Ablation catheter with fluid distribution structures

• US 7,819,868 B2
• Filed: 06/21/2005
• Issued: 10/26/2010
• Est. Priority Date: 06/21/2005
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Thao, Chou, Paul, Saurav, Cao, Hong, Belhe, Kedar R., Stangenes, Todd
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US11/158,944
• Publication Number:
  US 20060287650A1
• Time in Patent Office: 1,953 Days
• Field of Search: 606/41, 606/45, 606/46, 606 48- 50, 607101-105
• 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 2018/00375 Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

An ablation catheter has improved fluid distribution structures. An ablation section at a distal end of the catheter is designed to provide a more uniform fluid flow emanating from the catheter. By creating a uniform fluid flow, a more uniform tissue lesion results and the possibility of charring the tissue is reduced. A combination of mesh material layers, porous materials, and dispersion channels or openings are used to achieve the uniform flow. The amount of fluid used as a virtual electrode to ablate the tissue is greatly reduced with the present invention. Further, the catheter may be used to create a single, uniform linear lesion by successive application of energy to adjacent portions of the ablation section, thus reducing the power required to create the desired lesion.

Claims

1. A catheter with a distal ablation electrode section, the catheter comprising:

a proximal section;

an ablation section at a distal end of the catheter;

a catheter wall defining at least one fluid lumen extending from the proximal section to the ablation section;

an electrode lead positioned within the at least one fluid lumen extending within the ablation section;

at least one dispersion opening within the catheter wall in the ablation section oriented longitudinally along a length of the ablation section, wherein the at least one dispersion opening is in fluid communication with the at least one fluid lumen;

a porous layer covering the at least one dispersion opening; and

a length of mesh material generally coextensive with and positioned adjacent to the at least one dispersion opening on the opposing side of the at least one dispersion opening from the at least one fluid lumen, the mesh material also configured as an electrode, and the mesh material covering the porous layer and configured to allow fluid under pressure to flow through the at least one dispersion opening;

wherein the porous layer is interposed both between the mesh material and the at least one dispersion opening and between the mesh material and the outer surface of the catheter adjacent the at least one dispersion opening.

2. The catheter of claim 1, wherein the mesh material is a conductive material.

3. The catheter of claim 2, wherein the mesh material is selected from a group of materials consisting of:

platinum, platinum/iridium, gold, stainless steel, and carbon fiber.

4. The catheter of claim 1, wherein the porous layer is selected from a group of materials consisting of:

a micro-porous material, a macro-porous material, polyvinyl alcohol (PVA), polytetrafluroethylene (PTFE), expanded polytetrafluroethylene (ePTFE), porous polyethylene, porous polypropylene, and collagen.

5. The catheter of claim 1, wherein the at least one dispersion opening comprises a plurality of portholes arranged linearly and oriented longitudinally along the length of the ablation section of the catheter.

6. The catheter of claim 1, wherein the dispersion opening comprises at least one linear slot oriented longitudinally along a length of the ablation section of the catheter.

7. The catheter of claim 1, wherein the mesh material comprises a first mesh section and a second mesh section and the first mesh section is electrically insulated from the second mesh section.

8. A method of creating a uniform flow of a fluid emanating from an ablation section at a distal end of a catheter, the method comprising

flowing a conductive fluid through a lumen in the catheter, wherein a first pressure drop across the conductive fluid in the lumen is created between a proximal end of the catheter and the ablation section;

flowing the conductive fluid from the lumen through a porous material positioned in the ablation section;

wherein a second pressure drop is created between a first surface of the porous material and a second surface of the porous material; and

wherein the second pressure drop through the porous material is higher than the first pressure drop; and

flowing the conductive fluid through a mesh electrode covering the porous material, the mesh electrode configured as both the only electrode and the only mesh material covering the porous material, the mesh electrode also_securing the porous material on the catheter during flowing of the conductive fluid.

9. A catheter with a distal ablation electrode section, the catheter comprising:

a proximal section;

an ablation section at a distal end of the catheter;

a catheter wall defining at least one fluid lumen extending from the proximal section to the ablation section;

an electrode lead positioned within the at least one fluid lumen extending within the ablation section;

at least one dispersion opening within the catheter wall in the ablation section oriented longitudinally along a length of the ablation section, wherein the at least one dispersion opening is in fluid communication with the at least one fluid lumen;

a porous layer covering the at least one dispersion opening;

a length of mesh material generally coextensive with and positioned adjacent to the at least one dispersion opening on the opposing side of the at least one dispersion opening from the at least one fluid lumen, the mesh material covering the porous layer and configured to allow fluid under pressure to flow through the at least one dispersion opening; and

a retention layer about the distal end of the catheter;

wherein the retention layer defines an elongate aperture generally coextensive with the dispersion opening; and

wherein a perimeter edge of the mesh material is retained between the retention layer adjacent the elongate aperture and an outer surface of the catheter adjacent the at least one dispersion opening.

10. The catheter of claim 9, wherein the retention layer is an insulating shrink wrap tube.

11. A catheter with a distal ablation electrode section, the catheter comprising:

a proximal section;

an ablation section at a distal end of the catheter;

a catheter wall defining at least one fluid lumen extending from the proximal section to the ablation section;

an electrode lead positioned within the at least one fluid lumen extending within the ablation section;

at least one dispersion opening within the catheter wall in the ablation section oriented longitudinally along a length of the ablation section, wherein the at least one dispersion opening is in fluid communication with the at least one fluid lumen;

a porous layer covering the at least one dispersion opening;

a length of mesh material generally coextensive with and positioned adjacent to the at least one dispersion opening on the opposing side of the at least one dispersion opening from the at least one fluid lumen, the mesh material covering the porous layer and configured to allow fluid under pressure to flow through the at least one dispersion opening; and

wherein the porous layer is interposed both between the mesh material and the at least one dispersion opening and between the mesh material and the outer surface of the catheter adjacent the at least one dispersion opening.

12. The catheter of claim 11, wherein the porous layer is selected from a group of materials consisting of:

a micro-porous material, a macro-porous material, polyvinyl alcohol (PVA), polytetrafluroethylene (PTFE), expanded polytetrafluroethylene (ePTFE), porous polyethylene, porous polypropylene, and collagen.

13. A catheter with a distal ablation electrode section, the catheter comprising:

a proximal section;

an ablation section at a distal end of the catheter;

a catheter wall defining at least one fluid lumen extending from the proximal section to the ablation section;

an electrode lead positioned within the at least one fluid lumen extending within the ablation section;

at least one dispersion opening within the catheter wall in the ablation section oriented longitudinally along a length of the ablation section, wherein the at least one dispersion opening is in fluid communication with the at least one fluid lumen;

a porous layer covering the at least one dispersion opening;

a length of mesh material generally coextensive with and positioned adjacent to the at least one dispersion opening on the opposing side of the at least one dispersion opening from the at least one fluid lumen, the mesh material also configured as an electrode, and the mesh material covering the porous layer and configured to allow fluid under pressure to flow through the at least one dispersion opening;

wherein the porous layer is interposed both between the mesh material and the at least one dispersion opening and between the mesh material and the outer surface of the catheter adjacent the at least one dispersion opening;

a retention layer about the distal end of the catheter;

wherein the retention layer defines an elongate aperture generally coextensive with the dispersion opening; and

wherein a perimeter edge of the mesh material is retained between the retention layer adjacent the elongate aperture and an outer surface of the catheter adjacent the at least one dispersion opening.

14. The catheter of claim 13, wherein the retention layer is an insulating shrink wrap tube.

15. The catheter of claim 13, wherein the mesh material is a conductive material.

16. The catheter of claim 15, wherein the mesh material is selected from a group of materials consisting of:

platinum, platinum/iridium, gold, stainless steel, and carbon fiber.

17. The catheter of claim 13, wherein the porous layer is selected from a group of materials consisting of:

a micro-porous material, a macro-porous material, polyvinyl alcohol (PVA), polytetrafluroethylene (PTFE), expanded polytetrafluroethylene (ePTFE), porous polyethylene, porous polypropylene, and collagen.

18. The catheter of claim 13, wherein the at least one dispersion opening comprises a plurality of portholes arranged linearly and oriented longitudinally along the length of the ablation section of the catheter.

19. The catheter of claim 13, wherein the dispersion opening comprises at least one linear slot oriented longitudinally along a length of the ablation section of the catheter.

20. The catheter of claim 13, wherein the mesh material comprises a first mesh section and a second mesh section and the first mesh section is electrically insulated from the second mesh section.