Irrigated ablation device assembly

• US 6,522,930 B1
• Filed: 05/06/1998
• Issued: 02/18/2003
• Est. Priority Date: 05/06/1998
• Status: Expired due to Term

• Current Assignee: Atrionix, Inc. (Johnson & Johnson)
• Original Assignee: Atrionix, Inc. (Johnson & Johnson)
• Inventors: Valencia, Aurelio, Schaer, Alan K.
• Primary Examiner(s): ROLLINS, ROSILAND STACIE
• Application Number:
  US09/073,907
• Time in Patent Office: 1,749 Days
• Field of Search: 606/41, 606/42, 606/27-29, 606/31-32, 607/96, 607/98, 607/100, 607/101, 607/102, 607/104, 607/105, 607/113, 607/115, 607/116, 607/119, 607/122, 600/372, 600/374, 600/381
• US Class Current: 607/101
• 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 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/1437 whereby the windings of the spiral touch each other such as to create a continuous surface
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A tissue ablation device assembly ablates a region of tissue of a body space wall of a patient. In a tissue ablation device assembly, an ablation member is disposed on the distal end portion of an elongated body. The ablation member includes an ablation element and at least one conductor coupled to the ablation element. A porous membrane covers the ablation element and defines an inner space between the ablation element and an inner surface of the porous membrane. A pressurizable fluid passageway extends between a fluid port on the proximal end portion of the elongated body and the inner space within the porous membrane. Fluid can pass from the fluid port, through the pressurizable fluid passageway, to the inner space. The porous membrane allows a volume of pressurized fluid to pass through the porous membrane to an exterior of the ablation member so as to irrigate the ablation element.

Claims

1. A tissue ablation device assembly for ablating a region of tissue in a body of a patient, comprising:

an elongated body having a proximal end portion and a distal end portion;

a tubular porous membrane located along said distal end portion, said porous membrane having a substantially non-compressible porous wall with an inner surface that defines an inner space;

an ablation element disposed within said inner space of said porous membrane, said ablation element having a fixed position with respect to said porous membrane; and

a fluid passageway extending through said elongated body and communicating with said inner space, said fluid passageway being adapted to be fluidly coupled to a pressurizeable fluid source for delivering a volume of pressurized fluid from said fluid source to said inner space;

wherein said porous membrane allows at least a substantial portion of said volume of pressurized fluid to pass through said porous wall for ablatively coupling said ablation element to said region of tissue.

2. The tissue ablation device assembly of claim 1 wherein said elongated body and said tubular porous membrane are constructed for advancement through a patient'"'"'s vasculature for forming a lesion in a left atrium of a heart.

3. The tissue ablation device assembly of claim 1 wherein said inner space is substantially closed in a substantially fluid tight seal such that said volume of pressurized fluid can flow from within said inner space to an external location only across said porous wall.

4. The tissue ablation device assembly of claim 3, further comprising an end cap attached to a distal end of said tubular porous membrane for sealing said distal end of said tubular porous membrane.

5. The tissue ablation device assembly of claim 1, further comprising at least one conductor coupled to said ablation element and extending proximally through said elongated body for coupling to an ablation actuator.

6. The tissue ablation device assembly of claim 5, further comprising an electrical lead lumen extending through said elongated body, said electrical lead lumen adapted for receiving said conductor.

7. The tissue ablation device assembly of claim 1, further comprising an elongated fluid tube that defines said fluid passageway, said fluid tube extending through said elongated body.

8. The tissue ablation device assembly of claim 1, further comprising at least one thermal sensor disposed along an outer surface of said porous membrane.

9. The tissue ablation device assembly of claim 8, wherein said thermal sensor is an annular temperature sensor disposed around said porous membrane.

10. The tissue ablation device assembly of claim 1 wherein said porous membrane is adapted to disperse said portion of said volume of pressurized fluid across said porous wall in a substantially uniform manner.

11. The tissue ablation device assembly of claim 1 wherein said portion of said volume of pressurized fluid is dispersed in a radial direction across said porous wall.

12. The tissue ablation device assembly of claim 1, further comprising a return passageway in communication with said inner space and extending through said elongated body, said return passageway being adapted to remove fluid from said inner space.

13. The tissue ablation device assembly of claim 1 wherein said distal end portion of said elongated body further comprises an outer surface and said porous membrane further comprises a proximal end portion which is coupled to said proximal outer surface.

14. The tissue ablation device assembly of claim 1 wherein said porous wall is made of a polytetrafluoroethylene material.

15. The tissue ablation device assembly of claim 1 wherein said ablation element comprises at least one electrode.

16. The tissue ablation device assembly of claim 15 wherein said electrode is a wire coil having a helical shape with an inner diameter adapted to receive said fluid passageway.

17. The tissue ablation device assembly of claim 15 wherein said electrode comprises at least one arcuate section that extends at least partially along a longitudinal axis of said elongated body.

18. The tissue ablation device assembly of claim 15 wherein said electrode comprises a plurality of braided wires forming a substantially tubular shape.

19. The tissue ablation device assembly of claim 1 wherein said ablation element comprises a plurality of wire coil electrodes positioned in a longitudinally spaced arrangement.

20. The tissue ablation device assembly of claim 1, further comprising a guidewire lumen extending through at least a portion of said elongated body and terminating at a distal port for slidably receiving a guidewire.

21. The tissue ablation device assembly of claim 1 wherein said elongated body further comprises an outer tubular member containing a fluid tube, an electrical lead tube and a guidewire tube, said fluid tube defining said fluid passageway, said electrical lead tube receiving a conductor coupled to said ablation element, and said guidewire tube adapted to slidably receive a guidewire.

22. The tissue ablation device assembly of claim 1 wherein said pressurizable source contains an electrolyte solution and wherein a volume of said electrolyte solution permeates across said porous wall when said volume of said electrolyte fluid is pressurized to a predetermined pressure within said inner space.

23. The tissue ablation device assembly of claim 1 wherein said proximal end portion of said elongated body is stiffer than said distal end portion for providing enhanced pushability during advancement through a patient'"'"'s vasculature.

24. The tissue ablation device assembly of claim 1, further comprising first and second delivery members each having a distal end portion, said tubular porous membrane being supported between said distal end portions of said first and second delivery members, respectively.

25. The tissue ablation device assembly of claim 24, further comprising first and second anchors located at least in part along said distal end portions of said first and second delivery members, respectively.

26. The tissue ablation device assembly of claim 25, wherein at least one of said anchors comprises a guidewire tracking member which forms a bore that is adapted to slideably engage and track over a guidewire.

27. The tissue ablation device assembly of claim 25, wherein said at least one anchor comprises a guidewire having a guidewire proximal end portion, a guidewire distal end portion, and a stop on said guidewire distal end portion which has a diameter larger than said guidewire distal end portion.

28. A tissue ablation device assembly for ablating a region of tissue in a body of a patient, comprising:

a flexible elongated body having a distal end portion and guidewire lumen for slidably receiving a guidewire;

a tubular porous membrane having a proximal end portion bonded to an outer surface of said distal end portion of said elongated body, said porous membrane having a substantially non-compressible porous wall with an inner surface;

an end cap attached to a distal end of said tubular porous membrane for providing a fluid tight seal in said inner space of said tubular porous membrane;

a plurality of wire coil electrodes disposed along a longitudinal axis within said inner space of said porous membrane, said electrodes having a fixed position with respect to said porous membrane;

a plurality of conductors coupled to said electrodes and extending through said elongated body for electrically connecting said electrodes to a current source;

an elongated fluid tube defining a fluid passageway, said elongated fluid tube extending through said elongated body and through an inner diameter of each of said electrodes, said fluid passageway including at least one port along a distal end portion for fluid communication with said inner space, said fluid passageway being adapted for delivering a pressurized fluid from a fluid source to said inner space; and

a plurality of thermal sensors disposed along an outer surface of said porous membrane for monitoring a temperature at said region of tissue;

wherein said porous membrane allows at least a substantial portion of said pressurized fluid to permeate across said porous wall for ablatively coupling said electrodes to said region of tissue.