Tricuspid annular grasp catheter

• US 6,319,250 B1
• Filed: 11/23/1998
• Issued: 11/20/2001
• Est. Priority Date: 11/23/1998
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Wang, Paul J., McRury, Ian D., Peterson, Michael C., Falwell, Gary S.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/197,812
• Time in Patent Office: 1,093 Days
• Field of Search: 606/41, 606/49, 606/50, 607/99, 607/113
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00369 Heart valves

Abstract

A method of treating cardiac arrhythmia, including guiding a distal end portion of a catheter, the distal end portion having a distal tip and accommodating an elongated configuration of ablation electrodes, from the inferior vena cava into the right atrium of a human heart, guiding the distal end portion from the right atrium into the right ventricle of the heart, deflecting the distal tip into a hook configuration, pulling the catheter towards the inferior vena cava until the hook configuration engages the tricuspid annulus of the heart and the configuration of electrodes engages the isthmus of tissue between the tricuspid annulus and the inferior vena cava of the heart, and activating the configuration of electrodes to produce a substantially continuous lesion on the isthmus of tissue.

Claims

1. A catheter for ablating tissue comprising:

a body portion;

a distal end portion having a distal tip and including a plurality of distal end portion electrodes proximal to said distal tip, said distal end portion electrodes adapted to produce a substantially continuous, elongated, lesion in said tissue when energized with radio frequency (RF) energy, said distal tip including a distal tip electrode;

a proximal deflection region between said body portion and said distal end portion;

a distal deflection region near the distal tip of said distal end portion and in between said distal end portion electrodes and said distal tip electrode;

a proximal deflection mechanism for deflecting said proximal deflection region and including at least a portion of the length of said proximal deflection mechanism located inside said body portion; and

a distal deflection mechanism for deflecting said distal deflection region and including at least a portion of the length of said distal deflection mechanism located inside said body portion, wherein said proximal deflection region and said distal deflection region are deflected in the same direction.

2. A catheter according to claim 1 wherein the distal end portion includes a pre-shaped, curved region at a predetermined location along said elongated configuration of electrodes.

3. The catheter according to claim 1 wherein said proximal deflection mechanism is a first pull wire and said distal deflection mechanism is a second pull wire.

4. The catheter for ablating tissue comprising:

a body portion;

a distal end portion having a distal tip and including a plurality of distal end portion electrodes proximal to said distal tip, said distal end portion electrodes adapted to produce a substantially continuous, elongated, lesion in said tissue when energized with radio frequency (RF) energy;

a proximal deflection mechanism for deflecting substantially the entire length of said distal end portion in a predetermined direction and including at least a portion of the length of said proximal deflection mechanism located inside said body portion wherein said proximal deflection mechanism is a first pull wire;

a distal deflection mechanism for deflecting a region of said distal end portion including said distal tip in said predetermined direction, from a generally straight configuration into a hook-shaped configuration, and at least a portion of said distal deflection mechanism being located inside said body portion, wherein said distal deflection mechanism is a second pull wire; and

wherein said distal end portion electrodes are located proximal to the region deflected by said distal deflection mechanism.

5. A catheter for ablating tissue comprising:

a body portion;

a distal end portion having a distal tip and including a plurality of distal end portion electrodes proximal to said distal tip, said distal end portion electrodes adapted to produce a substantially continuous, elongated, lesion in said tissue when energized with radio frequency (RF) energy, said distal tip including a distal tip electrode;

a proximal deflection region between said body portion and said distal end portion;

a distal deflection region near the distal tip of said distal end portion and in between said distal end portion electrodes and said distal tip electrode;

a first pull wire having a proximal end and a distal end, said distal end of said first pull wire being connected to a first point inside said distal tip and said first point being radially remote from a point on the central axis of said catheter; and

a second pull wire having a proximal end and a distal end, said distal end of said second pull wire being connected to a second point inside said proximal deflection region and said second point being located on an axis which is parallel to the central axis of the catheter and on which the first point is located, whereby deflection of the proximal deflection region and the distal deflection region are in the same direction.

6. A method of treating cardiac arrhythmia, comprising:

guiding a distal end portion of a catheter, the distal end portion having a distal tip and accommodating an elongated configuration of ablation electrodes, from the inferior vena cava into the right atrium of a human heart;

guiding said distal end portion from the right atrium into the right ventricle of said heart and deflecting said catheter at a proximal region of said distal end portion;

deflecting said distal tip into a hook configuration;

pulling said catheter towards the inferior vena cava until said hook configuration engages the tricuspid annulus of said heart and said configuration of electrodes engages the isthmus of tissue between the tricuspid annulus and the inferior vena cava of said heart; and

activating said configuration of electrodes to produce a substantially continuous lesion on said isthmus of tissue.