Device and method for heating tissue in a patient's body

Claim 1

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon having a compliance such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus over the entire wall-facing circumference of said balloon at each point along the length of said balloon without substantially dilating any portion of said coronary sinus contacted by said balloon, even when said balloon, inflated within said coronary sinus, has a diameter ratio over the length of said balloon exceeding 1.5 to 1, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus over the entire wall-facing circumference of said balloon at each point along the length of said balloon without substantially dilating any portion of said coronary sinus contacted by said balloon, said balloon, when inflated within said coronary sinus, having a diameter ratio over the length of said balloon exceeding 1.5 to 1, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.

Claim 2

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon having a compliance such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus over the entire wall-facing circumference of said balloon at each point along the length of said balloon without substantially dilating any portion of said coronary sinus contacted by said balloon, even when said balloon, inflated within said coronary sinus, has a diameter ratio over the length of said balloon exceeding 1.5 to 1, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus over the entire wall-facing circumference of said balloon at each point along the length of said balloon without substantially dilating any portion of said coronary sinus contacted by said balloon, said balloon, when inflated within said coronary sinus, having a diameter ratio over the length of said balloon exceeding 1.5 to 1, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.

Claim 6

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon comprising a membrane of silicone rubber to ensure that said balloon is highly deformable under stress, said balloon having a compliance such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus without substantially dilating said coronary sinus, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus without substantially dilating said coronary sinus, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.

Claim 7

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon comprising a membrane of silicone rubber to ensure that said balloon is highly deformable under stress, said balloon having a compliance such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus without substantially dilating said coronary sinus, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus without substantially dilating said coronary sinus, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.

Claim 8

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon having a compliance such that the volume of said balloon exhibits at least a one-fold increase when the pressure within said balloon is increased by one-fold starting at a gauge pressure of one-half atmosphere, said compliance being such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus without substantially dilating said coronary sinus, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus without substantially dilating said coronary sinus, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.

Claim 9

A method of ablating electrically conductive pathways of a heart, comprising the steps of: providing a balloon catheter comprising a catheter shaft constructed for insertion into a blood vessel, a balloon mounted on said catheter shaft, and a heating device located within said balloon for heating fluid inside said balloon to permit controlled heating of tissue by thermal conduction from said fluid to said tissue through a wall of said balloon, said balloon having a compliance such that the volume of said balloon exhibits at least a one-fold increase when the pressure within said balloon is increased by one-fold starting at a gauge pressure of one-half atmosphere, said compliance being such that said balloon, when placed within the coronary sinus of said heart and inflated, is conformable to the wall of said coronary sinus without substantially dilating said coronary sinus, inserting said balloon catheter into a blood vessel and causing said balloon to pass through the right atrium of said heart and into the coronary sinus of said heart, selecting an inflated length of said balloon so as to enable said balloon to create a lesion having a size suitable for ablation of said electrically conductive pathways, and selecting an inflation pressure that will cause said balloon, when inflated with said fluid to said inflation pressure, to have said inflated length, inflating said balloon with said fluid to said inflation pressure, said balloon conforming to the wall of said coronary sinus without substantially dilating said coronary sinus, and causing tissue necrosis while controlling the extent thereof, by heating said fluid inside said balloon through use of said heating device, to cause heat to pass from said fluid to surrounding tissue by thermal conduction through said wall of said balloon, said thermal conduction through said wall of said balloon resulting in said tissue necrosis.