Helical push wire electrode

• US 9,179,974 B2
• Filed: 04/25/2013
• Issued: 11/10/2015
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Medtronic Ardian Luxembourg SARL (Medtronic Plc)
• Original Assignee: Medtronic Ardian Luxembourg SARL (Medtronic Plc)
• Inventors: Ku, Vincent W., Wu, Andrew E.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US13/870,277
• Publication Number:
  US 20140276748A1
• Time in Patent Office: 929 Days
• Field of Search: 606/41
• US Class Current: 1/1
• 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 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/144 Wire

Abstract

Helical push wire electrodes are provided. The electrodes may create a continuous helical lesion. One or more electrodes may wind around a support section and create a set of helixes having fixed ends and hitches. Pushing or pulling an end of the electrode transforms the electrodes between a delivery configuration and a deployed configuration such that the set of helixes expand or contract axially. Different portions of the electrodes may be surrounded by sleeves. The sleeves may regulate how the wires transform and provide insulation. Various insulation configurations of the electrodes may provide creations of discrete lesions, efficient energy delivery and reduced power consumption.

Claims

1. A catheter comprising:

an elongate shaft having proximal and distal ends and a lumen extending proximally therethrough from an exit point at the distal end;

a support structure extending distally a fixed distance from the shaft distal end, the shaft being configured to deliver the support structure to a treatment site within a vessel of a human patient; and

a wire electrode slidably disposed within the shaft lumen and having a helical portion extending through the exit point and wrapped around the support structure to terminate in a fixed attachment at a distal end of the support structure, the helical portion being configured to modulate one or more nerves within tissue at or otherwise proximate to a wall of the vessel;

wherein the wire electrode is adapted to be pushed distally through the exit point to cause radial expansion of the helical portion about the support structure, and the wire electrode is further adapted to be withdrawn proximally through the exit point to cause radial collapse of the helical portion about the support structure.

2. The catheter of claim 1 wherein:

the wire electrode is a first wire electrode, the helical portion is a first helical portion, and the fixed attachment is a first fixed attachment; and

the catheter further comprises a second wire electrode slidably disposed within the shaft lumen and having a second helical portion extending through the exit point and wrapped around the support structure to terminate in a second fixed attachment at the distal end of the support structure, the second helical portion being configured to modulate one or more nerves within tissue at or otherwise proximate to a wall of the vessel, wherein the first and second helical portions are intertwined;

wherein the second wire electrode is adapted to be pushed distally through the exit point to cause radial expansion of the second helical portion about the support structure, and the second wire electrode is further adapted to be withdrawn proximally through the exit point to cause radial collapse of the second helical portion about the support structure.

3. The catheter of claim 2 wherein the first and second wire electrodes are each surrounded by a distal sleeve or coating extending proximally from the fixed attachment.

4. The catheter of claim 2 wherein the first and second wire electrodes are each surrounded by a slidable proximal sleeve extending distally from the exit point.

5. The catheter of claim 4 wherein the proximal sleeves are configured to guide the first and second wire electrodes through the exit point.

6. The catheter of claim 5 wherein the proximal sleeves are configured to prevent the first and second wire electrodes from buckling and/or forming a sharp angle while distally or proximally sliding through the exit point.

7. The catheter of claim 4 wherein the proximal sleeves are electrically insulative.

8. The catheter of claim 4 wherein the proximal sleeves are more flexible than the catheter shaft and less flexible than the first and second wire electrodes.

9. The catheter of claim 2 wherein the radial expansion transforms the first and second helical portions from a delivery state to a deployed state and wherein the first and second helical portions in the deployed state each have an inconsistent helical diameter.

10. The catheter of claim 1 wherein a transverse cross section of the wire electrode at the helical portion is not round.

11. The catheter of claim 10 wherein the transverse cross section has a greater width than height, the height being perpendicular to a longitudinal axis of the support structure.

12. The catheter of claim 10 wherein the helical portion has a first flat surface facing away from the support structure, a second flat surface facing toward the support structure, a first edge extending along one side of the wire electrode between the first and second flat surfaces, and a second edge extending along an opposite side of the wire electrode between the first and second flat surfaces.