Ablation catheter

• US 6,264,654 B1
• Filed: 07/27/1999
• Issued: 07/24/2001
• Est. Priority Date: 07/21/1997
• Status: Expired due to Term

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: Daig Corporation (Abbott Laboratories Incorporated)
• Inventors: Stehr, Richard E., Swartz, John F., Bednarek, Michael C.
• Primary Examiner(s): SPECTOR, LORRAINE
• Assistant Examiner(s): Gibson, Roy
• Application Number:
  US09/361,811
• Time in Patent Office: 728 Days
• Field of Search: 606/41, 606/45, 606/27, 606/28, 606/49, 606/50, 607/101, 607/102, 607/116
• US Class Current: 606/45
• 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 2018/00148 with metal
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

An ablation catheter is disclosed having proximal and distal ends and an external surface, a lumen contained within the catheter body, a plurality of openings in the surface of the catheter, wherein the openings are in communication with the lumen, one or more electrodes secured within the catheter within the lumen and a source for conductive media to be introduced into the lumen to contact the electrode. The ablation catheter also may contain a conductive media flow control system which controls the flow of the conductive media through the openings in the surface of the catheter. Also disclosed is a process for ablation of human tissue which includes introducing an ablation catheter into the human body to a location to be ablated, passing a conductive media through a lumen of the catheter to contact one or more electrodes, passing the conductive media through the openings in the catheter body to contact the tissue to be ablated, and conducting energy from the electrode through the conductive media to the tissue for a sufficient period of time to ablate the tissue.

Claims

1. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of conductive media outlet openings in the external surface of the catheter body which are in communication with the lumen, wherein the conductive media outlet openings form a linear line of openings extended down the catheter body,

(d) an electrode fixedly secured to the catheter body and located within the lumen,

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode, and

(f) a conductive media flow control system structured to expel the conductive media through the conductive media outlet openings wherein the conductive media flow control system comprises a plurality of electrode coils, wherein a gap between individual electrode coils varies.

2. The ablation catheter of claim 1 wherein the electrode is at least about 4 mm (0.15 in.) in length.

3. The ablation catheter of claim 1 wherein the electrode comprises a plurality of individual electrodes. media flow control system comprises a conductively-coated tubular element containing a series of openings.

4. The ablation catheter of claim 1 wherein the electrode further comprises a plurality of coiled electrodes.

5. The ablation catheter of claim 4 wherein the individual coils of the coiled electrode contain a variable gap between the individual coils.

6. The ablation catheter of claim 5 wherein the gap between individual coils of the coiled electrode varies from no gap at a proximal end of the electrode to a range of approximately 0.025 mm (0.001 in) to about 0.25 mm (0.01 in) between individual coils at a distal end of the electrode.

7. The ablation catheter of claim 5 wherein the gap between individual coils varies in a range from virtually no gap to a gap between about 0.025 mm (0.001 in) to about 0.5 mm (0.02 in).

8. The ablation catheter of claim 1 wherein the conductive fluid is a saline solution.

9. The ablation catheter of claim 1 wherein the conductive media outlet openings in the external surface of the catheter body are generally circular in cross-section with a diameter of from about 0.25 mm (0.01 in) to about 2.5 mm (0.1 in).

10. The ablation catheter of claim 1 further comprising a steering system to steer the catheter.

11. The ablation catheter of claim 10 wherein the steering system is a pull wire.

12. The ablation catheter of claim 1 wherein the introduction system is a fluid flow pump.

13. The ablation catheter of claim 1 further comprising a tip electrode.

14. The ablation catheter of claim 1 wherein the conductive media flow control system is structured to expel the conductive media through substantially all of the conductive media outlet openings in a generally consistent flow.

15. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of conductive media outlet openings in the external surface of the catheter body which are in communication with the lumen, wherein the conductive media outlet openings form a linear line of openings extended down the catheter body,

(d) an electrode fixedly secured to the catheter body and located within the lumen,

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode, and

(f) a conductive media flow control system structured to expel the conductive media through the conductive media outlet openings, wherein the conductive media flow control system comprises a conductively-coated tubular element containing a series of openings.

16. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of conductive media outlet openings in the external surface of the catheter body which are in communication with the lumen, wherein the conductive media outlet openings form a linear line of openings extended down the catheter body,

(d) an electrode fixedly secured to the catheter body and located within the lumen,

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode, and

(f) a conductive media flow control system structured to expel the conductive media through the conductive media outlet openings, wherein the conductive media flow control system comprises a filter element.

17. A process for catheter ablation of human tissue comprising

(a) introducing an ablation catheter into a location within the human body to be ablated, wherein the ablation catheter comprises a catheter body, a lumen within said catheter body, a plurality of conductive media outlet openings in an external surface of the catheter body which are in communication with the lumen, and an electrode fixedly secured to the catheter body located within the lumen, wherein the conductive media outlet openings form a linear line of openings extended down the catheter body, and wherein the conductive media flow control system comprises a plurality of electrode coils, wherein a gap between individual electrode coils varies

(b) passing a conductive media through the lumen of the catheter body to contact the electrode,

(c) expelling the conductive media through the conductive media outlet openings in the catheter body to contact the human tissue, and

(d) conducting energy from the electrode to the human tissue using the conductive media for a sufficient period of time to ablate the tissue and form a linear lesion.

18. The process of claim 17 further comprising controlling the flow of the conductive media through the openings of the catheter body.

19. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of openings in the external surface of the catheter body which are in communication with the lumen,

(d) a conductive media flow control system comprising a plurality of electrode coils fixedly secured to the catheter body, wherein a gap between a plurality of individual electrode coils varies, and

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode coils.

20. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of openings in the external surface of the catheter body which are in communication with the lumen,

(d) an electrode fixedly secured to the catheter body and located within the lumen, wherein the electrode further comprises a plurality of coiled electrodes and wherein individual coils of the plurality of coiled electrode contain a variable gap, and

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode.

21. An ablation catheter comprising

(a) a catheter body with proximal and distal ends and an external surface,

(b) a lumen within the catheter body,

(c) a plurality of openings in the external surface of the catheter body which are in communication with the lumen,

(d) an electrode fixedly secured to the catheter body and located within the lumen, wherein the electrode further comprises a plurality of coiled electrodes and wherein an inside diameter of individual coils of the plurality of coiled electrode varies over the length of the coiled electrode, and

(e) an introduction system for introducing a conductive media into the lumen to contact the electrode.