Mapping and ablation catheter

• US 6,477,396 B1
• Filed: 07/07/2000
• Issued: 11/05/2002
• Est. Priority Date: 07/07/2000
• Status: Expired due to Fees

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Nakagawa, Hiroshi, Mest, Robert A.
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/611,617
• Time in Patent Office: 851 Days
• Field of Search: 600/373, 600/374, 600/381, 607/119, 607/120, 607/122, 607/96, 607/99, 607/101, 607/102, 607/104, 607/105, 607/113, 607/116, 606/41, 606/46, 606/49
• US Class Current: 600/374
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems

Abstract

A catheter for mapping and ablating comprises an elongated flexible body having a distal region and at least one lumen extending therethrough. A tip electrode is mounted on the distal region. The tip electrode has an exposed distal region having proximal and distal ends and an isolated region proximal to the exposed distal region. The isolated region has an outer surface provided with an electrically insulating and thermally conductive layer. A second electrode is mounted on the isolated region of the tip electrode. This mapping and ablation electrode arrangement provides discrete recording of electrical signals due to the relatively small exposed distal region while allowing the creating of larger lesions due to the large thermal mass provided by the isolated region.

Claims

1. A catheter comprising:

an elongated flexible body having a distal region and at least one lumen extending therethrough;

a tip electrode mounted on the distal region, the tip electrode having;

an exposed distal region having proximal and distal ends;

an isolated region proximal to the exposed distal region, wherein the isolated region is outside the flexible body and has an outer surface provided with an electrically insulating and thermally conductive layer;

a stem region proximal to the isolated region, wherein the stem region extends into the distal region of the flexible body; and

a second electrode mounted on the isolated region of the tip electrode.

2. A catheter as claimed in claim 1, wherein the second electrode is a ring electrode.

3. A catheter as claimed in claim 1, wherein the total length of the exposed distal region and the isolated region ranges from about 4 mm to about 12 mm.

4. A catheter as claimed in claim 1, wherein the total length of the exposed distal region and the isolated region ranges from about 6 mm to about 10 mm.

5. A catheter as claimed in claim 1, wherein the exposed distal region has a length ranging from about 1.5 mm to about 4.0 mm.

6. A catheter as claimed in claim 1, wherein the exposed distal region has a length ranging from about 2 mm to about 3 mm.

7. A catheter as claimed in claim 1, wherein the second electrode is mounted a distance from the proximal end of the exposed region no more than about 2 mm.

8. A catheter as claimed in claim 1, wherein the second electrode is mounted a distance from the distal end of the catheter body no more than about 2 mm.

9. A catheter as claimed in claim 1, wherein the electrically insulating and thermally conductive layer comprises a composition selected from the group consisting of diamond, carbon, parylene, polyimide, polyester, polyurethane, epoxy, ceramic, and combinations thereof.

10. A catheter as claimed in claim 1, wherein the electrically insulating and thermally conductive layer has a thickness no greater than about 10 μ

m.

11. A catheter as claimed in claim 1, wherein the electrically insulating and thermally conductive layer has a thickness ranging from about 1 μ

m to about 5 μ

m.

12. A catheter as claimed in claim 1, wherein the isolated region has an outer diameter less than the outer diameter of the exposed region.

13. A catheter as claimed in claim 1, wherein the exposed region has a length approximately equal to its outer diameter.

14. A catheter as claimed in claim 1, wherein the exposed region has a length ranging from about 2 mm to about 3 mm and the isolated region has a length ranging from about 3 mm to about 6 mm.

34. A catheter as claimed in claim 1, wherein the stem region has an outer diameter less than the outer diameter of the isolated region.

35. A catheter as claimed in claim 1, wherein the electrically insulating and thermally conductive layer covers an entire circumference of the isolated region.

15. A catheter comprising:

an elongated flexible body having proximal and distal ends and at least one lumen extending therethrough;

a tip section comprising a flexible tubing that is more flexible than the catheter body mounted at the distal end of the catheter body, the flexible tubing having proximal and distal ends and at least one lumen extending therethrough;

a tip electrode mounted on the distal end of the flexible tubing, the tip electrode having;

an exposed distal region having proximal and distal ends;

an isolated region proximal the distal region, wherein the isolated region is outside the flexible tubing of the tip section and has an outer surface provided with an electrically insulating and thermally conductive layer;

a stem region proximal to the isolated region, wherein the stem region extends into the distal end of the flexible tubing of the tip section; and

a ring electrode mounted on the isolated region of the tip electrode.

16. A catheter as claimed in claim 15, wherein the total length of the exposed distal region and the isolated region ranges from about 4 mm to about 12 mm.

17. A catheter as claimed in claim 15, wherein the total length of the exposed distal region and the isolated region ranges from about 6 mm to about 10 mm.

18. A catheter as claimed in claim 15, wherein the electrically insulating and thermally conductive layer comprises a composition selected from the group consisting of diamond, carbine, polyimide, polyester, polyurethane, epoxy, ceramic, and combinations thereof.

19. A catheter as claimed in claim 15, wherein the electrically insulating and thermally conductive layer has a thickness no greater than about 10 μ

m.

20. A catheter as claimed in claim 15, wherein the electrically insulating and thermally conductive layer has a thickness ranging from about 1 μ

m to about 5 μ

m.

21. A catheter as claimed in claim 15, wherein the exposed region has a length approximately equal to its outer diameter.

22. A catheter as claimed in claim 15, wherein the exposed distal region has a length ranging from about 1.5 mm to about 4.0 mm.

23. A catheter as claimed in claim 15, wherein the exposed distal region has a length ranging from about 2 mm to about 3 mm.

24. A catheter as claimed in claim 15, wherein the exposed region has a length ranging from about 2 mm to about 3 mm and the isolated region has a length ranging from about 3 mm to about 6 mm.

25. A catheter as claimed in claim 15, wherein the stem region is mounted on the distal end of the flexible tubing.

26. A catheter as claimed in claim 15, further comprising at least one ring electrode mounted on the distal end of the flexible tubing.

27. A catheter as claimed in claim 15, further comprising means for deflecting the tip section.

28. A catheter as claimed in claim 15, further comprising a location sensor mounted, at least in part, in the tip electrode.

36. A catheter as claimed in claim 15, wherein the stem region has an outer diameter less than the outer diameter of the isolated region.

37. A catheter as claimed in claim 15, wherein the electrically insulating and thermally conductive layer covers an entire circumference of the isolated region.

29. A catheter comprising:

an elongated flexible body having a distal region and at least one lumen extending therethrough;

a tip electrode mounted on the distal region, the tip electrode having;

an exposed distal region having proximal and distal ends, a length and an outer diameter, wherein the ratio of the length to the outer diameter ranges from about 0.8;

1 to about 1.2;

1;

an isolated region proximal the exposed distal region, wherein the isolated region is outside the flexible body and has an outer surface provided with an electrically insulating and thermally conductive layer;

a stem region proximal to the isolated region, wherein the stem region extends into the distal region of the flexible body.

30. A catheter according to claim 29, wherein the ratio of the length to the outer diameter ranges from about 0.9:

1 to about 1.1;

1.

31. A catheter according to claim 29, wherein the length of the exposed region is approximately equal to the outer diameter of the exposed region.

32. A catheter according to claim 29, wherein the tip electrode has a generally hemispherical distal end.

33. A catheter according to claim 30, wherein the tip electrode has a generally hemispherical distal end.

38. A catheter as claimed in claim 29, wherein the stem region has an outer diameter less than the outer diameter of the isolated region.

39. A catheter as claimed in claim 29, wherein the electrically insulating and thermally conductive layer covers an entire circumference of the isolated region.