RF energy delivery system and method

• US 8,475,449 B2
• Filed: 12/10/2008
• Issued: 07/02/2013
• Est. Priority Date: 12/10/2007
• Status: Active Grant

• Current Assignee: Medtronic Ablation Frontiers Technologies, LLC
• Original Assignee: Medtronic Ablation Frontiers LLC (Medtronic Plc)
• Inventors: Werneth, Randell L., Roman, Ricardo D., Kunis, Christopher G., Asconeguy, Alexander J., Soleymani, Sadaf, Trinidad, Jeffrey, Chambers, Martin, Oral, Hakan, Morady, Fred, Cox, Jerald L., Moratorio, Guillermo W., Fu, Samuel, Flaherty, J. Christopher
• Primary Examiner(s): Stigell, Theodore
• Assistant Examiner(s): Snyder, Melissa A
• Application Number:
  US12/332,236
• Publication Number:
  US 20090149848A1
• Time in Patent Office: 1,665 Days
• Field of Search: 606/41, 604534-535, 604/525
• US Class Current: 606/41
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00184 Moving parts
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG

Abstract

Devices, systems and methods are disclosed for the ablation of tissue. A steerable ablation catheter can include one or more ablation elements at its distal end and one or more ablation elements fixedly attached to its shaft. The distal end of the ablation catheter can be deflected to assume a number of different deflection geometries in at least one direction along the shaft. One feature of the ablation catheter is that its shaft can comprise materials of differing durometers or stiffnesses attached together at a joint. Methods associated with use of the ablation catheter are also covered.

Claims

1. An ablation catheter comprising:

an elongate shaft comprising a proximal section and a distal section, wherein the proximal section has a first durometer and the distal section has a second durometer;

a joint adapted to join the proximal section to the distal section in an eccentric fashion such that the proximal section and distal section each occupy an unequal portion of a diameter of the elongate shaft at the joint, the joint configured to cause the elongate shaft to assume a first geometry when deflected in a first direction relative to the joint and to assume a second geometry when deflected in a second direction relative to the joint, the first geometry being different than the second geometry;

at least one steering wire configured to deflect the elongate shaft; and

at least one electrode positioned along the elongate shaft, the at least one electrode configured to deliver ablation energy to tissue.

2. The ablation catheter of claim 1, wherein the joint is a staircase joint.

3. The ablation catheter of claim 1, wherein the joint is a tapered joint, the joint having a length and the diameter of the elongate shaft being constant along the length of the joint.

4. The ablation catheter of claim 1, wherein the joint is a toothed joint.

5. The ablation catheter of claim 1, wherein the first durometer is higher than the second durometer.

6. The ablation catheter of claim 1, wherein the first durometer is lower than the second durometer.

7. The ablation catheter of claim 1 further comprising a taper on the proximal section, wherein the taper causes the proximal section to transition from a first diameter to a second diameter smaller than the first diameter.

8. The ablation catheter of claim 1, wherein the proximal section occupies approximately 150°

to 170°

of a diameter of the elongate shaft at the joint.

9. The ablation catheter of claim 1, wherein the distal section occupies approximately 150°

to 170°

of a diameter of the elongate shaft at the joint.

10. The ablation catheter of claim 1 further comprising a guide plate positioned in the elongate shaft, the guide plate being configured to limit motion in a plane.

11. The ablation catheter of claim 10 wherein the plane is perpendicular to a direction of deflection.

12. The ablation catheter of claim 10 wherein the plane is parallel to a direction of deflection.

13. The ablation catheter of claim 1 further comprising a malleable member in contact with the elongate shaft, the malleable member being configured to be plastically deformed.

14. An ablation catheter comprising:

an elongate shaft comprising a proximal section and a distal section, wherein the proximal section has a first stiffness and the distal section has a second stiffness;

a joint extending over a length and being adapted to join the proximal section to the distal section so that the elongate shaft transitions from the first stiffness to the second stiffness along a length of the joint, a portion of the proximal section extending distally into the distal section over the length of the joint and a portion of the distal section extending proximally into the proximal section over the length of the joint;

at least one steering wire configured to deflect the elongate shaft; and

at least one electrode positioned along the elongate shaft, the at least one electrode configured to deliver ablation energy to tissue.

15. The ablation catheter of claim 14, wherein the joint is a staircase joint.

16. The ablation catheter of claim 14, wherein the joint is a tapered joint, the diameter of the elongate shaft being constant along the length of the joint.

17. The ablation catheter of claim 14, wherein the joint is a toothed joint.

18. The ablation catheter of claim 14, wherein the first stiffness is stiffer than the second stiffness.

19. The ablation catheter of claim 14, wherein the second stiffness is stiffer than the first stiffness.

20. The ablation catheter of claim 14, wherein the elongate shaft is configured to assume a first geometry when deflected in a first direction, and to assume a second geometry when deflected in a second direction, the first geometry being different than the second geometry.

21. The ablation catheter of claim 14 further comprising a taper on the proximal section, wherein the taper causes the proximal section to transition from a first diameter to a second diameter smaller than the first diameter.

22. The ablation catheter of claim 14 further comprising a guide plate positioned in the elongate shaft, the guide plate being configured to limit motion in a plane.

23. The ablation catheter of claim 14 further comprising a malleable member in contact with the elongate shaft, the malleable member being configured to be plastically deformed.

24. A method of deflecting a catheter having a shaft, the method comprising:

deflecting the catheter in a first direction relative to a joint in the shaft that transitions from a first durometer to a second durometer to form a first deflection geometry;

deflecting the catheter in a second direction relative to the joint to form a second deflection geometry, wherein the second deflection geometry is different than the first deflection geometry,

the joint being an eccentric staircase joint comprising a first durometer portion and a second durometer portion, the second durometer portion occupying a greater portion of a diameter of the catheter shaft at the joint than the first durometer portion.