Irrigated ablation electrode assembly and method for control of temperature

• US 8,128,621 B2
• Filed: 11/30/2007
• Issued: 03/06/2012
• Est. Priority Date: 05/16/2005
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Wang, Huisun, Dando, Jeremy D., Puryear, Harry
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US11/948,362
• Publication Number:
  US 20080071267A1
• Time in Patent Office: 1,558 Days
• Field of Search: 606/41
• 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 2018/00577 Ablation
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

Embodiments of the present invention provide an irrigated catheter having irrigation fluid directed at target areas where coagulation is more likely to occur so as to minimize blood coagulation and the associated problems. In one embodiment, an irrigated ablation electrode assembly for use with an irrigated catheter device comprises a proximal member having at least one passageway for a fluid with an outlet disposed at an external surface of the proximal member; and a distal member connected with the proximal member and having an external surface. The distal member includes an electrode. The external surface of the proximal member and the external surface of the distal member meet at an intersection. The at least one passageway of the proximal member is configured to direct a fluid flow through the outlet toward a region adjacent the intersection.

Claims

1. An irrigated ablation electrode assembly for use with an irrigated catheter device, the irrigated ablation electrode assembly comprising:

a proximal member having at least one passageway for a fluid with an outlet disposed at an external surface of the proximal member; and

a distal member connected with the proximal member and having an external surface, a first end, and a second end, wherein one of the first end and the second end of the distal member is configured to receive a portion of the proximal member such that the portion of the proximal member is disposed internally relative to the distal member, the distal member including an electrode;

wherein the external surface of the proximal member and the external surface of the distal member meet at an intersection;

wherein the at least one passageway of the proximal member is configured to direct a fluid flow through the outlet toward a region adjacent the intersection; and

wherein the at least one passageway and the outlet are not positioned longitudinally between the first end and the second end of the distal member.

2. The irrigated ablation electrode assembly of claim 1 wherein the proximal member comprises a material having a thermal conductivity which is lower than a thermal conductivity of a material of the distal member.

3. The irrigated ablation electrode assembly of claim 1 wherein the distal member comprises an electrically conductive material.

4. The irrigated ablation electrode assembly of claim 1 wherein the proximal member comprise an electrically nonconductive material.

5. The irrigated ablation electrode assembly of claim 1 wherein the at least one passageway extends toward the distal member at an angle which is greater than 0 degree and less than 90 degrees with respect to a longitudinal axis of the proximal member.

6. The irrigated ablation electrode assembly of claim 5 wherein the at least one passageway extends toward the distal member at an angle between approximately 15 degrees and approximately 70 degrees with respect to the longitudinal axis of the proximal member.

7. The irrigated ablation electrode assembly of claim 1 wherein the proximal member comprises a material selected from the group consisting of HDPE, polyimide, polyaryletherketones, polyetheretherketones, polyurethane, polypropylene, oriented polypropylene, polyethylene, crystallized polyethylene terephthalate, polyethylene terephthalate, polyester, ceramics, and plastics, and mixtures thereof.

8. The irrigated ablation electrode assembly of claim 1 wherein the distal member comprises a material selected from the group consisting of platinum, gold, iridium, stainless steel, palladium and mixtures thereof.

9. The irrigated ablation electrode assembly of claim 1 wherein the distal member includes a distal flow path extending along a longitudinal axis of the distal member.

10. The irrigated ablation electrode assembly of claim 9 further comprising an insulative lining surrounding the distal flow path and separating the distal flow path from the distal member, the insulative lining comprising a material having a thermal conductivity which is lower than a thermal conductivity of a material of the distal member.

11. The irrigated ablation electrode assembly of claim 10 wherein the insulative lining comprises a material selected from the group consisting of HDPE, polyimide, polyaryletherketones, polyetheretherketones, polyurethane, polypropylene, oriented polypropylene, polyethylene, crystallized polyethylene terephthalate, polyethylene terephthalate, polyester, ceramics, and plastics, and mixtures thereof.

12. The irrigated ablation electrode assembly of claim 1 further comprising at least one temperature sensor disposed in the distal member.

13. The irrigated ablation electrode assembly of claim 1 wherein the distal member has an external surface that includes a rounded distal portion that is non-spherical and a circular cylindrical proximal portion.

14. The irrigated ablation electrode assembly of claim 1 wherein the at least one passageway extends toward the distal member at a first angle relative to a central axis of the assembly and wherein the distal member has an external surface that includes a generally elliptical distal portion and a tapered proximal portion narrowing toward the proximal member, wherein the external surface of the tapered proximal portion is disposed at substantially the same relative orientation as the first angle.

15. The irrigated ablation electrode assembly of claim 1 wherein the distal member has an external surface that includes a generally spherical distal portion and a proximal neck portion that is circular cylindrical and narrower than the generally spherical distal portion, wherein the proximal neck portion of the distal member has a smaller outer diameter than a portion of the proximal member in which the at least one passageway is disposed and wherein the outlet of the at least one passageway is disposed at the intersection.

16. The irrigated ablation electrode assembly of claim 1 wherein the distal member has an external surface that includes a generally flat tip surrounded by a rounded edge portion and a circular cylindrical proximal portion.

17. The irrigated ablation electrode assembly of claim 1 wherein the distal member has an external surface that includes a generally flat tip surrounded by a chamfered edge portion and a circular cylindrical proximal portion.

18. The irrigated ablation electrode assembly of claim 1 wherein the proximal member includes a plurality of passageways distributed generally uniformly in a circumferential direction of the proximal member.

19. The irrigated ablation electrode assembly of claim 1 wherein the at least one passageway of the proximal member does not come into contact with any interior portion of the distal member.

20. The irrigated ablation electrode assembly of claim 1 wherein a maximum diameter of the distal member is equal to or larger than a maximum diameter of the proximal member.

21. An irrigated ablation electrode assembly for use with an irrigated catheter device, the irrigated ablation electrode assembly comprising:

a proximal member having an external surface;

a distal member connected with the proximal member and having an external surface, a first end, and a second end, wherein one of the first end and the second end of the distal member is configured to receive a portion of the proximal member such that the portion of the proximal member is disposed internally relative to the distal member, the distal member including an electrode; and

at least one passageway within the irrigated ablation electrode assembly having an outlet for a fluid;

wherein the external surface of the proximal member and the external surface of the distal member meet at an intersection;

wherein the at least one passageway is configured to direct a fluid flow through the outlet toward a region adjacent the intersection; and

wherein the at least one passageway and the outlet are not positioned longitudinally between the first end and the second end of the distal member.

22. The irrigated ablation electrode assembly of claim 21 wherein the at least one passageway does not come into contact with any interior portion of the distal member.

23. The irrigated ablation electrode assembly of claim 21 wherein the at least one passageway is thermally insulated from the distal member by a poor thermal conductive material which is lower in thermal conductivity than a material of the distal member.

24. A method for irrigated ablation of tissue, the method comprising:

flowing a fluid to an irrigated ablation electrode assembly which includes a proximal member having at least one passageway for the fluid with an outlet disposed at an external surface of the proximal member, and a distal member connected with the proximal member and having an external surface, a first end, and a second end, wherein one of the first end and the second end of the distal member is configured to receive a portion of the proximal member such that the portion of the proximal member is disposed internally relative to the distal member, the distal member including an electrode, wherein the at least one passageway and the outlet are not positioned longitudinally between the first end and the second end of the distal member, and wherein the external surface of the proximal member and the external surface of the distal member meet at an intersection; and

directing the fluid flow through the at least one passageway of the proximal member through the outlet toward a region adjacent the intersection.