Ablation probe with ultrasonic imaging capabilities

• US 9,241,687 B2
• Filed: 04/02/2012
• Issued: 01/26/2016
• Est. Priority Date: 06/01/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: McGee, David L.
• Primary Examiner(s): Porter, Jr., Allen
• Application Number:
  US13/437,267
• Publication Number:
  US 20120310064A1
• Time in Patent Office: 1,394 Days
• Field of Search: 606 32- 34, 606/41
• US Class Current: 1/1
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/487 involving fluoroscopy
• CPC Class Codes: A61B 8/0883 for diagnosis of the heart
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/4477 using several separate ultrasound transducers or probes
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074

Abstract

Devices and systems for ultrasonically imaging anatomical structures and performing ablation therapy within the body are disclosed. A combined ablation and ultrasound imaging probe includes a housing, an ablation electrode located on a distal tip section of the housing, and a number of ultrasonic imaging sensors configured for visualizing anatomical structures within the body. During an ablation procedure, the ultrasonic imaging sensors can be tasked to generate a number of ultrasonic images that can be displayed as a composite image on a display screen of a user interface.

Claims

1. A combined ablation and ultrasound imaging probe for insertion within a body, the probe comprising:

a housing having a proximal section and a distal tip section;

an ablation electrode located at the distal tip section, the ablation electrode comprising a metal shell, the metal shell having a distal-facing aperture formed through the metal shell and a plurality of lateral-facing apertures formed through the metal shell and located proximal of the distal facing aperture, the plurality of lateral-facing apertures arrayed around a circumference of the metal shell;

a first ultrasonic imaging sensor located at least partially within the metal shell, the first ultrasonic imaging sensor configured to transmit acoustic waves in a first direction through the distal-facing aperture, the first direction orientated primarily distally away from the distal tip section; and

a plurality of second ultrasonic imaging sensors located at least partially within the metal shell and proximal to the first ultrasonic imaging sensor, the plurality of second ultrasonic imaging sensors arrayed about the circumference of the metal shell and configured to transmit acoustic waves through the plurality of lateral-facing apertures in a plurality of second directions, respectively, the plurality of second directions orientated laterally away from the distal tip section and different from the first direction.

2. The probe of claim 1, wherein the ablation electrode comprises an RF ablation electrode.

3. The probe of claim 1, wherein each of the first and second ultrasonic imaging sensors are disposed entirely within the distal tip section.

4. The probe of claim 1, wherein the plurality of apertures are evenly spaced about the circumference of the metal shell.

5. The probe of claim 1, wherein each of the second ultrasonic imaging sensors are located along a curved portion of the metal shell.

6. The probe of claim 5, wherein each of the second ultrasonic imaging sensors are configured to transmit acoustic waves at an angle of between about 10°

to about 60°

relative to a line perpendicular to a longitudinal axis of the housing.

7. The probe of claim 1, wherein the plurality of second ultrasonic imaging sensors consists of three ultrasonic imaging sensors evenly arrayed at angles of 120°

about the circumference of the metal shell.

8. The probe of claim 1, wherein the plurality of second ultrasonic imaging sensors consists of four ultrasonic imaging sensors evenly arrayed at angles of 90°

about the circumference of the metal shell.

9. The probe of claim 1, wherein the probe further includes at least one mapping electrode.

10. An imaging and ablation probe for insertion within a body, the probe comprising:

a catheter having a distal tip section;

an ablation electrode located at the distal tip section, the electrode formed from an electrically conductive metal, the electrode having a distal aperture and a plurality of side apertures, all of said apertures formed through the electrically conductive metal of the electrode, the distal aperture distal with respect to each of the plurality of side apertures, the plurality of side apertures arrayed around a circumference of the electrode;

a first ultrasonic imaging sensor located within the electrode and configured to transmit acoustic waves through the distal aperture in a first direction, the first direction orientated primarily distally away from the electrode; and

a plurality of second ultrasonic imaging sensors within the electrode and configured to transmit acoustic waves, the plurality of second ultrasonic imaging sensors directly axially aligned with the plurality of side apertures, respectively, to transmit the transmit acoustic waves through the plurality of side apertures in a plurality of second directions, respectively, the plurality of second directions orientated laterally with respect to a longitudinal axis of the distal tip section.

11. The probe of claim 10, wherein the electrode comprises an RF ablation electrode.

12. The probe of claim 10, wherein each of the first and second ultrasonic imaging sensors are disposed entirely within the electrode.

13. The probe of claim 10, wherein the plurality of side apertures are evenly spaced about the circumference of the electrode.

14. The probe of claim 10, wherein each of the second ultrasonic imaging sensors are located along a curved portion of the electrode.

15. The probe of claim 14, wherein each of the second ultrasonic imaging sensors is configured to transmit acoustic waves at an angle of between about 10°

to about 60°

relative to a line perpendicular to the longitudinal axis of the distal tip section.

16. The probe of claim 10, wherein the plurality of side apertures consists of three apertures evenly spaced around the circumference of the electrode at angles of 120°

.

17. The probe of claim 10, wherein the plurality of side apertures consists of four apertures evenly spaced around the circumference of the electrode at angles of 90°

.

18. An imaging and ablation probe for insertion within a body, the probe comprising:

a catheter having a distal tip section;

an RF ablation electrode located at the distal tip section, the RF ablation electrode formed from an electrically conductive metal, the electrode having a distal aperture and a plurality of side apertures, all of said apertures formed through the electrically conductive metal of the electrode, the distal aperture located distal with respect to each of the plurality of side apertures, the plurality of side apertures evenly spaced around a circumference of the electrode;

a first ultrasonic imaging sensor inset within the electrode and configured to transmit acoustic waves in a first direction through the distal aperture, the first direction orientated primarily distally from the electrode; and

a plurality of second ultrasonic imaging sensors inset within the electrode and each directly aimed in one of a plurality of different directions, respectively, and configured to transmit acoustic waves through the plurality of side apertures in the plurality of second directions, respectively, the plurality of second directions laterally directed with respect to the electrode and respectively different from each other and the first direction.