Catheter with arcuate end section

• US 8,608,735 B2
• Filed: 12/30/2009
• Issued: 12/17/2013
• Est. Priority Date: 12/30/2009
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Govari, Assaf, Moaddeb, Shahram, Zirkle, Michael Olen, Beeckler, Christopher, Hill, Philippa, Altmann, Andres Claudio
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US12/649,417
• Publication Number:
  US 20110160719A1
• Time in Patent Office: 1,448 Days
• Field of Search: 606 32- 45
• 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2018/00011 with fluids
• 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 2034/2051 Electromagnetic tracking systems
• 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: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: C08L 2201/12 Shape memory

Abstract

A medical device includes an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion into a body of a patient. A resilient end section is fixed to the distal end of the insertion shaft and is formed so as to define, when unconstrained, an arc oriented obliquely relative to the axis and having a center of curvature on the axis. One or more electrodes are disposed at respective locations along the end section.

Claims

1. A medical device, comprising:

an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion into a body of a patient;

a resilient end section, which is fixed to the distal end of the insertion shaft and is formed so as to define, when unconstrained, an arc oriented obliquely relative to the axis and having a center of curvature on the axis, the arc having a radius of curvature, when unconstrained, between 7.5 mm and 15 mm; and

one or more electrodes disposed at respective locations along the end section.

2. The device according to claim 1, wherein the arc subtends more than 300°

.

3. The device according to claim 1, wherein the arc subtends less than 270°

.

4. The device according to claim 3, wherein the arc subtends 180°

.

5. The device according to claim 1, wherein the end section comprises a base, which is connected to the distal end of the insertion shaft, and a tip, and has a helical form such that the tip protrudes axially in a distal direction relative to the base.

6. The device according to claim 1, wherein the end section comprises a base, which is connected to the distal end of the insertion shaft, and a tip, and wherein the one or more electrodes comprise a tip electrode extending over the tip and a plurality of proximal electrodes distributed along the end section.

7. The device according to claim 6, wherein the end section is configured so that when the unconstrained end section is advanced axially against a tissue surface in the body, the end section engages the tissue surface along the arc so that the tip electrode and at least some of the proximal electrodes contact the tissue surface simultaneously.

8. The device according to claim 7, wherein the end section comprises one or more joints, which can be straightened and steered so as to bring the tip electrode alone into contact with the tissue surface.

9. The device according to claim 1, and comprising at least one position transducer.

10. The device according to claim 9, wherein the at least one position transducer comprises a plurality of position transducers distributed within the end section.

11. A medical device, comprising:

an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion through a body passage into a cavity within a body of a patient;

a resilient end section, which comprises a base, which is connected to the distal end of the insertion shaft, and a tip, and which is formed so as to define, when unconstrained, an arc that is oriented obliquely relative to the axis and has a helical form such that the tip protrudes axially in a distal direction relative to the base; and

one or more electrodes disposed at respective locations along the end section, the one or more electrodes comprising a tip electrode extending over the tip and a plurality of proximal electrodes distributed along the end section,

wherein the end section is configured so that when the unconstrained end section is advanced axially against a tissue surface in the body, the end section engages the tissue surface along the arc so that the tip electrode and at least some of the proximal electrodes contact the tissue surface simultaneously,

wherein the insertion shaft is configured to be rotated about the axis, so as to cause the arc to describe an annular path on the tissue.

12. Medical apparatus, comprising:

a probe for insertion into a body of a patient, the probe comprising;

an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion into the body;

a resilient end section, which is fixed to the distal end of the insertion shaft and is formed so as to define, when unconstrained, an arc oriented obliquely relative to the axis, subtending 180° and

having a center of curvature on the axis; and

one or more electrodes disposed at respective locations along the end section and configured to contact tissue in the body; and

a radio frequency (RF) generator, which is coupled to supply RF energy through the probe to at least one of the electrodes so as to ablate the tissue.

13. The apparatus according to claim 12, wherein the probe comprises a position transducer in the end section, and wherein the apparatus comprises a position sensing system, which is configured to communicate with the position transducer so as to determine a position of the end section within the body.

14. The apparatus according to claim 12, and comprising a sheath, which is configured to be inserted through a body passage into a cavity within the body, and wherein the probe is configured to be inserted through the sheath into the cavity.

15. The apparatus according to claim 14, wherein the sheath is configured to be inserted through a blood vessel into a chamber of a heart, and wherein the end section is configured to engage, along the arc, a tissue in the chamber.

16. The apparatus according to claim 15, wherein the insertion shaft is configured to be rotated about the axis within the sheath, so as to cause the arc to describe an annular path on the tissue.

17. The apparatus according to claim 12, wherein the end section comprises a base, which is connected to the distal end of the insertion shaft, and a tip, and has a helical form such that the tip protrudes axially in a distal direction relative to the base.

18. A method for medical treatment, comprising:

inserting into a body of a patient a probe comprising an insertion shaft, having a longitudinal axis and a distal end, and a resilient end section, which is fixed to the distal end of the insertion shaft and is formed so as to define, when unconstrained, an arc oriented obliquely relative to the axis and having a center of curvature on the axis, with electrodes disposed at respective locations along the end section;

advancing the probe axially so that the end section engages a tissue in the body along the arc, causing at least some of the electrodes to contact the tissue simultaneously; and

rotating the insertion shaft about the axis, so as to cause the arc to describe an annular path on the tissue while the at least some of the electrodes contact the tissue.

19. The method according to claim 18, and comprising applying energy through the electrodes so as to ablate the tissue along the annular path.

20. The method according to claim 18, wherein inserting the probe comprises passing the probe through a blood vessel into a chamber of a heart.

21. The method according to claim 20, wherein rotating the insertion shaft comprises tracing the annular path around an ostium of a pulmonary vein in a left atrium of the heart.