Unfurling electrode devices with spring

• US 9,743,981 B2
• Filed: 10/21/2014
• Issued: 08/29/2017
• Est. Priority Date: 10/25/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Huszar, Hillary K., Bagley, Christopher L., Jameson, Allen D., Lubinski, Alexander A., Maguire, Mark A., Utley, David S.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/519,950
• Publication Number:
  US 20150119880A1
• Time in Patent Office: 1,043 Days
• 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 2017/00871 polymeric
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00488 Esophagus
• CPC Class Codes: A61B 2018/00494 Stomach, intestines or bowel
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure
• CPC Class Codes: A61M 2025/006 having a special surface topography or special surface properties, e.g. roughened or knurled surface

Abstract

Methods, systems, and devices for providing treatment to a tissue in body lumens are described. The system may include a catheter, an expansion member coupled with a distal portion of the catheter, an ablation structure including one or more longitudinal electrode segments, and an ablation structure support coupled to the ablation structure configured to at least partially unfurl as the expansion member expands and furl as the expansion member contracts. The ablation structure may include multiple separately wired and/or separately controlled longitudinal electrodes, longitudinal electrode zones, or both, such that each longitudinal electrode or longitudinal electrode zone may be selectively enabled or selectively disabled. In some instances, one or more springs are coupled to the ablation structure configured to promote unfurl or furl around the expansion member. In some instances, one or more protection elements are be positioned along the catheter.

Claims

1. An ablation device for treatment of tissue in body lumens with varying sizes, the device comprising:

a catheter;

an expansion member coupled with a distal portion of the catheter;

an ablation structure configured to at least partially unfurl or furl around the expansion member as the expansion member expands or contracts; and

one or more springs, coupled with the ablation structure, and configured to provide a force to cause the ablation structure to unfurl or furl around the expansion member as the expansion member expands or contracts, wherein the one or more springs comprises one or more strips of material that are coupled with the ablation structure laterally with respect to a longitudinal axis of the ablation structure, wherein at least one of the strips of material comprises at least a tapered portion.

2. The ablation device of claim 1, wherein the one or more springs comprise one or more strips of material wherein a density of the one or more strips of material proximal to a free end of the ablation structure is less than a density of the one or more strips of material distal to the free end of the ablation structure.

3. The ablation device of claim 2, wherein the one or more strips of material comprises at least a shape memory polymer material.

4. The ablation device of claim 1, wherein the one or more springs comprise one or more strips of material wherein a density of the one or more strips of material proximal to a free end of the ablation structure and proximal to a mounted end of the ablation structure is less than a density of the one or more strips of material at a middle portion of the ablation structure.

5. The ablation device of claim 1, wherein the one or more strips of material comprises at least a metallic material or a polymer material.

6. The ablation device of claim 1, wherein the one or more springs comprise at least a first spring with a first length and a second spring with a second length different from the first length.

7. The ablation device of claim 6, wherein the first length is greater than the second length and the second spring with the second length is positioned distal to a free end of the ablation structure.

8. The ablation device of claim 1, wherein the one or more strips of material comprises one or more rectangular strips of material.

9. The ablation device of claim 8, wherein at least one of the one or more rectangular strips of material comprises one or more openings configured into at least one end of the at least one rectangular strips.

10. The ablation device of claim 1, wherein at least one of the strips of material comprise one or more slots configured into at least one end of the at least one strip of material.

11. The ablation device of claim 1, wherein the ablation structure comprises a plurality of longitudinal electrode regions, the plurality of longitudinal electrode regions configured to be sequentially activated.

12. The ablation device of claim 1, wherein the ablation structure comprises a plurality of longitudinal electrode regions, the plurality of longitudinal electrode regions configured to be sequentially activated beginning with a first electrode region adjacent to a free end of the ablation structure.

13. The ablation device of claim 1, wherein the ablation structure comprises a plurality of longitudinal electrode regions, each longitudinal electrode region configured to be selectively enabled or disabled.

14. The ablation device of claim 13, wherein the plurality of longitudinal electrode regions comprise at least two longitudinal electrode regions with different widths.

15. The ablation device of claim 14, wherein the at least two longitudinal electrode regions of different widths comprise a first longitudinal electrode region adjacent to a free end of the ablation structure and a second longitudinal electrode region, wherein the first longitudinal electrode region has a width greater than the width of the second longitudinal electrode region.

16. The ablation device of claim 13, wherein the plurality of longitudinal electrode regions comprise at least three longitudinal electrode regions with different widths comprising a first longitudinal electrode region proximal to a free end of the ablation structure, a second longitudinal electrode region adjacent to the first longitudinal electrode region, and a third longitudinal electrode region distal to the free end of the ablation structure wherein the first longitudinal electrode region has a width greater than the width of the second longitudinal electrode region and the second longitudinal electrode region has a width greater than the width of the third longitudinal electrode region.

17. The ablation device of claim 1, wherein the ablation structure comprises at least a bipolar electrode array.

18. The ablation device of claim 1, wherein the expansion member comprises a balloon.