Porous irrigated tip electrode catheter

• US 6,405,078 B1
• Filed: 08/10/1999
• Issued: 06/11/2002
• Est. Priority Date: 01/15/1999
• Status: Expired due to Term

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Fung, Michele M., Moaddeb, Shahram
• Primary Examiner(s): Kennedy, Sharon
• Assistant Examiner(s): WILLIAMS, CATHERINE SERKE
• Application Number:
  US09/371,438
• Time in Patent Office: 1,036 Days
• Field of Search: 604/264, 604/275, 604/19, 604/20, 604/21, 604/27, 604/48, 604/22, 604/93.01, 604/113, 604/114, 606/27-29, 607/96, 607/98-99, 607/101-102, 607/115-116, 607/119-120, 607/122
• US Class Current: 604/21
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

A porous tip electrode for a catheter comprises a body and an insert. The body comprises a porous material through which fluid can pass and a cavity therein. The insert, which is contained therein, has proximal and distal ends and comprises a non-porous material contained within the cavity. The insert having at least one passage extending therethrough and at least blind hole extending from its proximal end.

Claims

1. A porous tip electrode for a catheter, the electrode comprising:

a body, having proximal and distal ends, comprising a porous material through which fluid can pass and having a cavity therein;

an insert having proximal and distal ends and comprising a non-porous material contained within the cavity, the insert having at least one passage, having proximal and distal ends, extending therethrough and at least one blind hole extending from its proximal end;

wherein the distal end of the insert is contained within the cavity of the body.

2. An electrode according to claim 1, wherein the cavity extends from the proximal end of the body.

3. An electrode according to claim 1, wherein the distal end of the passage is in contact with the body.

4. An electrode according to claim 1, wherein the passage comprises at least one transverse branch.

5. An electrode according to claim 1, wherein the insert is generally cylindrical having a distal end surface, a proximal end surface, and a cylindrical side surface.

6. An electrode according to claim 1, wherein the body comprises a recessed stem at its proximal end.

7. An electrode according to claim 1, wherein the body has a proximal end and a distal end, wherein the proximal end is formed of a non-porous material and the distal end is formed of a porous material.

8. An electrode according to claim 1, wherein the body consists essentially of a porous material and the insert consists essentially of a non-porous material.

9. An electrode according to claim 1, wherein the porous material comprises sintered metal particles.

10. An electrode according to claim 9, wherein the metal particles are generally rounded.

11. An electrode according to claim 9, wherein the metal particles are generally spherical.

12. An electrode according to claim 9, wherein the metal particles comprise small particles and large particles, wherein the large particles have a mean diameter at least about 2.5 times greater than the mean diameter of the small particles.

13. An electrode according to claim 12, wherein the large particles have a mean diameter at least about 4 times greater than the mean diameter of the small particles.

14. An electrode according to claim 1, wherein the insert comprises a non-porous metal material.

15. A porous tip electrode for a catheter, the electrode comprising:

a body comprising a porous material through which fluid can pass and having at least two cavities therein;

first and second inserts, each contained within a different cavity, the first insert having a passage extending therethrough and the second insert comprising a cup having an open proximal end and a closed distal end.

16. An electrode according to claim 15, wherein the body comprises three cavities and further wherein the electrode comprises first, second and third inserts, each contained within a different cavity, the first insert having a passage extending therethrough and the second and third inserts each comprising a cup having an open proximal end and a closed distal end.

17. An electrode according to claim 15, wherein the distal end of the passage is in contact with the body.

18. An electrode according to claim 15, wherein the passage comprises at least one transverse branch.

19. An electrode according to claim 15, wherein the insert is generally cylindrical having a distal end surface, a proximal end surface, and a cylindrical side surface.

20. An electrode according to claim 15, wherein the body comprises a recessed stem at its proximal end.

21. An electrode according to claim 15, wherein the body has a proximal end and a distal end, wherein the proximal end is formed of a non-porous material and the distal end is formed of a porous material.

22. An electrode according to claim 15, wherein the body consists essentially of a porous material and the insert consists essentially of a non-porous material.

23. An electrode according to claim 15, wherein the porous material comprises sintered metal particles.

24. An electrode according to claim 23, wherein the metal particles are generally rounded.

25. An electrode according to claim 23, wherein the metal particles are generally spherical.

26. An electrode according to claim 23, wherein the metal particles comprise small particles and large particles, wherein the large particles have a mean diameter at least about 2.5 times greater than the mean diameter of the small particles.

27. An electrode according to claim 26, wherein the large particles have a mean diameter at least about 4 times greater than the mean diameter of the small particles.

28. An electrode according to claim 15, wherein the first and second inserts each comprise a non-porous metal material.

29. A porous tip electrode for a catheter, the electrode comprising:

a body, having proximal and distal ends, comprising a porous material through which fluid can pass and having a cavity therein, wherein the porous material comprises sintered metal particles, the metal particles comprising small particles and large particles, wherein the large particles have a mean diameter at least about 2.5 times greater than the mean diameter of the small particles;

an insert comprising a non-porous material contained within the cavity and having at least one passage extending therethrough.

30. An electrode according to claim 29, wherein the cavity extends from the proximal end of the body.

31. An electrode according to claim 29, wherein the metal particles are generally rounded.

32. An electrode according to claim 29, wherein the metal particles are generally spherical.

33. An electrode according to claim 29, wherein the large particles have a mean diameter at least about 4 times greater than the mean diameter of the small particles.

34. An electrode according to claim 29, wherein the insert comprises a non-porous metal material.

35. An irrigated tip catheter comprising:

a catheter body having an outer wall, proximal and distal ends, and a lumen extending therethrough;

a tip section comprising a segment of flexible tubing having proximal and distal ends and at least one lumen therethrough, the proximal end of the tip section being fixedly attached to the distal end of the catheter body;

a porous tip electrode fixedly attached to the distal end of the tubing of the tip section, the tip electrode having an outer surface and comprising;

a body, having proximal and distal ends, comprising a porous material through which fluid can pass and having a cavity therein;

an insert having proximal and distal ends and comprising a non-porous material contained within the cavity, the insert having at least one passage extending therethrough and at least one blind hole extending from its proximal end;

wherein the distal end of the insert is contained within the cavity of the body;

an infusion tube having proximal and distal ends, said infusion tube extending through the central lumen in the catheter body, wherein the distal end of the infusion tube is in fluid communication with the proximal end of the passage in the tip electrode, whereby fluid can flow through the infusion tube, into the passage in the tip electrode and through the porous material of tip electrode to the outer surface of the tip electrode; and

a temperature sensing means or an electrode lead wire mounted within the blind hole of the insert.

36. A catheter according to claim 35, wherein the distal end of the infusion tube extends into and is fluid communication with a lumen in the tip section that is in fluid communication with the passage in the tip electrode, whereby fluid can flow from the infusion tube, through the tip lumen, through the passage, through the porous material of the tip electrode, and to the outer surface of the tip electrode.

37. A catheter according to claim 35, wherein the infusion tube comprises two separate segments, wherein:

the first infusion tube segment has proximal and distal ends, the distal end being in fluid communication with a lumen in the tip section that is in fluid communication with the passage in the tip electrode, and

the second infusion tube segment extends from the distal end of the lumen in the tip section in which the first infusion tube segment is mounted, whereby fluid can flow from the first infusion tube segment, into the lumen in the tip section, into the second infusion tube segment, into the passage, through the porous material of the tip electrode and to the outer surface of the tip electrode.

38. A catheter according to claim 35, wherein the insert comprises first and second blind holes.

39. A catheter according to claim 38, wherein a temperature sensing means is mounted in the first blind hole and an electrode lead wire is mounted in the second blind hole.

40. A catheter according to claim 35, wherein the insert comprises a non-porous metal material.

41. An irrigated tip catheter comprising:

a catheter body having an outer wall, proximal and distal ends, and a lumen extending therethrough;

a tip section comprising a segment of flexible tubing having proximal and distal ends and at least one lumen therethrough, the proximal end of the tip section being fixedly attached to the distal end of the catheter body;

a porous tip electrode fixedly attached to the distal end of the tubing of the tip section, the tip electrode having an outer surface and comprising;

a body comprising a porous material through which fluid can pass and having at least two cavities therein;

first and second inserts, each contained within a different cavity, the first insert having a passage extending therethrough and the second insert comprising a cup having an open proximal end and a closed distal end;

an infusion tube having proximal and distal ends, said infusion tube extending through the central lumen in the catheter body, wherein the distal end of the infusion tube is in fluid communication with the proximal end of the passage in the tip electrode, whereby fluid can flow through the infusion tube, into the passage in the tip electrode and through the porous material of tip electrode to the outer surface of the tip electrode; and

a temperature sensing means or an electrode lead wire mounted within the second insert.

42. A catheter according to claim 41, wherein the body comprises three cavities and further wherein the electrode comprises first, second and third inserts, each contained within a different cavity, the first insert having a passage extending therethrough and the second and third inserts each comprising a cup having an open proximal end and a closed distal end.

43. A catheter according to claim 42, wherein a temperature sensing means is mounted within the second insert in the body of the tip electrode and an electrode lead wire is anchored within the third insert in the body of the tip electrode.

44. A catheter according to claim 41, wherein the tip electrode comprises a recessed stem at its proximal end.

45. A catheter according to claim 41, further comprising an electromagnetic sensor mounted, at least in part, in a cavity within the proximal end of the tip electrode.

46. A catheter according to claim 41, wherein the first and second inserts each comprise a non-porous metal material.

47. A porous tip electrode for a catheter, the electrode comprising:

a body, having proximal and distal ends, comprising a porous material comprising sintered metal particles through which fluid can pass and having a cavity therein;

an insert having proximal and distal ends and comprising a non-porous material contained within the cavity, the insert having at least one passage, having proximal and distal ends, extending therethrough and at least one blind hole extending from its proximal end.

48. An electrode according to claim 47, wherein the cavity extends from the proximal end of the body.

49. An electrode according to claim 47, wherein the distal end of the passage is in contact with the body.

50. An electrode according to claim 47, wherein the passage comprises at least one transverse branch.

51. An electrode according to claim 47, wherein the insert is generally cylindrical having a distal end surface, a proximal end surface, and a cylindrical side surface.

52. An electrode according to claim 47, wherein the body comprises a recessed stem at its proximal end.

53. An electrode according to claim 47, wherein the body has a proximal end and a distal end, wherein the proximal end is formed of a non-porous material and the distal end is formed of a porous material.

54. An electrode according to claim 47, wherein the body consists essentially of a porous material and the insert consists essentially of a non-porous material.

55. An electrode according to claim 47, wherein the metal particles are generally rounded.

56. An electrode according to claim 47, wherein the metal particles are generally spherical.

57. An electrode according to claim 47, wherein the metal particles comprise small particles and large particles, wherein the large particles have a mean diameter at least about 2.5 times greater than the mean diameter of the small particles.

58. An electrode according to claim 57, wherein the large particles have a mean diameter at least about 4 times greater than the mean diameter of the small particles.

59. An electrode according to claim 47, wherein the insert comprises a non-porous metal material.

60. An irrigated tip catheter comprising:

a catheter body having an outer wall, proximal and distal ends, and a lumen extending therethrough;

a tip section comprising a segment of flexible tubing having proximal and distal ends and at least one lumen therethrough, the proximal end of the tip section being fixedly attached to the distal end of the catheter body;

a porous tip electrode fixedly attached to the distal end of the tubing of the tip section, the tip electrode having an outer surface and comprising;

a body, having proximal and distal ends, comprising a porous material comprising sintered metal particles through which fluid can pass and having a cavity therein;

an insert having proximal and distal ends and comprising a non-porous material contained within the cavity, the insert having at least one passage extending therethrough and at least one blind hole extending from its proximal end;

an infusion tube having proximal and distal ends, said infusion tube extending through the central lumen in the catheter body, wherein the distal end of the infusion tube is in fluid communication with the proximal end of the passage in the tip electrode, whereby fluid can flow through the infusion tube, into the passage in the tip electrode and through the porous material of tip electrode to the outer surface of the tip electrode; and

a temperature sensing means or an electrode lead wire mounted within the blind hole of the insert.