Pulmonary vein isolation balloon catheter

Patent metadata

Field	Value
Publication number	US-2020085484-A1
Application number	US-201716467343-A
Country	US
Kind code	A1
Filing date	Dec 5, 2017
Priority date	Dec 9, 2016
Publication date	Mar 19, 2020
Grant date	—

Abstract

The instant disclosure relates to electrophysiology catheters for tissue ablation. In particular, the instant disclosure relates to a cryogenic ablation balloon with safety features that facilitate identification of a leak into an interstitial space between inner and outer balloons as part of the ablation balloon catheter assembly, and prevents egress of cryogenic fluid out of the ablation balloon.

First claim

1 . An ablation catheter system comprising:
a catheter shaft including proximal and distal ends; a dual cryogenic ablation balloon coupled to the distal end of the catheter shaft, the dual cryogenic ablation balloon including an inner and an outer balloon; an interstitial space between the inner and outer balloons configured and arranged to capture cryogenic fluid that escapes from an internal cavity of the inner balloon; a manifold configured and arranged to deliver cryogenic fluid to the internal cavity of the inner balloon; and a first and second lumen in fluid communication with the interstitial space.

2 . The catheter system of claim 1 , wherein the first lumen is a vacuum lumen configured and arranged to draw a vacuum within the interstitial space and to draw captured cryogenic fluid out of the interstitial space and into the vacuum lumen.

3 . The catheter system of claim 1 , wherein the second lumen is a pressure sensor lumen in fluid communication with a pressure sensor configured and arranged to sense a change in vacuum pressure within the interstitial space associated with a flow of cryogenic fluid through the inner balloon via the pressure sensor lumen.

4 . The catheter system of claim 1 , further including an adaptor that mechanically couples the inner and outer balloons to the catheter shaft, and radially and longitudinally offsets proximal portions of the inner and outer balloons.

5 . The catheter system of claim 4 , wherein the interstitial space extends between the radially offset inner and outer balloons, the interstitial space is configured and arranged to capture cryogenic fluid that escapes the inner balloon;
the first lumen extends a length of the catheter shaft and through the adaptor into fluid communication with the interstitial space at a first end of the first lumen and a vacuum source at a second end of the first lumen, the first lumen configured and arranged to draw a vacuum within the interstitial space and to draw the captured cryogenic fluid out of the interstitial space, the second lumen is in fluid communication with a pressure sensor, the second lumen configured and arranged to sense a change in vacuum pressure within the interstitial space associated with a flow of cryogenic fluid through the inner balloon and into the interstitial space; and the catheter system further includes
a cryogenic fluid tank,
a cryogenic fluid lumen in fluid communication with the cryogenic fluid tank at a first end of the cryogenic fluid lumen, the cryogenic fluid lumen extends through a length of the catheter shaft and into fluid communication with the manifold at a second end of the cryogenic fluid lumen, and
controller circuitry communicatively coupled to the pressure sensor, and configured and arranged to control the flow of cryogenic fluid to the manifold in response to the change in vacuum pressure measured by the pressure sensor.

6 . The catheter system of claim 1 , further including an exhaust lumen in fluid communication with the internal cavity of the balloon, the exhaust lumen extending a length of the catheter shaft and configured and arranged to exhaust cryogenic fluid out of the internal cavity.

7 . The catheter system of claim 6 , wherein at least a portion of the length of the exhaust lumen has a clover-leaf-like cross-sectional area.

8 . The catheter system of claim 6 , further including a guidewire lumen that extends through a length of the catheter shaft and ablation balloon; and wherein at least a portion of the length of the exhaust lumen forms an annulus between the outer diameter of the guidewire lumen and the outer diameter of the catheter shaft.

9 . The catheter system of claim 8 , wherein the exhaust lumen has a clover-leaf-like cross-sectional area, the exhaust lumen configured and arranged to maximize the volumetric flow rate of the exhaust lumen.

10 . The catheter system of claim 2 , further including a spacer coupled between proximal portions of the inner and outer balloons, the spacer configured and arranged to maintain the interstitial space between the inner and outer balloons in response to a vacuum pressure within the interstitial space; and
wherein the spacer includes a plurality of channels that extend into an inner diameter of the channel and along a length of the spacer, the plurality of channels are configured and arranged to facilitate the flow of a fluid between the interstitial space and the vacuum lumen.

11 . The catheter system of claim 10 , wherein the spacer includes a first and second portion, the first and second portions configured and arranged to be assembled about a circumference of the proximal portion of the inner balloon and coupled thereto.

12 . The catheter system of claim 1 , wherein the first lumen is configured and arranged to draw a vacuum within the interstitial space and to draw captured cryogenic fluid out of the interstitial space;
the second lumen is configured and arranged to sense a change in vacuum pressure within the interstitial space associated with a flow of cryogenic fluid through the inner balloon; and a spacer coupled between proximal portions of the inner and outer balloons, the spacer configured and arranged to maintain the interstitial space between the inner and outer balloons in response to a vacuum pressure within the interstitial space, the spacer includes a plurality of channels that extend into an inner diameter of the channel and along a length of the spacer, the plurality of channels are configured and arranged to facilitate the flow of a fluid between the interstitial space, the first lumen, and the second lumen.

13 . A dual-layer ablation balloon comprising:
an inner balloon including an internal cavity configured and arranged to receive a cryogenic fluid in a liquid state and to facilitate a state transfer of the cryogenic into a gaseous state; an outer balloon that encapsulates the inner balloon; an interstitial space between the inner and outer balloons; and a spacer coupled between proximal portions of the inner and outer balloons, the spacer configured and arranged to maintain the interstitial space between the inner and outer balloons in response to a vacuum pressure within the interstitial space.

14 . The dual-layer ablation balloon of claim 13 , wherein the interstitial space is configured and arranged to capture cryogenic fluid that escapes from the internal cavity of the inner balloon.

15 . The dual-layer ablation balloon of claim 14 , further including a vacuum lumen in fluid communication with the interstitial space, the vacuum lumen configured and arranged to draw a vacuum within the interstitial space and to draw the captured cryogenic fluid out of the interstitial space and into the vacuum lumen.

16 . The dual-layer ablation balloon of claim 15 , further including a pressure sensor lumen in fluid communication with the interstitial space, the pressure sensor configured and arranged to sense a change in vacuum pressure within the interstitial space via the pressure sensor lumen, the change in vacuum pressure associated with a flow of cryogenic fluid through the inner balloon.

17 . A dual-layer ablation balloon comprising:
an inner balloon including an internal cavity configured and arranged to receive a cryogenic fluid in a liquid state and to facilitate a state transfer of the cryogenic into a gaseous state; an outer balloon that encapsulates the inner balloon; an interstitial space between the inner and outer balloons; and an adaptor that mechanically couples the inner and outer balloons to a catheter shaft, and radially and l

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Tegg Troy T
• Gonzalez Salome A
• Sutermeister Derek

Classifications

• A61B2218/002

  Irrigation · CPC title

• A61B2090/065

  for measuring contact or contact pressure · CPC title

• A61B2018/00166

  Multiple lumina · CPC title

• A61B18/02 Primary

  by cooling, e.g. cryogenic techniques · CPC title

• A61B2018/00351

  Heart · CPC title