CATHETER WITH ATRAUMATIC TIP

• US 20170105794A1
• Filed: 10/27/2016
• Published: 04/20/2017
• Est. Priority Date: 12/30/2011
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: Olson, Eric S., Kauphusman, James V., Nemec, Linda K., Tegg, Troy T.
• Granted Patent: US 9,949,793 B2
• Time in Patent Office: 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 25/0041 pre-formed, e.g. specially adapted to fit with the anatomy of body channels urethral catheters A61F2/04
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0074 Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence
• CPC Class Codes: A61M 25/09 Guide wires

Abstract

A medical device is provided comprising a shaft comprising a first segment and a second segment. The first segment is configured to buckle upon application of a first critical force. The second segment includes an outer surface and an inner surface and is configured to buckle upon application of a second critical force. The second critical force is lower than the first critical force. The medical device further comprises a coil disposed radially inwardly of the inner surface of the second segment.

Claims

1-20. -20. (canceled)

21. A medical device comprising:

a shaft comprising an axis and comprising a proximal segment and a distal segment that has proximal and distal ends,

a first electrode disposed on the distal end of the distal segment;

a second electrode disposed on the distal segment and being disposed proximally of the first electrode;

a third, ring electrode disposed on the distal segment and being disposed proximally of the second electrode, wherein the first, second, and third electrodes comprise electrically conductive material;

wherein the second segment includes an outer surface and an inner surface and is configured to buckle upon application of a critical force; and

a coil disposed radially inwardly of the inner surface of the second segment and being disposed between the second electrode and the third electrode.

22. The medical device of claim 21 wherein the amount of force transmitted by the second segment to the tissue after buckling is limited by the coil to the critical force as the device is advanced over a distance toward the tissue.

23. A medical device comprising:

a shaft comprising an axis and comprising a first, proximal segment and a second, distal segment that has proximal and distal ends,

a first electrode disposed on the distal end of the second, distal segment;

a second electrode disposed on the second, distal segment and being disposed proximally of the first electrode;

a third, ring electrode disposed on the second, distal segment and being disposed proximally of the second electrode, wherein the first, second, and third electrodes comprise electrically conductive material;

wherein the second, distal segment includes an outer surface and an inner surface and is configured to buckle upon application of a critical force; and

a coil disposed radially inwardly of the inner surface of the second, distal segment and is axially coextensive with at least the second electrode and the third electrode.

24. The medical device of claim 23 wherein the critical force comprises a second critical force, the first, proximal segment being configured to buckle upon application of a first critical force thereto wherein the second critical force is lower than the first critical force, said second, distal segment being further configured to limit the amount of force transmitted by the second, distal segment to tissue contacting the second, distal segment after an application of the second critical force to the second, distal segment as the device is advanced over a distance toward the tissue.

25. The medical device of claim 24 wherein the second critical force is between an amount of force required to create a transmural lesion and that capable of causing a perforation of the tissue.

26. The medical device of claim 25 wherein the amount of force required to create the transmural lesion is within a range between 20 to 50 grams-force and that capable of causing the perforation of the tissue is within a range between 50 to 100 grams-force.

27. The medical device of claim 24 wherein the second critical force is in the range of about 40 grams-force to about 100 grams-force.

28. The medical device of claim 23 wherein the second, distal segment has a hardness between about 25 and about 35 on a Shore D scale.

29. The medical device of claim 23 wherein the distal end of the second, distal segment is formed in the shape of a pigtail.

30. The medical device of claim 23 wherein the coil has a proximal end and a distal end and wherein spacing between adjacent turns of the coil is greater at the distal end of the coil than the proximal end of the coil.

31. The medical device of claim 23 wherein the coil has a proximal end and a distal end and wherein a first diameter of the coil at the proximal end is greater than a second diameter of the coil at the distal end.

32. The medical device of claim 31 wherein at least a portion of the proximal end of the coil is welded to the second, distal segment and wherein at least a portion of the distal end of the coil is welded to the second, distal segment.

33. The medical device of claim 23 further comprising a fluid lumen disposed radially inwardly of the coil.

34. The medical device of claim 24 wherein the coil comprises means for maintaining an amount of force transmitted by the second, distal segment to tissue contacting said second, distal segment after an application of the second critical force to said second, distal segment.

35. The medical device of claim 23 further comprising a force/contact sensor configured to detect an amount of force provided by the medical device.

36. The medical device of claim 23 wherein the coil is free and unattached relative to the second, distal segment.

37. A medical device comprising:

a shaft comprising a first, proximal segment and a second, distal segment,

wherein the first, proximal segment is configured to buckle upon application of a first critical force thereto; and

wherein the second, distal segment is configured to buckle upon application of a second critical force thereto, wherein the second critical force is lower than the first critical force; and

means for maintaining an amount of force transmitted by the second, distal segment to tissue contacting the second, distal segment after an application of the second critical force to the second, distal segment.

38. The medical device of claim 37 wherein said means for maintaining an amount of force comprises a coil.

39. The medical device of claim 37 further comprising means for preferentially buckling the second, distal segment in a select manner.