Catheter for circumferential ablation at or near a pulmonary vein
A catheter has a three-dimensional, hollow ablation assembly that carries at least one ribbon electrode for circumferential ablation. In one embodiment, the assembly has a free-form framework that is constructed of multiple tensile members or wires that are interwoven such that the length of the framework increases while the circumference of the framework decreases, and vice versa. The assembly can also have a self-expanding stent-type framework which is mounted on the expander. In another alternative embodiment, the framework is a tubular or cylindrical structure whose side wall has longitudinal slots between longitudinal slats for radial expansion to a greater circumference when the length is decreased. The flexible ribbon electrode on the assembly is elastic, or is pleated so that it folds when the framework is collapsed and unfolds when the framework is deployed.
1. A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough;
a three-dimensional ablation assembly at the distal end of the catheter body, said assembly having a seamless cylindrical structure defining a length and a circumference, the assembly adapted to assume a deployed configuration, the seamless cylindrical structure being configured with a plurality of longitudinal slats in a sidewall that predictably bow outwardly in the radial direction to a greater circumference when said length is decreased, the seamless cylindrical structure including a proximal end with a first length and a distal end with a second length, and the longitudinal slats in the sidewall extend between the first length and the second length;
the assembly also having a ribbon electrode extending around an external circumference of a cross-section of said seamless cylindrical structure, said ribbon electrode adapted to expand from said circumference to said greater circumference with said structure.
2. A catheter of claim 1 , wherein said longitudinal slats are separated by longitudinal slots.
3. A catheter of claim 1 , wherein said longitudinal slats are longitudinally aligned.
4. A catheter of claim 1 , further comprising an expander attached at or near its distal end to a distal end of the structure and extending through the catheter body, the expander movable longitudinally relative to the catheter body to deploy the ablation assembly by decreasing the length.
5. A catheter of claim 1 , wherein the cylindrical structure is laser cut with said slats.