Dual-purpose lasso catheter with irrigation using circumferentially arranged ring bump electrodes

• US 8,600,472 B2
• Filed: 04/21/2010
• Issued: 12/03/2013
• Est. Priority Date: 12/30/2008
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Govari, Assaf, Papaioannou, Athanassios, Beeckler, Christopher
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): ANTISKAY, BRIAN MICHAEL
• Application Number:
  US12/764,561
• Publication Number:
  US 20100222859A1
• Time in Patent Office: 1,322 Days
• Field of Search: 606 20- 42
• US Class Current: 600/374
• 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 18/20 using laser
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00375 Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 7/022 intracavitary

Abstract

Cardiac catheters, including a lasso catheter, are provided for use in a system for electrical mapping and ablation of the heart has an array of raised, circumferential ring bump electrodes wherein each circumferential electrode has multiple perforations, which are in fluid communication with a cavity or chamber formed under the surface of the circumferential ring. The cavity is formed 360° around the outer surface or loop lumen of the lasso segment of the catheter which is in fluid communication with a breach hole (or holes) drilled through loop lumen and in fluid communication with an irrigating lumen. Each circumferential ring has a breach hole (or holes) that range from smaller to larger from the proximal end of the loop segment to the distal end of the loop segment in one embodiment.

Claims

1. A catheter, comprising:

an insertion tube having a distal end; and

a resilient distal section fixed to the distal end of the insertion tube, the resilient distal section having an outer surface and an inner irrigating lumen and comprises a plurality of ring electrodes that bulge above the outer surface and are circumferentially arranged around the entire circumference of the outer surface, each ring electrode defining a cavity there-under located between the ring electrode and the outer surface, the ring electrodes having a plurality of perforations formed there-through, the outer surface having at least one breach hole therein positioned beneath each ring electrode and in fluid communication with the irrigating lumen, the cavity and the perforations of each ring electrode adapted for dispensing irrigating fluid from the resilient distal section through each ring electrode.

2. The catheter according to claim 1, wherein the insertion tube is configured for insertion through a blood vessel into a heart of a subject, and wherein the resilient distal section defines an open loop when deployed within the heart.

3. The catheter according to claim 2, wherein the diameter of the at least one breach hole for each ring electrode varies in size.

4. The catheter according to claim 3, wherein the diameter of the at least one breach hole for each ring electrode varies in size from smaller to larger from proximal to distal along the resilient distal section.

5. The catheter according to claim 3, wherein the diameter of the at least one breach hole for each ring electrode varies in size from larger to smaller from proximal to distal along the resilient distal section.

6. The catheter according to claim 1, wherein the diameter of the at least one breach hole for each ring electrode in a middle portion of the distal section are similar in size and the diameter for each breach hole proximal and distal of the middle portion are different in size from each breach hole of the middle portion of the resilient distal section.

7. The catheter according to claim 4, wherein the resilient distal section has between three and ten ring electrodes.

8. The catheter according to claim 7, wherein the resilient distal section has ten ring electrodes.

9. The catheter according to claim 5, wherein the resilient distal section has between three and ten ring electrodes.

10. The catheter according to claim 9, wherein the resilient distal section has ten ring electrodes.

11. The catheter according to claim 6, wherein the resilient distal section has between three and ten ring electrodes.

12. The catheter according to claim 11, wherein the resilient distal section has ten ring electrodes.

13. The catheter according to claim 1, wherein the ring electrodes are made of 90% platinum, 10% iridium by weight.

14. The catheter according to claim 1, wherein the ring electrodes are made of 80% palladium, 20% platinum by weight.

15. The catheter according to claim 4, wherein the distal segment has a breach hole pattern ranging proximally to distally along the segment from approximately 0.005″

to 0.375″

in OD (outer diameter).

16. The catheter according to claim 15, wherein the distal segment has a breach hole pattern ranging proximally to distally along the segment from approximately 0.012″

OD to 0.025″

OD (outer diameter).

17. The catheter according to claim 8, wherein the distal segment has a breach hole pattern ranging proximally to distally along the segment from approximately 0.005″

to 0.375″

in OD (outer diameter).

18. The catheter according to claim 17, wherein the distal segment has a breach hole pattern ranging proximally to distally along the segment from approximately 0.012″

OD to 0.025″

OD (outer diameter).

19. The catheter according to claim 18, wherein the ring electrodes are made of 90% platinum, 10% iridium by weight.

20. The catheter according to claim 18, wherein the ring electrodes are made of 80% palladium, 20% platinum by weight.