Catheter having circular ablation assembly

• US 9,301,801 B2
• Filed: 10/01/2013
• Issued: 04/05/2016
• Est. Priority Date: 02/28/2002
• Status: Expired due to Term

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Scheib, Mark S.
• Primary Examiner(s): Stoklosa, Joseph
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US14/043,474
• Publication Number:
  US 20140249525A1
• Time in Patent Office: 917 Days
• Field of Search: 606/40, 606/41, 606/49, 606/28
• US Class Current: 1/1
• 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 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/1405 Electrodes having a specific shape
• CPC Class Codes: A61B 2018/1435 Spiral

Abstract

A catheter particularly useful for ablation lesions within a tubular region of or near the heart is provided. The catheter comprises an elongated flexible tubular catheter body having an axis and proximal and distal ends. An ablation assembly is mounted at the distal end of the tubular body. The ablation assembly has a preformed generally circular curve having an outer surface and being generally transverse to the axis of the catheter body. The ablation assembly comprises a flexible tubing having proximal and distal ends that carries a tip electrode at its distal end. An electrode lead wire extends through the catheter body and into the ablation assembly and has a distal end connected to the tip electrode. In use the distal end of the catheter is interested into the heart of a patient. At least a portion of the outer circumference of the generally circular curve is contacted with the inner circumference of the tubular region so that the tip electrode is in a first position in contact with tissue along the inner circumference. The tip electrode is used to ablate tissue at the first position. The ablation assembly can then be rotated so that the tip electrode is in a second position in contact with tissue along the inner circumference different from the first position, and the tip electrode is used to ablate tissue at the second position. This procedure can be repeated to form a lesion of the desired length along the inner circumference.

Claims

1. A method for ablating tissue within a tubular region of or near the heart having an inner circumference, the method comprising:

inserting into the tubular region an ablation assembly at a distal end of a catheter, the catheter comprising an elongated tubular catheter body having an axis and proximal and distal ends, the ablation assembly having a preformed generally circular curve having an outer circumference and being generally transverse to the axis of the catheter body, the ablation assembly comprising a flexible tubing carrying a tip electrode at its distal end, the tip electrode having an asymmetric design in which a first side of the tip electrode extending longitudinally from a proximal end to a distal end of the tip electrode and being adapted to contact tissue extends radially beyond an outer wall of the flexible tubing and a second side of the tip electrode generally opposite the first side and extending longitudinally from the proximal end to the distal end of the tip electrode is generally even with the outer wall of the flexible tubing;

contacting the inner circumference of the tubular region with at least a portion of the outer circumference of the generally circular curve so that the tip electrode is in a first position in contact with tissue along the inner circumference of the tubular region; and

ablating the tissue along the inner circumference of the tubular region at the first position with the tip electrode.

2. The method according to claim 1, wherein the tubular region is selected from the group consisting of pulmonary veins, the coronary sinus, the superior vena cava, and the inferior vena cava.

3. The method according to claim 1, wherein the tubular region is the pulmonary vein.

4. The method according to claim 1, wherein the generally circular curve has an outer diameter ranging from about 10 mm to about 25 mm.

5. The method according to claim 1, wherein the generally circular curve has an outer diameter ranging from about 12 mm to about 20 mm.

6. The method according to claim 1, wherein the generally circular curve is at least about 320°

.

7. The method according to claim 1, wherein the generally circular curve is at least about 360°

.

8. A method according to claim 1, wherein the generally circular curve consists of a single generally circular curve.

9. The method according to claim 1, wherein the ablation assembly further comprises a support member comprising a material having shape memory extending through at least a portion of the flexible tubing.

10. The method according to claim 1, further comprising an intermediate section between the catheter body and the ablation assembly, the intermediate section having at least one lumen extending therethrough and being more flexible than the catheter body.

11. The method according to claim 1, further comprising:

rotating the catheter so that the tip electrode is in a second position in contact with other tissue along the inner circumference of the tubular region; and

ablating the other tissue at the second position with the tip electrode.

12. The method according to claim 11, wherein the tubular region is selected from the group consisting of pulmonary veins, the coronary sinus, the superior vena cava, and the inferior vena cava.

13. The method according to claim 11, wherein the tubular region is a pulmonary vein.

14. The method according to claim 11, wherein the generally circular curve has an outer diameter of about 10 mm to about 25 mm.

15. The method according to claim 11, wherein the generally circular curve has an outer diameter of about 12 mm to about 20 mm.

16. The method according to claim 11, wherein the generally circular curve is at least about 320°

.

17. The method according to claim 11, wherein the generally circular curve is at least 360°

.

18. The method according to claim 11, wherein the generally circular curve consists of a single generally circular curve.

19. A method for ablating tissue within a tubular region of or near the heart having an inner circumference, the method comprising:

inserting into the tubular region an ablation assembly at a distal end of a catheter, the catheter comprising an elongated tubular catheter body having proximal and distal ends, an axis, and at least one lumen extending therethrough, and wherein the ablation assembly has a preformed generally circular curve having an outer circumference and being generally transverse to the axis of the catheter body, the ablation assembly further comprising a generally straight distal region extending beyond the generally circular curve and substantially tangentially from the generally circular curve, wherein the ablation assembly comprises a generally circularly curved flexible tubing having proximal and distal ends, the flexible tubing carrying a tip electrode at its distal end, the tip electrode having an asymmetric design in which a first side of the tip electrode extending longitudinally from a proximal end to a distal end of the tip electrode and being adapted to contact tissue extends radially beyond an outer wall of the flexible tubing and a second side of the tip electrode generally opposite the first side and extending longitudinally from the proximal end to the distal end of the tip electrode is generally even with the outer wall of the flexible tubing;

contacting the inner circumference of the tubular region with at least a portion of the outer circumference of the generally circular curve so that the tip electrode is in a first position in contact with tissue along the inner circumference of the tubular region;

ablating the tissue along the inner circumference of the tubular region at the first position with the tip electrode.

20. The method according to claim 19, further comprising:

rotating the catheter so that the tip electrode is in a second position in contact with other tissue along the inner circumference of the tubular region; and

ablating the other tissue at the second position with the tip electrode.