Ablation catheters and systems including rotational monitoring means

• US 9,510,902 B2
• Filed: 03/13/2013
• Issued: 12/06/2016
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Inventors: Parsonage, Edward E.
• Primary Examiner(s): Alter, Alyssa M
• Application Number:
  US13/799,623
• Publication Number:
  US 20140276762A1
• Time in Patent Office: 1,364 Days
• Field of Search: 606/34, 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 2018/00202 rotating
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

The present disclosure provides an improved ablation catheter. In particular, the present disclosure provides an improved renal denervation ablation catheter and system including a catheter handle and a means for tracking, monitoring, and/or recording the circumferential angular history of the renal denervation ablation catheter handle. The renal denervation ablation catheters in accordance with the present disclosure are well-suited for use with a renal denervation ablation system that can record the circumferential angular history of the renal denervation catheter handle, and hence the circumferential angular ablation history of the catheter electrode within a vessel, and use this data in combination with other known information to estimate the percent circumferential denervation of the vessel.

Claims

1. An ablation catheter system comprising a catheter handle, an elongate catheter body, an electrode, and a means for tracking an angular rotational history of the catheter handle during an ablation procedure, wherein the means for tracking an angular rotational history of the catheter handle during an ablation procedure is configured to record a circumferential angle for each ablation made by the electrode.

2. The ablation catheter of claim 1 wherein the means for tracking an angular rotational history of the catheter handle is a non-rotating rotational monitor attached to and circumscribing the catheter handle.

3. The ablation catheter of claim 2 wherein the non-rotating rotational monitor has an output proportional to a rotational angle of the catheter handle.

4. The ablation catheter of claim 2 wherein the non-rotating rotational monitor includes a series of visible markings indicating values for angles.

5. The ablation catheter of claim 1 wherein the means for tracking an angular rotational history of the catheter handle is an electronic means.

6. The ablation catheter of claim 5 wherein the electronic means includes a motion detector.

7. The ablation catheter of claim 6 wherein the motion detector is external to the ablation catheter.

8. The ablation catheter of claim 5 wherein the electronic means includes a micro-electromechanical system.

9. The ablation catheter of claim 8 wherein the micro-electromechanical system is external to the ablation catheter.

10. The ablation catheter of claim 1 wherein the ablation catheter is a single-electrode ablation catheter.

11. The ablation catheter of claim 1 wherein the ablation catheter is a multi-electrode ablation catheter.

12. A method for tracking the circumferential ablation history of a renal artery, the method comprising:

ablating at least two areas on the renal artery using an ablation system comprising an ablation catheter comprising a catheter handle, an elongate catheter body, and an electrode, the ablation system further comprising a means for tracking an angular rotational history of the catheter handle during an ablation procedure, wherein the means for tracking an angular rotational history of the catheter handle is configured to record the circumferential angular ablation history of the electrode within the renal artery; and

recording a circumferential angle for each ablation made by the electrode.

13. The method of claim 12 wherein the ablation system further includes a means for projecting the recorded circumferential angle for each ablation onto a visual medium.

14. The method of claim 12 wherein the means for tracking an angular rotational history of the catheter handle is a non-rotating rotational monitor attached to the catheter handle.

15. The method of claim 14 wherein the non-rotating rotational monitor has an output proportional to a rotational angle of the catheter handle.

16. The method of claim 15 wherein the non-rotating rotational monitor includes a series of markings indicating values for angles.

17. The method of claim 12 wherein the means for tracking an angular rotational history of the catheter handle is an electronic means.

18. The method of claim 17 wherein the electronic means includes a motion detector.

19. The method of claim 18 wherein the motion detector is external to the ablation catheter.

20. A method for estimating the circumferential percent renal denervation for a renal artery, the method comprising:

performing at least two ablations on the renal artery using an ablation system comprising an ablation catheter comprising a catheter handle, an elongate catheter body, and an electrode, the ablation system further comprising a means for recording a circumferential rotational history of the catheter handle;

recording a circumferential angle for each ablation; and

using an average ablation spot size, a diameter of the artery, and circumferential angle for each ablation to estimate the circumferential percent renal denervation for the artery.