Map and ablate closed-loop cooled ablation catheter

Patent metadata

Field	Value
Publication number	US-9370329-B2
Application number	US-201314029533-A
Country	US
Kind code	B2
Filing date	Sep 17, 2013
Priority date	Sep 18, 2012
Publication date	Jun 21, 2016
Grant date	Jun 21, 2016

Abstract

A system for performing mapping and ablation functions includes a catheter sized and shaped for vascular access. The catheter includes an elongate body extending between a proximal end and a distal end. A tip section positioned at the distal end of the catheter body and includes a proximal portion and a distal portion. One or more electrode structures are formed on an exterior surface of the tip section. The one or more electrode structures each includes a mapping electrode at the distal portion of the tip section and a contact pad electrically coupled to the mapping electrode.

First claim

We claim:

1. A system comprising:
a catheter sized and shaped for vascular access and including an elongate body extending between a proximal end and a distal end;
a tip section including an ablation electrode configured to deliver radio frequency (RF) energy for an RF ablation procedure and positioned at the distal end of the body, the tip section including a proximal portion and a distal portion; and
one or more electrode structures on an exterior surface of the ablation electrode, the one or more electrode structures each including a mapping electrode at the distal portion of the tip section and a contact pad electrically coupled to the mapping electrode.

2. The system of claim 1 , wherein the one or more electrode structures further includes an insulative base layer between each of the one or more electrode structures and the ablation electrode.

3. The system of claim 1 , wherein the catheter includes at least one inner fluid lumen, wherein the ablation electrode comprises an exterior wall that defines an open interior region within the ablation electrode, and wherein the system further comprises:
a thermal mass within the open interior region; and
a cooling chamber in fluid communication with the at least one inner fluid lumen of the elongate body and positioned proximally to the thermal mass.

4. The system of claim 1 , wherein the ablation electrode comprises an exterior wall that defines an open interior region within the ablation electrode, wherein the exterior wall includes irrigation ports, and wherein the irrigation ports are in fluid communication with the open interior region to allow fluid to flow from the open interior region through the irrigation ports.

5. The system of claim 1 , and further comprising one or more mapping ring electrodes disposed on the body proximal to the one or more electrode structures.

6. The system of claim 1 , wherein each of the one or more electrode structures further comprises:
a conductive trace between the contact pad and mapping electrode; and
an insulative coating layer over the conductive trace.

7. The system of claim 6 , wherein the conductive trace has an impedance of less than 100 ohms.

8. The system of claim 1 , wherein the one or more electrode structures are formed via physical vapor deposition.

9. A system for performing mapping and ablation functions, the system comprising:
a catheter sized and shaped for vascular access and including an elongate body extending between a proximal end and a distal end and having at least one inner fluid lumen;
an ablation electrode coupled to the distal end of the catheter body, the ablation electrode configured to deliver radio frequency (RF) energy for an RF ablation procedure, the ablation electrode including an exterior wall that defines an open interior region within the ablation electrode;
a thermal mass within the open interior region;
a cooling chamber in fluid communication with the at least one inner fluid lumen of the elongate body and positioned proximally to the thermal mass;
one or more insulative base layers on an exterior surface of the ablation electrode; and
one or more mapping electrodes each disposed on one of the one or more insulative base layers, each mapping electrode proximate a distal end of the ablation electrode.

10. The system of claim 9 , and further comprising:
one or more contact pads at a proximal end of the ablation electrode, wherein each contact pad is electrically coupled to one of the one or more mapping electrodes.

11. The system of claim 10 , wherein each contact pad is connected to one of the one or more mapping electrodes via a conductive trace.

12. The system of claim 11 , and further comprising an insulative coating layer over the conductive trace.

13. The system of claim 9 , and further comprising one or more mapping ring electrodes disposed on the body proximal to the one or more mapping electrodes.

14. The system of claim 9 , wherein the mapping electrodes are formed via physical vapor deposition.

15. A system for performing mapping and ablation functions, the system comprising:
a radio frequency (RF) generator;
a fluid reservoir and pump;
a mapping signal processor;
a catheter sized and shaped for vascular access and including an elongate body extending between a proximal end and a distal end and having at least one inner fluid lumen in fluid communication with the fluid reservoir and pump;
an ablation electrode coupled to the distal end of the catheter body, the ablation electrode operably connected to the RF generator, the ablation electrode including an exterior wall that defines an open interior region within the ablation electrode;
one or more insulative base layers on an exterior surface of the ablation electrode; and
one or more mapping electrodes operably connected to the mapping signal processor, each mapping electrode disposed on one of the one or more insulative base layers, each mapping electrode proximate a distal end of the ablation electrode.

16. The system of claim 15 , and further comprising:
a thermal mass within the open interior region; and
a cooling chamber in fluid communication with the at least one inner fluid lumen of the elongate body and positioned proximally to the thermal mass.

17. The system of claim 15 , and further comprising:
one or more contact pads at a proximal end of the ablation electrode electrically connected to the mapping signal processor, wherein each contact pad is electrically coupled to one of the one or more mapping electrodes via a conductive trace.

18. The system of claim 17 , and further comprising:
an insulative coating layer over each conductive trace.

Assignees

• Boston Scient Scimed Inc

Inventors

• Tun Zaya
• Kim Isaac J
• Koblish Josef V
• Cao Minhchau N
• Ha Steve

Classifications

• A61B2018/00136

  with polymer · CPC title

• A61B2017/00044

  Sensing electrocardiography, i.e. ECG · CPC title

• A61B5/0036 Primary

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B2018/00023

  closed, i.e. without wound contact by the fluid · CPC title

• A61B5/6853 Primary

  with a balloon · CPC title