Ablation catheter and method for isolating a pulmonary vein

• US 6,949,097 B2
• Filed: 04/16/2003
• Issued: 09/27/2005
• 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:
  US10/414,800
• Publication Number:
  US 20030195507A1
• Time in Patent Office: 895 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
• 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 body of a catheter assembly includes a proximal portion, an intermediate portion extending from the proximal portion, a distal portion extending from the intermediate portion, and a locating device including a distal tip extending from the distal portion of the catheter body. The intermediate portion defines a longitudinal axis and the distal portion forms a loop including one or more loop segments formed around a central loop axis. The central loop axis is substantially parallel with the longitudinal axis and the one or more loop segments include at least one ablation electrode coupled thereto and adapted to create a lesion, the lesion electrically isolating a vessel from a chamber for treatment of a cardiac arrhythmia. The distal tip of the locating device is substantially parallel with the central loop axis.

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 loop segments formed around a central loop axis, the on or more loop segments including at least one ablation electrode coupled thereto and the central loop axis substantially parallel with the longitudinal axis; and

a locating device including a distal tip extending from the distal portion of the catheter body, the distal tip substantially parallel with the central loop axis;

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.

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

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

4. The assembly of claim 1, wherein the distal tip is substantially aligned with the central loop axis.

5. The assembly of claim 1, wherein the intermediate portion includes a proximal segment and a distal segment, the distal segment more flexible than the proximal segment.

6. The assembly of claim 5, wherein the catheter body further includes an internal pull wire to effectuate deflection of the distal segment of the intermediate portion.

7. The assembly of claim 6, wherein the pull wire is anchored in the distal segment.

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

9. The assembly of claim 1, wherein the distal tip of the locating device forms a coil.

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

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

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

inserting the distal tip into the pulmonary vein to center the loop about an ostium of the pulmonary vein; and

energizing the ablation electrode to form the ablation pattern.

12. The method of claim 11, further comprising mapping an electrical activity of the pulmonary vein with a plurality of mapping electrodes, the plurality of mapping electrodes coupled to the distal tip.

13. 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 loop 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, and offset from the longitudinal axis; and

a locating device including a distal tip extending from the distal portion of the catheter body, the distal tip substantially aligned with the longitudinal axis;

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.

14. The catheter assembly of claim 13, wherein the distal tip of the locating device forms a coil.