Catheter with distal section having side-by-side loops

Patent metadata

Field	Value
Publication number	US-10143518-B2
Application number	US-201715785382-A
Country	US
Kind code	B2
Filing date	Oct 16, 2017
Priority date	May 30, 2014
Publication date	Dec 4, 2018
Grant date	Dec 4, 2018

Abstract

The catheter allows mapping and/or ablation of the area around two or more PV ostia at the same time, with a single placement of a distal section of the catheter having a 2D configuration resembling an infinity or lazy 8 symbol. The catheter has an elongated catheter body, a distal section having at least a flexible elongated member with shape memory, the member being configured to assume a 2D configuration resembling an infinity symbol, and at least one electrode mounted on the member. The 2D configuration resembles a first loop and a second loop, wherein the first and second loops are side-by-side, generally extending in a common plane.

First claim

What is claimed is:

1. A method of simultaneously mapping or ablating at least two tubular regions, the method comprising:
introducing a catheter comprising:
an elongated catheter body;
a distal section at a distal end of the catheter body, the distal section having at least one flexible elongated member with shape memory, the at least one flexible elongated member being configured to assume a 2D configuration resembling an infinity symbol and having first and second portions;
at least one first electrode mounted on the first portion of the 2D configuration; and
at least one second electrode mounted on the second portion of the 2D configuration;

contacting tissue around a first tubular region with the first portion of the 2D configuration, and contacting tissue around a second tubular region with the second portion of the 2D configuration; and
simultaneously ablating or mapping the tissue around the first and second tubular regions with the at least one first electrode and the at least one second electrode.

2. The method of claim 1 , wherein the first portion of the 2D configuration resembles a first loop and the second portion of the 2D configuration resembles a second loop, wherein the first and second loops are side-by-side, generally extending in a common plane.

3. The method of claim 1 , wherein the at least one flexible elongated member comprises a first member having a distal S configuration and a proximal S configuration, wherein the S configurations are stacked on each other, and one of the S configurations is reversed.

4. The method of claim 1 , wherein the at least one flexible elongated member comprises a first member having a distal O configuration, a first proximal C configuration and a second proximal C configuration, wherein the first and second C configurations face each other.

5. The method of claim 1 , wherein the catheter further comprises a deflection section proximal of the distal section.

6. The method of claim 5 , wherein the 2D configuration and the deflection section are generally in a common plane.

7. The method of claim 5 , wherein the 2D configuration and the deflection section are generally perpendicular to each other.

8. The method of claim 5 , wherein the first portion of the 2D configuration has a first loop, the second portion of the 2D configuration has a second loop, and the 2D configuration further comprises an intersection between the first and second loops.

9. The method of claim 8 , wherein the intersection is generally aligned with a longitudinal axis of the deflection section.

10. The method of claim 8 , wherein the intersection is offset from a longitudinal axis of the deflection section.

11. The method of claim 1 , wherein the at least one flexible elongated member comprises first and second flexible elongated members with shape memory, wherein the first elongated member is configured to form the first portion of the 2D configuration and the second elongated member is configured to form the second portion of the 2D configuration, the first portion of the 2D configuration comprising a first loop and the second portion of the 2D configuration comprising a second loop, the first and second loops being side-by-side and the 2D configuration comprising an intersection between the first and second loops.

12. The method of claim 11 , wherein the first and second loops lie generally in a common plane.

13. A method of simultaneously mapping or ablating at least two tubular regions, the method comprising:
introducing a catheter comprising:
an elongated catheter body;
a distal section at a distal end of the catheter body, the distal section having at least one flexible elongated member with shape memory, the at least one flexible elongated member being configured to assume a 2D configuration with a first loop and a second loop in which the first and second loops generally lie in a common plane; and
at least one first electrode on the first loop; and
at least one second electrode on the second loop;

contacting tissue around a first tubular region with one of the first loop or the second loop, and contacting tissue around a second tubular region with the other of the first loop or the second loop; and
simultaneously ablating or mapping the tissue around the first and second tubular regions with the at least one first electrode and the at least one second electrode.

14. The method of claim 13 , wherein the at least one flexible elongated member comprises a first member having a distal S configuration and a proximal S configuration, wherein one of the S configurations is configured to lie against the other S configuration to form the 2D configuration with the first and second loops.

15. The method of claim 13 , wherein the at least one flexible elongated member comprises a first member having a distal C configuration, a less proximal O configuration and a more proximal C configuration, wherein the distal and proximal C configurations form the first loop and the proximal O configuration forms the second loop.

16. The method of claim 13 , wherein the at least one flexible elongated member comprises a first member having a distal O configuration that forms the first loop and a proximal O configuration that forms the second loop.

17. The method of claim 13 , wherein the at least one flexible elongated member comprises first and second flexible elongated members with shape memory, wherein the first elongated member is configured to form the first loop and the second elongated member is configured to form the second loop, the first and second loops being side-by-side and the 2D configuration comprising an intersection between the first and second loops.

18. The method of claim 17 , wherein the first and second loops lie generally in a common plane.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Hoitink Ryan
• Basu Shubhayu

Classifications

• A61B2018/1475

  Electrodes retractable in or deployable from a housing · CPC title

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2018/1467

  using more than two electrodes on a single probe · CPC title

• A61B2018/0016

  Energy applicators arranged in a two- or three dimensional array · CPC title

• A61B2018/1407

  Loop · CPC title