in the hollow anatomical structure. and the balloon includes at least one opening exposed to the fluid in the anatomical structure, and the at least one opening allows fluid from the hollow anatomical structure to flow into and expand the balloon.

8. The apparatus of claim 1 wherein the leads are configured to permit the catheter to be moved in the hollow anatomical structure at the same time that the balloon is inflated and the leads maintain non-penetrating apposition with the inner wall and apply energy to the hollow anatomical structure.

9. The apparatus of claim 8 further comprising a secondary lead having a distal end and a length such that the distal end of the secondary lead extends past the distal end of the expandable leads.