Radio-frequency based catheter system for ablation of body tissues

• US 6,190,382 B1
• Filed: 12/14/1998
• Issued: 02/20/2001
• Est. Priority Date: 12/14/1998
• Status: Expired due to Term

• Current Assignee: Medwave, Inc.
• Original Assignee: MedWaves, Inc.
• Inventors: Leung, George L., Law, Ming-Fan, Ormsby, Theodore C.
• Primary Examiner(s): Dvorak, Linda S. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/211,188
• Time in Patent Office: 799 Days
• Field of Search: 606/41, 606/46, 606/47, 606/48, 606/50, 606/33, 607/101, 607/119, 607/122, 607/156
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• 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 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

An improved radio-frequency catheter system for ablating biological tissues of a body vessel in a patient including a catheter, a deployable antenna guide disposed at the distal portion of the catheter and a radio-frequency (“RF”) antenna mounted on the antenna guide. The RF antenna includes a helical coil which defines an axial passageway to accommodate the antenna guide, and is adapted to receive and transmit RF energy for tissue ablation. Upon deployment, the antenna guide acquires a loop configuration which establishes line contact with the body vessel conformable to its internal contour to prescribe the precise and affixed tissue ablation pathway despite body vessel movements. The RF antenna is carried by the antenna guide to be deployed along the established tissue ablation pathway. Alignment of the loop with the desired tissue ablation pathway is facilitated with the use of radio-opaque markers and intracardiac electrodes mounted along the antenna guide. The catheter system is provided with steering mechanism for navigation through the body vessel passageways.

Claims

1. A radio-frequency-based catheter system for ablating biological tissues within the body vessel of a patient comprising:

(a) a catheter adapted for insertion into the body vessel of the patient, the catheter having a proximal portion, a distal portion with an distal opening and a lumen extending from the proximal portion to the distal portion;

(b) an elongated antenna guide disposed within the catheter lumen and deployable beyond the distal opening of the catheter to form a loop substantially conformable to the internal contour of the body vessel;

(c) a radio-frequency antenna disposed at the distal portion of the catheter, the antenna including a helical coil and defining an axial passageway to accommodate the antenna guide passing therethrough, the radio-frequency antenna being adaptable to receive and irradiate radio-frequency energy for ablating the biological tissues along a biological ablation pathway; and

(d) an electrical conductor coupled to each end of the helical coil and extending proximally toward the proximal portion of the catheter within the lumen wherein the electrical conductors are adapted to transmit radio-frequency energy at a frequency greater than 300 Megahertz (MHz) of the electromagnetic spectrum.

2. The catheter system according to claim 1, wherein the radio-frequency antenna further comprises a tubular liner circumscribed by the helical coil and defining the axial passageway.

3. The catheter system according to claim 1, wherein at least one of the electrical conductors is formed of an elongated tubular material.

4. The catheter system according to claim 1, wherein the electrical conductors are each formed of an elongated tubular material and arranged in a substantially coaxially aligned relationship with each other to form a hollow cable defining a passageway to accommodate the antenna guide passing therethrough.

5. The catheter system according to claim 1, wherein at least one of the electrical conductors is formed of a braided electrically conductive material.

6. The catheter system according to claim 1, wherein the antenna guide has extended portions extending proximally within the catheter lumen.

7. The catheter system according to claim 1, wherein the antenna guide is constructed of tubing material.

8. The catheter system according to claim 7 which further comprises at least one intracardiac electrocardiogram electrodes mounted within the antenna guide.

9. The catheter system according to claim 1, wherein the antenna guide is constructed of a plurality of elongated members joined to form a unitary monorail.

10. The catheter system according to claim 1 wherein the antenna guide further comprises at least one distal tip formed of radio-opaque material.

11. A radio-frequency-based catheter system for ablating biological tissues within the body vessel of a patient comprising:

(a) a catheter adapted for insertion into the body vessel of the patient, the catheter having a proximal portion, a distal portion with an distal opening and a lumen extending from the proximal portion to the distal portion;

(b) an elongated antenna guide slidably disposed within the catheter lumen and having a first end portion secured to the distal portion of the catheter and a second end portion extending proximally within the catheter lumen, the antenna guide being deployable beyond the distal opening of the catheter to form a loop having a portion conformable to the interior contour of the body vessel;

(c) a radio-frequency antenna disposed at the distal portion of the catheter, the antenna including a helical coil and defining an axial passageway to accommodate the antenna guide passing therethrough, the radio-frequency antenna being adaptable to receive and irradiate radio-frequency energy for ablating the biological tissues along a biological ablation pathway; and

(d) an electrical conductor coupled to each end of the helical coil and extending proximally toward the proximal portion of the catheter within the lumen wherein the electrical conductors are adapted to transmit radio-frequency energy at a frequency greater than 300 Megahertz (MHz) in the electromagnetic spectrum.

12. A radio-frequency-based catheter system for ablating biological tissues within the body vessel of a patient comprising:

(a) a catheter adapted for insertion into the body vessel of the patient, the catheter having a proximal portion, a distal portion with a distal opening and a lumen extending from the proximal portion to the distal portion;

(b) an elongated flexible antenna guide slidably disposed within the catheter lumen and deployable beyond the distal opening of the catheter forming line contact with the body vessel and substantially conforming to the contour of the body vessel to define a biological ablation pathway;

(c) a radio-frequency antenna disposed at the distal portion of the catheter, the antenna including a helical coil and defining an axial passageway to accommodate the antenna guide passing therethrough, the radio-frequency antenna being adaptable to receive and transmit radio-frequency energy for ablating the biological tissues along the ablation pathway; and

(d) an electrical conductor coupled to each end of the helical coil and extending proximally toward the proximal portion of the catheter within the lumen wherein the electrical conductors are adapted to transmit radio-frequency energy at a frequency greater than 300 MHz in the electromagnetic spectrum.

13. The catheter system according to claim 12 wherein the antenna guide further comprises at least one distal tip formed of radio-opaque material.

14. The catheter system according to claim 12 wherein the antenna guide is constructed of tubular material.