Ablation catheter assembly with radially decreasing helix and method of use

• US 7,771,421 B2
• Filed: 09/04/2003
• Issued: 08/10/2010
• 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): Gibson; Roy D
• Application Number:
  US10/655,197
• Publication Number:
  US 20040049181A1
• Time in Patent Office: 2,532 Days
• Field of Search: 606 27- 52, 607/122, 607/113
• 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 2018/00065 porous
• 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 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

A catheter assembly for treatment of cardiac arrhythmia. The catheter assembly includes a catheter body and an ablative energy source. The catheter body includes a proximal portion, an intermediate portion, and a distal portion. The intermediate portion extends from the proximal portion and defines a longitudinal axis. The distal portion extends from the intermediate portion and includes an ablation section and a tip. The ablation section forms a loop defining a diameter greater than an outer dimension of a pulmonary vein ostium. The tip extends distally from the ablation section and is configured to locate a pulmonary vein. Finally, the ablative energy source is associated with the ablation section. With this configuration, upon activation of the energy source, the ablation section ablates a desired lesion pattern. In one preferred embodiment, the ablation section forms a distally decreasing radius helix, whereas the tip includes a relatively linear leader section. With this one preferred configuration, the tip readily locates a pulmonary vein and guides the ablation section to a seated relationship about a pulmonary vein ostium (or extra-ostial).

Claims

1. A catheter assembly, comprising:

a catheter body including a proximal portion, an intermediate portion extending from the proximal portion and a distal portion extending from the intermediate portion;

the distal portion forming a distally decreasing radius helix including an ablation section having a predetermined frontal diameter, the ablation section including a plurality of independently operable ablative elements;

a plurality of reference electrodes not coupled to the ablative energy source, the reference electrodes coupled to the distal portion, distal to the ablation section, wherein electrical activity sensed by the electrodes facilitates selective ablation via one or more of the plurality of ablative elements; and

an ablative energy source coupled to the ablation section to activate the ablative elements;

wherein upon activation by the energy source, one or more of the plurality of ablative elements ablates a desired lesion pattern.

2. The catheter assembly of claim 1, further comprising a plurality of reference electrodes coupled to the distal portion, distal to the ablation section;

wherein electrical activity sensed by the electrodes facilitates selective ablation via one or more of the plurality of ablative elements.

3. The catheter assembly of claim 2, further comprising a second plurality of reference electrodes coupled to the distal portion, proximal to the ablation section;

wherein electrical activity sensed by the second plurality of electrodes further facilitates selective ablation via one or more of the plurality of ablative elements.

4. The catheter assembly of claim 1, wherein the ablative elements are arranged within the ablation section whereby a lesion pattern having a partial or quadrant ablation about an extra-ostial perimeter is formed as the desired lesion.

7. The catheter assembly of claim 1 further comprising a shaping wire extending through the distal portion, the shaping wire defining the predetermined frontal diameter.

9. The catheter assembly of claim 1 further comprising a mapping section including the plurality of reference electrodes, the mapping section distal to the ablation section and defining a shape different from the distally decreasing radius helix.

5. A catheter assembly, comprising:

a catheter body including a proximal portion, an intermediate portion extending from the proximal portion and a distal portion extending from the intermediate portion;

the distal portion forming a distally decreasing radius helix including an ablation section and a mapping section distal to the ablation section, the ablation section including a plurality of independently operable ablative elements and the mapping section including a plurality of reference electrodes each in radial alignment with a corresponding one of the ablative elements;

a shaping wire extending through the distal portion to form the ablation section with a predetermined frontal outer diameter corresponding to a diameter of an ostium of a vessel and for forming and positioning a frontal ablative surface of the ablation section about the vessel ostium and the mapping section within a lumen of the vessel;

an ablative energy source coupled to the ablation section to activate the ablative elements;

wherein upon activation by the energy source, one or more of the plurality of ablative elements ablates a desired lesion pattern about the ostium,

electrical activity sensed by the reference electrodes facilitates selective ablation via one or more of the plurality of ablative elements for ablating tissue along the vessel ostium,

the ablation section having a first durometer and the mapping section having a second durometer less than the first durometer.

8. The catheter assembly of claim 5 wherein the shaping wire extends through the mapping section, the shaping wire having a first diameter along the ablation section and a second diameter along the mapping section, the second diameter smaller than the first diameter.

6. A catheter assembly, comprising:

a catheter body including a proximal portion, an intermediate portion extending from the proximal portion and a distal portion extending from the intermediate portion;

the distal portion forming a distally decreasing radius helix including an ablation section, the ablation section including a plurality of independently operable ablative elements; and

an ablative energy source coupled to the ablation section;

wherein upon activation of one or more of the ablation elements by the energy source, the plurality of ablative elements ablates a desired lesion pattern;

a plurality of reference electrodes not coupled to the ablative energy source, the reference electrodes coupled to the distal portion, distal to the ablation section, wherein electrical activity sensed by the electrodes facilitates selective ablation via one or more of the plurality of ablative elements; and

a second plurality of reference electrodes coupled to the distal portion, proximal to the ablation section;

wherein electrical activity sensed by the second plurality of electrodes further facilitates selective ablation via one or more of the plurality of ablative elements;

each of the plurality of reference electrodes aligned radially with a corresponding one of the plurality of ablative elements.