Magnetically guidable energy delivery apparatus and method of using same

• US 8,092,450 B2
• Filed: 01/26/2007
• Issued: 01/10/2012
• Est. Priority Date: 01/21/2003
• Status: Active Grant

• Current Assignee: Boston Scientific Medical Device Limited (Boston Scientific Corporation), Stereotaxis, Inc.
• Original Assignee: Baylis Medical Company Inc. (Boston Scientific Corporation), Stereotaxis, Inc.
• Inventors: Davies, Gareth, Albert, Kelly, Munger, Gareth Torrey, Pandey, Ashwini, Viswanathan, Raju
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): Scott, Amanda
• Application Number:
  US11/627,406
• Publication Number:
  US 20070123964A1
• Time in Patent Office: 1,810 Days
• Field of Search: 606 20- 52, 128/898, 600/373, 607/116
• 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 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers
• CPC Class Codes: A61N 1/05 for implantation or insertion into the body, e.g. heart electrode A61N1/06 takes precedence

Abstract

An energy delivery apparatus for delivering electrical energy at a target location, the energy delivery apparatus being usable in combination with a magnetic field. The energy delivery apparatus includes an electrical conductor, the electrical conductor having a substantially elongated configuration; an electrode for delivering the electrical energy at the target location, the electrode being electrically coupled to the electrical conductor and located at a predetermined location therealong; and a guiding element mounted to the electrical conductor in a substantially spaced apart relationship relative to the electrode, the guiding element including a magnetically responsive material. The energy delivery apparatus is constructed such that a movement of the guiding element causes a corresponding movement of the electrode. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.

Claims

1. An energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field, said energy delivery apparatus comprising:

an electrical conductor, said electrical conductor having an elongated configuration;

an electrode for delivering said electrical energy at said target location, said electrode being electrically coupled to said electrical conductor and located at a predetermined location therealong; and

a guiding element mounted to said electrical conductor in a longitudinally spaced apart relationship relative to said electrode, said guiding element including at least two guiding components longitudinally spaced apart relative to each other, each of said guiding components being mounted to said electrical conductor and including a respective magnetically responsive material;

wherein said energy delivery apparatus is constructed such that movement of said guiding element causes a corresponding movement of said electrode;

whereby said magnetic field is used to move said guiding element in order to position said electrode adjacent to said target location.

2. An energy delivery apparatus as defined in claim 1, further comprising a heat shield made out of a thermally insulating material, said heat shield being located, at least in part, between said electrode and said guiding element.

3. An energy delivery apparatus as defined in claim 2, wherein said thermally insulating material is polytetrafluoroethylene (PTFE).

4. An energy delivery apparatus as defined in claim 2, wherein said heat shield extends longitudinally from said electrode.

5. An energy delivery apparatus as defined in claim 1, wherein said electrical conductor defines a conductor proximal end and a longitudinally opposed conductor distal end, said electrical conductor being more flexible adjacent said conductor distal end than adjacent said conductor proximal end.

6. An energy delivery apparatus as defined in claim 1, further comprising an electrically insulating material covering said electrical conductor, said electrode being deprived of said electrically insulating material.

7. An energy delivery apparatus as defined in claim 6, further comprising

a first electrically insulating layer made out of a first electrically insulating material, said first electrically insulating layer covering a first section of said electrical conductor;

and

a second electrically insulating layer made out of a second electrically insulating material, said second electrically insulating layer covering a second section of said electrical conductor, said second section being located distally relatively to said first section;

wherein said second electrically insulating layer is thinner than said first electrically insulating layer.

8. An energy delivery apparatus as defined in claim 6, wherein said first electrically insulating material is more lubricious than said second electrically insulating material.

9. An energy delivery apparatus as defined in claim 1, wherein said electrode is located adjacent to said conductor distal end.

10. A method for delivering electrical energy at a target location using an energy delivery apparatus, said method using a magnetic field, said target location being located in a body of a patient, said body including a body vessel, said energy delivery apparatus being elongated, said energy delivery apparatus defining an apparatus proximal end and a longitudinally opposed apparatus distal end, said energy delivery apparatus including an elongated electrical conductor, an electrode electrically coupled to said electrical conductor and a magnetically responsive material mounted to said electrical conductor;

said method comprising;

inserting said apparatus distal end into said body vessel;

applying said magnetic field to exert a magnetic force onto said magnetically responsive material so as to move said electrode;

guiding said electrode to an electrode location, said electrode location being adjacent to said target location; and

delivering said electrical energy at said target location through said electrode;

wherein said body vessel defines a vessel wall, said method further comprising advancing said apparatus distal end through a section of said vessel wall.

11. A method as defined in claim 10, further comprising advancing said apparatus distal end back into said body vessel after advancing said apparatus distal end through said section of said vessel wall.

12. An energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field, said energy delivery apparatus comprising:

an electrical conductor, said electrical conductor having an elongated configuration;

said electrical conductor defining a conductor wider section and a conductor narrower section, said conductor narrower section being positioned distally relatively to said conductor wider section, said conductor wider section having a cross-sectional area larger than a cross-sectional area of said conductor narrower section;

an electrode for delivering said electrical energy at said target location, said electrode being electrically coupled to said electrical conductor and located at a predetermined location therealong; and

a guiding element mounted to said conductor narrower section in a longitudinally spaced apart relationship relative to said electrode, said guiding element including a magnetically responsive material;

wherein said energy delivery apparatus is constructed such that movement of said guiding element causes a corresponding movement of said electrode;

whereby said magnetic field is used to move said guiding element in order to position said electrode adjacent to said target location.

13. An energy delivery apparatus as defined in claim 12, wherein a distal region of said energy delivery apparatus has a constant outer diameter, said distal region including said conductor narrower section and at least a portion of said conductor wider section.

14. An energy delivery apparatus as defined in claim 12, further comprising a heat shield made out of a thermally insulating material, said heat shield being located, at least in part, between said electrode and said guiding element.

15. An energy delivery apparatus as defined in claim 12, wherein said electrical conductor defines a conductor proximal end and a longitudinally opposed conductor distal end, said electrical conductor being more flexible adjacent said conductor distal end than adjacent said conductor proximal end.