Ablation catheter and method for isolating a pulmonary vein

• US 6,899,711 B2
• Filed: 04/16/2003
• Issued: 05/31/2005
• Est. Priority Date: 04/05/1999
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Min, Xiaoyi, Mehra, Rahul, Francischelli, David E., Flickinger, William J., Stewart, Mark T.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US10/414,779
• Publication Number:
  US 20030195506A1
• Time in Patent Office: 776 Days
• Field of Search: 606/41, 606/49, 607/99, 607/113, 607/122
• US Class Current: 606/41
• 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 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1435 Spiral

Abstract

A catheter assembly and method for treatment of cardiac arrhythmia, for example, atrial fibrillation, by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The catheter assembly includes a catheter body and at least one electrode. The catheter body includes a proximal portion, an intermediate portion and a distal portion. The intermediate portion extends from the proximal portion and defines a longitudinal axis. The distal portion extends from the intermediate portion and forms a substantially closed loop transverse to the longitudinal axis. The at least one electrode is disposed along the loop. With this configuration, the loop is axially directed into contact with the chamber wall about the vessel ostium. Upon energization, the electrode ablates a continuous lesion pattern about the vessel ostium, thereby electrically isolating the vessel from the chamber.

Claims

1. A catheter assembly comprising:

a catheter body including a proximal portion, an intermediate portion extending from the proximal portion, the intermediate portion defining a longitudinal axis, and a distal portion extending from the intermediate portion, the distal portion forming a loop including one or more segments formed around a central loop axis, the one or more loop segments including at least one ablation electrode coupled thereto and the central loop axis substantially parallel with the longitudinal axis;

a locating device including a shaft, the shaft including a distal end and a tip formed along the distal end; and

a sheath engaging the catheter body and the locating device, the catheter body and the locating device slidable within the sheath between a retracted position and a deployed position;

wherein, the at least one ablation electrode is adapted to create a lesion, the lesion electrically isolating a vessel from a chamber for treatment of a cardiac arrhythmia; and

when the distal portion of the catheter body and the locating device are deployed, the tip of the shaft of the locating device is positioned distal to the loop of the distal portion of the catheter body and substantially parallel with the, central loop axis.

2. The assembly of claim 1, wherein the central loop axis is substantially aligned with the longitudinal axis.

3. The assembly of claim 1, wherein the central loop axis is substantially offset from the longitudinal axis.

4. The assembly of claim 1, wherein the tip of the shaft of the locating device is substantially aligned with the central loop axis when the distal portion of the catheter body and the locating device are deployed.

5. The assembly of claim 1, wherein the sheath includes a first lumen to slidably engage the catheter body and a second lumen to slidably engage the locating device.

6. The assembly of claim 1, wherein the sheath includes a single lumen to slideably engage both the catheter body and the locating device.

7. The assembly of claim 1, wherein the locating device further includes a plurality of mapping electrodes coupled to the tip of the shaft.

8. The assembly of claim 1, wherein the tip of the shaft of the locating device forms a coil.

9. The assembly of claim 8, wherein the coil has a distally decreasing diameter.

10. The assembly of claim 1, wherein the tip of the shaft of the locating device is substantially straight when retracted within the sheath and forms a coil when deployed.

11. The assembly of claim 10, wherein the tip of the shaft of the locating device includes a core wire.

12. The assembly of claim 11, wherein the core wire is formed from stainless steel.

13. The assembly of claim 11, wherein the core wire is formed from a shape memory alloy.

14. A method for forming an ablation pattern to electrically isolate a pulmonary vein for treatment of cardiac arrhythmia, comprising:

directing a tip of a locating device to locate a pulmonary vein from within a left atrium, the tip extending distal of a distal portion of a catheter body, the locating device and the catheter body slideably engaged by a sheath and the distal portion of the catheter body forming a loop including at least one ablation electrode coupled thereto;

inserting the tip of the locating device into the pulmonary vein to center the loop of the distal portion of the catheter body about an ostium of the pulmonary vein; and

energizing the ablation electrode to form the ablation pattern.

15. The method of claim 14, further comprising:

guiding the sheath, in which the catheter body and the locating device are engaged in a retracted position, into the left atrium;

sliding the catheter body distally out from the sheath to deploy the loop; and

sliding the locating device distally out from the sheath to position the tip of the locating device distal to the loop.

16. The method of claim 14, further comprising mapping an electrical activity of the pulmonary vein with a plurality of mapping electrodes, the plurality of mapping electrodes coupled to the tip of the locating device.

17. A catheter assembly comprising:

a catheter body including a proximal portion, an intermediate portion extending from the proximal portion, the intermediate portion defining a longitudinal axis, and a distal portion extending from the intermediate portion, the distal portion forming a loop including one or more segments formed around a central loop axis, the one or more loop segments including at least one ablation electrode coupled thereto and the central loop axis substantially parallel with the longitudinal axis;

a locating device including a shaft, the shaft including a distal end and a tip formed along the distal end; and

a sheath engaging the catheter body and the locating device, the catheter body and the locating device slidable within the sheath between a retracted position and a deployed position;

wherein, the at least one ablation electrode is adapted to create a lesion, the lesion electrically isolating a vessel from a chamber for treatment of a cardiac arrhythmia; and

when the distal portion of the catheter body and the locating device are deployed, the tip of the shaft of the locating device is positioned distal to the loop of the distal portion of the catheter body, forms a coil, and is substantially aligned with the central loop axis.