Unfurling electrode devices with the protection element

• US 9,918,789 B2
• Filed: 10/21/2014
• Issued: 03/20/2018
• Est. Priority Date: 10/25/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Bagley, Christopher L., Jameson, Allen D., Huszar, Hillary K., Maguire, Mark A., Utley, David S.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/520,028
• Publication Number:
  US 20150119881A1
• Time in Patent Office: 1,246 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 the catheter;

an ablation structure coupled with the expansion member, wherein the ablation structure is configured to furl around the expansion member to a furled configuration as the expansion member contracts and unfurl around the expansion member to an unfurled configuration as the expansion member expands; and

one or more protection elements positioned along the catheter at least distal or proximal to the ablation structure, wherein a radial dimension of the one or more protection elements is greater than a radial dimension of the ablation structure in the furled configuration.

2. The ablation device of claim 1, wherein the ablation structure comprises a furled bi-polar electrode array.

3. The ablation device of claim 1, wherein the one or more protection elements comprises one or more cones configured to protect one or more edges of the ablation structure.

4. The ablation device of claim 1, wherein the one or more protection elements comprises one or more cones, each cone having a base diameter greater than a diameter of the ablation structure when unexpanded.

5. The ablation device of claim 3, wherein the one or more cones are configured to move away from the ablation structure when the ablation structure is deployed to engage the tissue.

6. The ablation device of claim 5, further comprising one or more tethers configured to facilitate moving the one or more cones with respect to the ablation structure.

7. The ablation device of claim 1, wherein the one or more protection elements are configured to prevent the ablation structure from distending along the catheter during at least deployment into a body lumen or removal from the body lumen.

8. The ablation device of claim 1, wherein the one or more protection elements are configured to prevent the ablation structure from damaging a surface of a body lumen during at least deployment into the body lumen or removal from the body lumen.

9. The ablation device of claim 1, wherein the one or more protection elements comprises one or more bumpers coupled with one or more edges of the ablation structure.

10. The ablation device of claim 9, wherein the one or more bumpers overhang the edge of the ablation structure inwards towards the catheter.

11. The ablation device of claim 1, wherein the one or more protection elements proximal to the ablation structure comprises a raised bump coupled with the catheter.

12. The ablation device of claim 11, wherein the raised bump is configured to prevent the ablation structure from distending proximally along the catheter during deployment into a body lumen.

13. The ablation device of claim 1, wherein the one or more protection elements distal to the ablation structure comprises a portion of the expansion member configured to bunch up when the expansion member is unexpanded such that a diameter of a bunched up portion exceeds a diameter of the ablation structure when in the furled configuration.

14. The ablation device of claim 13, wherein the bunched up portion of the expansion member is configured to prevent the ablation structure from distending distally along the catheter during removal from a body lumen.

15. The ablation device of claim 1, wherein the one or more protection elements comprise a first protection element positioned distal to the ablation structure with respect to the catheter and a second protection element positioned proximal to the ablation structure with respect to the catheter.

16. A method for treatment of tissue in body lumens with varying sizes, the method comprising:

inserting an ablation structure coupled with an expansion member into a body lumen, wherein one or more protection elements are positioned along the catheter at least distal or proximal to the ablation structure, wherein a radial dimension of the one or more protection elements is greater than a radial dimension of the ablation structure in a furled configuration; and

expanding the expansion member to at least partially unfurl the ablation structure to engage the body lumen, wherein the ablation structure is configured to furl around the expansion member to the furled configuration as the expansion member contracts and unfurl around the expansion member to an unfurled configuration as the expansion member expands.

17. The method of claim 16, wherein the ablation structure comprises a furled bi-polar electrode array.

18. The method of claim 16, wherein the one or more protection elements comprises one or more cones configured to protect one or more edges of the ablation structure.

19. The method of claim 18, further comprising:

displacing the one or more cones away from the ablation structure when the ablation structure is deployed to engage the body lumen.

20. The method of claim 16, further comprising:

utilizing one or more tethers coupled with the one or more protection elements to facilitate moving the one or more protection elements with respect to the ablation structure.

21. The method of claim 16, wherein the one or more protection elements are configured to prevent the ablation structure from distending along the catheter during deployment into the body lumen.

22. The method of claim 16, wherein the one or more protection elements comprise one or more bumpers coupled with one or more edges of the ablation structure.

23. The method of claim 22, wherein the one or more bumpers overhang the edge of the ablation structure inwards towards the catheter.

24. The method of claim 16, wherein the one or more protection elements proximal to the ablation structure comprises a raised bump coupled with the catheter.

25. The method of claim 24, wherein the raised bump is configured to prevent the ablation structure from distending proximally along the catheter during deployment into the body lumen.

26. The method of claim 16, wherein the one or more protection elements distal to the ablation structure comprises a portion of the expansion member configured to bunch up when the expansion member is unexpanded such that a diameter of a bunched up portion exceeds a diameter of the ablation structure when in the furled configuration.

27. The method of claim 26, wherein the bunched up portion of the expansion member is configured to prevent the ablation structure from distending distally along the catheter during removal from the body lumen.

28. The method of claim 16, wherein the one or more protection elements comprise a first protection element positioned distal to the ablation structure with respect to the catheter and a second protection element positioned proximal to the ablation structure with respect to the catheter.