Devices and methods for delivering energy to body lumens

• US 9,974,609 B2
• Filed: 02/02/2016
• Issued: 05/22/2018
• Est. Priority Date: 11/05/2012
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Hollett, Andrew K., McGreevy, Craig
• Primary Examiner(s): Flory, Christopher A
• Application Number:
  US15/012,966
• Publication Number:
  US 20160157933A1
• Time in Patent Office: 840 Days
• Field of Search: 607116
• 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 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61N 1/0519 Endotracheal electrodes

Abstract

A medical device is disclosed for delivering energy to a body lumen. The device includes an elongate member including a proximal portion and a distal portion adapted for insertion into a body lumen; and an energy delivery device disposed adjacent the distal portion of the elongate member, the energy delivery device including at least one elongate electrode arm, wherein the elongate electrode arm is configured to transition between a first configuration and a second configuration different than the first configuration. The at least one elongate electrode arm includes an active region configured to contact and deliver energy to the body lumen. When the elongate electrode arm is in the first configuration, at least a portion of the active region of the elongate electrode arm extends radially inward toward a longitudinal axis of the energy delivery device.

Claims

1. A medical device, comprising:

a shaft having a proximal end and a distal end; and

a basket assembly disposed at or adjacent the distal end, the basket assembly being configured to transition between a collapsed state and an expanded state, wherein the basket assembly includes a plurality of expandable legs, and while in the collapsed state, a first expandable leg of the plurality of expandable legs includes a first region that is convex when viewed from a central longitudinal axis of the medical device, an active region disposed distally of the first region, and a second region disposed distally of the active region, the second region being convex when viewed from the central longitudinal axis.

2. The medical device of claim 1, wherein the active region is substantially parallel to the central longitudinal axis when the basket assembly is in the collapsed state.

3. The medical device of claim 1, wherein the first region and the second region are pre-shaped to be convex when viewed from the central longitudinal axis when the basket assembly is in the collapsed state.

4. The medical device of claim 1, wherein the first region and the second region are configured to be convex when viewed from the central longitudinal axis while the basket assembly is unconstrained by an outer sheath and in the collapsed state.

5. The medical device of claim 1, wherein, when the basket assembly is in the expanded state, distal ends of the plurality of expandable legs converge toward one another.

6. The medical device of claim 1, wherein portions of the first expandable leg proximal and distal to the active region include an insulating coating.

7. The medical device of claim 1, wherein the plurality of expandable legs are circumferentially spaced from one another about the central longitudinal axis of the medical device.

8. The medical device of claim 1, wherein the plurality of expandable legs are configured to deliver RF energy.

9. The medical device of claim 1, further including:

a distal tip, wherein a distal end of each of the plurality of expandable legs is coupled to the distal tip; and

an actuating member that extends from the distal end of the shaft, through a volume defined by the plurality of expandable legs, to the distal tip.

10. The medical device of claim 1, wherein the first expandable leg includes a shape memory material.

11. The medical device of claim 1, wherein each of the plurality of expandable legs includes a first region that is convex when viewed from the central longitudinal axis, an active region disposed distally of the first region, and a second region disposed distally of the active region, the second region being convex when viewed from the central longitudinal axis.

12. A medical device, comprising:

a shaft having a proximal end and a distal end; and

a basket assembly disposed at or adjacent the distal end, the basket assembly being configured to transition between a collapsed state and an expanded state, wherein the basket assembly includes a plurality of expandable legs, a first expandable leg of the plurality of expandable legs including an active region that is flat when the basket assembly is in the collapsed state, and that is concave when viewed from a central longitudinal axis of the medical device when the basket assembly is in the expanded state.

13. The medical device of claim 12, further including a first region that is proximal to the active region and is convex when viewed from the central longitudinal axis of the medical device when the basket assembly is in the collapsed state, and a second region disposed distally of the active region, the second region being convex when viewed from the central longitudinal axis when the basket assembly is in the collapsed state.

14. The medical device of claim 13, further including:

a distal tip, wherein a distal end of each of the plurality of expandable legs is coupled to the distal tip, wherein, when the basket assembly is in the expanded state, distal ends of the plurality of expandable legs converge toward one another; and

an actuating member that extends from the distal end of the shaft, through a volume defined by the plurality of expandable legs, to the distal tip.

15. The medical device of claim 13, wherein, in the expanded state, transitions between the first region and the active region, and between the second region and the active region, are smooth curves.

16. A medical device, comprising:

a shaft having a proximal end and a distal end; and

a basket assembly disposed at or adjacent the distal end, the basket assembly being configured to transition between a collapsed state and an expanded state, wherein the basket assembly includes a plurality of expandable legs, wherein a first expandable leg of the plurality of expandable legs includes a proximal region, a first region disposed distally of the proximal region, an active region disposed distally of the first region, a second region disposed distally of the active region, and a distal region disposed distally of the second region, wherein the first expandable leg is pre-shaped such that in the collapsed state and while the basket assembly is unconstrained by an outer sheath;

the first region extends distally and radially outward from the proximal region;

the first region is convex when viewed from a central longitudinal axis of the medical device;

the active region is substantially parallel to the central longitudinal axis;

the second region extends distally and radially inward from the active region toward the distal region; and

the second region is convex when viewed from the central longitudinal axis.

17. The medical device of claim 16, wherein the proximal region is substantially parallel to the central longitudinal axis while the basket assembly is in both the collapsed state and the expanded state.

18. The medical device of claim 16, wherein the distal region is substantially parallel to the central longitudinal axis while the basket assembly is in both the collapsed state and the expanded state.

19. The medical device of claim 16, wherein an entirety of the first region is proximal to an entirety of the active region in both the collapsed state and the expanded state, and an entirety of the second region is distal to an entirety of the active region in both the collapsed state and the expanded state.

20. The medical device of claim 19, wherein each of the plurality of expandable legs is radially outward of the central longitudinal axis in both the collapsed state and the expanded state, and the active region of each of the plurality of expandable legs moves radially outward when transitioning from the collapsed state to the expanded state.