Apparatus for mapping and coagulating soft tissue in or around body orifices

• US 6,529,756 B1
• Filed: 11/22/1999
• Issued: 03/04/2003
• Est. Priority Date: 11/22/1999
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Swanson, David K., Jenkins, Thomas R., Thompson, Russell B., Koblish, Josef V., Phan, Huy D.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/447,182
• Time in Patent Office: 1,198 Days
• Field of Search: 606/41, 606/49, 600/374, 600/381, 607/99, 607/105, 607/113, 607/122
• US Class Current: 600/374
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• 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 2018/00065 porous
• 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 2018/0016 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 2018/00238 porous
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61M 2025/105 having a balloon suitable for drug delivery, e.g. by using holes for delivery, drug coating or membranes
• CPC Class Codes: A61M 2025/1086 having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves

Abstract

A probe that may be used to create circumferential lesions in body tissue and, in some implementations, may also be used to perform mapping functions. The probe includes a collapsible/expandable structure that supports electrodes or other operative elements against the body tissue.

Claims

1. A probe, comprising:

a support body;

an expandable/collapsible tissue coagulation structure supported on the support body; and

an expandable/collapsible mapping basket supported on the support body distally of the expandable/collapsible tissue coagulation structure.

2. A probe as claimed in claim 1, wherein the support body comprises a catheter.

3. A probe as claimed in claim 1, wherein the expandable/collapsible tissue coagulation structure comprises an inflatable structure.

4. A probe as claimed in claim 3, wherein the inflatable structure defines an interior and the support body includes a fluid lumen operably connected to the interior of the inflatable structure.

5. A probe as claimed in claim 3, wherein the inflatable structure comprises a non-porous, relatively thermally conductive structure.

6. A probe as claimed in claim 5, further comprising:

a fluid heating element located within the interior of the inflatable structure.

7. A probe as claimed in claim 3, wherein the inflatable structure comprises a porous structure.

8. A probe as claimed in claim 7, wherein the porous structure includes a porous region and a non-porous region.

9. A probe as claimed in claim 7, further comprising:

an electrode located within the interior of the inflatable structure.

10. A probe as claimed in claim 3, wherein the inflatable structure defines a proximal end and a distal end and includes a porous region between the proximal and distal ends, a proximal non-porous region extending from the proximal end to the porous region and a distal non-porous region extending from the distal end to the porous region.

11. A probe as claimed in claim 10, wherein the inflatable structure defines a teardrop shape having an area of maximum diameter and the porous region occupies the area of maximum diameter.

12. A probe as claimed in claim 3, wherein the inflatable structure defines a teardrop shape.

13. A probe as claimed in claim 1, wherein the expandable/collapsible tissue coagulation structure comprises a hoop structure and at least one operative element supported on the hoop structure.

14. A probe as claimed in claim 13, wherein the support body defines a longitudinal axis and the hoop structure defines a plane perpendicular to the longitudinal axis.

15. A probe as claimed in claim 13, wherein the hoop structure comprises a hoop spline and at least first and second support splines.

16. A probe as claimed in claim 15, wherein the hoop structure collapses in response to movement of the first and second support splines in opposite directions.

17. A probe as claimed in claim 16, wherein the support body comprises a first support body member defining an inner lumen and a second support body member movable within the inner lumen, the first support spline is operably connected to the first support body member, and the second support spline is operably connected to the second support body member.

18. A probe as claimed in claim 13, wherein the hoop structure comprises a hoop spline, a plurality of support splines, and first and second proximally extending stylets.

19. A probe as claimed in claim 18, wherein the hoop structure collapses in response to movement of the first and second stylets in opposite directions.

20. A probe as claimed in claim 13, wherein the hoop structure comprises a helical support structure.

21. A probe as claimed in claim 13, wherein the at least one operative element comprises a plurality of spaced electrodes.

22. A probe as claimed in claim 1, wherein the expandable/collapsible mapping basket comprises at least two splines respectively supporting at least two electrodes.

23. A probe as claimed in claim 22, wherein the expandable/collapsible. mapping basket comprises four splines respectively supporting at least two electrodes.

24. A probe as claimed in claim 1, wherein the expandable/collapsible mapping basket is at least about 3 cm from the expandable/collapsible tissue coagulation structure.

25. A probe as claimed in claim 1, wherein the expandable/collapsible mapping basket is about 3 cm to about 5 cm from the expandable/collapsible tissue coagulation structure.

26. A probe, comprising:

a support body;

an inflatable tissue coagulation structure supported on the support body; and

a mapping structure supported on the support body distally of, and at least approximately 3 cm from, the inflatable tissue coagulation structure.

27. A probe as claimed in claim 26, wherein the support body comprises a catheter.

28. A probe as claimed in claim 26, wherein the inflatable structure defines an interior and the support body includes a fluid lumen operably connected to the interior of the inflatable structure.

29. A probe as claimed in claim 26, wherein the inflatable structure comprises a non-porous, relatively thermally conductive structure.

30. A probe as claimed in claim 29, further comprising:

a fluid heating element located within the interior of the inflatable structure.

31. A probe as claimed in claim 26, wherein the inflatable structure comprises a porous structure.

32. A probe as claimed in claim 31, wherein the porous structure includes a porous region and a non-porous region.

33. A probe as claimed in claim 31, further comprising:

an electrode located within the interior of the inflatable structure.

34. A probe as claimed in claim 26, wherein the inflatable structure defines a proximal end and a distal end and includes a porous region between the proximal and distal ends, a proximal non-porous region extending from the proximal end to the porous region and a distal non-porous region extending from the distal end to the porous region.

35. A probe as claimed in claim 34, wherein the inflatable structure defines a teardrop shape having an area of maximum diameter and the porous region occupies the area of maximum diameter.

36. A probe as claimed in claim 26, wherein the inflatable structure defines a teardrop shape.

37. A probe as claimed in claim 26, wherein the mapping structure comprises a plurality of mapping structure electrodes, at least one of the mapping structure electrodes defines a mapping structure electrode that is closest to the inflatable tissue coagulation structure, and the mapping structure electrode that is closest to the inflatable tissue coagulation structure is at least approximately 3 cm from the inflatable tissue coagulation structure.

38. A probe, comprising:

a support body;

an inflatable tissue coagulation structure supported on the support body; and

an expandable/collapsible mapping basket supported on the support body distally of, and at least approximately 3 cm from, the inflatable tissue coagulation structure.

39. A probe as claimed in claim 38, wherein the expandable/collapsible mapping basket comprises at least two splines respectively supporting at least two electrodes.