Expandable catheter having two sets of electrodes

• US 7,901,402 B2
• Filed: 05/23/2008
• Issued: 03/08/2011
• Est. Priority Date: 09/11/1997
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Zikorus, Arthur W, Tartaglia, Joseph M, Jones, Christopher S, Farley, Brian E., Parker, Mark P
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US12/126,727
• Publication Number:
  US 20090005775A1
• Time in Patent Office: 1,019 Days
• Field of Search: 606/41, 606/49, 606/50, 607/99, 607/105, 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 2017/00084 Temperature
• CPC Class Codes: A61B 2017/22038 with a guide wire
• 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 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2090/3782 transmitter or receiver in catheter or minimal invasive instrument
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A catheter includes a first plurality of expandable leads and a second plurality of expandable leads separate and longitudinally spaced-apart from the first plurality to deliver energy to a hollow anatomical structure, such as vein, fallopian tube, hemorrhoid, esophageal varix, to effectively ligate that structure. Each of the leads includes an electrode located at the distal end of the respective electrode lead. Polarizations of the leads may be selected to achieve the power distribution desired. Each electrode lead includes an outward bend such that when a movable sheath is moved out of contact with the leads, they expand outwardly into apposition with an inner wall of the structure to be ligated. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes are freely moved inward by the shrinking structure while still maintaining apposition with the inner wall of the shrinking structure.

Claims

1. Apparatus for applying energy to a hollow anatomical structure, said apparatus comprising:

an outer sheath, said outer sheath having a distal end and an inflatable, occlusive balloon located at said distal end of said sheath, said sheath defining an inflation lumen which is in fluid communication with said balloon via at least one port underlying said balloon, said balloon having an inflated state wherein said balloon is of sufficient size to occlude a deep vein in a human leg;

a fluid delivery lumen extending through said outer sheath and distal of said balloon; and

an elongate treatment device extending through said outer sheath;

said elongate treatment device having a distal end located distal of said balloon, said elongate treatment device being configured to apply energy to a wall of said hollow anatomical structure;

wherein said apparatus is adapted for a flow of liquid to pass through said fluid delivery lumen, distal of said balloon and toward said distal end of said elongate treatment device;

wherein said elongate treatment device comprises a catheter having a distal end and first and second pluralities of expandable electrode leads mounted at the distal end, the second plurality of leads being separate from and longitudinally spaced apart from the from the first plurality.

2. The apparatus of claim 1, wherein each lead of the first and second pluralities has an electrode.

3. The apparatus of claim 1, wherein the electrode leads have a strength such that they permit the hollow anatomical structure to shrink but remain in apposition with the shrinking structure.

4. The apparatus of claim 1, further comprising a source of liquid configured to provide said liquid adapted to flow through the lumen, wherein said liquid comprises a dielectric liquid.

5. The apparatus of claim 4, wherein said liquid comprises a mixture of deionized water and heparin.

6. Apparatus for applying energy to a hollow anatomical structure, said apparatus comprising:

a catheter having a shaft with a working end at which energy can be applied to the hollow anatomical structure;

an occlusive balloon mounted near the working end of the catheter;

a first plurality of expandable electrode leads mounted at the working end of the catheter;

a second plurality of expandable electrode leads mounted at the working end of the catheter, the second plurality of leads being separate from the first plurality, each lead of the first and second pluralities having an electrode;

wherein the electrodes of the first and second pluralities each have an expanded position at which the electrodes are located outward from the catheter shaft and a contracted position at which the electrodes are located nearer the shaft;

wherein the first plurality of electrodes are configured to operate at a polarity which differs from that of the second plurality of electrodes;

a deployment device mounted to the catheter, the deployment device having a first position at which the electrodes are in the contracted position and a second position at which the electrodes are in the expanded position;

wherein the electrode leads are formed of a material having a strength selected such that when the sheath is in its second position, the leads are strong enough to move into apposition with the hollow anatomical structure, and the leads have a strength such that they permit the hollow anatomical structure to shrink but remain in apposition with the shrinking structure.

7. The apparatus of claim 6, wherein:

the electrode leads of the first plurality are formed such that they are urged outwardly from the catheter shaft; and

the deployment device comprises a movable sheath having a first position at which the sheath surrounds the first plurality of electrode leads over at least a portion thereof and confines the surrounded leads to a contracted position, the movable sheath having a second position at which the first plurality of electrode leads is permitted to expand outwardly.

8. The apparatus of claim 7, wherein:

the electrode leads of the second plurality are formed such that they are urged outwardly from the catheter shaft;

the movable sheath at its first position also surrounds the second plurality of electrode leads over at least a portion thereof and confines the surrounded leads to a contracted position; and

the movable sheath at its second position permits the second plurality of electrode leads to expand outwardly.

9. The apparatus of claim 7, wherein:

the second plurality of electrode leads is mounted to the catheter proximal to the first plurality;

the movable sheath at its first position in relation to the electrode leads is distal to bends of the first plurality of electrode leads thereby retaining the first and second pluralities in contracted configurations; and

the movable sheath at its second position is proximal to the bends of the first plurality and to bends of the second plurality thereby permitting the first and second pluralities to expand outwardly.

10. The apparatus of claim 7 further comprising a fluid delivery lumen between the catheter shaft and the movable sheath.

11. The apparatus of claim 6, wherein each of the electrode leads of the first and second pluralities is formed with an outward bend that tends to expand the distal portion of each lead outwardly.

12. The apparatus of claim 6, wherein the leads are mounted at the working end in a cantilever arrangement.

13. The apparatus of claim 6, further wherein each of the electrode leads of the first and second pluralities are disposed in relation to the working end such that when in the expanded position, the electrodes of the leads form a substantially symmetric arrangement of substantially evenly spaced electrodes.

14. The apparatus of claim 6, wherein:

each electrode lead is formed of an electrically conductive material insulated along its length; and

each electrode lead includes an outwardly-facing portion at which no insulation is present thereby forming the electrode.

15. The apparatus of claim 6, wherein the first plurality of electrode leads are mounted to a first electrically-conductive mounting ring to which the electrodes of those leads are electrically inter-connected.

16. The apparatus of claim 15, further wherein the second plurality of electrode leads are mounted to a second electrically-conductive mounting ring to which the electrodes of those leads are electrically inter-connected.

17. The apparatus of claim 6, further comprising:

a power source connected to the electrodes;

a controller that controls the power source; and

a temperature sensor mounted to an electrode lead, the temperature sensor providing temperature signals to the controller;

wherein the controller controls the power source in response to the temperature signals.

18. The apparatus of claim 6, further comprising:

a power source connected to the electrodes; and

a controller that controls the output of the power source to the electrode leads;

wherein the controller is adapted to switch the electrical polarity of the leads as selected.

19. The apparatus of claim 6, wherein:

each of the electrode leads of the first and second pluralities is formed with an outward bend that tends to expand the distal portion of each lead outwardly, and each of the leads is are disposed in relation to the working end such that when in the expanded position, the electrodes of the leads form a substantially symmetric arrangement of substantially evenly spaced electrodes; and

each electrode lead is insulated along its length, and each electrode lead includes an outwardly-facing portion at which no insulation is present, thereby forming the electrode which is configured to come into apposition with the hollow anatomical structure.

20. The apparatus of claim 6 further comprising a guide wire lumen configured to accept a guide wire.

21. The apparatus of claim 20, wherein the guide wire lumen is capable of being connected to a fluid delivery system.

22. The apparatus of claim 6, wherein the electrodes of the leads are located distally forward of where the electrodes are mounted to the catheter.

23. The apparatus of claim 6, wherein the electrodes of the first plurality are evenly radially spaced apart when in the expanded position.

24. The apparatus of claim 23, wherein the electrodes of the second plurality are evenly radially spaced apart when in the expanded position.

25. The apparatus of claim 6, wherein the electrodes of the leads are rounded.

26. The apparatus of claim 6, wherein the electrodes of the leads are spoon-shaped, elliptical, or oval.

27. The apparatus of claim 6, wherein the second plurality of leads is longitudinally spaced apart from the first plurality of leads.