Helical push wire electrode

• US 9,888,961 B2
• Filed: 10/08/2015
• Issued: 02/13/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Medtronic Ardian Luxembourg SARL (Medtronic Plc)
• Original Assignee: Medtronic Ardian Luxembourg SARL (Medtronic Plc)
• Inventors: Ku, Vincent W., Wu, Andrew E.
• Primary Examiner(s): Cohen, Lee S
• Application Number:
  US14/878,843
• Publication Number:
  US 20160151112A1
• Time in Patent Office: 859 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• 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 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/144 Wire

Abstract

Helical push wire electrodes are provided. The electrodes may create a continuous helical lesion. One or more electrodes may wind around a support section and create a set of helixes having fixed ends and hitches. Pushing or pulling an end of the electrode transforms the electrodes between a delivery configuration and a deployed configuration such that the set of helixes expand or contract axially. Different portions of the electrodes may be surrounded by sleeves. The sleeves may regulate how the wires transform and provide insulation. Various insulation configurations of the electrodes may provide creations of discrete lesions, efficient energy delivery and reduced power consumption.

Claims

1. A method, comprising:

advancing a shaft along a transluminal path to deliver a therapeutic assembly at a distal portion of the shaft to a treatment site within a vessel of a human patient, the therapeutic assembly including a wire electrode slidably disposed within the shaft, the electrode having a helical portion extending distally from the shaft to an electrode distal end supported at a fixed distance from a shaft distal end;

pushing the electrode distally to expand the helical portion;

modulating one or more nerves of the patient using the therapeutic assembly after pushing the electrode distally; and

pulling the electrode proximally to collapse the helical portion.

2. The method of claim 1 wherein the vessel is a renal artery.

3. The method of claim 1 wherein:

pushing the electrode distally to expand the helical portion moves the wire electrode into contact with an inner wall of the vessel; and

modulating the one or more nerves includes delivering energy to the one or more nerves via a surface of the wire electrode facing toward the vessel inner wall.

4. The method of claim 3 wherein modulating the one or more nerves includes inhibiting delivery of energy into blood within the vessel via insulation disposed along a side of the wire electrode facing away from the vessel inner wall.

5. The method of claim 1 wherein modulating the one or more nerves includes delivering energy to the one or more nerves via a flat surface of the wire electrode facing toward an inner wall of the vessel.

6. The method of claim 1 wherein:

pushing the electrode includes sliding the helical portion distally from within a proximal sleeve mounted at the shaft distal end; and

pulling the electrode includes sliding the helical portion proximally into the proximal sleeve.

7. The method of claim 6 wherein sliding the helical portion distally from within a proximal sleeve includes guiding the wire electrode into a helical shape of the helical portion without buckling or forming a sharp angle.

8. A method for neuromodulation of a patient, comprising:

advancing an elongate shaft along a transluminal path to deliver a therapeutic assembly at a distal portion of the shaft to a treatment site within a vessel of the patient, the therapeutic assembly including a pair of wire electrodes slidably disposed within the shaft, the electrodes having intertwined helical portions extending distally from the shaft to a distal tip supported at a fixed distance from a shaft distal end;

pushing the pair of electrodes distally to radially expand the intertwined helical portions;

modulating one or more nerves of the patient using the therapeutic assembly after pushing the pair of electrodes distally; and

pulling the pair of electrodes proximally to collapse the intertwined helical portions.

9. The method of claim 8 wherein:

pushing the pair of electrodes distally to radially expand the intertwined helical portions moves each wire electrode into contact with an inner wall of the vessel; and

modulating one or more nerves includes delivering energy to the one or more nerves via surfaces of each wire electrode that face toward the vessel inner wall.

10. The method of claim 9 wherein pushing the pair of electrodes distally to radially expand the intertwined helical portions creates a pair of circumferentially continuous contacts with the vessel inner wall.

11. The method of claim 10 wherein each electrode is a patterned electrode comprising one or more conductive sections separated by electrically insulated portions.

12. The method of claim 8 wherein pushing the pair of electrodes distally causes each of the helical portions to expand to an inconsistent helical diameter.

13. The method of claim 8 wherein the intertwined helical portions are wrapped about a support structure terminating in the distal tip.