Balloon-type electrode catheter and method of actuating balloon-type electrode catheter
A balloon-type electrode catheter includes a catheter shaft including an outer shaft and an inner shaft, a balloon provided at a part including a distal end of the catheter shaft, and an electrode. The balloon includes an outer joining portion an inner joining portion, a distal end large diameter portion, a proximal end large diameter portion, a small diameter portion positioned between the two large diameter portions and being smaller in diameter than the two large diameter portions, a distal end inclined portion connecting the distal end large diameter portion and the small diameter portion, and a proximal end inclined portion connecting the proximal end large diameter portion and the small diameter portion. The electrode is exposed at at least the small diameter portion.
1. A balloon-type electrode catheter comprising:
a catheter shaft including an outer shaft having a tubular shape and an inner shaft housed in the outer shaft in a state in which the inner shaft is displaceable relative to the outer shaft in an axial direction of the outer shaft, the catheter shaft being insertable into a body;
a balloon provided at a part including a distal end of the catheter shaft, the balloon being inflatable with a fluid supplied from a part including a proximal end of the catheter shaft; and
an electrode disposed on a surface of the balloon, wherein
the balloon includes an outer joining portion joined to the outer shaft and an inner joining portion joined to the inner shaft at a position displaced from the outer joining portion in the axial direction,
the balloon in an inflated state includes a distal end large diameter portion, a proximal end large diameter portion positioned closer to the proximal end of the catheter shaft than the distal end large diameter portion is, a small diameter portion positioned between the distal end large diameter portion and the proximal end large diameter portion and being smaller in diameter than the two large diameter portions, a distal end inclined portion connecting the distal end large diameter portion and the small diameter portion, and a proximal end inclined portion connecting the proximal end large diameter portion and the small diameter portion,
the electrode is exposed at at least the small diameter portion, and
after the balloon is inflated by inflow of the fluid, the outer shaft and the inner shaft are displaced relative to each other, and thus the balloon deforms such that the distal end inclined portion and the proximal end inclined portion approach each other.
2. The balloon-type electrode catheter according to claim 1 , wherein
the inner joining portion is disposed closer to the distal end of the catheter shaft than the outer joining portion is, and
the inner joining portion approaches the outer joining portion and thus the balloon deforms.
3. The balloon-type electrode catheter according to claim 1 , comprising:
a lead wire extending from the part including the proximal end of the catheter shaft toward the part including the distal end of the catheter shaft; and
a connecting member disposed closer to the distal end of the catheter shaft than the balloon is, the connecting member electrically connecting the lead wire and the electrode, wherein
the electrode extends from the connecting member to the small diameter portion through the distal end inclined portion and includes an end portion disposed closer to the proximal end of the catheter shaft than the small diameter portion is.
4. The balloon-type electrode catheter according to claim 3 , wherein
the inner shaft includes a distal end portion disposed closer to the distal end of the catheter shaft than the balloon is, the distal end portion protruding from the outer shaft, and
the connecting member is disposed at the distal end portion.
5. The balloon-type electrode catheter according to claim 3 , comprising an insulating film covering at least part of a region of the electrode from the connecting member to the distal end inclined portion.
6. The balloon-type electrode catheter according to claim 1 , wherein the catheter shaft includes a supply lumen configured to cause the fluid to flow into the balloon and a discharge lumen configured to discharge gas in the balloon.
7. The balloon-type electrode catheter according to claim 6 , wherein
the supply lumen includes a supply port in the balloon, the supply port being configured to cause the fluid to flow into the balloon,
the discharge lumen includes a discharge port in the balloon, the discharge port being configured to cause the gas to flow out of the balloon, and
the supply port is positioned closer to the distal end of the catheter shaft than the discharge port is.
8. A method of actuating a balloon-type electrode catheter including a balloon provided with an electrode, the balloon being provided at a part including a distal end of a catheter shaft, the method comprising:
causing a fluid to flow into the balloon to inflate the balloon in a dumbbell shape;
deforming the balloon such that a distal end portion and a proximal end portion of the balloon approach each other along an axial direction of the catheter shaft; and
energizing the electrode.