Mesh-overlayed ablation and mapping device

1. A medical system, comprising:

a catheter body,

an elongate body disposed in the catheter body;

an expandable element having a proximal portion coupled to the catheter body and a distal portion coupled to the elongate body;

a mesh surrounding the expandable element, the mesh having:

a proximal portion coupled to the catheter body, the proximal portion being electrically insulated;

a distal portion coupled to the elongate body, the distal portion of the mesh being electrically conductive and defining a distal face configured to be in contact with tissue and the entirety of the distal face configured to deliver ablation energy to the tissue;

a first circumferential portion located between the proximal portion and the distal portion, the first circumferential portion being electrically conductive; and

a second circumferential portion located between the first circumferential portion and the distal portion, the second circumferential portion being electrically insulated; and

a coolant source in fluid communication with the expandable element.

2. The medical system of claim 1 , wherein the elongate body is longitudinally movable within the catheter body.

3. The medical system of claim 2 , wherein the elongate body defines a guide wire lumen.

4. The medical system of claim 1 , further comprising a fluid injection lumen coupling the coolant source to an interior of the expandable element.

5. The medical system of claim 4 , further comprising a fluid distribution element coupled to the fluid injection lumen, the fluid distribution element being controllably rotatable and translatable within the interior of the expandable element.

6. The medical system of claim 5 , wherein the fluid distribution element includes a valve movably coupled to the elongate body.

7. The medical system of claim 1 , further comprising an impedance assessment unit coupled to the mesh.

8. The medical system of claim 1 , further comprising a high-voltage pulsed signal generator in electrical communication with the mesh.

9. The medical system of claim 1 , wherein the mesh is controllably transitionable from a first shape to a second shape.

10. The medical system of claim 1 , wherein expansion of the expandable element is inhibited at least in part by the mesh.

11. The medical system of claim 1 , wherein the mesh includes at least one of a plurality of thermistors or plurality of thermocouples.

12. The medical system of claim 1 , further comprising a sheath slidably coupled to at least a portion of the catheter body.