Open-irrigated ablation catheter

Patent metadata

Field	Value
Publication number	US-2016374755-A1
Application number	US-201615195995-A
Country	US
Kind code	A1
Filing date	Jun 28, 2016
Priority date	Jun 29, 2015
Publication date	Dec 29, 2016
Grant date	—

Abstract

An open-irrigated catheter system includes a catheter body and a tip assembly, coupled to a distal end of the catheter body. The tip assembly includes an exterior wall that is conductive for delivering radio frequency (RF) energy for an RF ablation procedure, and that defines an interior region. The exterior wall includes a number of proximal irrigation ports and a number of distal irrigation ports. At least one fluid chamber is defined within the interior region and is in fluid communication with at least one of the proximal irrigation ports and the distal irrigation ports. At least one fluid lumen extends from a fluid source, through the catheter body, to the tip assembly, and is in fluid communication with the at least one fluid chamber.

First claim

We claim:

1 . An open-irrigated catheter system, comprising:
a catheter body; a tip assembly, coupled to a distal end of the catheter body, and having an exterior wall that defines an interior region within the tip assembly, wherein the exterior wall includes a plurality of proximal irrigation ports and a plurality of distal irrigation ports, and wherein the exterior wall is conductive for delivering radio frequency (RF) energy for an RF ablation procedure; at least one fluid chamber defined within the interior region, wherein the at least one fluid chamber is in fluid communication with at least one of the plurality of proximal irrigation ports and the plurality of distal irrigation ports; and at least one fluid lumen extending from a fluid source, through the catheter body, to the tip assembly, wherein the at least one fluid lumen is in fluid communication with the at least one fluid chamber.

2 . The system of claim 1 , wherein the plurality of proximal irrigation ports comprises at least 12 irrigation ports.

3 . The system of claim 2 , wherein the plurality of proximal irrigation ports comprises at least 36 irrigation ports.

4 . The system of claim 1 , wherein the plurality of proximal irrigation ports is arranged in an evenly-spaced array positioned circumferentially around a proximal portion of the tip assembly.

5 . The system of claim 4 , wherein the array comprises at least one row.

6 . The system of claim 5 , the array comprising a first row of irrigation ports and a second row of irrigation ports, wherein the second row is aligned with the first row to form a plurality of pairs of longitudinally-aligned irrigation ports.

7 . The system of claim 5 , the array comprising a first row of irrigation ports and a second row of irrigation ports, wherein the second row is offset from the first row.

8 . The system of claim 1 , wherein the at least one fluid chamber comprises a proximal fluid chamber and a distal fluid chamber, wherein the proximal fluid chamber is in fluid communication with the plurality of proximal irrigation ports, and wherein the distal fluid chamber is in fluid communication with the plurality of distal irrigation ports.

9 . The system of claim 8 , wherein the at least one fluid lumen comprises a first fluid lumen and a second fluid lumen, wherein the first fluid lumen is in fluid communication with the proximal fluid chamber and wherein the second fluid lumen is in fluid communication with the distal fluid chamber.

10 . The system of claim 9 , wherein the fluid source provides a first stream of fluid to the proximal fluid chamber and a second stream of fluid to the distal fluid chamber, wherein the second stream of fluid is provided at a greater flow rate than the first stream of fluid.

11 . The system of claim 8 , wherein the at least one fluid lumen comprises a single fluid lumen that is in fluid communication with the proximal fluid chamber, the system further comprising a fluid path extending between the proximal fluid chamber and the distal fluid chamber such that the proximal fluid chamber is in fluid communication with the distal fluid chamber.

12 . The system of claim 11 , further comprising a distal insert, wherein the fluid path is defined within the distal insert.

13 . The system of claim 1 , wherein the external wall includes a plurality of mapping-electrode openings, and wherein the system further comprises a plurality of mapping electrodes, wherein each of the plurality of mapping electrodes is positioned within one of the plurality of mapping-electrode openings.

14 . The system of claim 1 , wherein the plurality of distal irrigation ports comprises six distal irrigation ports, wherein the six distal irrigation ports are evenly-spaced circumferentially around a distal portion of the tip assembly.

15 . The system of claim 1 , wherein each of the proximal irrigation ports includes a diameter of between 0.00254 cm (0.001 in.) and 0.01016 cm (0.004 in.).

16 . An open-irrigated catheter, comprising:
a tip assembly having an exterior wall that defines an interior region within the tip assembly, wherein the exterior wall includes a plurality of proximal irrigation ports and a plurality of distal irrigation ports, and wherein the exterior wall is conductive for delivering radio frequency (RF) energy for an RF ablation procedure; at least one fluid chamber defined within the interior region, wherein the at least one fluid chamber is in fluid communication with at least one of the plurality of proximal irrigation ports and the plurality of distal irrigation ports; and at least one fluid lumen extending from a fluid source, through the catheter body, to the tip assembly, wherein the at least one fluid lumen is in fluid communication with the at least one fluid chamber.

17 . The catheter of claim 16 , wherein the at least one fluid chamber comprises a proximal fluid chamber and a distal fluid chamber, wherein the proximal fluid chamber is in fluid communication with the plurality of proximal irrigation ports, and wherein the distal fluid chamber is in fluid communication with the plurality of distal irrigation ports.

18 . The catheter of claim 17 , wherein the at least one fluid lumen comprises a first fluid lumen and a second fluid lumen, wherein the first fluid lumen is in fluid communication with the proximal fluid chamber and wherein the second fluid lumen is in fluid communication with the distal fluid chamber.

19 . The catheter of claim 18 , wherein the fluid source provides a first stream of fluid to the proximal fluid chamber and a second stream of fluid to the distal fluid chamber, wherein the second stream of fluid is provided at a greater flow rate than the first stream of fluid.

20 . The catheter of claim 16 , wherein the plurality of distal irrigation ports comprises six distal irrigation ports, wherein the six distal irrigation ports are evenly-spaced circumferentially around a distal portion of the tip assembly.

Assignees

• Boston Scient Scimed Inc

Inventors

• Mirigian Mark D
• Kim Isaac J
• Forrest Mark D
• Cheung Desmond
• Harvey Guy R
• Kurse Ravi
• Ortiz Ofelia
• Velilla Simplicio A
• Nguyen Oanh
• Wylie Bryan
• Esheim Taiki

Classifications

• A61B2018/00708

  switching the power on or off · CPC title

• A61B5/055

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title

• A61B5/7217

  of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker · CPC title

• A61B2018/00642

  with feedback, i.e. closed loop control · CPC title

• A61B2018/1467

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