Ablation catheter with tissue protecting assembly

• US 7,569,052 B2
• Filed: 09/12/2003
• Issued: 08/04/2009
• Est. Priority Date: 09/12/2003
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Phan, Huy, Swanson, David
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/660,820
• Publication Number:
  US 20050059962A1
• Time in Patent Office: 2,153 Days
• Field of Search: 606 27- 52
• US Class Current: 606/35
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• 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 2018/00065 porous
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00238 porous
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2090/0436 Shielding
• CPC Class Codes: A61B 5/283 Invasive

Abstract

A medical probe includes an elongate member having a proximal end and a distal end, an ablative element mounted to the distal end of the elongate member, and a cage assembly mounted to the distal end of the elongate member, the cage assembly at least partially covers the ablative element. A method of treating tissue in a body includes inserting an ablative element in the body, placing the ablative element adjacent the tissue, and maintaining a distance between the ablative element and the tissue using a protective catheter element that circumscribes at least a portion of the ablative element.

Claims

1. A tissue ablation system, comprising:

an elongate member having a proximal end and a distal end;

a ground electrode element mounted to the distal end of the elongate member, the ground electrode element being exposed to contact bodily fluid;

a protective element mounted to the distal end of the elongate member, wherein the protective element at least partially covers the ground electrode element to prevent the ground electrode element from contacting adjacent solid tissue, and wherein the protective element is incapable of conveying electrical energy between the solid tissue and the ground electrode element; and

an ablation electrode element configured for being positioned adjacent a target tissue region, such that electrical energy, when conveyed between the ablation electrode element and the ground electrode element, ablates the target tissue region without ablating the solid tissue adjacent the ground electrode element;

wherein the protective element comprises a cage assembly, and

wherein the cage assembly comprises a ring element that coaxially surrounds and is slidable relative to the elongate member.

2. The tissue ablation system of claim 1, wherein the cage assembly includes a proximal end, a distal end, and a plurality of struts secured between the proximal end and the distal end.

3. The tissue ablation system of claim 1, wherein one of the proximal end and the distal end of the cage assembly comprises the ring element, and the other of the proximal end and distal end is fixedly secured to the elongate member.

4. The tissue ablation system of claim 3, wherein the proximal end of the cage assembly comprises the ring element, and the distal end of the cage assembly is fixedly secured to the elongate member.

5. The tissue ablation system of claim 3, wherein the distal end of the cage assembly comprises the ring element, and the proximal end of the cage assembly is fixedly secured to the elongate member.

6. The tissue ablation system of claim 1, further comprising a sleeve having a lumen in which the elongate member is slidably disposed.

7. The tissue ablation system of claim 1, wherein the protective element has an expanded configuration when outside the lumen of the sleeve and a collapsed configuration when inside the lumen of the sleeve.

8. The tissue ablation system of claim 1, wherein the protective element is made from an electrically non-conductive material.

9. The tissue ablation system of claim 1, wherein the protective element comprises a braided or woven structure.

10. The tissue ablation system of claim 1, further comprising a steering mechanism for steering the distal end of the elongate member.

11. The tissue ablation system of claim 1, wherein the elongate member is a catheter member.

12. The tissue ablation system of claim 1, wherein the protective element circumscribes the ground electrode element.

13. The tissue ablation system of claim 1, further comprising a tissue ablation source having a positive terminal coupled to the ablation electrode element, and a negative terminal coupled to the ground electrode element.

14. The tissue ablation system of claim 1, wherein the ground electrode element and the ablation electrode element are configured for contacting opposite surfaces of a wall.

15. The tissue ablation system of claim 1, further comprising another elongated member having a distal end to which the ablation electrode element is mounted.

16. The tissue ablation system of claim 1, wherein the protective element is electrically insulated from the ground electrode element, such that the only electrical path between ground electrode element and the solid tissue can be formed through the bodily fluid.

17. The tissue ablation system of claim 1, wherein the protective element is configured for being completely electrically insulated from the solid tissue when in contact with the solid tissue.

18. The tissue ablation system of claim 1, wherein the protective element does not hinder the ablation electrode element from contacting the target tissue region.