Flexible tip catheter with extended fluid lumen

• US 9,724,492 B2
• Filed: 02/03/2015
• Issued: 08/08/2017
• Est. Priority Date: 04/04/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Du, William, de la Rama, Alan, Hata, Cary, Zhang, Yongxing
• Primary Examiner(s): GIULIANI, THOMAS ANTHONY
• Application Number:
  US14/613,294
• Publication Number:
  US 20150209547A1
• Time in Patent Office: 917 Days
• Field of Search: 606 32, 606 41, 606 47, 607 99, 607105, 607116
• 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00101 low, i.e. thermally insulating
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61M 2025/1047 having centering means, e.g. balloons having an appropriate shape
• CPC Class Codes: A61M 25/0026 Multi-lumen catheters with stationary elements catheter assemblies comprising a catheter in combination with a guide tube, sheath or sleeve A61M2025/0681; catheters comprising telescoping coaxial elements A61M2025/0175
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/008 Strength or flexibility characteristics of the catheter tip
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool

Abstract

A lumen extension member is provided for a catheter having a catheter body and an elongate electrode coupled to the catheter body. The elongate electrode defines an electrode lumen extending therethrough. The lumen extension member is positioned within the electrode lumen and is coupled to the catheter body. The lumen extension member includes a tubular member including a sidewall and at least one opening that extends through the sidewall.

Claims

1. A lumen extension member for a catheter having a catheter body and an elongate flexible electrode, wherein said catheter body includes a distal portion, said lumen extension member fixedly coupled to the catheter body distal portion and positioned within the elongate electrode, said lumen extension member comprising at least one opening extending therethrough, wherein said lumen extension member is flexible and is configured such that a flexibility of said elongate flexible electrode is not compromised by said lumen extension member during initial bending movement of the elongate flexible electrode from an at rest position.

2. A lumen extension member in accordance with claim 1, wherein said lumen extension member has a substantially uniform geometry extending along a longitudinal length thereof.

3. A lumen extension member in accordance with claim 1, wherein said lumen extension member comprises a proximal portion having a first inner diameter and a distal portion having a second inner diameter that is different from the first inner diameter.

4. A lumen extension member in accordance with claim 1, wherein said at least one opening includes a first opening having a first configuration and a second opening having a second configuration that is different from the first configuration.

5. A lumen extension member in accordance with claim 1, wherein said at least one opening includes a first plurality of openings extending along a longitudinal length of said lumen extension member and a second plurality of openings extending along the longitudinal length of said lumen extension member, said first plurality of openings spaced at least one of radially apart and longitudinally apart from said second plurality of openings.

6. An ablation catheter comprising:

a catheter body having a distal portion;

an elongate electrode having an annular channel therein, said elongate electrode coupled to said distal portion of said catheter body; and

a lumen extension member comprising a projecting portion projecting into said annular channel, said lumen extension member fixedly coupled to said catheter body distal portion and configured to flex, wherein said annular channel surrounds said lumen extension member projecting portion.

7. An ablation catheter in accordance with claim 6, wherein said catheter body comprises an inner tube having a distal end, and said lumen extension member having a proximal end that is at least one of coupled to said distal end and integrally formed with said distal end.

8. An ablation catheter in accordance with claim 6, wherein said catheter body comprises an inner tube having a first inner diameter, said lumen extension member having a second inner diameter that is substantially similar to the first inner diameter.

9. An ablation catheter in accordance with claim 6, wherein said elongate electrode has a first length and is configured to have flexible properties, and said lumen extension member has a second length that is shorter than the first length and is configured such that a flexibility of the elongate electrode is not compromised by said lumen extension member during initial bending movement of the elongate electrode from an at rest position.

10. An ablation catheter in accordance with claim 6, further comprising a biasing element positioned in said annular channel about said lumen extension member, said biasing element providing structural integrity to said elongate electrode.

11. An ablation catheter in accordance with claim 6, wherein said elongate electrode includes a sidewall including a plurality of channels defined therein, said ablation catheter further comprising a membrane extending across a portion of said sidewall that includes at least one of said plurality of channels.

12. An ablation catheter in accordance with claim 6, wherein said elongate electrode includes a sidewall including a plurality of channels defined therein, said elongate electrode sidewall configured to flex and have variations in an opening size of said channels.

13. An ablation catheter in accordance with claim 6, wherein said lumen extension member has a substantially uniform geometry extending along a longitudinal length of said lumen extension member.

14. An ablation catheter in accordance with claim 6, wherein said catheter body, said elongate electrode, and said lumen extension member are each fabricated from at least one of a biocompatible material, a non-magnetic material, a non-electrically conductive material, and a non-RF reactive material.

15. An ablation catheter in accordance with claim 6, wherein said lumen extension member comprises a proximal portion having a first inner diameter and a distal portion having a second inner diameter that is different from the first inner diameter.

16. An ablation catheter in accordance with claim 6, wherein said lumen extension member includes a sidewall having a plurality of openings extending therethrough, said plurality of openings extending along a longitudinal length of said lumen extension member.

17. An ablation catheter in accordance with claim 6, wherein said lumen extension member comprises a proximal portion and a distal portion including an opening, wherein said proximal portion is coupled to said catheter body distal portion.

18. A catheter comprising:

a catheter body comprising a proximal portion and a distal portion;

a tip assembly defining a tip lumen extending therethrough, said tip assembly coupled to the catheter body distal portion;

a lumen extension member comprising a projecting portion and positioned at the catheter body distal portion, said lumen extension member defining a lumen;

a proximal opening extending through said lumen extension member, the proximal opening in fluid communication with the lumen extension member lumen; and

a distal opening extending through said lumen extension member, the distal opening in fluid communication with the lumen extension member lumen, wherein the lumen extension member projecting portion is positioned in the tip lumen and is spaced from the tip assembly when the tip assembly is in an at rest position such that an annular channel extends between the projecting portion and the tip assembly, wherein the annular channel comprises empty space surrounding the projecting portion, said lumen extension member fixedly coupled to the distal portion of the catheter body and configured to flex.

19. A catheter in accordance with claim 18, wherein said lumen extension member comprises a proximal portion having a first inner diameter and a distal portion having a second inner diameter that is different from the first inner diameter.

20. A catheter in accordance with claim 18, wherein said lumen extension member further includes a plurality of additional openings extending therethrough, said plurality of additional openings extending along a longitudinal length of said lumen extension member.

21. A catheter comprising:

a shaft assembly comprising a proximal portion and a distal portion, the distal portion sized and configured for insertion in a patient;

a tip assembly connected to the distal portion;

an irrigation member comprising a sidewall, said irrigation member fixedly connected to the distal portion, wherein the irrigation member extends at least partially within the tip assembly and defines a lumen, and wherein the irrigation member is flexible;

a proximal opening extending through the sidewall and having a first diameter, said proximal opening in fluid communication with the lumen; and

a distal opening extending through the sidewall and having a second diameter, said distal opening in fluid communication with the lumen, wherein the proximal opening is different in size than the distal opening.