Ablation catheters and associated systems and methods

• US 9,554,848 B2
• Filed: 11/26/2013
• Issued: 01/31/2017
• Est. Priority Date: 04/05/1999
• Status: Expired due to Fees

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Stewart, Mark T., Francischelli, David, Mehra, Rahul, Skarda, James
• Primary Examiner(s): Ram, Jocelyn D
• Application Number:
  US14/091,055
• Publication Number:
  US 20140148805A1
• Time in Patent Office: 1,162 Days
• Field of Search: 606/41, 606/48, 606/50, 600/393, 600/372, 600/374, 600/585, 607/99, 607/113
• 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 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2018/00065 porous
• 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00375 Ostium, e.g. ostium of pulmonary vein or artery
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

An ablation catheter assembly including an elongate catheter body having a proximal portion, a distal portion and a lumen therethrough. A helical structure associated with the catheter distal portion carries a plurality of independently operable electrodes and is transformable between a low-profile configuration wherein a straightening element is positioned in the lumen and an expanded configuration wherein the straightening element is at least partially retracted from the spiral structure. When the helical structure is in the expanded configuration, a laterally offset tip portion extends distally therefrom.

Claims

1. A catheter assembly, comprising:

an elongated body having a proximal region and a distal region extending along a longitudinal axis, wherein the distal region of the body is configured for intravascular delivery to a body lumen of a human patient;

a pre-shaped spiral structure associated with the distal region of the elongated body, wherein the spiral structure is transformable between a low-profile configuration and an expanded configuration; and

a plurality of electrodes spaced apart along the spiral structure, wherein each of the electrodes comprises a wire wound about a corresponding length of the spiral structure,

wherein, when the spiral structure is in the expanded configuration, the spiral structure comprises a plurality of loops longitudinally spaced apart from each other and extending lengthwise along a central loop axis parallel with the longitudinal axis of the elongated body, and

wherein the electrodes are disposed along the loops and configured to apply energy in a lesion pattern along a length of the body lumen of the human patient.

2. The catheter assembly of claim 1 wherein the plurality of electrodes includes a first electrode and a second electrode, and wherein the first electrode and the second electrode are electrically isolated from one another.

3. The catheter assembly of claim 1 wherein the plurality of electrodes includes a first electrode and a second electrode, and wherein, in the expanded configuration, the spiral structure includes a first revolution, and further wherein:

the first electrode extends a first length along the longitudinal axis of the spiral structure; and

the second electrode extends a second length along the longitudinal axis of the spiral structure,

wherein the first length and the second length combined are greater than a length of the first revolution of the spiral structure.

4. The catheter assembly of claim 1 wherein the plurality of electrodes includes a first electrode and a second electrode and wherein, in the expanded configuration, the spiral structure includes a first revolution, and further wherein:

the first electrode extends a first length along the longitudinal axis of the spiral structure; and

the second electrode extends a second length along the longitudinal axis of the spiral structure, and

wherein each of the first length and the second length are less than a length of the first revolution of the spiral structure.

5. The catheter assembly of claim 1 wherein the plurality of electrodes includes a first electrode and a second electrode, and wherein:

the first electrode extends a first length along the longitudinal axis of the spiral structure; and

the second electrode extends a second length along the longitudinal axis of the spiral structure, and

wherein the first length is different than the second length.

6. The catheter assembly of claim 1 wherein the plurality of electrodes includes a first electrode and a second electrode, and wherein:

the first electrode extends a first length along the longitudinal axis of the spiral structure; and

the second electrode extends a second length along the longitudinal axis of the spiral structure, and

wherein the first length is the same as the second length.

7. The catheter assembly of claim 1 wherein the elongated body and the spiral structure include a lumen therethrough, and wherein:

in the low-profile configuration, a stylet or guide wire is positioned in the lumen of the spiral structure; and

in the expanded configuration, the stylet or guide wire is at least partially retracted from the spiral structure toward the proximal region of the elongated body.

8. A catheter assembly, comprising:

an elongated body having a proximal region, a distal region extending along a longitudinal axis, and a lumen therethrough, wherein the distal region of the body is configured for intravascular delivery to a blood vessel of a human patient;

a pre-shaped spiral structure at the distal region of the elongated body, wherein the spiral structure includes a lumen therethrough, wherein the spiral structure is selectively transformable between—

a delivery state wherein a stylet or guide wire is positioned in the lumen of the spiral structure; and

an expanded state wherein the stylet or guide wire is at least partially retracted from the spiral structure toward the proximal region of the elongated body; and

a plurality of energy delivery elements spaced apart along the spiral structure, wherein each energy delivery element comprises a flexible coil wound about a corresponding length of the spiral structure,

wherein the spiral structure, in the expanded state, comprises a plurality of loops spaced longitudinally apart from each other and extending lengthwise along a central loop axis generally parallel with the longitudinal axis of the elongated body, and

wherein the electrodes are disposed along the loops and configured to apply energy in a lesion pattern along a length of the blood vessel of the human patient.

9. The catheter assembly of claim 8 wherein each flexible coil is comprised of a wire.

10. The catheter assembly of claim 9 wherein at least one of the wires is composed of platinum.

11. The catheter assembly of claim 9 wherein at least one of the wires is composed of copper.

12. The catheter assembly of claim 8 wherein the spiral structure is composed of a shape memory material that biases the spiral structure to the expanded state.

13. The catheter assembly of claim 8 wherein the energy delivery elements are arranged on the spiral structure to form the lesion pattern of discrete, non-continuous lesions at a target treatment site within the blood vessel when the spiral structure is in the expanded state.

14. The catheter assembly of claim 8, further comprising a retractable sheath at least partially surrounding the distal region of the elongated body when the spiral structure is in the delivery state.

15. The catheter assembly of claim 8 wherein the elongated body is configured for over-the-wire or rapid exchange delivery techniques.

16. The catheter assembly of claim 8 wherein the spiral structure comprises a generally uniform diameter in the expanded state.

17. The catheter assembly of claim 8 wherein the plurality of energy delivery elements includes a first flexible coil electrode and a second flexible coil electrode, and wherein the first electrode and the second electrode are electrically isolated from one another.

18. The catheter assembly of claim 8 wherein the plurality of energy delivery elements includes a first energy delivery element and a second energy delivery element, and wherein, in the expanded state, the spiral structure includes a first revolution, and further wherein:

the first energy delivery element extends a first length along the longitudinal axis of the spiral structure; and

the second energy delivery element extends a second length along the longitudinal axis of the spiral structure, and

wherein the first length and the second length combined are greater than a length of the first revolution of the spiral structure.

19. The catheter assembly of claim 8 wherein the plurality of energy delivery elements includes a first energy delivery element and a second energy delivery element, and wherein, in the expanded state, the spiral structure includes a first revolution, and further wherein:

the first energy delivery element extends a first length along the longitudinal axis of the spiral structure; and

the second energy delivery element extends a second length along the longitudinal axis of the spiral structure, and

wherein each of the first length and the second length are less than a length of the first revolution of the spiral structure.

20. The catheter assembly of claim 8 wherein the plurality of energy delivery elements includes a first energy delivery element and a second energy delivery element, and wherein:

the first energy delivery element extends a first length along the longitudinal axis of the spiral structure; and

the second energy delivery element extends a second length along the longitudinal axis of the spiral structure,

wherein the first length is different than the second length.

21. The catheter assembly of claim 8 wherein the plurality of energy delivery elements includes a first energy delivery element and a second energy delivery element, and wherein:

the first energy delivery element extends a first length along the longitudinal axis of the spiral structure; and

the second energy delivery element extends a second length along the longitudinal axis of the spiral structure, and

wherein the first length is the same as the second length.