Electrode assembly including expandable isolation member

Patent metadata

Field	Value
Publication number	US-12121290-B2
Application number	US-202017247770-A
Country	US
Kind code	B2
Filing date	Dec 22, 2020
Priority date	Feb 28, 2020
Publication date	Oct 22, 2024
Grant date	Oct 22, 2024

Abstract

An electrode assembly includes an electrode pair including a first electrode and a second electrode configured to be selectively energized for delivery of electroporation therapy. The electrode assembly also includes an expandable isolation member disposed axially between the first electrode and the second electrode. One of the first electrode and the second electrode is positioned proximally of a proximal end of the expandable isolation member and the other of the first electrode and the second electrode is positioned distal to a distal end of the expandable isolation member. The expandable isolation member is configurable between a collapsed configuration and an expanded configuration. The expandable isolation member includes a circumferential sealing surface configured for sealing engagement with tissue of a patient such that the expandable isolation member inhibits fluid and electrical communication between the first electrode and the second electrode when engaged with the tissue.

First claim

What is claimed is:

1. An electroporation system comprising:
a catheter shaft;
an electrode assembly coupled to the catheter shaft, the electrode assembly comprising:
an electrode pair comprising a first electrode and a second electrode configured to be selectively energized for delivery of electroporation therapy; and
an expandable isolation member disposed axially between the first electrode and the second electrode, wherein one of the first electrode and the second electrode is positioned proximally of a proximal end of the expandable isolation member and the other of the first electrode and the second electrode is positioned distal to a distal end of the expandable isolation member, the expandable isolation member configurable between a collapsed configuration and an expanded configuration;
wherein the expandable isolation member comprises a circumferential sealing surface configured for sealing engagement with tissue of a patient such that the expandable isolation member inhibits fluid and electrical communication between the first electrode and the second electrode when engaged with tissue of the patient; and
wherein the one of the first electrode and the second electrode positioned distal to the distal end of the expandable isolation member comprises a pair of ring electrodes separated by an insulating member, wherein the pair of ring electrodes is configured to map the tissue of the patient; and

an electroporation generator coupled in communication with the first electrode and the second electrode and configured to supply an electroporation signal thereto for the delivery of the electroporation therapy to the tissue of the patient, wherein the electroporation system is configured to:
determine a level of sealing between the circumferential sealing surface and the tissue; and
increase a voltage of the electroporation signal to be applied to the tissue based on a reduced level of sealing.

2. The electroporation system of claim 1 , wherein the electroporation generator is one of a monophasic electroporation generator, a biphasic electroporation generator, and a polyphasic electroporation generator.

3. The electroporation system of claim 1 , wherein the electroporation therapy is irreversible electroporation therapy (IRE).

4. The electroporation system of claim 1 , wherein the expandable isolation member comprises an inflatable balloon.

5. The electroporation system of claim 4 , wherein the inflatable balloon is coupled to a fluid source for selectively inflating the balloon.

6. The electroporation system of claim 5 , wherein the fluid source comprises a dielectric fluid.

7. The electroporation system of claim 6 , wherein the fluid source comprises a fluid selected from the group consisting of deionized water, saline, carbon dioxide gas, nitrous oxide gas, and air.

8. The electroporation system of claim 1 , wherein the expandable isolation member comprises an outer layer constructed of electrically-insulating material.

9. The electroporation system of claim 1 , wherein the first electrode is an anode and the second electrode is a cathode.

10. The electroporation system of claim 1 , wherein the electroporation system is further configured to measure an impedance between the first electrode and the second electrode before and after inflation of the expandable isolation member to determine the level of sealing.

11. An electrode assembly for a catheter system configured for delivery of electroporation therapy, the electrode assembly comprising:
an electrode pair comprising a first electrode and a second electrode configured to be selectively energized for delivery of electroporation therapy; and
an expandable isolation member disposed axially between the first electrode and the second electrode, wherein one of the first electrode and the second electrode is positioned proximally of a proximal end of the expandable isolation member and the other of the first electrode and the second electrode is positioned distal to a distal end of the expandable isolation member, the expandable isolation member configurable between a collapsed configuration and an expanded configuration;
wherein the expandable isolation member comprises a circumferential sealing surface configured for sealing engagement with tissue of a patient such that the expandable isolation member inhibits fluid and electrical communication between the first electrode and the second electrode when engaged with tissue of the patient; and
wherein the one of the first electrode and the second electrode positioned distal to the distal end of the expandable isolation member comprises a pair of ring electrodes separated by an insulating member, wherein the pair of ring electrodes is configured to map the tissue of the patient, and
wherein the electrode pair is configured to be selectively energized to apply a first amount of voltage, during the electroporation therapy, and an increased second amount of voltage based on a determined level of sealing between the circumferential sealing surface and the tissue being reduced.

12. The electrode assembly of claim 11 , wherein the expandable isolation member comprises an inflatable balloon.

13. The electrode assembly of claim 12 , wherein the inflatable balloon is coupled to a fluid source for selectively inflating the balloon.

14. The electrode assembly of claim 13 , wherein the fluid source comprises a dielectric fluid.

15. The electrode assembly of claim 13 , wherein the fluid source comprises a fluid selected from the group consisting of deionized water, saline, carbon dioxide gas, nitrous oxide gas, and air.

16. The electrode assembly of claim 11 , wherein the expandable isolation member comprises an outer layer constructed of electrically-insulating material.

17. The electrode assembly of claim 16 , wherein the outer layer comprises polyethylene terephthalate.

18. The electrode assembly of claim 11 , further comprising a distal tip electrode positioned distal to the one of the first electrode and the second electrode positioned distal to the distal end of the expandable isolation member.

19. The electrode assembly of claim 18 , wherein the distal tip electrode and one of the first electrode and the second electrode are configured to be selectively energized for delivery of electroporation therapy.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Tegg Troy
• Arias Salo

Classifications

• A61B2018/00613

  Irreversible electroporation · CPC title

• A61B2018/00577

  Ablation · CPC title

• A61B2018/0022

  Balloons · CPC title

• A61B2018/1266

  with DC current output · CPC title

• A61B2018/00351

  Heart · CPC title