Expandable-collapsible electrode structures made of electrically conductive material

• US 6,736,811 B2
• Filed: 06/11/2002
• Issued: 05/18/2004
• Est. Priority Date: 01/19/1996
• Status: Expired due to Term

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Panescu, Dorin, Kordis, Thomas F., Swanson, David K., Whayne, James G.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US10/170,988
• Publication Number:
  US 20030093069A1
• Time in Patent Office: 707 Days
• Field of Search: 606/34, 606/41, 606/49, 607/98, 607/99, 607/105, 607/113, 607/122, 600/374
• US Class Current: 606/34
• 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 2017/00053 Mapping
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• 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 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00113 with foam
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61L 29/085 Macromolecular materials
• CPC Class Codes: A61L 29/145 Hydrogels or hydrocolloids
• CPC Class Codes: A61L 31/10 : Macromolecular materials
• CPC Class Codes: A61L 31/145 : Hydrogels or hydrocolloids
• CPC Class Codes: A61N 1/056 : Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/06 : for high-frequency therapy
• CPC Class Codes: C08L 1/02 : Cellulose; Modified cellulose

Abstract

Electrode assemblies and associated systems employ a nonporous wall having an exterior for contacting tissue. The exterior peripherally surrounds an interior area. The wall is essentially free of electrically conductive material. The wall is adapted to assume an expanded geometry having a first maximum diameter and a collapsed geometry having a second maximum diameter less than the first maximum diameter. The assemblies and systems include a lumen that conveys a medium containing ions into the interior area. An element free of physical contact with the wall couples the medium within the interior area to a source of electrical energy to enable ionic transport of electrical energy from the source through the medium to the wall for capacitive coupling to tissue contacting the exterior of the wall.

Claims

1. An electrode assembly for ablation of heart tissue, comprising:

a catheter tube having a distal end;

a body having a wall, a proximal end secured to the distal end of the catheter tube, and a distal end that is distal to the distal end of the catheter tube, the body capable of assuming an expanded geometry having a first diameter and a collapsed geometry having a second diameter less than the first diameter, the expanded geometry having a profile that resembles a circular or an elliptical shape; and

an electrically conductive material located within the wall of the body, thereby creating an electrically conductive body having a resistivity for ablation of a tissue.

2. The electrode assembly of claim 1, wherein the resistivity is selected for creating a desired lesion dimension.

3. The electrode assembly of claim 2, wherein the lesion dimension is a lesion depth.

4. The electrode assembly of claim 1, wherein the resistivity of the electrically conductive body is achieved by including a desired amount of the conductive material within the wall.

5. The electrode assembly of claim 1, wherein all or at least a portion of the wall is coextruded with the electrically conductive material.

6. The electrode assembly of claim 1, wherein the electrically conductive material is a member from the group consisting of carbon black and chopped carbon fiber.

7. The electrode assembly of claim 1, further including an electrically conductive shell carried by the electrically conductive body and electrically coupled thereto.

8. The electrode assembly of claim 1, wherein the electrically conductive body has a resistivity close to the resistivity of body tissue.

9. The electrode assembly of claim 1, further comprising at least one temperature sensing element carried by the electrically conductive body.

10. The electrode assembly of claim 9, wherein the at least one temperature sensing element is attached to an interior surface of the electrically conductive body.

11. The electrode assembly of claim 9, wherein the at least one temperature sensing element is attached to an exterior surface of the electrically conductive body.

12. The electrode assembly of claim 1, wherein the wall of the electrically conductive body is non-conductive.

13. A method of ablating heart tissue, comprising:

providing an ablation device having a catheter tube and a body, the body having a wall and an electrically conductive material located in the wall, thereby creating an electrically conductive body having a resistivity for ablation of a tissue, the electrically conductive body capable of assuming an expanded geometry having a first diameter and a collapsed geometry having a second diameter less than the first diameter, the body having a proximal end secured to a distal end of the catheter tube, and a distal end that is distal to the distal end of the catheter tube;

expanding the electrically conductive body so that the electrically conductive body is in contact with heart tissue;

ablating the heart tissue by transmitting ablation energy to the heart tissue through the electrically conductive body.

14. The method of claim 13, wherein the electrically conductive body has a resistivity based on a desired lesion dimension.

15. The method of claim 13, wherein all or at least a portion of the wall is coextruded with the electrically conductive material.

16. The method of claim 13, wherein the electrically conductive material is a member from the group consisting of carbon black and chopped carbon fiber.

17. The method of claim 13, wherein the ablating includes transmitting energy to heart tissue by an electrically shell carried by the electrically conductive body and electrically coupled thereto.

18. The method of claim 13, wherein the wall of the conductive body is non-conductive.

19. A method of manufacturing an ablation device, comprising:

determining a desired lesion dimension to be created by the conductive body;

selecting a material having a resistivity for creating the desired lesion dimension; and

providing a body capable of assuming an expanded geometry having a first diameter and a collapsed geometry having a second diameter less than the first diameter; and

disposing the selected material within a wall of the body; and

securing a proximal end of the body to a distal end of a catheter tube, such that a distal end of the body is distal to the distal end of the catheter tube.

20. The method of claim 19, wherein the lesion dimension is a lesion depth.

21. The method of claim 19, wherein the selecting comprises choosing a material from a group consisting of carbon black and chopped carbon fiber.

22. The method of claim 19, wherein the selecting comprises choosing a material having a resistivity close to the resistivity of body tissue.

23. The method of claim 19, further comprising disposing an electrically conductive shell on the wall.

24. The method of claim 19, wherein the wall of the body is non-conductive.