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US5681308A Expired / Lapsed US ⏱️ 0.0 years remaining

Ablation apparatus for cardiac chambers

Assignee: Individual
•
Filing: 1994-11-28
•
Granted: 1997-10-28
•
Expires: 2014-11-28
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Abstract

Abstract An endocardial ablation and mapping apparatus is introduced into a heart chamber for mapping to detect arrhythmogenic foci, and ablate endocardium at the arrhythmogenic foci. An inflatable, flexible porous membrane is adapted to receive an electrolytic solution, and become inflated to substantially conform a conductive surface of the membrane to the wall of the heart chamber. A membrane support is surrounded by the membrane, and includes a sealed proximal end and a sealed distal end. Each end has an aperture formed therein defining a central lumen in the membrane support that permits blood flow through the support member and the heart chamber. The membrane support is attached to the membrane and is expanded to a non-distensible state when the membrane is inflated. A catheter, with a distal end, is attached to the membrane or the membrane support. The membrane and membrane support are introduced into the heart chamber by the catheter in a non-expanded state, and become expanded to an expanded state by inflating the membrane with the electrolytic solution. A plurality of treatment electrodes, defining a circuit, are formed on an exterior surface of the membrane support. An RF power source is coupled to the treatment electrodes, and a source of electrolytic solution is coupled to the membrane.

Inventors

  • 👤 Stuart D. Edwards
  • 👤 Hugh R. Sharkey

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 00:44
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1485; A61B18/148; A61B18/1492; A61M; A61M16/00; A61M16/04; A61M16/0475; A61M16/0477; A61M16/0481; A61N; A61N1/00; A61N1/02; A61N1/04; A61N1/05; A61N1/056; A61N1/06; A61N1/40; A61B18/18; A61B18/1815; A61B17/00; A61B2017/00017; A61B2017/00022; A61B2017/00084; A61B2017/00106; A61B17/00234; A61B2017/00292; A61B2017/003; A61B17/42; A61B2017/4216; A61B2018/00005; A61B2018/00011; A61B2018/00023; A61B2018/00029; A61B2018/00053; A61B2018/00059; A61B2018/00065; A61B2018/00071; A61B2018/00077; A61B2018/00083; A61B2018/00107; A61B2018/00113; A61B2018/00148; A61B2018/00214; A61B2018/0022; A61B2018/00315; A61B2018/00482; A61B2018/00494; A61B2018/00559; A61B2018/00571; A61B2018/00577; A61B2018/00636; A61B2018/00642; A61B2018/00654; A61B2018/00666; A61B2018/00678; A61B2018/00696; A61B2018/00702; A61B2018/00708; A61B2018/00726; A61B2018/00755; A61B2018/00761; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00815; A61B2018/00821; A61B2018/00827; A61B2018/00869; A61B2018/00875; A61B2018/00886; A61B2018/00892; A61B2018/00898; A61B2018/0091; A61B2018/00916; A61B2018/00982; A61B18/02; A61B2018/0231; A61B2018/0262; A61B2018/044; A61B2018/046; A61B18/1206; A61B2018/124; A61B2018/1246; A61B2018/1253; A61B2018/126; A61B2018/1273; A61B2018/1467; A61B2018/1472; A61B90/00; A61B90/36; A61B90/361; A61B2090/3614; A61B90/37; A61B2090/378; A61B2090/3782; A61B2218/00; A61B2218/001; A61B2218/002; A61M25/00; A61M25/10; A61M2025/1043; A61M2025/1052; A61M2025/1086; A61M25/1002

Claims Analysis

Total Claims: 58
Claim 1
Independent Claim 89 words
A cardiac ablation device for ablating tissue within a chamber of the heart comprising: a plurality of RF electrodes; a fluid permeable expandable member surrounding the electrodes; an electrical connector device connecting the electrodes to an RF energy source; and a source adapted to provide an electrolytic fluid to the expandable member to expand the expandable member to conform to at least a portion of the heart chamber and to cause said fluid to create a conductive path between the electrodes and an inner surface of the heart chamber.
Claim 2
Dependent Claim 89 words
A cardiac ablation device for ablating tissue within a chamber of the heart comprising: a plurality of RF electrodes; a fluid permeable expandable member surrounding the electrodes; an electrical connector device connecting the electrodes to an RF energy source; and a source adapted to provide an electrolytic fluid to the expandable member to expand the expandable member to conform to at least a portion of the heart chamber and to cause said fluid to create a conductive path between the electrodes and an inner surface of the heart chamber.
Claim 3
Dependent Claim 43 words
The ablation apparatus of claim 1, wherein the member further comprises: electrical resources for acquiring electrical data from the heart and providing electrical function feedback to the RF power source which then supplies a therapeutic output to selected treatment electrodes of the plurality.
Claim 4
Dependent Claim 39 words
The ablation apparatus of claim 2, wherein the electrical resources includes devices for supplying a predetermined voltage at a predetermined frequency to selected treatment electrodes to cause ablation in a preselected location in the wall of the heart chamber.
Claim 5
Dependent Claim 12 words
The ablation apparatus of claim 1, wherein the treatment electrodes are multiplexed.
Claim 6
Dependent Claim 27 words
The ablation apparatus of claim 1, wherein the membrane is secured to a distal end of a catheter for insertion into and removal from the heart chamber.
Claim 7
Dependent Claim 21 words
The ablation apparatus of claim 1, wherein the membrane includes a deposition of ions to improve RF and thermal energy conductivity.
Claim 8
Dependent Claim 22 words
The ablation apparatus of claim 1, wherein the plurality of treatment electrodes are positioned in a spaced apart relationship within the member.
Claim 9
Dependent Claim 111 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an expandable, flexible, fluid permeable member adapted to receive an electrolytic solution and become expanded to substantially conform a surface of the member to a surface within a heart chamber; a catheter for introducing the member into a heart chamber in a non-expanded state; means for delivering an electrolytic solution to the member to expand the member; a plurality of treatment electrodes covered by the member; an RF power source coupled to the treatment electrodes; and a source of electrolytic solution fluidly coupled to the member and for coupling the RF energy to the heart chamber.
Claim 10
Dependent Claim 111 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an expandable, flexible, fluid permeable member adapted to receive an electrolytic solution and become expanded to substantially conform a surface of the member to a surface within a heart chamber; a catheter for introducing the member into a heart chamber in a non-expanded state; means for delivering an electrolytic solution to the member to expand the member; a plurality of treatment electrodes covered by the member; an RF power source coupled to the treatment electrodes; and a source of electrolytic solution fluidly coupled to the member and for coupling the RF energy to the heart chamber.
Claim 11
Dependent Claim 43 words
The ablation apparatus of claim 8, wherein the member further comprises: electrical resources for acquiring electrical data from the heart and providing electrical function feedback to the RF power source which then supplies a therapeutic output to selected treatment electrodes of the plurality.
Claim 12
Dependent Claim 39 words
The ablation apparatus of claim 9, wherein the electrical resources includes devices for supplying a predetermined voltage at a predetermined frequency to selected treatment electrodes to cause ablation in a preselected location in the wall of the heart chamber.
Claim 13
Dependent Claim 12 words
The ablation apparatus of claim 8, wherein the treatment electrodes are multiplexed.
Claim 14
Dependent Claim 25 words
The ablation apparatus of claim 8, wherein the member is secured distal end of the catheter for insertion into and removal from the heart chamber.
Claim 15
Dependent Claim 21 words
The ablation apparatus of claim 8, wherein the member includes a deposition of ions to improve RF and thermal energy conductivity.
Claim 16
Dependent Claim 22 words
The ablation apparatus of claim 8, wherein the plurality of treatment electrodes are positioned in a spaced apart relationship within the member.
Claim 17
Dependent Claim 177 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an inflatable, flexible porous membrane adapted to receive an electrolytic solution and become inflated to substantially conform a conductive surface of the membrane to the wall of the heart chamber; a membrane support surrounded by the membrane including a sealed proximal end and a sealed distal end, each end having an aperture formed therein defining a central lumen in the membrane support that permits blood flow through the support member and heart chamber, the membrane support being attached to the membrane and expanded to a non-distensible state when the membrane is inflated; a catheter for introducing the membrane and membrane support into the heart chamber in a non-expanded state, the catheter including a lumen for delivering an electrolytic solution to the membrane to inflate the membrane; a plurality of treatment electrodes defining a circuit formed on an exterior surface of the membrane support: an RF power source coupled to the treatment electrodes; and a source of electrolytic solution coupled to the membrane.
Claim 18
Dependent Claim 177 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an inflatable, flexible porous membrane adapted to receive an electrolytic solution and become inflated to substantially conform a conductive surface of the membrane to the wall of the heart chamber; a membrane support surrounded by the membrane including a sealed proximal end and a sealed distal end, each end having an aperture formed therein defining a central lumen in the membrane support that permits blood flow through the support member and heart chamber, the membrane support being attached to the membrane and expanded to a non-distensible state when the membrane is inflated; a catheter for introducing the membrane and membrane support into the heart chamber in a non-expanded state, the catheter including a lumen for delivering an electrolytic solution to the membrane to inflate the membrane; a plurality of treatment electrodes defining a circuit formed on an exterior surface of the membrane support: an RF power source coupled to the treatment electrodes; and a source of electrolytic solution coupled to the membrane.
Claim 19
Dependent Claim 43 words
The ablation apparatus of claim 15, wherein the membrane further comprises electrical resources for acquiring electrical data from the heart and providing electrical function feedback to the RF power source which then supplies a therapeutic output to selected treatment electrodes of the plurality.
Claim 20
Dependent Claim 22 words
The ablation apparatus of claim 15, wherein the membrane further comprises a plurality of MAP electrodes coupled to the RF power source.
Claim 21
Dependent Claim 19 words
The ablation apparatus of claim 17, wherein the MAP electrodes are positioned on the conductive surface of the membrane.
Claim 22
Dependent Claim 38 words
The ablation apparatus of claim 15, wherein the membrane and the membrane support include a plurality of apertures appropriately spaced to permit blood flow to the superior vena cava, the inferior vena cava, and the tricuspid valve annulus.
Claim 23
Dependent Claim 20 words
The ablation apparatus of claim 15, further comprising: a ground pad electrode attached to an exterior surface of a patient.
Claim 24
Dependent Claim 14 words
The ablation apparatus of claim 15, where the apparatus operates in a bipolar mode.
Claim 25
Dependent Claim 21 words
The ablation apparatus of claim 16, wherein the electrical resources includes members for recording mapping potentials encountered by the treatment electrodes.
Claim 26
Dependent Claim 39 words
The ablation apparatus of claim 15, wherein the electrical resources include devices for supplying a predetermined voltage at a predetermined frequency to selected treatment electrodes to cause ablation in a preselected location in the wall of the heart chamber.
Claim 27
Dependent Claim 25 words
The ablation apparatus of claim 15, wherein the membrane includes a conductive surface which is adapted to substantially conform to the wall of the atrium.
Claim 28
Dependent Claim 13 words
The ablation apparatus of claim 15, wherein the circuit is a flexible circuit.
Claim 29
Dependent Claim 24 words
The ablation apparatus of claim 15, further comprising: attachment members positioned on the catheter distal end and attaching to the membrane or membrane support.
Claim 30
Dependent Claim 14 words
The ablation apparatus of claim 15, wherein the plurality of treatment electrodes are multiplexed.
Claim 31
Dependent Claim 11 words
The ablation apparatus of claim 15, wherein the circuit is multiplexed.
Claim 32
Dependent Claim 26 words
The ablation apparatus of claim 15, wherein the membrane and the membrane support are rolled around the catheter distal end for removal from the heart chamber.
Claim 33
Dependent Claim 15 words
The ablation apparatus of claim 15, wherein the circuit includes one or more impedance monitors.
Claim 34
Dependent Claim 15 words
The ablation apparatus of claim 15, wherein the circuit includes one or more temperature monitors.
Claim 35
Dependent Claim 18 words
The ablation apparatus of claim 15, wherein the circuit includes one or more devices to monitor circuit continuity.
Claim 36
Dependent Claim 14 words
The ablation apparatus of claim 15, wherein the circuit includes a plurality of segments.
Claim 37
Dependent Claim 21 words
The ablation apparatus of claim 15, wherein the membrane includes a deposition of ions to improve RF and thermal energy conductivity.
Claim 38
Dependent Claim 16 words
The ablation apparatus of claim 15, wherein the conductive surface is coated with an anticoagulating material.
Claim 39
Dependent Claim 14 words
The ablation apparatus of claim 15, wherein the membrane support is made of Mylar.
Claim 40
Dependent Claim 22 words
The ablation apparatus of claim 15, wherein the plurality of treatment electrodes are positioned between the membrane support and the surrounding membrane.
Claim 41
Dependent Claim 26 words
The ablation apparatus of claim 15, wherein the plurality of treatment electrodes are positioned in the membrane in a spaced apart relationship from the conductive surface.
Claim 42
Dependent Claim 178 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an inflatable, flexible porous membrane adapted to receive an electrolytic solution and become inflated to substantially conform a conductive surface of the membrane to the wall of the heart chamber; a membrane support surrounded by the membrane including a central lumen for permitting blood flow through the membrane support and the heart chamber, the membrane support being attached to the membrane and expanded to a non-distensible state when the membrane is inflated; a catheter for introducing the membrane and support member into the heart chamber in a non-expanded state, the catheter including a lumen for delivering an electrolytic solution to the membrane to inflate the membrane; a plurality of treatment electrodes positioned between the membrane support and the surrounding membrane, at least a portion of the plurality of treatment electrodes including an insulator formed on a surface of the electrode adjacent to the membrane; an RF power source coupled to the treatment electrodes; and a source of electrolytic solution coupled to the membrane.
Claim 43
Dependent Claim 178 words
An endocardial ablation apparatus for introduction into a heart chamber formed by a wall, comprising: an inflatable, flexible porous membrane adapted to receive an electrolytic solution and become inflated to substantially conform a conductive surface of the membrane to the wall of the heart chamber; a membrane support surrounded by the membrane including a central lumen for permitting blood flow through the membrane support and the heart chamber, the membrane support being attached to the membrane and expanded to a non-distensible state when the membrane is inflated; a catheter for introducing the membrane and support member into the heart chamber in a non-expanded state, the catheter including a lumen for delivering an electrolytic solution to the membrane to inflate the membrane; a plurality of treatment electrodes positioned between the membrane support and the surrounding membrane, at least a portion of the plurality of treatment electrodes including an insulator formed on a surface of the electrode adjacent to the membrane; an RF power source coupled to the treatment electrodes; and a source of electrolytic solution coupled to the membrane.
Claim 44
Dependent Claim 23 words
The ablation apparatus of claim 39, wherein the plurality of treatment electrodes is formed on an exterior surface of the membrane support wall.
Claim 45
Dependent Claim 43 words
The ablation apparatus of claim 39, wherein the membrane further comprises electrical resources for acquiring electrical data from the heart and providing electrical function feedback to the RF power source which then supplies a therapeutic output to selected treatment electrodes of the plurality.
Claim 46
Dependent Claim 22 words
The ablation apparatus of claim 39, wherein the membrane further comprises a plurality of MAP electrodes coupled to the RF power source.
Claim 47
Dependent Claim 19 words
The ablation apparatus of claim 39, wherein the MAP electrodes are positioned on the conductive surface of the membrane.
Claim 48
Dependent Claim 21 words
The ablation apparatus of claim 42, wherein the membrane support includes a proximal and a distal end, each end being sealed.
Claim 49
Dependent Claim 38 words
The ablation apparatus of claim 39, wherein the membrane and the membrane support include a plurality of apertures appropriately spaced to permit blood flow to the superior vena cava, the inferior vena cava, and the tricuspid valve annulus.
Claim 50
Dependent Claim 20 words
The ablation apparatus of claim 39, further comprising: a ground pad electrode attached to an exterior surface of a patient.
Claim 51
Dependent Claim 14 words
The ablation apparatus of claim 39, wherein the apparatus operates in a bipolar mode.
Claim 52
Dependent Claim 21 words
The ablation apparatus of claim 41, wherein the electrical resources includes members for recording mapping potentials encountered by the treatment electrodes.
Claim 53
Dependent Claim 38 words
The ablation apparatus of claim 41, wherein the electrical resources include devices for supplying a predetermined voltage at predetermined frequency to selected treatment electrodes to cause ablation in a preselected location in the wall of the heart chamber.
Claim 54
Dependent Claim 25 words
The ablation apparatus of claim 39, wherein the membrane includes a conductive surface which is adapted to substantially conform to the wall of the atrium.
Claim 55
Dependent Claim 17 words
The ablation apparatus of claim 39, wherein the membrane includes a deposition of ions to improve conductivity.
Claim 56
Dependent Claim 16 words
The ablation apparatus of claim 39, wherein the conductive surface is coated with an anticoagulating material.
Claim 57
Dependent Claim 14 words
The ablation apparatus of claim 39, wherein the membrane support is made of Mylar.
Claim 58
Dependent Claim 23 words
The ablation apparatus of claim 39, wherein the plurality of treatment electrodes are in a spaced apart relationship relative to the conductive surface.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2000-10-27 2001-04-28 2001-10-28 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2004-10-27 2005-04-28 2005-10-28 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2008-10-27 2009-04-28 2009-10-28 $7700.00 Window Closed / Lapsed

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