Irrigated catheter with improved fluid flow

• US 9,962,224 B2
• Filed: 12/23/2016
• Issued: 05/08/2018
• Est. Priority Date: 04/04/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Original Assignee: St. Jude Medical, Atrial Fibrillation Division, Inc. (Abbott Laboratories)
• Inventors: Pappone, Carlo, de la Rama, Alan, Chen, Peter, Hata, Cary
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): LEE, BRANDY SCOTT
• Application Number:
  US15/390,048
• Publication Number:
  US 20170105796A1
• Time in Patent Office: 501 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00101 low, i.e. thermally insulating
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 5/24 Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
• CPC Class Codes: A61M 2025/0034 characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
• CPC Class Codes: A61M 2025/0073 Tip designed for influencing the flow or the flow velocity of the fluid, e.g. inserts for twisted or vortex flow
• CPC Class Codes: A61M 2025/1047 having centering means, e.g. balloons having an appropriate shape
• CPC Class Codes: A61M 25/003 characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves catheter tips A61M25/0067
• CPC Class Codes: A61M 25/0068 Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure
• CPC Class Codes: A61M 25/0069 Tip not integral with tube
• CPC Class Codes: A61M 25/007 Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 25/0071 Multiple separate lumens multiple separate lumens throughout the catheter A61M25/0026
• CPC Class Codes: A61M 25/0082 Catheter tip comprising a tool
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61M 25/1011 Multiple balloon catheters

Abstract

An irrigated catheter with uniform cooling and/or uniform fluid distribution in longitudinally spaced apart elution holes by varying the diameter of a fluid delivery lumen. A number of elution holes are provided in a tip region of a catheter body, and these elution holes are in fluid communication with the lumen through ducts. The fluid delivery lumen may be provided with a flow constrictor to restrict flow of fluid towards the distal region.

Claims

1. A catheter comprising:

a distal end;

a proximal end;

a longitudinal axis;

a lumen that includes a first segment having a first inner diameter and a second segment having a second inner diameter that is different from the first inner diameter;

an electrode coupled to the distal end and having a terminal end;

a sidewall defining a plurality of elution openings including a first elution opening and a second elution opening longitudinally spaced apart from the first elution opening, each of the first elution opening and the second elution opening spaced from the terminal end and extending into the sidewall, wherein the plurality of elution openings are proximal of said terminal end; and

a plurality of ducts including a first duct and a second duct, the first duct extending at a first angle with respect to the longitudinal axis and between the first segment and the first elution opening, the second duct extending at the first angle with respect to the longitudinal axis and between the second segment and the second elution opening.

2. The catheter of claim 1, wherein the first inner diameter is greater than the second inner diameter and the second segment is distal to the first segment.

3. The catheter of claim 1, wherein the first inner diameter of the lumen is tapered and is reduced in size towards the distal end of the catheter.

4. The catheter of claim 1, further comprising at least one additional electrode coupled to the catheter, and at least one additional elution opening provided in the at least one additional electrode.

5. The catheter of claim 1, wherein a longitudinal axis of each of the plurality of ducts and the cathteter longitudinal axis are at a respective angle between about 35 to about 90 degrees.

6. The catheter of claim 1, wherein an inner diameter of the lumen varies from about 0.005 inches to about 0.045 inches, and wherein the first inner diameter is decreased by about 5% to about 40% along a longitudinal length of the catheter toward the distal end.

7. The catheter of claim 1, wherein a longitudinal axis of at least one of the plurality of ducts is oblique with respect to the catheter longitudinal axis.

8. The catheter of claim 7, wherein a length of the at least one of the plurality of ducts is inclined to define a fluid path extending forwardly or rearwardly from the lumen to an elution opening.

9. The catheter of claim 1, wherein the electrode comprises the first segment and the second segment.

10. The catheter of claim 1, wherein the electrode comprises the sidewall.

11. An irrigated electrode catheter comprising:

a longitudinal axis;

a sidewall;

a distal region having a fluid delivery lumen defined by an inner surface of the sidewall, the lumen including a first segment having a first inner diameter and a second segment having a second inner diameter that is about 5% to about 40% smaller than the first inner diameter; and

at least one electrode at the distal region and including a plurality of longitudinally spaced apart ducts including a first duct and a second duct, the first duct extending at a first angle with respect to the longitudinal axis and from the first segment to the sidewall, the second duct extending at the first angle with respect to the longitudinal axis and from the second segment to the sidewall.

12. The irrigated electrode catheter of claim 11, wherein a first set of the plurality of longitudinally spaced apart ducts extends from the first segment and a second set of the plurality of longitudinally spaced apart ducts extends from the second segment, each of the first set of ducts and the second set of ducts being distributed circumferentially about the lumen.

13. The irrigated electrode catheter of claim 11, wherein the ducts have an irregular surface pattern that defines a spiral groove, and wherein a flow pattern comprises an outwardly spraying swirl.

14. The catheter of claim 11, wherein each of the plurality of ducts include an inner diameter being approximately equal among the plurality of ducts.

15. The catheter of claim 11, wherein the at least one electrode further comprises a plurality of first elution openings and a plurality of second elution openings, the first elution openings having coplanar centers, the second elution openings having coplanar centers.

16. The catheter of claim 11, wherein the first elution openings are evenly spaced circumferentially and the second elution openings are evenly spaced circumferentially, and wherein the first elution openings are rotationally offset from the second elution openings by an angle.

17. The irrigated electrode catheter of claim 11, wherein the at least one electrode comprises the first segment and the second segment.