BASKET FOR A MULTI-ELECTRODE ARRAY CATHETER
An electrophysiology catheter is provided. In one embodiment, the catheter includes an elongate, deformable shaft having a proximal end and a distal end and a basket electrode assembly coupled to the distal end of the shaft. The basket electrode assembly has a proximal end and a distal end and is configured to assume a compressed state and an expanded state. The electrode assembly further includes one or more tubular splines having a plurality of electrodes disposed thereon and a plurality of conductors. Each of the plurality of conductors extends through the tubular spline from a corresponding one of the plurality of electrodes to the proximal end of the basket electrode assembly. The tubular splines are configured to assume a non-planar (e.g., a twisted or helical) shape in the expanded state.
This application is a continuation of U.S. application Ser. No. 15/974,339, filed 8 May 2018, which is a continuation of U.S. application Ser. No. 15/333,798, filed 25 Oct. 2016, now U.S. Pat. No. 9,986,950, which is a continuation of U.S. application Ser. No. 13/790,110, filed 8 Mar. 2013, now U.S. Pat. No. 9,474,486, all of which are hereby incorporated by reference as though full set forth herein.
BACKGROUND a. FieldThe present disclosure relates to electrophysiology catheters. In particular, the instant disclosure relates to an electrophysiology catheter that enables a more even distribution of electrodes both when the catheter is in contact with tissue and when the catheter is not in contact with tissue and, therefore, a more even sampling of electrical activity in the tissue.
b. BackgroundElectrophysiology (EP) mapping catheters are used to generate electrophysiology maps of tissue in a region of interest. The use of EP mapping data in the diagnosis and treatment of tissues within a body is well known. For example, EP maps of heart tissue can be used to guide ablation catheters which are used to convey an electrical stimulus to a region of interest within the heart and create tissue necrosis. Ablation catheters may be used to create necrosis in heart tissue to correct conditions such as atrial and ventricular arrhythmias (including, but not limited to, ectopic atrial tachycardia, atrial fibrillation, atrial flutter and ventricular tachycardias). In addition to guiding ablation catheters, EP maps can also be used to evaluate the effectiveness of ablation therapy, or locate ectopic sources or a critical isthmus.
An EP mapping catheter includes one or more electrodes at a distal end that sample electrical activity in tissue. Many EP mapping catheters having a relatively large number, or array, of electrodes to enable sampling over a relatively wide area of interest and reduce procedure time. Referring to
The foregoing discussion is intended only to illustrate the present field and should not be taken as a disavowal of claim scope.
BRIEF SUMMARYThe present disclosure relates to an electrophysiology catheter. In particular, the instant disclosure relates to an electrophysiology catheter that may enable a more even distribution of electrodes both when the catheter is in contact with tissue and when the catheter is not in contact with tissue and, therefore, a more even sampling of electrical activity in the tissue.
An electrophysiology catheter in accordance with at least one embodiment of the present teachings includes an elongate, deformable shaft having a proximal end and a distal end. The catheter further includes a basket electrode assembly coupled to the distal end of the shaft. The basket electrode assembly comprises a proximal end and a distal end and is configured to assume a compressed state and an expanded state. The basket electrode assembly includes a spline having a plurality of electrodes disposed thereon. The spline is configured to assume a non-planar shape in the expanded state. The spline may, for example, assume a twisted shape and, in particular, a helical shape.
An electrophysiology catheter in accordance with at least another embodiment of the present teachings includes an elongate, deformable shaft having a proximal end and a distal end. The catheter further includes a basket electrode assembly coupled to the distal end of the shaft. The basket electrode assembly comprises a proximal end and a distal end and is configured to assume a compressed state and an expanded state. The basket electrode assembly includes a plurality of first splines. Each of the plurality of first splines is configured to assume a shape other than a helical shape in the expanded state. The basket electrode assembly further includes a second spline. The second spline comprises an electrode disposed thereon and is configured to assume a helical shape in the expanded state.
An electrophysiology catheter in accordance with at least another embodiment of the present teachings includes an elongate, deformable shaft comprising a proximal end and a distal end. The catheter further includes a basket electrode assembly coupled to the distal end of the shaft. The basket electrode assembly comprises a proximal end and a distal end and a central longitudinal axis and is configured to assume a compressed state and an expanded state. The basket electrode assembly includes a first spline. The first spline comprises an electrode disposed thereon and comprises a first maximum radius relative to the axis in the expanded state. The basket electrode assembly further includes a second spline. The second spline comprises an electrode disposed thereon and comprises a second maximum radius relative to the axis in the expanded state. The second maximum radius is different than the first maximum radius.
An electrophysiology catheter in accordance with one or more of the present teachings may enable a more even distribution of electrodes both when the catheter is in contact with tissue and when the catheter is not in contact with tissue and, therefore, a more even sampling of electrical activity in the tissue.
The foregoing and other aspects, features, details, utilities, and advantages of the present disclosure will be apparent from reading the following description and claims, and from reviewing the accompanying drawings.
Various embodiments are described herein to various apparatuses, systems, and/or methods. Numerous specific details are set forth to provide a thorough understanding of the overall structure, function, manufacture, and use of the embodiments as described in the specification and illustrated in the accompanying drawings. It will be understood by those skilled in the art, however, that the embodiments may be practiced without such specific details. In other instances, well-known operations, components, and elements have not been described in detail so as not to obscure the embodiments described in the specification. Those of ordinary skill in the art will understand that the embodiments described and illustrated herein are non-limiting examples, and thus it can be appreciated that the specific structural and functional details disclosed herein may be representative and do not necessarily limit the scope of the embodiments, the scope of which is defined solely by the appended claims.
Reference throughout the specification to “various embodiments,” “some embodiments,” “one embodiment,” or “an embodiment”, or the like, means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. Thus, appearances of the phrases “in various embodiments,” “in some embodiments,” “in one embodiment,” or “in an embodiment”, or the like, in places throughout the specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. Thus, the particular features, structures, or characteristics illustrated or described in connection with one embodiment may be combined, in whole or in part, with the features, structures, or characteristics of one or more other embodiments without limitation given that such combination is not illogical or non-functional.
It will be appreciated that the terms “proximal” and “distal” may be used throughout the specification with reference to a clinician manipulating one end of an instrument used to treat a patient. The term “proximal” refers to the portion of the instrument closest to the clinician and the term “distal” refers to the portion located furthest from the clinician. It will be further appreciated that for conciseness and clarity, spatial terms such as “vertical,” “horizontal,” “up,” and “down” may be used herein with respect to the illustrated embodiments. However, surgical instruments may be used in many orientations and positions, and these terms are not intended to be limiting and absolute.
Referring now to the drawings wherein like reference numerals are used to identify identical components in the various views,
Connector 20 provides mechanical and electrical connection(s) for cables extending from an electronic control unit (ECU) (not shown) or similar device that is configured to receive signals generated by basket electrode assembly 30. Connector 20 may be conventional in the art and be disposed at the proximal end 26 of catheter 18.
Handle 22 provides a location for the physician to hold catheter 18 and may further provides a means for steering or guiding shaft 24 within the body. For example, handle 22 may include means to change the length of a guide wire extending through catheter 18 to distal end 28 of shaft 24 to steer distal end 28 and, thus, shaft 24. Handle 22 may also be conventional in the art and it will be understood that the construction of handle 22 may vary.
Shaft 24 is an elongate, deformable member configured for movement within the body. Shaft 24 supports electrode assembly 30, associated conductors, and, in some embodiments, additional electronics used for signal processing or conditioning. Shaft 24 may also be configured to permit transport, delivery, and/or removal of fluids (including irrigation fluids and bodily fluids), medicines, and/or surgical tools or instruments. Shaft 24 may be made from conventional materials such as polyurethane and defines one or more lumens configured to house and/or transport electrical conductors, fluids, medicines, guide wires or surgical tools or instruments. Shaft 24 may be introduced into a blood vessel or other structure within the body through an introducer sheath. Shaft 24 may then be steered or guided through the body to a desired location such as tissue in a region of interest using guide wires or pull wires or other means known in the art including remote control guidance systems.
Referring now to
Body 38 provides structural support for electrodes 42 and insulates conductors 44 from bodily fluids and other elements. Referring to
Wire 40 is provided to support body 38 and bias body 38 to assume a predetermined shape. Wire may be made from a shape memory alloy such as nitinol (nickel titanium). Wire extends through lumen 46 of body 38 from proximal end 48 of body 38 to distal end 50 and may extend through the bodies 38 of multiple splines 36 to couple one or more splines together. Alternatively, or in addition, splines 36 may be coupled at distal end 50 by a hinge connector 52 or in any of the ways described and illustrated in U.S. patent application Ser. No. 13/340,760 filed Dec. 30, 2011, the entire disclosure of which is incorporated herein by reference. The distal end 34 of the basket electrode assembly 30 may be specialized to form a small, but blunt mechanical connection point so that the distal portion of the catheter 18 may safely be pressed against tissue.
Referring again to
Referring again to
As mentioned hereinabove, the body 38 of each spline 36 may be biased to assume a predetermined shape when assembly 30 is in an expanded state. In accordance with one aspect of the present teachings, each of splines 36 may be configured to assume a non-planar shape, such as a twisted shape (e.g., a helical shape), when assembly 30 is in the expanded state. The use of a helical shape, for example, enables a more even distribution of electrodes, and therefore more even sampling of electrical activity in tissue, in both contact and non-contact mapping. The use of a helical shape may also enable controlled shifting of assembly 30 between the compressed and expanded states using, for example, wires that may be pulled or pushed by the physician. In the illustrated embodiment, catheter 18 includes eight helical splines 36. Referring to
Referring again to
As discussed hereinabove, electrodes 42 may be unevenly spaced along splines 36 to achieve a more even distribution of electrodes 42 when assembly 30 is in an expanded state. Referring to
In the embodiment illustrated in
Referring now to
Although several embodiments of a system in accordance with present teachings have been described above with a certain degree of particularity, those skilled in the art could make numerous alterations to the disclosed embodiments without departing from the scope of this disclosure. All directional references (e.g., upper, lower, upward, downward, left, right, leftward, rightward, top, bottom, above, below, vertical, horizontal, clockwise and counterclockwise) are only used for identification purposes to aid the reader's understanding of the disclosed embodiments, and do not create limitations, particularly as to the position, orientation, or use of the disclosed embodiments. Joinder references (e.g., attached, coupled, connected, and the like) are to be construed broadly and may include intermediate members between a connection of elements and relative movement between elements. As such, joinder references do not necessarily infer that two elements are directly connected and in fixed relation to each other. It is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative only and not as limiting. Changes in detail or structure may be made without departing from the present teachings as defined in the appended claims.
Any patent, publication, or other disclosure material, in whole or in part, that is said to be incorporated by reference herein is incorporated herein only to the extent that the incorporated materials does not conflict with existing definitions, statements, or other disclosure material set forth in this disclosure. As such, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated by reference herein, but which conflicts with existing definitions, statements, or other disclosure material set forth herein will only be incorporated to the extent that no conflict arises between that incorporated material and the existing disclosure material.
Claims
1-20. (canceled)
21. An electrophysiology catheter, comprising:
- an elongate, deformable shaft including a proximal end and a distal end; and
- a basket electrode assembly coupled to the distal end of the shaft and configured to assume a compressed state and an expanded state, the basket electrode assembly comprising: a proximal end and a distal end; and a first spline with a first plurality of electrodes disposed thereon, the first spline configured to assume a helical shape in the expanded state.
22. The electrophysiology catheter of claim 21, wherein the first spline is coupled to the proximal and distal ends of the basket electrode assembly at diametrically opposed mounting points.
23. The electrophysiology catheter of claim 22, wherein the diametrically opposed mounting points of the first spline are configured to resist lateral motion of an intermediate portion of the first spline in response to contact.
24. The electrophysiology catheter of claim 21, wherein the basket electrode assembly further includes a second spline, wherein the second spline is configured to assume a complimentary helical shape to the first spline in the expanded state.
25. The electrophysiology catheter of claim 24, wherein the first and second splines have the same helical pitch in the expanded state.
26. The electrophysiology catheter of claim 21, wherein a distance between adjacent electrodes of the first plurality of electrodes varies.
27. The electrophysiology catheter of claim 26, wherein the distance between adjacent electrodes of the first plurality of electrodes near a midpoint of the first spline is smaller, and the distance between adjacent electrodes of the first plurality of electrodes increases towards proximal and distal ends of the first spline.
28. The electrophysiology catheter of claim 21, wherein the basket electrode assembly includes another seven splines;
- wherein each of the eight splines are configured to assume complimentary helical shapes to adjacent splines when the basket electrode assembly is in the expanded state; and
- wherein the basket electrode assembly is configured to form a flower-shaped pattern in the compressed state.
29. The electrophysiology catheter of claim 28, wherein each of the eight splines has a tubular cross-section and includes a plurality of conductors and electrodes, each of the plurality of conductors extending through a lumen in a respective spline and communicatively coupled to a corresponding one of the plurality of electrodes.
30. The electrophysiology catheter of claim 21, wherein one or more of the first plurality of electrodes is configured to provide ablation therapy
31. An electrophysiology catheter, comprising:
- an elongate, deformable shaft including proximal and distal ends; and,
- a basket electrode assembly coupled to the distal end of the shaft and configured to assume a compressed state and an expanded state, the basket electrode assembly comprising: a plurality of splines, each of the plurality of splines configured to assume complimentary helical shapes in the expanded state relative to one another;
- wherein each of the plurality of splines is coupled to the proximal and distal ends of the basket electrode assembly at diametrically opposed proximal and distal mounting points.
32. The electrophysiology catheter of claim 31, wherein the plurality of splines share the same helical pitch in the expanded state.
33. The electrophysiology catheter of claim 31 wherein each of the plurality of splines includes:
- a plurality of electrodes disposed thereon; and,
- a plurality of conductors, each of the plurality of conductors communicatively coupled to a corresponding one of the plurality of electrodes and extending proximally to a proximal end of the basket electrode assembly.
34. The electrophysiology catheter of claim 33, wherein the plurality of electrodes are configured to provide ablation therapy
35. The electrophysiology catheter of claim 31, wherein the diametrically opposed proximal and distal mounting points of each of the plurality of splines are configured to resist lateral motion of an intermediate portion of the respective spline in response to contact.
36. An electrophysiology catheter comprising:
- an elongate, deformable shaft; and
- a basket electrode assembly coupled to a distal end of the shaft, the basket electrode assembly configured to assume a compressed state and an expanded state, the basket electrode assembly including: a proximal end; a distal end; a central post extending along a central longitudinal axis of the shaft between the proximal and distal ends; and a first spline coupled to both the proximal and distal ends of the basket electrode assembly at diametrically opposed locations, the first spline configured to assume a helical shape that extends at least partially around the central post when the basket electrode assembly is in the expanded state.
37. The electrophysiology catheter of claim 36, further including a second spline configured to assume a complimentary helical shape to the first spline in the expanded state of the basket electrode assembly.
38. The electrophysiology catheter of claim 36, wherein the first spline includes a plurality of electrodes configured to provide ablation therapy.
Type: Application
Filed: Feb 11, 2021
Publication Date: Jun 3, 2021
Inventors: Braden J. Eliason (Shoreview, MN), D. Curtis Deno (Andover, MN), Eric J. Voth (Maplewood, MN), Dale E. Just (Minneapolis, MN)
Application Number: 17/174,300