Radio-frequency-based catheter system with improved deflection and steering mechanisms
A RF catheter system includes a catheter with a proximal portion, a distal portion having a distal end and a lumen extending from the proximal portion to the distal portion. Inner and outer coaxially aligned conductors extend within the catheter and are coaxial with the lumen. A deflectable catheter guide is disposed within the catheter lumen and extends proximally within the catheter lumen and terminates distally of the distal end of the catheter to define a biological ablation pathway. A radio-frequency antenna is disposed at the distal portion of the catheter and is in electrical communication with the inner and outer coaxially aligned conductors. The radio-frequency antenna is adaptable to receive and transmit radio-frequency energy for ablating biological tissue along the ablation pathway.
1. A shapeable curvilinear radio-frequency antenna apparatus for ablating biological tissue within the body vessel of a patient, comprising:
a) a flexible catheter body including a distal portion and an elongated lumen;
b) inner and outer coaxially aligned, circumferentially spaced, longitudinally elongated conductors extending within the catheter and coaxial with the lumen;
c) a dielectrically enclosed flexible curvilinear radio-frequency antenna carried by the distal portion of the flexible catheter body in electrical communication with the inner and outer coaxially aligned conductors and adaptable to receive and transmit radio-frequency energy to apply a substantially consistently distributed electromagnetic field energy along the radio-frequency antenna for ablating biological tissue;
d) a pre-shaped deflection member carried by the flexible curvilinear radio-frequency antenna adaptable to take a pre-shaped memory curvilinear configuration;
e) a deflection regulating member operatively associated with the pre-shaped deflection member for regulating the deflection of said pre-shaped deflection member, wherein at least one of the pre-shaped deflection member and the deflection regulating member controllable for changing the configuration of the flexible curvilinear radio-frequency antenna between a straight configuration and a pre-shaped memory curvilinear configuration, wherein the deflection regulating member and the pre-shaped deflection member are relatively slidably with respect to each other in the elongated lumen.
2. The antenna apparatus of claim 1 , wherein the pre-shaped deflection member is an elongated, flexible spine made of a shape-memory alloy and longitudinally disposed in the elongated lumen.
3. The antenna apparatus of claim 1 , wherein the deflection regulating member is an elongated, rigid member longitudinally adjacent to the pre-shaped deflection member in the elongated lumen.
4. The antenna apparatus of claim 1 , wherein the pre-shaped deflection member is movable for changing the configuration of the flexible curvilinear radio-frequency antenna between a straight configuration and a pre-shaped memory curvilinear configuration.
5. The antenna apparatus of claim 1 , further including a deflection control mechanism coupled to at least one of the pre-shaped deflection member and the deflection regulating member for changing the configuration of the flexible curvilinear radio-frequency antenna between a straight configuration and a pre-shaped memory curvilinear configuration.
6. The antenna apparatus of claim 5 , wherein the deflection control mechanism includes a movable control member that is rotatable to cause longitudinal movement of at least one of the pre-shaped deflection member and the deflection regulating member.
7. The antenna apparatus of claim 5 , wherein the deflection control mechanism includes a movable control member that is movable in a linear direction to cause longitudinal movement of at least one of the pre-shaped deflection member and the deflection regulating member.
8. The antenna apparatus of claim 1 , wherein the pre-shaped deflection member is incorporated into at least one of the catheter body and the flexible curvilinear radio-frequency antenna.
9. The antenna apparatus of claim 1 , wherein the radio-frequency antenna is adaptable to receive and transmit microwave energy at a frequency greater than 300 Megahertz.
10. A method of ablating biological tissue within the body vessel of a patient, comprising the steps of:
a) providing a shapeable curvilinear radio-frequency antenna apparatus for ablating biological tissue within the body vessel of a patient, the shapeable curvilinear radio-frequency antenna apparatus including a flexible catheter body having a distal portion and an elongated lumen; inner and outer coaxially aligned, circumferentially spaced, longitudinally elongated conductors extending within the catheter and coaxial with the lumen; a dielectrically enclosed flexible curvilinear radio-frequency antenna carried by the distal portion of the flexible catheter body in electrical communication with the inner and outer coaxially aligned conductors and adaptable to receive and transmit radio-frequency energy to apply a substantially consistently distributed electromagnetic field energy along the radio-frequency antenna for ablating biological tissue; a pre-shaped deflection member carried by the flexible curvilinear radio-frequency antenna adaptable to take a pre-shaped memory curvilinear configuration; a deflection regulating member operatively associated with the pre-shaped deflection member for regulating the deflection of said pre-shaped deflection member, the deflection regulating member and the pre-shaped deflection member being relatively slidably with respect to each other in the elongated lumen;
b) delivering the shapeable curvilinear radio-frequency antenna apparatus to a targeted body tissue ablation site within the body vessel of a patient;
c) controlling at least one of the pre-shaped deflection member and the deflection regulating member by sliding at least one of the pre-shaped deflection member and the deflection regulating member relative to the other to change the configuration of the flexible curvilinear radio-frequency antenna from a straight configuration to a pre-shaped memory curvilinear configuration so that the flexible curvilinear radio-frequency antenna is adjacent to the body tissue to be ablated; and
d) ablating the body tissue using the flexible curvilinear radio-frequency antenna by applying a substantially consistently distributed electromagnetic field energy to the body tissue along the radio-frequency antenna.
11. The method of claim 10 , wherein the pre-shaped deflection member is an elongated, flexible spine made of a shape-memory alloy and longitudinally disposed in the elongated lumen.
12. The method of claim 10 , wherein the deflection regulating member is an elongated, rigid member longitudinally adjacent to the pre-shaped deflection member in the elongated lumen.
13. The method of claim 10 , wherein controlling at least one of the pre-shaped deflection member and the deflection regulating member includes moving the pre-shaped deflection member for changing the configuration of the flexible curvilinear radio-frequency antenna from a straight configuration to a pre-shaped memory curvilinear configuration.
14. The method of claim 10 , further including a deflection control mechanism coupled to at least one of the pre-shaped deflection member and the deflection regulating member for changing the configuration of the flexible curvilinear radio-frequency antenna from a straight configuration to a pre-shaped memory curvilinear configuration, and the method further includes using the deflection control mechanism to change the configuration of the flexible curvilinear radio-frequency antenna from a straight configuration to a pre-shaped memory curvilinear configuration.
15. The method of claim 14 , wherein the deflection control mechanism includes a movable control member that is rotatable to cause longitudinal movement of at least one of the pre-shaped deflection member and the deflection regulating member.
16. The method of claim 14 , wherein the deflection control mechanism includes a movable control member that is movable in a linear direction to cause longitudinal movement of at least one of the pre-shaped deflection member and the deflection regulating member.
17. The method of claim 10 , wherein the pre-shaped deflection member is incorporated into at least one of the catheter body and the flexible curvilinear radio-frequency antenna.
18. The method of claim 10 , wherein the radio-frequency antenna is adaptable to receive and transmit microwave energy at a frequency greater than 300 Megahertz.