Shock wave electrodes

Patent metadata

Field	Value
Publication number	US-10555744-B2
Application number	US-201615346132-A
Country	US
Kind code	B2
Filing date	Nov 8, 2016
Priority date	Nov 18, 2015
Publication date	Feb 11, 2020
Grant date	Feb 11, 2020

Abstract

Disclosed herein shock wave catheters comprising one or more shock wave electrodes for cracking calcifications located within blood vessels. In some variations, a shock wave catheter has first and second shock wave electrodes each circumferentially disposed over the outer surface of the catheter. In certain variations, the first electrode has a recess and the second electrode has a protrusion that is received by the recess and a spark gap is located along the separation between the recess and the protrusion. The second electrode can also have a recess that receives a protrusion from a third shock wave electrode, where the separation between the second and third electrodes along the separation between the recess and the protrusion forms a second spark gap. A shock wave can be initiated across these spark gaps when a voltage is applied over the electrodes.

First claim

What is claimed is:

1. A shock wave catheter comprising:
an axially extending elongate member;
a first ring electrode circumferentially disposed over an outer surface of the elongate member, the first ring electrode including one of a first recess or a first projection located along a first edge of the first ring electrode;
a second ring electrode circumferentially disposed over the outer surface of the elongate member and longitudinally adjacent to the first ring electrode, the second ring electrode including the other of said first recess or the first projection along a first edge of the second ring electrode that is adjacent the first edge of the first ring electrode, with the first projection being received by the first recess, wherein a first spark gap is formed by a separation between the first projection and the first recess, and wherein the opposing edge of the second ring electrode includes one of a second recess or a second projection;
a third ring electrode circumferentially disposed over the outer surface of the elongate member and longitudinally adjacent the second ring electrode, the third ring electrode including the other of said second recess or second projection along an edge thereof, with the second projection being received in the second recess wherein a second spark gap is formed by a separation between the second projection and the second recess, and wherein each recess and the projection associated therewith are coplanar; and
a first wire electrically coupled to the first ring electrode and a second wire electrically coupled to the third ring electrode and with the ring electrodes being configured such that when a voltage pulse is applied across the first and second wires, a current flows across the first and second spark gaps creating a series connection between the first, second and third ring electrodes and initiating shock waves at the spark gaps.

2. The shock wave catheter of claim 1 , further comprising a voltage source, wherein the first wire connects the first electrode to a positive terminal of the voltage source, and the second wire connects the second electrode to a negative terminal of the voltage source.

3. The shock wave catheter of claim 1 , wherein the axially extending elongate member comprises a guide wire lumen extending therethrough.

4. The shock wave catheter of claim 1 , wherein the first and second recesses have a concave curvature and the first and second projections have a convex curvature that corresponds with the concave curvature.

5. The shock wave catheter of claim 1 , wherein each of the electrodes comprises a proximal end, a distal end, and a spiral body therebetween.

6. The shock wave catheter of claim 5 , wherein the spiral body comprises one or more helices that wrap along the outer surface of the elongate body.

7. The catheter as recited in claim 1 , wherein the spacing between each recess and the projection associated therewith is less than the spacing between the edges of the ring electrodes.

8. The catheter as recited in claim 1 further including a tube connected to the elongate member and surround the ring electrodes, said tube being filled with a conductive liquid.

9. A shock wave catheter comprising:
an axially extending elongate member;
a first ring electrode mounted circumferentially around the elongate member;
a second ring electrode mounted circumferentially around the elongate member and positioned longitudinally adjacent to the first ring electrode;
a third ring electrode mounted circumferentially around the elongate member and positioned longitudinally adjacent to the second ring electrode, and wherein a first spark gap is defined between the first and second ring electrodes and a second spark gap is defined between the second and third ring electrodes, each spark gap including an arcuate recess formed along a side edge of one of the ring electrodes and a complementary arcuate projection formed along the side edge of the adjacent ring electrode, the projection fitting into the associated recess and wherein the first spark gap is circumferentially offset from the second spark gap, and wherein each recess and the projection associated therewith are coplanar; and
a first wire electrically coupled to the first ring electrode and a second wire electrically coupled to the third ring electrode and with the ring electrodes being configured such that when a voltage pulse is applied across the first and second wires, a current flows across the first and second spark gaps creating a series connection between the first, second and third ring electrodes and initiating shock waves at the spark gaps.

10. The catheter as recited claim 9 , wherein the second ring electrode is a non-insulated metal and wherein the recess of the first and second spark gaps are formed in the second ring electrode and wherein the projection of the first spark gap is formed in the first ring electrode and the projection of the second spark gap is formed in the third ring electrode and wherein the first and second ring electrodes have an insulating coating except in the region of the projections.

11. The catheter as recited in claim 10 , wherein the surface area of the second ring electrode is greater than the surface area of each of the projections of the first and third ring electrodes.

12. The catheter as recited in claim 9 , wherein the first electrode and the third electrode each have a proximal portion, a distal portion, and a body therebetween, wherein the body extends longitudinally along the axially extending elongate member and comprises a spiral.

13. The catheter as recited in claim 12 , wherein the body comprises a helix.

14. The catheter as recited in claim 12 , wherein the body comprises one or more turns around the surface of the elongate member.

15. The catheter as recited in claim 9 further comprising:
a fourth ring electrode mounted circumferentially around the elongate member and positioned longitudinally adjacent to the third ring electrode, and wherein a third spark gap is defined between the third and the fourth ring electrodes and includes a recess and a complementary projection, and wherein the second wire is electrically coupled to the fourth ring electrode.

16. The catheter as recited in claim 9 , wherein the spacing between each recess and the projection associated therewith is less than the spacing between the edges of the ring electrodes.

17. The catheter as recited in claim 9 further including a tube connected to the elongate member and surround the ring electrodes, said tube being filled with a conductive liquid.

Assignees

• Shockwave Medical Inc
• Shockware Medical Inc

Inventors

• Nguyen Hoa D
• Adams John M

Classifications

• A61B2017/22061

  for spreading elements apart · CPC title

• A61B2017/22021

  electric leads passing through the catheter · CPC title

• A61B2017/22001

  Angioplasty, e.g. PCTA · CPC title

• A61B17/2202 Primary

  the ultrasound transducer being inside patient's body at the distal end of the catheter · CPC title

• A61B17/22022 Primary

  using electric discharge · CPC title