Irrigated multi-lumened electrophysiology catheter with fluid evacuation
A catheter for use with a suction source for removing excess fluid from a tissue treatment site has a catheter body, a distal section and a fluid evacuation path, where the distal section includes a multi-lumened member and at least one evacuation port, and the fluid evacuation path extends through a lumen in the multi-lumened member to provide suction communication between the suction source and the at least one evacuation port. The fluid evacuation path may also be configured for two-way flow, including distally and proximally along the catheter.
1. A system for ablation, the system comprising:
a suction source;
an ablation catheter, comprising:
an elongated catheter body;
a distal section distal the catheter body, the distal section comprising:
a tip electrode adapted for ablation and irrigation;
a multi-lumened member extending between the catheter body and the tip electrode, the multi-lumened member having at least first and second lumens;
an evacuation tubing extending in the first lumen of the multi-lumened member, and having a distal end terminating in the distal section proximal of the tip electrode;
at least one dedicated evacuation port in a sidewall of the multi-lumened member, the at least one evacuation port being in suction communication with the evacuation tubing within the first lumen; and
at least one dedicated irrigation port in the tip electrode in fluid communication with the second lumen;
a fluid evacuation path extending at least through the catheter body and the first lumen, the fluid evacuation path configured to provide suction communication between the suction source and the at least one dedicated evacuation port;
a control handle at a proximal end of the catheter body; and
a fluid collection chamber in suction communication with the suction source and a proximal end of the evacuation tubing, the proximal end of the evacuation tubing extending through the control handle and terminating in a connector configured to connect the evacuation tubing to the fluid collection chamber.
2. The system of claim 1 , wherein the distal section includes at least one ring electrode proximal of the tip electrode.
3. The system of claim 2 , wherein the at least one dedicated evacuation port is positioned between the tip electrode and the at least one ring electrode.
4. The system of claim 1 , further comprising an irrigation fluid path extending through the catheter body and the second lumen of the multi-lumened member of the distal section, the irrigation fluid path configured to pass fluid into the tip electrode.
5. The system of claim 1 , wherein the at least one dedicated evacuation port comprises a plurality of dedicated evacuation ports.
6. The system of claim 5 , wherein the plurality of dedicated evacuation ports ranges between about two and ten.
7. The system of claim 5 , wherein the plurality of evacuation ports are positioned along a generally common circumference of the multi-lumened member.
8. The system of claim 7 , further comprising at least two ring electrodes proximal of the tip electrode, the at least two ring electrodes comprising a distal-most ring electrode and an adjacent ring electrode, wherein the generally common circumference along which the plurality of evacuation ports are positioned is between the distal-most ring electrode and the adjacent ring electrode.
9. The system of claim 1 , further comprising a suction tubing having a proximal end connected to the fluid collection chamber and a distal end connected to the evacuation tubing via the connector.
10. The system of claim 9 , wherein the proximal end of the suction tubing is received in a connector mounted on a connecting port of the fluid collection chamber.
11. The system of claim 1 , wherein the distal end of the evacuation tubing terminates in the multi-lumened member.
12. The system of claim 1 , wherein the evacuation tubing forms a fluid-tight and suction-tight seal with the first lumen of the multi-lumened member.
13. The system of claim 1 , wherein the suction source comprises a suction pump or a compressor.
14. The system of claim 1 , wherein the suction source is configured to provide a vacuum or negative pressure in the fluid collection chamber.
15. The system of claim 1 , further comprising a suction conduit connecting the suction source to the fluid collection chamber in suction communication.
16. The system of claim 1 , further comprising at least one puller member extending through at least the catheter body, the puller member being configured to deflect the catheter body in response to manipulation of the control handle.
17. The system of claim 16 , wherein the at least one puller member comprises at least two puller members, wherein actuation of one of the at least two puller members by manipulation of the control handle results in deflection of the catheter in a first direction, and actuation of another of the at least two puller members by manipulation of the control handle results in deflection of the catheter in a second direction that is different from the first direction.