Porous irrigated tip electrode catheter

• US 6,466,818 B1
• Filed: 08/10/1999
• Issued: 10/15/2002
• 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: Brucker, Gregory G., Moaddeb, Shahram, Savage, Steven D., Fung, Michele M.
• Primary Examiner(s): MENDEZ, MANUEL A
• Application Number:
  US09/371,905
• Time in Patent Office: 1,162 Days
• Field of Search: 604/19-22, 607/115, 607/116, 607/119, 607/120, 607/122, 607/123, 607/125, 607/129, 607/98-100, 607/112, 607/113, 607/148, 607/149, 607/153, 607/101, 606/41, 600/372, 600/373, 128/639, 128/642
• US Class Current: 604/21
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

An irrigated tip catheter comprises a catheter body, a tip section, and a porous tip electrode. The catheter body has an outer wall, proximal and distal ends, and a lumen extending therethrough. The tip section comprises a segment of flexible tubing having proximal and distal ends and at least one lumen therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The porous tip electrode is fixedly attached to the distal end of the tubing of the tip section. The tip electrode has an outer surface and comprises a body and an insert. The body comprises a porous material through which fluid can pass and has a cavity therein. The insert, which comprises a non-porous material, is contained within the cavity of the shell. The insert has at least one passage extending therethrough in fluid communication with a lumen in the tip section. An infusion tube having proximal and distal ends extends through the central lumen in the catheter body. 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.

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; and

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

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 body is in the form of a shell having a radius, a cylindrical sidewall, an open interior and a hemispherical cap at its distal end.

6. An electrode according to claim 5, wherein the cylindrical sidewall has a uniform thickness.

7. An electrode according to claim 6, wherein the cylindrical sidewall has a thickness equal to less than about 50% of the radius of the shell.

8. An electrode according to claim 6, wherein the cylindrical sidewall has a thickness equal to less than about 30% of the radius of the shell.

9. An electrode according to claim 6, wherein the hemispherical cap has a uniform thickness approximately equal to the thickness of the cylindrical sidewall.

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

11. An electrode according to claim 10, wherein the cylindrical side surface of the insert has at least one recessed surface portion, thereby creating a gap between the insert and the body, the gap being in fluid communication with the distal end of the passage.

12. An electrode according to claim 5, wherein the insert comprises:

a proximal plate having a proximal surface and a distal surface and at least one hole extending through the proximal portion from its proximal surface to its distal surface;

a hollow tube attached to and extending distally from the distal surface of the proximal plate, the hollow interior of the tube forming a passage in communication with the hole.

13. An electrode according to claim 12, wherein the proximal plate is disc-shaped.

14. An electrode according to claim 5, wherein the insert comprises:

a proximal plate having a proximal surface and a distal surface and three holes extending therethrough;

a hollow tube attached to and extending distally from the distal surface of the proximal plate having a passage in communication with one hole;

two hollow cups attached to the distal surface of the proximal plate, each having an internal region in communication with a corresponding hole.

15. An electrode according to claim 14, wherein the proximal plate is disc-shaped.

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

17. 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.

18. An electrode according to claim 1, wherein the insert comprises:

a proximal plate having a proximal surface and a distal surface and at least one hole extending through the proximal portion from its proximal surface to its distal surface;

a hollow tube attached to and extending distally from the distal surface of the proximal plate, the hollow interior of the tube forming a passage in communication with the hole.

19. An electrode according to claim 18, wherein the proximal plate is disc-shaped.

20. An electrode according to claim 18, wherein the body has a generally open interior region.

21. An electrode according to claim 1, wherein the insert comprises:

a proximal plate having a proximal surface and a distal surface and three holes extending therethrough;

a hollow tube attached to and extending distally from the distal surface of the proximal plate having a passage in communication with one hole;

two hollow cups attached to the distal surface of the proximal plate, each having an internal region in communication with a corresponding hole.

22. An electrode according to claim 21, wherein the proximal plate is disc-shaped.

23. An electrode according to claim 21, wherein the shell has a generally open interior region.

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

25. An electrode according to claim 24, wherein the metal particles are generally irregularly-shaped.

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

27. An electrode according to claim 24, wherein the metal particles are generally spherical.

28. An electrode according to claim 24, 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.

29. An electrode according to claim 28, wherein the large particles have a mean diameter at least about 4 times greater than the mean diameter of the small particles.

39. An electrode according to claim 1, wherein the insert is contained in part within the cavity.

40. An electrode according to claim 1, wherein the insert is contained entirely within the cavity.

41. An electrode according to claim 1, wherein the insert has a distal end that is located proximal to the distal end of the body.

30. 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; and

an insert comprising a non-porous metal material contained within the cavity and having at least one passage extending therethrough and in fluid communication with a lumen in the tip section;

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.

31. A catheter according to claim 30, 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.

32. A catheter according to claim 30, wherein the body is in the form of a shell having a radius, a cylindrical sidewall, an open interior and a hemispherical cap at its distal end.

33. A catheter according to claim 30, wherein the cylindrical sidewall has a uniform thickness.

34. A catheter according to claim 33, wherein the cylindrical sidewall has a thickness equal to less than about 50% of the radius of the shell.

35. A catheter according to claim 33, wherein the cylindrical sidewall has a thickness equal to less than about 30% of the radius of the shell.

36. A catheter according to claim 33, wherein the hemispherical cap has a uniform thickness approximately equal to the thickness of the cylindrical sidewall.

37. A catheter according to claim 32, wherein the insert is generally cylindrical having a distal end surface, a proximal end surface, and a cylindrical side surface.

38. A catheter according to claim 37, wherein the cylindrical side surface of the insert has at least one recessed surface portion, thereby creating a gap between the insert and the body, the gap being in fluid communication with the distal end of the passage.