Vnus Medical Technologies, Inc.

Tyco Healthcare Group LP

Dawn A Henderson

Brian Eugene Farley

Mark P Parker

Michael D Laufer

Christopher Scott Jones

Joseph M Tartaglia

Douglas M Petty

Jay S Daulton

Gary Henry Miller

Arthur W Zikorus

Grace Y Schulz

Douglas Portnow

Mark K Parker

A catheter introduces electrodes in a vein for a minimally invasive treatment of venous insufficiency by the application of energy to cause selective heating of the vein. The catheter is positioned within the vein to be treated, and the electrodes on the catheter are moved toward one side of the vein. RF energy is applied in a directional manner from the electrodes at the working end of the catheter to cause localized heating and corresponding shrinkage of the adjacent venous tissue, which may include commissures, leaflets and ostia. Fluoroscopy or ultrasound may be used to detect shrinkage of the vein. After treating one section of the vein, the catheter can be repositioned to place the electrodes to treat different sections of the vein until all desired venous valves are repaired and rendered functionally competent.

Method and apparatus for treating venous insufficiency using directionally applied energy

Method and apparatus for treating venous insufficiency

A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with a hollow anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a balloon is inflated to occlude the structure before the application of energy. Where the structure is a vein, the inflated balloon obstructs blood flow and facilitates the infusion of saline, medication, or a high-impedance fluid to the vein in order to reduce the occurrence of coagulation and to improve the heating of the vein by the catheter. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

Expandable vein ligator catheter and method of use

Apparatus for treating venous insufficiency using directionally applied energy

A catheter having expandable electrodes for applying energy to a hollow anatomical structure such as a vein. When used on a vein, the catheter is useful for a minimally invasive treatment of venous insufficiency. The catheter includes conductive end rings to which the electrodes are attached, for mechanically connecting and electrically tying electrodes together to provide for a single wire electrical connection points, for transmitting energy while more evenly spacing the electrodes. Expandable arms are formed of electrically conductive material and insulated along their length except for an intermediate section that functions as the electrode. The arms are tapered to allow more room for wiring and to reduce the possibility of shorting between the ends of the arms. The catheter further includes thermocouples in the electrodes for measuring temperatures on the outer surface of the electrode. Slots are formed in the arms for mounting the thermocouples. The temperature at the hollow anatomical structure is monitored and if a rapid, large temperature decrease of short duration is noted, the power is maintained constant as a fluid flush has been detected.

Expandable catheter having improved electrode design, and method for applying energy

A coil is located at the distal working end of an electrode catheter. The coil includes two parallel electrically conductive strips separated by a narrow gap. The strips are covered with insulation, and are connected respectively to electrical leads having opposite polarity. Electrodes are formed by removing portions of the insulation from the strips. The coil can be expanded to define an increased effective diameter at the working end of the catheter. An RF field produced along the helical path defined by the strips of the coil is unaffected by the expanded state of the coil. The energy from the RF field heats the surrounding venous tissue and causes a reduction in the diameter of the vein. The expanded coil mechanically prevents the vein from shrinking beyond the effective diameter defined by the expanded coil and the patency of the vein is maintained for venous function.

Electrode catheter having coil structure

Expandable catheter having improved electrode design, and method for

Method and apparatus for treating venous insufficiency using

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Palo Alto, CA, United States of America

Dawn A Henderson