IRRIGATED ABLATION ELECTRODE HAVING SMOOTH EDGES TO MINIMIZE TISSUE CHAR
20240173073 ยท 2024-05-30
Inventors
Cpc classification
A61B18/1492
HUMAN NECESSITIES
International classification
Abstract
The invention relates to ablation catheter electrodes that solve in part the problem of tissue charring during radiofrequency ablation. The electrode assemblies of the invention include passageways that lead from the inner lumen of the assemblies to the surface of the assemblies, wherein the passageways have a smooth conjunction with the outer surface. These smooth conjunctions comprise rounded edges or are chamfered. In the case of rounded edges, the rounded edges can have fixed radii of about 0.002 to about 0.008.
Claims
1-20. (canceled)
21. An ablation electrode assembly comprising: a tip electrode comprising an inner portion and an outer surface configured to deliver ablative energy; a plurality of fluid passageways extending from the inner portion of the tip electrode to the outer surface of the tip electrode, at least one fluid passageway of the plurality of fluid passageways extending at an angle of less than 90 degrees from a central longitudinal axis of the tip electrode; and a plurality of temperature sensors disposed within the inner portion of the tip electrode, at least one temperature sensor located in a distal portion of the ablation electrode assembly and at least one temperature sensor located in a proximal portion of the ablation electrode assembly.
22. The ablation electrode assembly of claim 21, wherein the at least one fluid passageway extends at an angle between about 20 and about 70 degrees from the central longitudinal axis of the tip electrode.
23. The ablation electrode assembly of claim 21, wherein the at least one fluid passageway extending at an angle of less than 90 degrees from a central longitudinal axis of the tip electrode comprises a plurality of fluid passageways.
24. The ablation electrode assembly of claim 21, wherein the plurality of temperature sensors comprise thermocouples.
25. The ablation electrode assembly of claim 21, further comprising a plurality of component cavities located within the inner portion of the tip electrode, wherein at least one temperature sensor of the plurality of temperature sensors is disposed within each of the plurality of component cavities.
26. The ablation electrode assembly of claim 25, wherein each of the plurality of component cavities comprises two temperature sensors.
27. The ablation electrode assembly of claim 21, further comprising an inner lumen configured to deliver irrigation fluid to the plurality of fluid passageways.
28. The ablation electrode assembly of claim 21, wherein the tip electrode is configured to deliver radiofrequency ablation.
29. The ablation electrode assembly of claim 21, further comprising an inner lumen connected to a fluid delivery tube, the inner lumen configured to deliver irrigation fluid through the ablation electrode assembly.
30. The ablation electrode assembly of claim 21, wherein at least one of the plurality of fluid passageways comprises a distal end having a rounded or chamfered edge.
31. The ablation electrode assembly of claim 21, wherein at least one of the plurality of fluid passageways comprises a rounded edge with a fixed radius.
32. The ablation electrode assembly of claim 31, wherein the fixed radius is about 0.002 inches to about 0.008 inches.
33. The ablation electrode assembly of claim 21, wherein the plurality of fluid passageways are distributed equally about the outer surface of the tip electrode.
34. The ablation electrode assembly of claim 21, wherein the plurality of passageways each have a tubular shape and a constant diameter.
35. An ablation electrode assembly comprising: a tip electrode comprising an inner portion and an outer surface configured to deliver ablative energy; a plurality of first fluid passageways extending from the inner portion of the tip electrode to the outer surface of the tip electrode, the plurality of first fluid passageways located along a length of the tip electrode; a plurality of second fluid passageways extending from the inner portion of the tip electrode to the outer surface of the tip electrode, the plurality of second fluid passageways located on a distal end of the tip electrode; and a plurality of temperature sensors disposed within the inner portion of the tip electrode, at least one temperature sensor located in a distal portion of the ablation electrode assembly and at least one temperature sensor located in a proximal portion of the ablation electrode assembly.
36. The ablation electrode assembly of claim 35, wherein the plurality of temperature sensors comprise thermocouples that are located within the inner portion of the tip electrode.
37. The ablation electrode assembly of claim 35, further comprising a plurality of component cavities, each of the plurality of component cavities comprising two temperature sensors of the plurality of temperature sensors.
38. The ablation electrode assembly of claim 35, wherein the plurality of first fluid passageways extend at an angle of less than 90 degrees from a central longitudinal axis of the tip electrode.
39. The ablation electrode assembly of claim 38, wherein at least one first fluid passageway of the plurality of first fluid passageways extends at an angle between about 20 and about 70 degrees from the central longitudinal axis of the tip electrode.
40. The ablation electrode assembly of claim 39, wherein at least one first fluid passageway of the plurality of fluid passageways extends at an angle between about 30 and about 60 degrees from the central longitudinal axis of the tip electrode.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0022]
[0023]
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[0029]
DETAILED DESCRIPTION OF THE INVENTION
[0030] The inventors solved the problem of undesirable tissue charring during RF ablation by providing irrigation holes that lead from the inner cavities of electrodes that have smooth or chamfered conjunctions with the outer surface of the electrode of irrigated ablation catheters. The inventors observed that commercially available, irrigated RF catheters often caused tissue char during ablation. While not desiring to be bound by any particular theory, careful observation from the inventors led them to believe that the rough edges of the irrigation holes were partly responsible for tissue char, wherein the rough edges were responsible for a concentration of energy intensity (edge effects).
[0031] In general, the instant invention relates to irrigated ablation electrode assemblies, to catheter assemblies, as well as ablation systems employing the irrigated ablation electrode assemblies, 110, 10 and 10, in connection with catheter assemblies. For purposes of this description, similar aspects among the various embodiments described herein will be referred to by the same reference number. As will be appreciated, however, the structure of the various aspects may differ with respect to alternate embodiments.
[0032] As generally shown in the embodiment illustrated in
[0033]
[0034]
[0035] The smooth conjunction 70 is shown to closer advantage in
[0036]
[0037] In accordance with another embodiment,
[0038] Proximal member 18 includes an outer surface 22. Proximal member 18 further includes at least one fluid or irrigation passageway 24, also referred to as proximal passageway 24, that extends from an inner lumen 26, for example as generally shown in
[0039] Distal member 20, as shown in
[0040] Distal member 20 may further include an inner cavity 32 for receiving a portion of proximal member 18, as further discussed below. Distal member 20 further includes an aperture 34 therein forming distal passageway 28. Aperture 34 extends through distal member 20 to distal end 30 therein providing an opening or outlet for distal passageway 28 on the surface of distal member 20. Distal member 20 may further be configured with one or more component cavities 36 for receiving and/or housing additional components within distal member 20.
[0041] As can be seen in
[0042] As generally illustrated in
[0043] An alternate embodiment of distal member 20 includes a cavity 44 for receiving a power wire 46 (sec, e.g.,
[0044]
[0045] The proximal member 18 may further be configured to include a coupling portion 48 that extends into inner cavity 32 of distal member 20. Proximal member 18 may be generally cylindrical in shape. Moreover, for some embodiments, distal member 20 of ablation electrode assembly 10 may have a generally cylindrical shape terminating in a hemispherical distal end 30. The cylindrical shape of proximal member 18 and distal member 20 may be substantially similar to one another and generally have the same overall diameter, which can provide or create a smooth outer body or profile for electrode assembly 10. Distal member 20 may be configured to accept portion 48 of proximal member 18 for attachment thereto. The distal member 20 may be connected by any known mechanism including adhesives, press-fit configurations, snap-fit configurations, threaded configurations, or any other mechanism known to one of ordinary skill in the art.
[0046] Proximal member 18 may further include an inner lumen 26 that is connected to fluid delivery tube 16. The inner lumen 26 may act as a manifold or distributor for transporting and/or distributing fluid throughout electrode assembly 10. In particular, proximal member 18 may be configured to receive a fluid delivery tube 16 carried within at least a portion of catheter assembly 12. Proximal member 18 includes a plurality of passageways 24. Proximal member 18 may serve as a manifold or distributor of fluid to electrode assembly 10 through the use of passageways 24. Proximal passageways 24 may extend from inner lumen 26 axially toward outer surface 22 of proximal member 18, wherein the conjunction 70 of the irrigation passageway 24 with the outer surface 22 of the proximal member 18 is smooth or chamfered. If the conjunction comprises a rounded edge, the rounded edge can have a fixed radius. The fixed radius can be, for example, from about 0.002 to about 0.008. The chamfer has a width of the cut surface, from about 0.001 to about 0.004. In an embodiment, a plurality of passageways 24 are substantially equally distributed around proximal member 18 to provide substantially equal distribution of fluid to the targeted tissue area and/or the outside of electrode assembly 10. Electrode assembly 10 may be configured to provide a single, annular passageway 24, or a number of individual passageways 24 equally distributed around the proximal member 18. Moreover, the passageways 24 may be generally tubular and may have a constant diameter along the length of the passageway. Alternate configurations having various diameters along all or portions of the length of the passageways may be used.
[0047] As shown in
[0048] Distal passageway 28 is provided for and extends along the central longitudinal axis of proximal member 18 through distal member 20 to distal end 30 of electrode assembly 10. As shown in
[0049] Distal passageway 28 extends from inner lumen 26 provided by proximal member 18. In general, the diameter of distal passageway 28 is less than the diameter of inner lumen 26 of proximal member 18. Accordingly, in one embodiment, inner lumen 26 and distal passageway 28 may be connected by a tapered transition portion 50 therein providing constant fluid communication. The angle of the tapered transition portion may vary depending on the diameters of the inner lumen 26 and distal passageway 28, as well as the length of proximal member 18. The presence of the tapered transition portion 50 between inner lumen 26 and distal passageway 28 prevents air bubbles from being trapped inside the proximal member during fluid flow through the lumen and passageways. In an embodiment, distal passageway 28 is slightly larger in diameter than passageways 24 provided by the proximal member. The diameter of passageways 24 and distal passageways 28 may vary depending on the configuration and design of electrode assembly 10. In an embodiment, distal passageway 28 includes a diameter within the range of about 0.012 to about 0.015 inches, more particularly about 0.013 to about 0.014 inches. In another embodiment, proximal passageways 24 include a diameter within the range of about 0.011 to about 0.014 inches, more particularly about 0.011 to about 0.013 inches.
[0050] In another embodiment, the inner surface of inner lumen 26 may be either coated with a hydrophilic coating or surface treated to create a hydrophilic surface. The treatment of inner lumen 26 with a hydrophilic surface or coating results in another method of preventing air bubbles from becoming trapped inside proximal member 18. The hydrophilic coating materials may include, but are not limited to, block copolymers based of ethylene oxide and propylene oxide, polymers in the polyethylene glycol family and silicone. For example, those materials selected from the group including PLURONIC? from BASF, CARBOWAX? from Dow Chemical Company and SILASTIC MDX? from Dow Corning.
[0051] Alternate embodiments of the present invention provide the incorporation of at least one temperature sensor 38 in combination with distal passageway 28. In particular, an embodiment, as shown in
[0052] In another embodiment of electrode assembly 10, as seen in
[0053] The flow of fluid through inner lumen 26 provided by fluid tube 16 and ultimately through proximal passageways 24 and distal passageway 28 is reflected in
[0054]
[0055] As previously discussed, the ablation electrode assembly 10, 10, 110 of the present invention may comprise part of an irrigated ablation catheter assembly 12, operably connected to a pump assembly and an RF generator assembly which serves to facilitate the operation of ablation procedures through monitoring any number of chosen variables (e.g., temperature of the ablation electrode, ablation energy, and position of the assembly), assist in manipulation of the assembly during use, and provide the requisite energy source delivered to the electrode assembly 10, 10, 110. Although the present embodiments describe RF ablation electrode assemblies and methods, it is contemplated that the present invention is equally applicable to any number of other ablation electrode assemblies where the temperature of the device and the targeted tissue areas is a factor during the procedure.
[0056] In addition to the preferred embodiments discussed above, the present invention contemplates methods for improved measure and control of a temperature of an irrigated ablation electrode assembly 10, 10, 110 or a target site and minimization of coagulation and excess tissue damage at and around the target site. According to one method, an ablation electrode assembly 10, 10, 110 is provided, having at least one temperature sensor 38 within distal member 20 and proximal member 18 is separate from distal member 20. An irrigation pathway 24 is provided within the proximal member 18 for delivery of fluid to the outer surface 22 of the proximal member 18. A distal passageway 28 is further provided for delivery of fluid to the distal end of distal member 20, thereby allowing for the benefits of irrigation of the target site and external portions of electrode assembly 10, such as minimizing tissue damage, such as steam pop, preventing rising impedance of the ablation assembly, and minimizing blood coagulation.
[0057] Other embodiments and uses of the devices and methods of the present invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. The specification and examples should be considered exemplary only with the true scope and spirit of the invention indicated by the following claims. Although a number of embodiments of this invention have been described above with a certain degree of particularity, those skilled in the art could make numerous alterations to the disclosed embodiments without departing from the spirit or scope of this invention.
[0058] All directional references (e.g., upper, lower, upward, downward, left, right, leftward, rightward, top, bottom, above, below, vertical, horizontal, clockwise, and counterclockwise) are only used for identification purposes to aid the reader's understanding of the present invention, and do not create limitations, particularly as to the position, orientation, or use of the invention. Joinder references (e.g., attached, coupled, connected, and the like) are to be construed broadly and may include intermediate members between a connection of elements and relative movement between elements. As such, joinder references do not necessarily infer that two elements are directly connected and in fixed relation to each other. It is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative only and not limiting. Changes in detail or structure may be made without departing from the spirit of the invention as defined in the appended claim.