Helical-shaped ablation catheter and methods of use

• US 9,861,433 B2
• Filed: 10/16/2014
• Issued: 01/09/2018
• Est. Priority Date: 11/05/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories Incorporated)
• Inventors: Tegg, Troy
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US14/515,574
• Publication Number:
  US 20150126996A1
• Time in Patent Office: 1,181 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 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00526 Methods of manufacturing
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00955 thermoplastic
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00952 rotatable
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61M 2025/015 Details of the distal fixation of the movable mechanical means
• CPC Class Codes: A61M 25/001 Forming the tip of a catheter, e.g. bevelling process, join or taper
• CPC Class Codes: A61M 25/0012 with embedded structures, e.g. coils, braids, meshes, strands or radiopaque coils
• CPC Class Codes: A61M 25/0141 having flexible regions as a result of using materials with different mechanical properties
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires
• CPC Class Codes: Y10T 29/49002 Electrical device making

Abstract

The present disclosure provides ablation catheters that are constructed such that they may be inserted into the body and into a target blood vessel in a linear conformation and subsequently changed into a helical conformation using a pull wire secured to the ablation catheter prior to an ablation procedure to allow electrodes present on the ablation catheter to contact the wall of the blood vessel. After the ablation is complete, the helical-shaped ablation catheter may be returned to its linear conformation by reversing the tensioned pull wire for extraction from the body.

Claims

1. An ablation catheter comprising:

a flexible shaft having a proximal end and a distal end;

a pull wire continuously attached along a portion of a circumference of the distal end of the flexible shaft to a pull ring such that a distal portion of the flexible shaft is configured to form a helical configuration upon tensioning of the pull wire; and

at least one electrode coupled to the flexible shaft at the distal end.

2. The ablation catheter of claim 1 wherein the pull wire is circumferentially attached to the distal end of the flexible shaft such that a first end of the pull wire and a second end of the pull wire are circumferentially spaced apart by a distance of about 180 degrees.

3. The ablation catheter of claim 1 wherein the at least one electrode comprises at least four electrodes.

4. The ablation catheter of claim 1 wherein the at least one electrode comprises at least six electrodes.

5. The ablation catheter of claim 1 wherein the flexible shaft comprises a central lumen, a middle layer, and an outer jacket.

6. The ablation catheter of claim 5 wherein the central lumen is constructed from polytetrafluoroethylene.

7. The ablation catheter of claim 5 wherein the outer jacket is constructed from a thermoplastic material.

8. The ablation catheter of claim 7 wherein the pull wire is reflowed into the outer jacket.

9. The ablation catheter of claim 5 wherein the middle layer is a braided material.

10. The ablation catheter of claim 9 wherein the braided material is a shape memory alloy.

11. The ablation catheter of claim 1 further comprising a guide wire lumen extending through the central lumen.

12. A method of manufacturing an ablation catheter, the method comprising:

continuously attaching a pull wire along a portion of a circumference of a distal end of a flexible shaft to a pull ring such that a distal portion of the flexible shaft is configured to form a helical configuration upon tensioning of the pull wire; and

coupling at least one electrode to the flexible shaft at the distal end.

13. The method of claim 12 wherein continuously attaching the pull wire along the portion of the circumference of the distal end of the flexible shaft comprises circumferentially attaching the pull wire to the distal end of the flexible shaft such that a first end of the pull wire and a second end of the pull wire are circumferentially spaced apart by a distance of about 180 degrees.

14. The method of claim 12 wherein the at least one electrode comprises at least four electrodes, and further comprising coupling the at least four electrodes to the flexible shaft.

15. The method of claim 12 wherein the at least one electrode comprises at least six electrodes, and further comprising coupling the at least six electrodes to the flexible shaft.

16. The method of claim 12 wherein the flexible shaft comprises a central lumen, a middle layer, and an outer jacket.

17. The method of claim 16 wherein the central lumen is constructed from polytetrafluoroethylene.

18. A method of ablating tissue, the method comprising:

inserting a flexible shaft into a patient wherein the flexible shaft comprises a proximal end and a distal end, a pull wire continuously attached along a portion of a circumference of the distal end of the flexible shaft to a pull ring such that a distal portion of the flexible shaft is configured to form a helical configuration upon tensioning of the pull wire, and at least one electrode coupled to the flexible shaft at the distal end;

providing tension to the pull wire such that the flexible shaft forms a helical shape; and

providing energy to the at least one electrode.