Catheter with helical electrode

• US 8,920,415 B2
• Filed: 12/16/2009
• Issued: 12/30/2014
• Est. Priority Date: 12/16/2009
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Govari, Assaf
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US12/639,096
• Publication Number:
  US 20110144639A1
• Time in Patent Office: 1,840 Days
• Field of Search: 606/32, 606/41, 606/49
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

An invasive probe includes an insertion tube containing a lumen for providing an irrigation fluid and comprising a distal portion having a plurality of perforations therethrough providing fluid communication between the lumen and an outer surface of the insertion tube. At least one helical electrode is fitted over the distal portion of the insertion tube.

Claims

1. An invasive probe, comprising:

an insertion tube having an outer tube surface and an inner tube surface and containing a lumen for providing an irrigation fluid, the insertion tube having a distal portion comprising an interior reservoir in fluid communication with the lumen, the interior reservoir having an interior reservoir surface and being formed between the inner tube surface and the interior reservoir surface, the distal portion having a plurality of longitudinally and circumferentially distributed perforations that extend between the reservoir and the outer tube surface of the tube providing fluid communication between the interior reservoir and the outer tube surface of the insertion tube; and

at least one helical electrode fitted over the distal portion of the insertion tube wherein the helical electrode covers only some of the plurality of perforations thereby leaving a sufficient number of perforations open to provide irrigation fluid around the helical electrode.

2. The probe according to claim 1, and comprising one or more wires that pass through the tube and are electrically coupled to the at least one helical electrode.

3. The probe according to claim 1, wherein the at least one helical electrode comprises multiple helical electrodes, which are distributed along the distal portion.

4. The probe according to claim 1, wherein the insertion tube is configured for insertion through a blood vessel into a chamber of a heart of a subject, so as to bring the at least one helical electrode into contact with endocardial tissue in the heart.

5. The probe according to claim 1, wherein the plurality of the perforations comprises at least eight perforations.

6. The probe according to claim 5, wherein the plurality of the perforations comprises at least fifty perforations.

7. The probe according to claim 6, wherein the perforations have a diameter less than 0.2 mm.

8. The probe according to claim 1, wherein the perforations have a diameter less than 0.5 mm.

9. The probe according to claim 1, wherein the perforations have differing sizes that vary depending on the longitudinal locations of the perforations along the length of the insertion tube.

10. The probe according to claim 9 wherein the size of the perforations at the distal most end of the insertion tube are larger in diameter than the perforations that are more proximally located along the length of the insertion tube.

11. The probe according to claim 1, wherein the at least one helical electrode comprises a wire coil helically wound about the distal portion of the insertion tube.

12. The probe according to claim 1, wherein the at least one helical electrode comprises a tube cut out along a spiral pattern.

13. Medical apparatus, comprising:

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

an insertion tube having an outer tube surface and an inner tube surface and containing a lumen, the insertion tube comprising a distal portion having an interior reservoir in fluid communication with the lumen, the interior reservoir having an interior reservoir surface and being formed between the inner tube surface and the interior reservoir surface, the distal portion having a plurality of longitudinally and circumferentially distributed perforations that extend between the reservoir and the outer surface of the tube, providing fluid communication between the reservoir and the outer tube surface of the insertion tube; and

at least one helical electrode fitted over the distal portion of the insertion tube and configured to contact tissue in the body wherein the helical electrode covers only some of the plurality of perforations thereby leaving a sufficient number of perforations open to provide adequate irrigation fluid around the helical electrode;

an energy generator, for coupling to the probe so as to supply electrical energy to the at least one helical electrode; and

an irrigation pump, for coupling to the lumen so as to supply an irrigation fluid via the lumen and the perforations to the tissue.

14. The apparatus according to claim 13, wherein the energy generator is coupled to supply electrical energy to the at least one helical electrode in order to ablate the tissue.

15. The apparatus according to claim 13, wherein the probe is configured for insertion through a blood vessel into a heart of the subject for ablation of myocardial tissue in the heart.