Catheter with ablation needle and mapping assembly

• US 8,287,531 B2
• Filed: 06/17/2008
• Issued: 10/16/2012
• Est. Priority Date: 10/24/2003
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Mest, Robert A.
• Primary Examiner(s): Gibson, Roy
• Assistant Examiner(s): PIKE, JARED WAYNE
• Application Number:
  US12/140,996
• Publication Number:
  US 20080249392A1
• Time in Patent Office: 1,582 Days
• Field of Search: 606/42, 606/41, 607/101
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6859 with multiple distal splines

Abstract

The invention is directed to a catheter that creates enhanced lesions using a needle electrode and can simultaneously map electrical activity at a plurality of points using an enhanced mapping assembly. The catheter comprises an elongated catheter body having at least one lumen extending longitudinally therethrough. A needle control handle is provided at the proximal end of the catheter body. A needle electrode assembly extends through the catheter body and needle control handle and has a proximal end attached to the needle control handle and a distal end within the distal end of the catheter body. A mapping assembly is mounted at the distal end of the catheter body and comprises at least two flexible spines. Each spine has a proximal end attached at the distal end of the catheter body and a free distal end. Each spine carries at least one electrode. The distal end of the needle electrode assembly is extendable past the proximal end of the mapping assembly upon manipulation of the needle control handle.

Claims

1. An injection catheter comprising:

an elongated catheter body having at least one lumen extending longitudinally therethrough;

a needle control handle at a proximal end of the catheter body;

a needle electrode assembly extending through the catheter body and needle control handle and having a proximal end attached to the needle control handle and a distal end within a distal end of the catheter body;

a mapping assembly, having proximal and distal ends, mounted at the distal end of the catheter body and comprising at least two flexible spines, each spine having a proximal end attached at the distal end of the catheter body and a free distal end, wherein each spine carries at least one electrode; and

at least one location sensor;

wherein the distal end of the needle electrode assembly is extendable past the proximal end of the mapping assembly upon manipulation of the needle control handle.

2. The catheter of claim 1, wherein each spine comprises a non-conductive covering having a support arm that has shape memory disposed therein.

3. The catheter of claim 2, wherein each support arm comprises Nitinol.

4. The catheter of claim 1, wherein the mapping assembly is moveable between an expanded arrangement, in which each spine extends radially outward from the catheter body, and a collapsed arrangement, in which each spine is disposed generally along a longitudinal axis of the catheter body.

5. The catheter of claim 4, wherein, when the mapping assembly is in its expanded arrangement, each spine extends radially outwardly from the catheter body and forms an arced shape.

6. The catheter of claim 1, wherein the mapping assembly comprises at least five spines.

7. The catheter of claim 1, further comprising an electrode lead wire having a first end electrically connected to the needle electrode assembly and a second end electrically connected to a source of ablation energy.

8. The catheter of claim 1, wherein the needle electrode assembly comprises a distal tubing having proximal and distal ends and comprising an electrically conductive material and a proximal tubing comprising a material more flexible than the distal tubing and having a distal end attached, directly or indirectly, to the proximal end of the distal tubing.

9. The catheter of claim 8, wherein the distal tubing comprises metal and the proximal tubing comprises plastic.

10. The catheter of claim 8, wherein the distal tubing comprises Nitinol or stainless steel.

11. The catheter of claim 8, wherein the proximal tubing comprises polyimide or PEEK.

12. The catheter of claim 8, wherein the distal end of the distal tubing forms a beveled edge.

13. The catheter of claim 8, wherein the needle electrode assembly further comprises an intermediate tubing joining the proximal and distal tubings.

14. The catheter of claim 8, wherein the needle electrode assembly further comprises an outer plastic tubing fixedly attached, directly or indirectly, to the proximal and distal tubings so that the outer plastic tubing is moveable with the proximal and distal tubings relative to the catheter body.

15. The catheter of claim 14, wherein the electrode lead wire is fixedly attached to the distal tubing and extends within the outer plastic tubing and outside the proximal tubing.

16. The catheter of claim 8, further comprising a temperature sensor mounted within the distal tubing.

17. The catheter of claim 1, further comprising a temperature sensor mounted in or around the needle electrode assembly.

18. An injection catheter comprising:

an elongated catheter body having at least one lumen extending longitudinally therethrough;

a needle control handle at a proximal end of the catheter body;

a needle electrode assembly extending through the catheter body and needle control handle and having a proximal end attached to the needle control handle and a distal end within a distal end of the catheter body; and

a mapping assembly, having proximal and distal ends, mounted at the distal end of the catheter body and comprising at least two flexible spines, each spine having a proximal end attached at the distal end of the catheter body and a free distal end, wherein each spine carries at least one electrode and at least one location sensor;

wherein the distal end of the needle electrode assembly is extendable past the proximal end of the mapping assembly upon manipulation of the needle control handle.

19. The catheter of claim 18, wherein each spine comprises a non-conductive covering having a support arm that has shape memory disposed therein.

20. The catheter of claim 18, wherein the mapping assembly is moveable between an expanded arrangement, in which each spine extends radially outward from the catheter body, and a collapsed arrangement, in which each spine is disposed generally along a longitudinal axis of the catheter body.