Systems and methods for making and using medical ablation systems having mapping catheters with improved anchoring ability

• US 8,731,631 B2
• Filed: 02/19/2013
• Issued: 05/20/2014
• Est. Priority Date: 08/14/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Kim, Isaac, Koblish, Josef V., McGee, David
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/770,847
• Publication Number:
  US 20130165759A1
• Time in Patent Office: 455 Days
• Field of Search: 600/374, 600/381, 606/21, 606/41
• US Class Current: 600/374
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• 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 2017/00053 Mapping
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2018/00166 Multiple lumina
• CPC Class Codes: A61B 2018/0022 Balloons
• 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 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/0212 using an instrument inserted into a body lumen, e.g. catheter
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61B 5/6857 with a distal pigtail shape

Abstract

A mapping catheter includes an elongated body for inserting into patient vasculature. A distal end of the elongated body includes a distal portion that includes a plurality of electrodes, a proximal portion disposed proximal to the distal portion, and a reduced-dimension portion disposed between the proximal and distal portions. The distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space. The preformed shape includes a first loop formed, at least in part, by the distal portion. The first loop is transverse to a longitudinal axis of the proximal portion. The reduced-dimension portion is configured and arranged to bend such that the reduced-dimension section advances distally through the first loop when the first loop is held in a fixed position and a force is applied distally along the longitudinal axis of the proximal portion.

Claims

1. A mapping catheter comprising:

an elongated body configured and arranged for insertion into patient vasculature, wherein a distal end of the elongated body comprises;

a distal portion comprising a plurality of electrodes;

a proximal portion disposed proximal to the distal portion; and

a reduced-dimension portion disposed between the proximal portion and the distal portion, the reduced-dimension portion having a transverse cross-sectional shape that is rectangular and a cross-sectional dimension that is less than corresponding cross-sectional dimensions of the proximal and distal portions adjacent the reduced-dimension portion;

wherein the distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space, the preformed shape comprising a first loop formed, at least in part, by the distal portion, wherein the first loop is transverse to a longitudinal axis of the proximal portion,

wherein the reduced-dimension portion is configured and arranged to bend such that the reduced-dimension portion advances distally through the first loop when the first loop is held in a fixed position and a force is applied along the longitudinal axis of the proximal portion in a distal direction.

2. The mapping catheter of claim 1, wherein the reduced-dimension portion comprises a first dimension and a second dimension that is perpendicular to the first dimension and that is no larger than the first dimension.

3. The mapping catheter of claim 2, wherein the first dimension of the reduced-dimension portion is no more than ten times larger than the second dimension.

4. The mapping catheter of claim 2, wherein the second dimension of the reduced-dimension portion is smaller than a largest transverse cross-sectional dimension of the distal portion.

5. The mapping catheter of claim 1, wherein the distal portion has a transverse cross-sectional shape that is round.

6. The mapping catheter of claim 1, wherein the proximal portion has a transverse cross-sectional shape that is round.

7. The mapping catheter of claim 1, wherein the distal portion of the mapping catheter tapers in a distal direction.

8. The mapping catheter of claim 1, wherein the reduced-dimension portion of the mapping catheter tapers in a proximal direction.

9. The mapping catheter of claim 1, wherein the reduced-dimension portion is configured and arranged to bend preferentially in a dimension such that a distal end of the proximal portion advances distally through the first loop when the first loop is held in a fixed position and a force is applied along the axis of the proximal portion in a distal direction.

10. The mapping catheter of claim 1, wherein the preformed shape comprises a second loop formed, at least in part, by the reduced-dimension portion.

11. The mapping catheter of claim 10, wherein the first loop and the second loop are parallel.

12. The mapping catheter of claim 10, wherein the first loop has a transverse diameter that is larger than a transverse diameter of the second loop.

13. An ablation system comprising:

an ablation catheter having a distal portion, a proximal portion, and a longitudinal length, the ablation catheter configured and arranged for insertion into patient vasculature;

an expansion element coupled to the distal portion of the ablation catheter, the expansion element configured and arranged for ablating patient tissue;

a mapping catheter comprising an elongated body insertable into the ablation catheter, the elongated body comprising a distal end that is extendable from a distal end of the ablation catheter, the distal end of the elongated body comprising;

a distal portion comprising a plurality of electrodes,

a proximal portion disposed proximal to the distal portion, and

a reduced-dimension portion disposed between the proximal portion and the distal portion, the reduced-dimension portion having a transverse cross-sectional shape that is rectangular and a cross-sectional dimension that is less than corresponding cross-sectional dimensions of the proximal and distal portions adjacent the reduced-dimension portion;

wherein the distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space, the preformed shape comprising a first loop formed, at least in part, by the distal portion,

wherein the first loop is transverse to a longitudinal axis of the proximal portion, wherein the reduced-dimension portion is configured and arranged to bend such that the reduced-dimension portion advances distally through the first loop when the first loop is held in a fixed position and a force is applied along the longitudinal axis of the proximal portion in a distal direction; and

a control module coupled to the ablation catheter and the mapping catheter, the control module configured and arranged for controlling the mapping of electrical activity of the mapping catheter and the ablation of patient tissue by the ablation catheter.

14. The ablation system of claim 13, wherein the ablation system is a radio frequency ablation system.

15. The ablation system of claim 13, wherein the reduced-dimension portion comprises a first dimension and a second dimension that is perpendicular to the first dimension, wherein the first dimension of the reduced-dimension portion is no more than ten times larger than the second dimension.

16. The ablation system of claim 13, wherein the reduced-dimension portion comprises a first dimension and a second dimension that is perpendicular to the first dimension, wherein the second dimension of the reduced-dimension portion is smaller than a largest transverse cross-sectional dimension of the distal portion.

17. The ablation system of claim 13, wherein the distal portion and the proximal portion both have a transverse cross-sectional shape that is round.

18. The ablation system of claim 13, wherein the reduced-dimension portion is configured and arranged to bend preferentially such that a distal end of the proximal portion advances distally through the first loop when the first loop is held in a fixed position and a force is applied along the axis of the proximal portion in a distal direction.

19. The ablation system of claim 13, wherein the preformed shape comprises a second loop formed, at least in part, by the reduced-dimension portion.

20. The ablation system of claim 19, wherein the first loop has a transverse diameter that is larger than a transverse diameter of the second loop.