# US 9,433,464 B2 · Catheter with needles for ablating tissue layers in vessel

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- Number: US 9,433,464 B2
- Document ID: US9433464B2
- Status: Granted
- Kind: B2
- Application number: 13/829,178
- Filed: 2013-03-14
- Published: 2014-09-18
- Granted: 2016-09-06
- Earliest claimed: 2013-03-14
- Assignees: Biosense Webster (Israel) Ltd.
- Applicants: Biosense Webster (Israel), Ltd.
- Inventors: Debby Grunewald
- Web page: https://patentgrep.com/patent/US9433464B2

## CPC

- A61B 18/1492: {having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence)}
- A61B 18/1477: {Needle-like probes}
- A61B 2018/0022: {Balloons}
- A61B 2018/00404: {Blood vessels other than those in or around the heart}
- A61B 2018/00434: {Neural system}
- A61B 2018/00511: {Kidney}
- A61B 2018/00577: {Ablation}
- A61B 2018/143: {multiple needles}
- A61B 2018/1467: {using more than two electrodes on a single probe}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A catheter has a catheter body and a distal tip section with needles that are positioned radially to extend outside of the distal tip section to pierce and penetrate tissue layers of a vessel or tubular region. The needles are supported in a retracted position inside the distal tip section on an elongated support member. For deployment, the needles are lifted and a portion thereof pushed through openings in the distal tip section by an actuator that is longitudinally slidable on the elongated support member. The actuator has a tapered end to help lift the needle onto the actuator. In another embodiment, an inflatable balloon member with needles is movable between retracted and deployed positions.

## Claims

### Claim 1

A catheter comprising:
a catheter body;
a distal tip section having:
a tubing with a lumen, the tubing having at least one opening;
at least one needle in the lumen configured to assume a deployed position and a retracted position;
an elongated support member extending through at least the lumen of the distal tip section;
an actuator extending through at least the lumen of the distal tip section and configured for longitudinal movement on and relative to the elongated support member,
a control handle having a member adapted to control longitudinal movement of the actuator relative to the elongated support member; and
a wire adapted for longitudinal movement relative to at least the catheter body for moving the actuator relative to the elongated support member;
wherein the at least one needle is supported by the elongated support member while in the retracted position and the at least one needle is pushed outwardly in a radial direction by the actuator while in the deployed position.

### Claim 2 (depends on 1)

The catheter of claim 1, wherein the at least one needle is generally within the distal tip section while in the retracted position and wherein the at least one needle has a treatment portion outside of the distal tip section through the at least one opening while in the deployed position.

### Claim 3 (depends on 2)

The catheter of claim 2, wherein the treatment portion extends radially from the distal tip section through the at least one opening while the at least one needle is in the deployed position.

### Claim 4 (depends on 1)

The catheter of claim 1, wherein the at least one needle is supported in a radial direction relative to the distal tip section in both the retracted position and the deployed position.

### Claim 5 (depends on 1)

The catheter of claim 1, wherein the actuator is proximal of the at least one needle while the at least one needle is in the retracted position.

### Claim 6 (depends on 1)

The catheter of claim 1, wherein at least a portion of the actuator is positioned between the at least one needle and the elongated support member while the at least one needle is in the deployed position.

### Claim 7 (depends on 1)

The catheter of claim 1, wherein upon moving the actuator distally relative to the elongated support member the at least one needle moves from the retracted position to the deployed position.

### Claim 8 (depends on 1)

The catheter of claim 1, wherein upon moving the actuator proximally relative to the elongated support member the at least one needle moves from the deployed position to the retracted position.

### Claim 9 (depends on 1)

The catheter of claim 1, wherein the actuator has a tapered distal end to facilitate engagement with the at least one needle.

### Claim 10 (depends on 9)

The catheter of claim 9, wherein the tapered distal end is configured to lift the at least one needle off the support member and guide the at least one needle onto the actuator.

### Claim 11 (depends on 9)

The catheter of claim 9, wherein the at least one needle has an angled portion configured to engage with the tapered distal end.

### Claim 12 (depends on 1)

The catheter of claim 1, wherein the distal tip section comprises a plurality of needles and the actuator is configured for adjustable longitudinal movement relative to the elongated support member in deploying selective ones of the plurality of needles.

### Claim 13 (depends on 1)

The catheter of claim 1, wherein the elongated support member has a distal portion with a 2D or 3D shape.