Cardiac Pathways Corporation

Cardiovascular Imaging Systems, Inc.

Other

Intelliwire, Inc.

Mark L Pomeranz

Mir A Imran

Darren R Sherman

Troy J Chapman

Brian A Glynn

Edward M Gillis

Patsy A Gingell

Gholam-Reza Zadno-Azizi

N Parker Willis

Brett Allen Follmer

Stephen M Salmon

Peter Park

Dale Rieb

Richard E Riley

R Saul Levinson

Robert F Bencini

Steven C Anderson

Susan M Pietroski

Lorna Fosse

Harold A Heitzmann

Robert M Scribner

Pat A Gingell

Scott Tedder

Robert B West

An ablative catheter assembly whose electrode is completely covered by a buffer layer. The buffer layer prevents areas of high current density at the surface of the catheter tip, which helps to reduce popping and clotting. The buffer layer may be in the form of a conductive fluid (such as saline solution) pumped into a cavity surrounding the electrode. In this case, the conductive fluid couples the electrode to the surrounding tissue so that RF energy will pass from the electrode to the tissue, thereby effecting ablation. Also, the buffer layer may be in the form of a porous coating which covers an electrode tip. In this case, blood or fluid which infuses the porous coating couples the electrode tip to the surrounding tissues to be ablated.

Ablation catheter tip with a buffer layer covering the electrode

An apparatus for ablating body tissue, and particularly for creating linear lesions within a chamber of a patient's heart, includes an elongate member having an ablation section. The ablation section includes an infusion tube and a plurality of spaced electrodes. The infusion tube and electrodes are covered by a fluid permeable foam material, and the foam material is covered by a fluid impermeable covering having a plurality of holes formed in it. During use, the ablation section is positioned against tissue to be ablated. Radiofrequency energy is delivered to he electrodes while saline or other conductive fluid is delivered to the infusion tube. The fluid exits the infusion tube at the ablation section, contacts the electrodes, and carries RF energy from the electrodes through the foam, through the holes in the covering and into contact with the body tissue to form a burn in the body tissue.

Apparatus and method for linear lesion ablation

An ablation catheter for ablating tissue, such as endocardial tissue. The ablation catheter includes a foam tip with an electrode embedded therein. Conductive fluid, such as saline solution, is pumped through the foam tip out to the tissue adjacent to the foam tip. The conductive fluid electrically couples the electrode embedded in the foam tip with the tissue to be ablated in order to effect ablation. The flow of the conductive fluid and the foam tip both help prevent any combustible products of the ablation from reaching the high current surfaces of the electrode itself.

Ablation catheter with electrical coupling via foam drenched with a

An apparatus for ablating body tissue is provided that is particularly adapted for creating both linear and point lesions in the endocardium. The apparatus comprises an elongate tubular member having a tip electrode and an ablation section mounted thereon. The ablation section includes one or more spaced electrodes, a fluid permeable foam material, and a fluid impermeable covering having a plurality of holes formed in it. The flow of conductive fluid to the ablation section during use allows contact to be maintained between the electrodes and the tissue to be ablated so as to minimize the formation of lesion breaks. The conductive fluid also serves to cool the tip electrode during its use by delivering the fluid to the tip electrode before routing it to the ablation section. In preferred embodiments, use of a shape wire and/or one or more pullwires allows the inventive apparatus to be more easily manipulated during the ablation procedure.

Combination linear ablation and cooled tip RF catheters

An endocardial mapping catheter for introduction into a chamber of a heart formed by a wall. The flexible elongate tubular member has proximal and distal extremities and extends along a longitudinal axis. A plurality of longitudinally-extending spaced-apart members are carried by the distal extremity of the flexible elongate tubular member and have proximal extremities and interconnected distal extremities. Certain of the plurality of longitudinally-extending members are arms of a basket-like assembly and are movable between contracted positions and expanded positions in which the arms bow outwardly from the longitudinal axis. A plurality of longitudinally spaced-apart electrodes are carried by each of the arms. Electrical conductors extend through the flexible elongate tubular member and are connected to the electrodes for performing electrical functions with respect to the electrodes. At least one additional electrode is slidably mounted on one of the longitudinally-extending members.

Endocardial mapping catheter with movable electrode

A catheter device for creating linear lesions in endocardial tissue or other body tissue is described. The catheter includes an inner shaft telescopically received within an outer shaft. The inner shaft has one or more spaced apart electrodes along its distal section. The outer shaft member includes a fluid permeable window positionable to selectively overlay some or all of the electrodes when the relative positioning of the inner and outer shaft members is adjusted. During use, the window is positioned adjacent to the body tissue which is to be ablated and at least a portion of the electrodes are exposed through the window. RF energy is delivered to the electrodes while saline or other conductive fluid is simultaneously delivered through the infusion tube. The conductive fluid passes into contact with the electrodes, and through the window into contact with the body tissue, thereby improving the coupling of the RF energy from the electrodes to the tissue and improving the efficiency of the ablation of the tissue.

Telescoping apparatus and method for linear lesion ablation

In a shapable catheter and method for positioning a shapable catheter within a body cavity, a core wire is provided which includes a pre-shaped region bent into a predetermined shape. A catheter is provided which includes a lumen proportioned to slidably receive the core wire. The catheter includes a rigid proximal section and a flexible distal section. A pull wire may additionally be provided to allow the user to cause deflection at a distal portion of the catheter.

Shapable catheter using exchangeable core and method of use

A guidewire imaging catheter includes a catheter body, housing secured to the distal end of the catheter body, a drive cable extending through a central lumen of the catheter body, and an imaging system disposed within the housing and coupled to the drive cable. A fixed guidewire is secured to the distal tip of the housing, and the catheter body is highly flexible while retaining sufficient torsional stiffness to allow the entire catheter to be used as a guidewire. Thus, the imaging guidewire can be used to first image a desired region within a patient's vascular system and subsequently as a guidewire to allow placement of a desired interventional catheter.

Guidewire with imaging capability

An apparatus for ablating body tissue, and particularly for creating linear lesions within a chamber of a patient's heart, is provided. The apparatus includes an elongate member having an ablation section which includes an infusion tube and a plurality of spaced electrodes. The infusion tube and electrodes are covered by a fluid permeable foam material, and the foam material is covered by a fluid impermeable covering having a plurality of holes formed in it. During use, the ablation section is placed against tissue to be ablated. This positioning step is facilitated because the ablation section of the inventive devices may be manipulated in various ways. When the ablation section is properly positioned, radio frequency energy is delivered to the electrodes while saline or other conductive fluid is delivered to the infusion tube. The fluid exits the infusion tube at the ablation section, contacts the electrodes, and carries RF energy from the electrodes through the foam, through the holes in the covering and into contact with the body tissue to form a burn in the body tissue.

Deflectable loop design for a linear lesion ablation apparatus

In a shapable catheter and method for positioning a shapable catheter within a body cavity, a core wire is provided which includes a pre-shaped region bent into a predetermined shape. A catheter is provided which includes a lumen proportioned to slidably receive the core wire. The catheter includes a rigid proximal section and a flexible distal section. During use, the distal end of the catheter is inserted through a patient's vasculature and is passed into a body cavity. The pre-shaped region of the core wire is passed into the lumen and is straightened by the rigid proximal section of the catheter. The pre-shaped region is passed further into the catheter until it reaches the flexible distal region, in which the pre-shaped section re-assumes its predetermined shape and causes the core wire to form the distal section of the catheter into the predetermined shape. The distal section of the catheter is positioned in contact with tissue in the body cavity, and electrodes carried by the distal end are used to map and/or ablate the tissue.

An apparatus for ablating body tissue, and particularly for creating linear lesions within a chamber of a patient's heart, includes an elongate member having an ablation section. The ablation section includes an infusion tube and a plurality of spaced electrodes. The infusion tube and electrodes are covered by a fluid permeable foam material, and the foam material is covered by a fluid impermeable covering having a plurality of holes formed in it. During use, the ablation section is positioned against tissue to be ablated. Radiofrequency energy is delivered to the electrodes while saline or other conductive fluid is delivered to the infusion tube. The fluid exits the infusion tube at the ablation section, contacts the electrodes, and carries RF energy from the electrodes through the foam, through the holes in the covering and into contact with the body tissue to form a burn in the body tissue.

An endocardial mapping apparatus for mapping the wall of a chamber of the heart having blood therein. The apparatus includes a flexible elongate tubular member having proximal and distal extremities and at least one lumen extending therethrough. A basket assembly is carried by the distal extremity of the flexible elongate tubular member and is movable between contracted and expanded positions. The basket assembly has a plurality of elongate flexible circumferentially spaced-apart arms with joined proximal and distal extremities and a plurality of longitudinally spaced-apart electrodes carried by each arm for engaging the wall of the heart. The arms have spaces therebetween when the basket assembly is in an expanded position. An elongate flexible rotatable member is rotatably coupled to the joined distal extremities and is disposed within the basket assembly. At least one electrode is carried by the rotatable member for engaging the wall of the heart. A torque knob is coupled to the rotatable member for rotating the member within the basket assembly and for bowing it radially outwardly into a space between the arms so as to engage the wall of the heart along a portion of the length thereof for mapping and/or ablating.

Endocardial mapping apparatus

A catheter for radio frequency ablation with a cooled electrode for use in tissue having a surface comprising an elongate member having proximal and distal extremities. A metal conducting electrode secured to the distal extremity of the elongate member and having a chamber therein. A conductor extends through the elongate member from the proximal to the distal extremity for supplying radio frequency energy to the electrode. The elongate member has a lumen in the distal extremity which is in communication with the chamber. A coolant is disposed in the chamber and in contact with the electrode for dissipating heat created in the electrode by the application of radio frequency energy thereto.

Growing community of inventors

Los Gatos, CA, United States of America

Mark L Pomeranz