System for creating linear lesions for the treatment of atrial fibrillation

• US 7,037,306 B2
• Filed: 06/30/2003
• Issued: 05/02/2006
• Est. Priority Date: 06/30/2003
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Pendekanti, Rajesh, Podany, Vaclav
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US10/609,692
• Publication Number:
  US 20040267167A1
• Time in Patent Office: 1,037 Days
• Field of Search: 606/27, 606/28, 606 32- 34, 606 37- 41, 606 48- 50, 600/437, 600/439, 600/459, 600/462, 601/2, 601/3
• US Class Current: 606/27
• CPC Class Codes: A61B 17/22004 using mechanical vibrations, e.g. ultrasonic shock waves A61B17/225 takes precedence
• CPC Class Codes: A61B 17/2202 the ultrasound transducer being inside patient's body at the distal end of the catheter
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00247 Making holes in the wall of the heart, e.g. laser Myocardial revascularization
• CPC Class Codes: A61B 2017/22027 Features of transducers
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2018/00392 Transmyocardial revascularisation

Abstract

A system for forming linear lesions in tissue, the system comprising a control unit having an ultrasound vibration driving section, and an ultrasonic applicator operatively connected to the control unit. The ultrasonic applicator comprises an ultrasonic transducer having an acoustic window, and an ultrasonic vibratory element, the ultrasonic vibratory element having a convergent shape with a focus located in the direction of the acoustic window. An air gap is adjacent to the ultrasonic vibratory element in an opposite direction from the focal point. The system further comprises means for controlling the depth of the lesion formed in the tissue.

Claims

1. A system for forming linear lesions in tissue, the system comprising:

a control unit, the control unit having an ultrasonic generator;

an ultrasonic applicator operatively connected to the control unit, the ultrasonic applicator comprising;

an ultrasonic transducer having an acoustic window;

an ultrasonic vibratory element, the ultrasonic vibratory element having a focusing shape with a focus located in the direction of the acoustic window;

an air gap adjacent to the ultrasonic vibratory element in an opposite direction from the focal point; and

a porous section adjacent a bottom surface, the porous section capable of holding a supply of marking ink, whereby the location of the lesion is indicated by the marking ink when the transducer is applied to the tissue surface; and

the system further comprising means for controlling the depth of the lesion formed in the tissue.

2. The system according to claim 1, wherein the control unit further comprises a cooling section, and the ultrasonic applicator further comprising a passage for communicating cooling fluid from the cooling section to the ultrasonic transducer.

3. The system according to claim 1, wherein the control unit further comprises a lesion monitoring section operatively connected to the ultrasonic transducer.

4. The system according to claim 1, wherein the means for controlling the depth of the lesion formed in the tissue comprises means for applying RF energy to the tissue.

5. The system according to claim 1, wherein the means for controlling the depth of the lesion formed in the tissue comprises means for adjusting the focal length of the ultrasonic applicator.

6. The system according to claim 1, wherein the means for controlling the depth of the lesion formed comprises means for adjusting the distance between the ultrasonic vibratory element and the acoustic window.

7. The system according to claim 1, wherein the control unit further comprises an RF generator operatively connected to the ultrasonic transducer.

8. An ultrasonic applicator comprising:

an ultrasonic transducer having an acoustic window;

an ultrasonic vibratory element, the ultrasonic vibratory element having a focusing shape with a focus located in the direction of the acoustic window;

an air gap adjacent to the piezoelectric crystal in an opposite direction from the focal point;

a porous section adjacent a bottom surface, the porous section capable of holding a supply of marking ink, whereby the location of the lesion is indicated by the marking ink when the transducer is applied to the tissue surface; and

means for controlling the depth of the lesion formed in the tissue.

9. The ultrasonic applicator according to claim 8, wherein the means for controlling the depth of the lesion formed comprises means for adjusting the focal length of the ultrasonic applicator.

10. The ultrasonic applicator according to claim 8, wherein the means for controlling the depth of the lesion formed comprises means for adjusting the distance between the ultrasonic vibratory element and the acoustic window.