Catheter with atraumatic tip

• US 9,649,155 B2
• Filed: 12/23/2014
• Issued: 05/16/2017
• 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: Nemec, Linda K., Tegg, Troy T., Olson, Eric S., Kauphusman, James V.
• Primary Examiner(s): CERIONI, DANIEL LEE
• Application Number:
  US14/580,435
• Publication Number:
  US 20150112331A1
• Time in Patent Office: 875 Days
• Field of Search: 600585
• 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 further comprising a first, proximal segment and a second, distal segment,

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;

a sensor configured to detect an amount of force transmitted by the second, distal segment of the medical device to tissue contacting the second segment, wherein said sensor is configured to detect said amount of force before said buckling of said second segment;

said second segment being further configured to limit the 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 as the device is advanced over a distance toward the tissue, wherein the second critical force is between an amount of force required to create a transmural lesion within a range between 20 to 50 grams-force and that capable of causing a perforation of the tissue within a range between 50 to 100 grams-force.

2. The medical device of claim 1 wherein said sensor is configured so as to detect the amount of force transmitted by the second, distal segment of the medical device in said range of force required to create a transmural lesion during ablation therapy using an ablation electrode.

3. The medical device of claim 1, wherein said sensor is one selected from the group comprising a capacitive sensor, optic-based sensor, a resistive-based sensor, a piezoelectric sensor, and a degree of electrical coupling sensor.

4. 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 said sensor comprises a force sensor that is configured to generate a signal indicative of a bend angle between the first critical section and the second critical section of the second segment, wherein the bend angle is proportional to the transmitted force of the second segment.

5. The medical device of claim 1 wherein the sensor is a first sensor, further comprising at least a second sensor.

6. The medical device of claim 1 further comprising a first electrode disposed on a the second, distal segment.

7. The medical device of claim 6 wherein the first electrode has a base at a proximal end thereof and a tip portion at a distal end thereof, the sensor being disposed proximate the base of the first electrode.

8. The medical device of claim 7 wherein the first electrode and the shaft have a predetermined flexibility, the sensor having a predetermined sensitivity, wherein said detected force can be determined using at least the predetermined flexibility, the predetermined sensitivity, and a signal output from the sensor.

9. 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.

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

11. The medical device of claim 1 wherein said second segment of the shaft includes a coil disposed radially inwardly of the inner surface of the second segment wherein said coil is 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.

12. The medical device of claim 11 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.

13. The medical device of claim 11, 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.

14. The medical device of claim 11 wherein the second, distal segment includes a proximal end and a distal end, said medical device further comprising:

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 coil is disposed between the second, ring electrode and the third, ring electrode.

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

16. The medical device of claim 11, wherein the coil is free and unattached relative to the second segment.

17. A medical device comprising:

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

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;

a sensor configured to detect an amount of force transmitted by the second, distal segment of the medical device to tissue contacting the second segment, wherein said sensor is configured to detect said amount of force before said buckling of said second segment;

means for limiting the 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 as the device is advanced over a distance toward the tissue, wherein the second critical force is between an amount of force required to create a transmural lesion within a range between 20 to 50 grams-force and that capable of causing a perforation of the tissue within a range between 50 to 100 grams-force.