Ablation catheters and systems including rotational monitoring means

• US 9,861,436 B2
• Filed: 10/26/2016
• Issued: 01/09/2018
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Inventors: Parsonage, Edward E.
• Primary Examiner(s): Alter, Alyssa M
• Application Number:
  US15/334,686
• Publication Number:
  US 20170042611A1
• Time in Patent Office: 440 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 2018/00202 rotating
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2090/067 for measuring angles
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: A61B 90/08 Accessories or related features not otherwise provided for

Abstract

The present disclosure provides an improved ablation catheter. In particular, the present disclosure provides an improved renal denervation ablation catheter and system including a catheter handle and a means for tracking, monitoring, and/or recording the circumferential angular history of the renal denervation ablation catheter handle. The renal denervation ablation catheters in accordance with the present disclosure are well-suited for use with a renal denervation ablation system that can record the circumferential angular history of the renal denervation catheter handle, and hence the circumferential angular ablation history of the catheter electrode within a vessel, and use this data in combination with other known information to estimate the percent circumferential denervation of the vessel.

Claims

1. A method for monitoring the circumferential ablation history of a renal artery, the method comprising:

ablating a first area on the renal artery using an ablation system comprising a catheter handle, an elongate catheter body, and an electrode;

rotating the catheter handle by a first predetermined rotational angle indicated by a means for monitoring an angular rotation of the catheter handle during an ablation procedure, said rotating the catheter handle comprising rotating the electrode by the first predetermined rotational angle;

recording the first predetermined rotational angle; and

ablating a second area on the renal artery using the ablation system.

2. The method of claim 1, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle according to a visual output from a non-rotating rotational monitor.

3. The method of claim 2, wherein rotating the catheter handle according to a visual output from a non-rotating rotational monitor comprises rotating the catheter handle to align a rotational angle indicator on the catheter handle with a first angular marking on the non-rotating rotational monitor.

4. The method of claim 3, wherein rotating the catheter handle to align a rotational angle indicator on the catheter handle with a first angular marking on the non-rotating rotational monitor comprises rotating the catheter handle to align the rotational angle indicator on the catheter handle with the first angular marking proportional to a first predetermined rotation angle of the catheter handle.

5. The method of claim 3, wherein rotating the catheter handle to align a rotational angle indicator on the catheter handle with a first angular marking on the non-rotating rotational monitor comprises rotating the catheter handle to align the rotational angle indicator on the catheter handle with the first angular marking proportional to a first predetermined rotation angle of the electrode.

6. The method of claim 1, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle according to a visual output from a motion detector.

7. The method of claim 1, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle by the first predetermined angle proportional to a first predetermined rotational angle of the electrode.

20. The method of claim 1, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle according to a visual output from at least one of a non-rotating rotational monitor and a motion detector.

8. An ablation catheter system comprising:

a rotatable catheter handle comprising a means for monitoring a rotational angle of the catheter handle;

an elongate catheter body; and

an electrode configured to rotate with rotational movement of the rotatable catheter handle.

9. The ablation catheter system of claim 8, wherein the means for monitoring the rotational angle of the catheter handle is configured to monitor a rotational angle of the electrode during an ablation procedure.

10. The ablation catheter system of claim 8, wherein the means for monitoring the rotational angle of the catheter handle comprises a non-rotating rotational monitor attached to and circumscribing the catheter handle.

11. The ablation catheter system of claim 10, wherein the non-rotating rotational monitor includes a series of visible markings indicating values for angles.

12. The ablation catheter system of claim 11, wherein the catheter handle further comprises a rotational angle indicator configured to align with one or more visible marking of the series of visible markings.

13. The ablation catheter system of claim 8, wherein the means for monitoring the rotational angle of the catheter handle comprises a motion detector.

14. The ablation catheter system of claim 13, wherein the catheter handle further comprises a screen to display visual output from the motion detector.

15. The ablation catheter system of claim 8, wherein the means for monitoring the rotational angle of the catheter handle comprises a micro-electromechanical system.

16. The ablation catheter system of claim 15, wherein the catheter handle further comprises a screen to display visual output from the micro-electromechanical system.

17. A method for estimating the circumferential percent renal denervation for a renal artery, the method comprising:

initializing an ablation system including an ablation catheter comprising a catheter handle, an elongate catheter body, and an electrode;

ablating a first area on the renal artery using the ablation system;

rotating the catheter handle by a first predetermined rotational angle indicated by a means for monitoring an angular rotation of the catheter handle during an ablation procedure, wherein said rotating the catheter handle also rotates the electrode by the first predetermined rotational angle;

recording the first predetermined rotational angle;

ablating a second area on the renal artery using the ablation system; and

using an average ablation spot size, a diameter of the artery, and circumferential angle for each ablation to estimate the circumferential percent renal denervation for the artery.

18. The method of claim 17, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle by the first predetermined angle proportional to a first predetermined rotational angle of the electrode.

19. The method of claim 17, wherein rotating the catheter handle by a first predetermined angle comprises rotating the catheter handle by the first predetermined angle proportional to a first predetermined rotational angle of the catheter handle.