Energy delivery devices

• US 9,931,163 B2
• Filed: 04/24/2015
• Issued: 04/03/2018
• Est. Priority Date: 10/17/2000
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Danek, Christopher J., Biggs, Michael, Burger, Keith M., Loomas, Bryan E., Keast, Thomas M., Haugaard, Dave
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US14/695,842
• Publication Number:
  US 20150223879A1
• Time in Patent Office: 1,075 Days
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• 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 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/046 in liquid form
• 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 2018/1497 Electrodes covering only part of the probe circumference
• CPC Class Codes: A61B 2090/3614 using optical fibre
• CPC Class Codes: A61N 1/06 for high-frequency therapy
• CPC Class Codes: A61N 1/403 for thermotherapy, e.g. hyperthermia
• CPC Class Codes: A61N 5/00 Radiation therapy ultrasound therapy A61N7/00; devices or apparatus applicable to both therapy and diagnosis A61B6/00

Abstract

An energy delivery device may include an elongate member having a proximal portion, a distal portion, and a lumen extending therebetween. The device may include a deployment member extending through the lumen toward a distal tip of the energy delivery device, and an expandable basket having a plurality of curved electrode legs. Each of the curved electrode legs may have a first end coupled to the distal portion of the elongate member and a second end coupled to the deployment member, and each of the plurality of curved electrode legs may have at least one energy insulated region and one energy active region. The device also may include at least one temperature sensing element coupled to said expandable basket.

Claims

1. An energy delivery device, comprising:

a shaft having a proximal portion, a distal portion, and a lumen extending therebetween;

a deployment member extending through the lumen toward a distal tip of the energy delivery device;

an expandable basket having a plurality of curved electrode legs, each of the curved electrode legs having a first end coupled to the distal portion of the shaft and a second end coupled to the deployment member, each of the plurality of curved electrode legs further having at least one energy insulated region and one energy active region, wherein application of a proximally-directed pulling force on the deployment member causes the expandable basket to move from a collapsed radial configuration to an expanded radial configuration, and release of the proximally-directed pulling force on the deployment member causes the expandable basket to move from the expanded radial configuration to the collapsed radial configuration;

at least one temperature sensing element coupled to said expandable basket, wherein the at least one temperature sensing element includes two leads separately coupled to the energy active region of one of the plurality of curved electrode legs, and the at least one temperature sensing element is unable to measure temperature when at least one of the two leads becomes detached from the one of the plurality of curved electrode legs; and

a controller coupled to the at least one temperature sensing element, wherein the controller is configured to terminate energy delivery by the plurality of curved electrode legs when a sensed temperature by the at least one temperature sensing element does not increase by at least 10°

C. in an initial 3 seconds from an initiation of energy delivery.

2. The energy delivery device of claim 1, wherein each of the plurality of curved electrode legs is coupled to the deployment member at a distal joint adjacent to said distal tip.

3. The energy delivery device of claim 1, wherein the distal tip is distal to the distal portion of the shaft.

4. The energy delivery device of claim 1, wherein the energy active region of each of the plurality of curved electrode legs is configured to contact a wall of a body lumen when the expandable basket is in the expanded radial configuration.

5. The energy delivery device of claim 1, wherein the deployment member is configured to deliver electrical current to the plurality of curved electrode legs.

6. The energy delivery device of claim 1, wherein the proximally-directed force causes the distal tip to move proximally relative to the distal end of the shaft, and release of the proximally directed force causes the distal tip to move distally relative to the distal end of the shaft.

7. The energy delivery device of claim 1, wherein the distal tip is atraumatic, and the plurality of electrode legs includes exactly four electrode legs spaced 90 degrees from one another.

8. An energy delivery device, comprising:

a shaft having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end;

a plurality of curved electrodes extending distally from the distal end of the shaft;

a deployment member extending between the proximal end of the shaft toward distal ends of the plurality of curved electrodes, the deployment member configured to move the plurality of curved electrodes between a collapsed radial configuration and an expanded radial configuration, wherein each of the plurality of curved electrodes is configured to contact a wall of a body lumen when in the expanded radial configuration, the deployment member being arranged to deliver electrical current to the plurality of curved electrodes, application of a proximally-directed pulling force on the deployment member causes the plurality of curved electrodes to move from the collapsed radial configuration to the expanded radial configuration, and release of the proximally-directed pulling force on the deployment member causes the plurality of curved electrodes to move from the expanded radial configuration to the collapsed radial configuration;

a temperature sensing element having two leads separately coupled to one of the plurality of curved electrodes, wherein the temperature sensing element is unable to measure temperature when at least one of the two leads becomes detached from the one of the plurality of curved electrodes; and

a controller coupled to the temperature sensing element, wherein the controller is configured to;

terminate energy delivery by the plurality of curved electrodes when a sensed temperature by the temperature sensing element does not increase by at least 10°

C. in an initial 3 seconds from an initiation of energy delivery; and

terminate energy delivery by the plurality of curved electrodes when a sensed temperature by the temperature sensing element changes by at least 10°

C. in about 0.2 seconds at any point during energy delivery.

9. The energy delivery device of claim 8, wherein each of the plurality of curved electrodes is coupled to the distal end of the shaft.

10. The energy delivery device of claim 8, wherein the distal ends of the plurality of curved electrodes converge at a distal tip of the energy delivery device.

11. The energy delivery device of claim 8, wherein each of the electrodes comprises an energy active region located between first and second energy insulated regions.

12. The energy delivery device of claim 8, wherein the two leads and the one curved electrode coupled to the two leads form an intrinsic junction.

13. The energy delivery device of claim 8, further including a reinforcing member coupled to the shaft.

14. The energy delivery device of claim 13, wherein the reinforcing member includes a coiled wire or polymeric insert.

15. An energy delivery device, comprising:

a shaft having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end;

a deployment member extending through the lumen toward a distal tip of the energy delivery device, the distal tip being distal to the distal end of the shaft;

an expandable basket having a plurality of electrode legs, each of the plurality of electrode legs having a first end coupled to the distal end of the shaft, and a second end coupled to the deployment member at a distal joint adjacent to the distal tip, wherein the deployment member is configured to deliver electrical current to the plurality of electrode legs;

a thermocouple having a first lead and a second lead separately coupled to one of the plurality of electrode legs, wherein the thermocouple is unable to measure temperature if one of the first lead and the second lead becomes detached from the one of the plurality of electrode legs; and

a controller coupled to the thermocouple, wherein the controller is configured to terminate energy delivery by the plurality of electrode legs when a sensed temperature by the thermocouple changes by at least 10°

C. in about 0.2 seconds at any point during energy delivery.

16. The energy delivery device of claim 15, wherein each of the plurality of electrode legs includes an energy insulated region and only one energy delivery region where expansion of the expandable basket causes the energy delivery region to contact a wall of a body lumen.

17. The energy delivery device of claim 15, wherein the first lead, the second lead, and the one of the plurality of electrode legs that the first lead and the second leads are coupled to form an intrinsic junction.

18. The energy delivery device of claim 15, wherein each of the plurality of electrode legs is curved.