Catheter with atraumatic tip

• US 8,945,025 B2
• Filed: 12/30/2011
• Issued: 02/03/2015
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Olson, Eric S., Kauphusman, James V., Nemec, Linda K., Tegg, Troy T.
• Primary Examiner(s): Dougherty, Sean
• Assistant Examiner(s): CERIONI, DANIEL LEE
• Application Number:
  US13/341,388
• Publication Number:
  US 20130172786A1
• Time in Patent Office: 1,131 Days
• Field of Search: 600/585
• US Class Current: 600/585
• 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A medical device is provided comprising a shaft comprising a first segment and a second segment. The first segment is configured to buckle upon application of a first critical force. The second segment includes an outer surface and an inner surface and is configured to buckle upon application of a second critical force. The second critical force is lower than the first critical force. The medical device further comprises a coil disposed radially inwardly of the inner surface of the second segment.

Claims

1. A medical device comprising:

a shaft comprising an axis and comprising a first, proximal segment and a second, distal segment, wherein the second, distal segment includes a proximal end and a distal end,

a first electrode disposed on the distal end of the second, distal segment;

a second, ring electrode disposed on the second, distal segment, the second electrode being disposed proximally of the first electrode and disposed proximally of a portion of the shaft of the second, distal segment;

a third, ring electrode disposed on the second, distal segment, the third electrode being disposed proximally of the second electrode, the first, second, and third electrodes comprising electrically conductive material;

wherein the first segment is configured to buckle upon application of a first critical force thereto; and

wherein the second segment includes an outer surface and an inner surface and the second segment is configured to buckle upon application of a second critical force thereto, wherein the second critical force is lower than the first critical force; and

a coil disposed radially inwardly of the inner surface of the second segment configured to maintain an amount of force transmitted by the second segment to tissue contacting the second segment after an application of the second critical force to the second segment, the coil being disposed between the second, ring electrode and the third, ring electrode, wherein the amount of force transmitted by the second segment to the tissue after buckling is limited to the second critical force as the device is advanced over a distance toward the tissue.

2. The medical device of claim 1, wherein the second critical force is in the range of about 40 grams-force to about 100 grams-force.

3. The medical device of claim 1, wherein the second segment has a hardness between about 25 and about 35 on a Shore D scale.

4. The medical device of claim 1, wherein the second segment has a distal end and a proximal end, and wherein the distal end of the second segment is formed in the shape of a pigtail.

5. The medical device of claim 1, further comprising at least one electrode disposed on the second segment.

6. The medical device of claim 1, wherein the second segment is configured to transmit force in the range of at least about 20 grams-force to about 50 grams-force to tissue contacting the second segment after application of the second critical force to the second segment.

7. The medical device of claim 1, wherein the coil has a proximal end and a distal end and wherein spacing between adjacent turns of the coil is greater at the distal end of the coil than the proximal end of the coil.

8. The medical device of claim 1, wherein the coil has a proximal end and a distal end and wherein a first diameter of the coil at the proximal end is greater than a second diameter of the coil at the distal end.

9. The medical device of claim 8, wherein at least a portion of the proximal end of the coil is welded to the second segment and wherein at least a portion of the distal end of the coil is welded to the second segment.

10. The medical device of claim 1, wherein the second segment includes a curve at a select location along a length of the medical device.

11. The medical device of claim 10, wherein the curve is in the range from about 5 degrees to about 25 degrees.

12. The medical device of claim 1, further comprising a fluid lumen disposed radially inwardly of the coil.

13. The medical device of claim 1, further comprising a force/contact sensor configured to detect an amount of force provided by the medical device.

14. The medical device of claim 1, wherein the second segment comprises a first critical section on which a first plurality of electrodes are disposed and a second critical section on which a second plurality of electrodes are disposed, and wherein the medical device further comprises a sensor configured to generate a signal indicative of a bend angle between the first critical section and the second critical section of the second segment.

15. The medical device of claim 1, wherein the shaft further comprises a third segment, wherein the third segment is configured to buckle upon application of a third critical force thereto, wherein the third critical force is different than the first critical force and wherein the third critical force is different than the second critical force.

16. The medical device of claim 1, wherein the coil is free and unattached relative to the second segment.

17. A medical device comprising:

a shaft comprising an axis and comprising a first, proximal segment and a second, distal segment,

a first ablation electrode disposed on a distal end of the second segment of the shaft;

a second, ring electrode disposed on the second, distal segment, the second electrode being disposed proximally of the first, ablation electrode and disposed proximally of a portion of the shaft of the second, distal segment;

a third, ring electrode disposed on the second, distal segment, the third electrode being disposed proximally of the second electrode;

a fourth, ring electrode disposed on the second, distal segment, the fourth electrode being disposed proximally of the third electrode, the first, second, third, and fourth electrodes comprising electrically conductive material;

a coil disposed radially inwardly of an inner surface of the second segment, the coil being disposed between the second, ring electrode and the third, ring electrode;

wherein the first segment is configured to buckle upon application of a first critical force thereto;

wherein the second segment is configured to buckle upon application of a second critical force thereto, wherein the second critical force is lower than the first critical force; and

wherein the coil is configured to maintain an amount of force transmitted by the second segment to tissue contacting the second segment after application of the second critical force to the second segment so as to provide a transmitted amount of force between (i) a first amount in a range of at least about 20 grams-force to about 50 grams-force required to create a transmural lesion during ablation therapy using the ablation electrode and (ii) a second, minimum amount in the range of about 40 grams-force to about 100 grams-force that can cause perforation of the tissue, wherein the first amount is less than the second, minimum amount, and wherein the amount of force transmitted by the second segment to the tissue after buckling is limited to the second critical force as the device is advanced over a distance toward the tissue.

18. The medical device of claim 17 wherein the coil is separate from both the first segment and the second segment;

said device further comprising

a fluid lumen disposed radially inwardly of the coil, said coil being configured to prevent collapse of the fluid lumen within the coil due to buckling of the second segment.

19. A medical device comprising:

a shaft comprising an axis and comprising a first, proximal segment and a second, distal segment, wherein the second, distal segment includes a proximal end and a distal end,

a first electrode disposed on the distal end of the second, distal segment;

a second, ring electrode disposed on the second, distal segment, the second electrode being disposed proximally of the first electrode and disposed proximally of a portion of the shaft of the second, distal segment;

a third, ring electrode disposed on the second, distal segment, the third electrode being disposed proximally of the second electrode, the first, second, and third electrodes comprising electrically conductive material,

wherein the first segment is configured to buckle upon application of a first critical force thereto; and

wherein the second segment is configured to buckle upon application of a second critical force thereto, wherein the second critical force is lower than the first critical force; and

means in said second segment between the second, ring electrode and the third, ring electrode for maintaining an amount of force transmitted by the second segment to tissue contacting the second segment after an application of the second critical force to the second segment, wherein the amount of force transmitted by the second segment to the tissue after buckling is limited to the second critical force as the device is advanced over a distance toward the tissue.

20. The medical device of claim 19, further comprising means for preferentially buckling the second segment in a select manner.