Ablation catheter assembly and method for isolating a pulmonary vein

• US 7,285,119 B2
• Filed: 10/20/2003
• Issued: 10/23/2007
• Est. Priority Date: 04/05/1999
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Stewart, Mark T., Skarda, James R.
• Primary Examiner(s): Cohen; Lee S.
• Application Number:
  US10/689,112
• Publication Number:
  US 20040082948A1
• Time in Patent Office: 1,464 Days
• Field of Search: 606/41, 606/49, 607/99, 607/105, 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 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00375 Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1435 Spiral

Abstract

A catheter body includes a proximal portion, an intermediate portion extending from the proximal portion and defining a longitudinal axis, and a distal portion extending from the intermediate portion and terminated by a distal end of the catheter body; the distal portion forms a coil about a central loop axis, which is substantially parallel to the longitudinal axis. A first lumen extends through the proximal and intermediate portions of the catheter body and is terminated at an opening proximal to an ablation section, which is formed along the coil.

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 and terminated by a distal end of the catheter body, the distal portion forming a coil about a central loop axis, the central loop axis substantially parallel to the longitudinal axis,

an ablation section formed along the coil,

wherein the segment, the distal segment being more flexible than the proximal segment such that the distal portion more easily deflects relative to the proximal segment,

a first lumen extending through the proximal portion and the intermediate portion to the distal portion and terminated at an opening proximal to the ablation section;

a second lumen extending through a proximal portion of a catheter body and an intermediate portion of the catheter body and terminating at a closed end distal to the ablation section; and

an ablation electrode formed within the ablation section;

wherein, when the ablation electrode is activated, a lesion is formed in tissue contacting the ablation section.

2. The catheter assembly of claim 1, further comprising a fluid source and wherein the catheter body further includes:

a porous wall including an exterior surface, the porous wall formed about the second lumen in the ablation section;

wherein the fluid source is coupled to the second lumen and, while the ablation electrode is activated, the fluid source supplies a conductive liquid, through the second lumen, to the exterior surface of the ablation section in contact with the tissue, the conductive liquid being energized by the ablation electrode.

3. The catheter assembly of claim 2, wherein the porous wall comprises a microporous polymer.

4. The catheter assembly of claim 3, wherein the microporous polymer comprises expanded polytetrafluoroethylene.

5. The catheter assembly of claim 2, wherein the porous wall comprises a polymer having pores formed therethrough via a secondary process.

6. The catheter assembly of claim 2, wherein the porous wall comprises pores, the pores having, on average, a diameter between approximately 5 microns and approximately 100 microns.

7. The catheter assembly of claim 6, wherein the diameter is between approximately 5 microns and approximately 25 microns.

8. The catheter assembly of claim 1, wherein the central loop axis of the distal portion is substantially aligned with the longitudinal axis formed by the intermediate portion.

9. The catheter assembly of claim 1, further comprising a locating device slideably engaged by the first lumen and a shaping device configured to slide within the second lumen.

10. The catheter assembly of claim 9, wherein the locating device comprises a guide wire.

11. The catheter assembly of claim 1, further comprising a sensing element coupled to the distal portion of the catheter body.

12. The catheter assembly of claim 11, wherein the sensing element is positioned distal to the ablation section.

13. The catheter assembly of claim 11, wherein the sensing element is positioned proximal to the ablation section.

14. The catheter assembly of claim 11, wherein the sensing element comprises an electrode adapted to sense electrical activity of tissue.

15. The catheter assembly of claim 11, wherein the sensing element comprises a thermocouple.

16. The catheter assembly of claim 11, further comprising a second sensing element.

17. The catheter assembly of claim 16, wherein the sensing element is positioned proximal to the ablation section and the second sensing element is positioned distal to the ablation section.

18. The catheter assembly of claim 1, further comprising a guide catheter slideably engaging the catheter body.

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

passing a shaping device through a first lumen extending through a proximal portion of a catheter body and an intermediate portion of the catheter body and terminating at a closed end distal to an ablation section comprising a coil disposed on the catheter body proximate a distal portion of the catheter body and extending from the intermediate portion, wherein the distal portion is more flexible than the remainder of the catheter body such that the distal portion more easily deflects relative to the remainder of the catheter body

passing a locating device through a second lumen extending through a proximal portion of a catheter body and an intermediate portion of the catheter body and terminating in an opening proximal to the ablation section;

passing a distal tip of the locating device through the distal portion of the catheter body to locate a pulmonary vein from within a left atrium; and

advancing the catheter body over the locating device; and

pressing the ablation section against tissue surrounding the pulmonary vein.

20. The method of claim 19, further comprising measuring electrical activity of the tissue via electrodes coupled to the distal portion of the catheter body in proximity to the ablation section.

21. The method of claim 19, further comprising irrigating the ablation section via fluid flow through a second lumen of the catheter body, the second lumen extending through the proximal portion, the intermediate portion and the distal portion of the catheter body.