A maneuverable electrophysiology catheter for percutaneous...

A - Human Necessities – 61 – B

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A61B 5/04 (2006.01) A61B 18/00 (2006.01) A61B 18/14 (2006.01) A61B 18/24 (2006.01) A61N 5/06 (2006.01) A61B 17/00 (2006.01) A61B 17/22 (2006.01) A61B 18/22 (2006.01)

Patent

CA 2229806

A catheter (22) capable of both sensing myocardial electrical activity and delivering ablating energy within myocardial tissue, is disclosed. The catheter (22) comprises electrodes (38, 39) on the outer sheath and contains a movable fiber optic cable (42) that can be percutaneously advanced beyond the catheter body (22), and into the myocardium for myocardial heating and coagulation, or modification of tissues responsible for cardiac arrhythmias. The fiber optic tip (42) is designed to diffuse ablating energy radially to ablate a larger volume of tissue than is possible with a bare fiber optic tip. In addition, the tip is treated so that energy is not propagated in a forward direction, thus helping to prevent unwanted perforation of the heart tissue. Also disclosed is a method of cardio-protection from ischemia comprising inducing local hyperthermia in heart tissue.

L'invention concerne un cathéter (22) capable de détecter l'activité électrique du myocarde et de délivrer une énergie d'ablation à l'intérieur du myocarde. Le cathéter (22) est pourvu d'électrodes (38, 39) sur son enveloppe externe et contient un câble mobile en fibre optique (42) que l'on peut, en sous-cutané, faire sortir du corps du cathéter (22) pour l'introduire dans le myocarde dans le but de chauffer et de coaguler celui-ci, ou de modifier les tissus responsables de l'arythmie cardiaque. L'embout de fibre optique (42) est conçu pour diffuser radialement une énergie d'ablation, ce qui permet d'enlever un volume de tissu plus important qu'avec un embout de fibre optique nu. En outre, l'embout est traité de façon que l'énergie ne se propage pas vers l'avant, ce qui diminue les risques de perforation involontaire du tissu cardiaque. L'invention concerne également une méthode de cardioprotection vis-à-vis de l'ischémie comprenant l'induction d'une hyperthermie locale au niveau du tissu cardiaque.

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