摘要:
A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the CS when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body. One or more electrodes or coils can be used as a reference for an electroanatomical system and can be disposed on the occlusion catheter.
摘要:
Systems and methods are disclosed for assessing electrode-tissue contact for tissue ablation. An exemplary electrode contact sensing system comprises an electrode housed within a distal portion of a catheter shaft. At least one electro-mechanical sensor is operatively associated with the electrode within the catheter shaft. The at least one electro-mechanical sensor is responsive to movement of the electrode by generating electrical signals corresponding to the amount of movement. The system may also include an output device electrically connected to the at least one electro-mechanical sensor. The output device receives the electrical signals for assessing a level of contact between the electrode and a tissue.
摘要:
An irrigated ablation catheter includes a tubular catheter body having an inner tubular member and an outer tubular member. The catheter body has a proximal portion and a distal portion. The catheter also includes an electrode extending from the distal portion of the catheter body, a flow distributor positioned at least partially within distal portion of the catheter body and at least partially overlapping the electrode, and a flow path extending through the catheter body and the flow distributor. The flow path is configured to provide cooling fluid to an external surface of the electrode.
摘要:
A passive system for accurately determining the location of a device positioned or implanted within a patient's body is disclosed. The system includes a detectable mechanism mounted at the tip of the device which is configured to generate a self-induced magnetic field, and a detector for detecting the magnetic field of the magnet. The detector is detached from the magnet. In a preferred form, the detectable mechanism is a direct current permanent magnet. Methods of using such a system to accurately determine the location of a device within a patient's body are also disclosed.
摘要:
An electrical ear nerve stimulation earpiece apparatus includes an earpiece body configured to fit on or in the ear. A first electrode is coupled to a surface of the earpiece configured to stimulate a cranial nerve, and a second electrode is coupled to a surface of the earpiece configured to stimulate a spinal nerve. Circuitry coupled to or in the earpiece is operable to provide an electrical signal to at least the first and second electrodes to treat a disorder affecting the nervous system by stimulating the spinal nerve and the cranial nerve.
摘要:
The present invention relates to improved ablation electrodes (10, 10′) and catheter assemblies (12), as well as methods useful in conjunction with irrigated ablation catheters. An irrigated ablation electrode assembly (10, 10′) includes a proximal member (18, 18′) having an outer surface (22), an inner lumen (26, 26′) and a proximal passageway (24). The proximal passageway (24) extends from the inner lumen (26, 26′) to the outer surface (22) of the proximal member (18, 18′). The assembly (10, 10′) further includes a distal member (20) having a distal end (30) and a distal passageway (28) extending from the inner lumen (26, 26′) through the distal member (20) to the distal end (30). Embodiments of the present invention include an irrigated catheter assembly (12) configured to direct irrigation fluid to target areas where coagulation is more likely to occur to, among other things, better minimize blood coagulation and associated problems.
摘要:
An irrigated ablation catheter includes a tubular catheter body having an inner tubular member and an outer tubular member. The catheter body has a proximal portion and a distal portion. The catheter also includes an electrode extending from the distal portion of the catheter body, a flow distributor positioned at least partially within distal portion of the catheter body and at least partially overlapping the electrode, and a flow path extending through the catheter body and the flow distributor. The flow path is configured to provide cooling fluid to an external surface of the electrode.
摘要:
A catheter for anchoring an electrode in a coronary sinus includes an elongate catheter body adapted to be inserted into a coronary sinus and at least one electrode on the catheter body. The elongate catheter body also includes at least one anchor movable between an undeployed configuration and a deployed configuration. When the anchor is in the undeployed configuration, the catheter may be introduced into and removed from the coronary sinus. When the anchor is in the deployed configuration, the anchor engages a tissue surface of the coronary sinus to inhibit movement between the catheter body and the coronary sinus, preferably without completely occluding the coronary sinus. The anchor may be a section of the catheter body having an expandable axial cross-section, an expandable member mounted on the catheter body, one or more wire anchors, or a flexible section of the catheter body.
摘要:
The present invention relates to an irrigated ablation electrode assembly. The present invention further relates to an irrigated ablation electrode assembly that includes a substantially polygonal shaped electrode. The electrode assembly of the present invention includes a proximal member, also referred to as a proximal portion having an outer body portion including an outer distal end surface and an inner cavity within the outer body portion. The proximal member of the electrode assembly further includes at least one passageway for fluid. The passageway extends from the inner cavity of the proximal member to the outer distal end surface of the proximal member. The electrode assembly further includes a distal member, also referred to as a distal portion. The distal member is defined by a substantially polygonal shaped body. Irrigation fluid flows from the inner cavity of the proximal member through the passageway and out an orifice provided on the outer distal end surface of the proximal member. The fluid that exits out of the passageways flows substantially parallel to the body of the distal member, therein improving or optimizing the irrigation of the substantially polygonal shaped electrode.
摘要:
An irrigated catheter includes a catheter body having both proximal and distal irrigation passageways. A first fluid delivery tube feeds the proximal irrigation passageway and is fluidly isolated from the distal irrigation passageway, while a second fluid delivery tube feeds the distal irrigation passageway and is fluidly isolated from the proximal irrigation passageway. Typically, the first and second fluid delivery tubes will be unitary, at least through the catheter body. The overall shape of the first and second fluid delivery tubes, as well as their respective lumens, may vary as necessary for a particular application of the irrigated catheter. The system also includes an irrigation fluid source and at least one pump to deliver the irrigation fluid through the irrigation passageways. Typically, the pump will be a volume-driven pump, such as a rolling pump.