Catheter positioning system

• US 20030083613A1
• Filed: 12/06/2002
• Published: 05/01/2003
• Est. Priority Date: 05/11/1999
• Status: Active Grant

• Current Assignee: Alan K. Schaer
• Original Assignee: Alan K. Schaer
• Inventors: Schaer, Alan K.
• Granted Patent: US 6,811,544 B2
• Time in Patent Office: Days
• US Class Current: 604/95.04
• CPC Class Codes: A61B 17/22012 in direct contact with, or very close to, the obstruction or concrement for removing obstructions in blood vessels by laser A61B18/245
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61M 2210/125 Heart
• CPC Class Codes: A61M 25/0668 splittable, tear apart
• CPC Class Codes: A61N 7/02 Localised ultrasound hyperthermia hyperthermia in general A61F7/00
• CPC Class Codes: C08L 2201/12 Shape memory

Abstract

The present invention relates to a system adapted to position an ablation catheter at a location where a pulmonary vein extends from an atrium. The system optimally comprises a deflectable guidewire and a sheath. An ablation catheter is disclosed for use with the positioning system, wherein the deflectable guidewire and the sheath cooperate so as to facilitate positioning of the catheter at the location.

Claims

1. A positioning system for guiding a catheter to a location where a pulmonary vein extends from an atrium, comprising:

a transeptal sheath having a distal opening, the transeptal sheath being adapted for traversing an atrial septum;

a first guidewire adapted for slidable advancement through the distal opening in the transeptal sheath, the first guidewire having a deflectable distal portion for steering the first guidewire to a first pulmonary vein; and

a catheter adapted for advancement over the first guidewire and into the atrium.

2. The positioning system of claim 1, wherein the first guidewire comprises a wire wound coil surrounding a moveable pullwire, and wherein a proximal end of the first guidewire is adapted to facilitate manipulation of the pullwire, such that manipulation of the pullwire causes deflection of the distal portion of the first guidewire.

3. The positioning system of claim 1, wherein the first deflectable guidewire is integral with the catheter.

4. The positioning system of claim 3, wherein the catheter further comprises proximal and distal ends and a moveable pullwire attached to the distal end of the catheter, and wherein the proximal end of the catheter is adapted to facilitate manipulation of the pullwire, such that manipulation of the pullwire causes deflection of the distal end of the catheter.

5. The positioning system of claim 1, wherein the catheter further comprises an electrode element.

6. The positioning system of claim 5, wherein the electrode element comprises a mapping electrode.

7. The positioning system of claim 5, wherein the electrode element comprises an ablation electrode.

8. The positioning system of claim 5, wherein the electrode element comprises both a mapping electrode and an ablation electrode.

9. The positioning system of claim 5, wherein the electrode element is an RF ablation element.

10. The positioning system of claim 1, wherein the catheter further comprises an ablation element.

11. The positioning system of claim 10, wherein the ablation element comprises a microwave ablation element.

12. The positioning system of claim 10, wherein the ablation element comprises a cryogenic ablation element.

13. The positioning system of claim 10, wherein the ablation element comprises a thermal ablation element.

14. The positioning system of claim 10, wherein the ablation element comprises a light-emitting ablation element.

15. The positioning system of claim 10, wherein the ablation element comprises an ultrasound transducer.

16. The positioning system of claim 10, wherein the ablation element is adapted to form a linear lesion.

17. The positioning system of claim 10, wherein the ablation element is adapted to form a circumferential lesion.

18. The positioning system of claim 10, wherein the ablation element is adapted to form a circumferential lesion at the location.

19. The positioning system of claim 1 wherein the catheter further comprises a side port located proximal to the ablation element.

20. The positioning system of claim 19 further comprising a second guidewire adapted for advancement through the ablation catheter and out through the side port for insertion into a second pulmonary vein for engagement therein.

21. The positioning system of claim 20 further comprising a guiding introducer that is advancable through the ablation catheter and out the side port for facilitating the advancement of the second guidewire into the second pulmonary vein.

22. The positioning system of claim 20, wherein the second guidewire is deflectable for facilitating advancement out the side port and into the second pulmonary vein.