Conduction block verification probe and method of use

• US 7,542,807 B2
• Filed: 07/20/2005
• Issued: 06/02/2009
• Est. Priority Date: 12/04/2001
• Status: Expired due to Term

• Current Assignee: Atricure, Inc.
• Original Assignee: Endoscopic Technologies Incorporated (Atricure, Inc.)
• Inventors: Geyster, Steve, Bertolero, Arthur A., Ibrahim, Tamer, Williams, Mathew
• Primary Examiner(s): Layno; Carl H
• Assistant Examiner(s): LEE, YUN H
• Application Number:
  US11/186,149
• Publication Number:
  US 20060015165A1
• Time in Patent Office: 1,413 Days
• Field of Search: 607/9, 607/74
• US Class Current: 607/119
• CPC Class Codes: A61B 1/12 with cooling or rinsing arrangements
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/20 using laser
• 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 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00363 : Epicardium
• CPC Class Codes: A61B 2018/00375 : Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/00404 : Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00577 : Ablation
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00982 : combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/0225 : using an instrument for clamping tissue, e.g. forceps
• CPC Class Codes: A61B 2018/0262 : using a circulating cryogenic fluid
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2090/373 : using light, e.g. by using optical scanners
• CPC Class Codes: A61B 2090/378 : using ultrasound
• CPC Class Codes: A61B 5/0536 : Impedance imaging, e.g. by tomography
• CPC Class Codes: A61B 5/6852 : Catheters
• CPC Class Codes: A61N 1/05 : for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence
• CPC Class Codes: A61N 1/0587 : Epicardial electrode systems; Endocardial electrodes piercing the pericardium

Abstract

Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often to be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure.

Claims

1. A bipolar conduction block verification probe comprising:

an elongate probe shaft having a proximal end and a distal end;

a first pacing electrode and a second pacing electrode exposed on a distal-facing surface at the distal end of the elongate probe shaft; and

a first wire connected to the first pacing electrode and extending through the elongate probe shaft to a first electrical connector configured for connection to an external bipolar pacing pulse generator and a second wire connected to the second pacing electrode and extending through the elongate probe shaft to a second electrical connector configured for connection to the external bipolar pacing pulse generator,

wherein the elongate probe shaft includes a malleable member capable of being bent to a desired configuration and maintaining the desired configuration, wherein the elongate probe shaft is configured with a polymer tube having a first lumen and a second lumen, and wherein the malleable member is an elongated member that extends through the first lumen and the first wire and the second wire extend through the second lumen.

2. The bipolar conduction block verification probe of claim 1, further comprising:

an external bipolar pacing pulse generator connected to the first pacing electrode and the second pacing electrode through the first electrical connector and the second electrical connector, wherein the external bipolar pacing pulse generator is capable of transmitting electrical pacing pulses of variable amplitude up to 20 mA and 10 V in amplitude to pace the heart above normal sinus rhythm up to 200 beats per minute.

3. The bipolar conduction block verification probe of claim 1, further comprising an insulating spacer separating the first pacing electrode and the second pacing electrode.

4. The bipolar conduction block verification probe of claim 3, wherein the first pacing electrode is configured with a first ball-shaped tip extending approximately 1 mm from a distal surface of the insulating spacer and the second pacing electrode is configured with a second ball-shaped tip extending approximately 1 mm from the distal surface of the insulating spacer, with the first ball-shaped tip spaced apart from the second ball-shaped tip by approximately 2 mm.