Electrophysiology laboratory system for use with magnetic resonance imaging systems

Patent metadata

Field	Value
Publication number	US-10610127-B2
Application number	US-201314396008-A
Country	US
Kind code	B2
Filing date	Mar 15, 2013
Priority date	Apr 23, 2012
Publication date	Apr 7, 2020
Grant date	Apr 7, 2020

Abstract

An electrophysiological laboratory system comprises a subsystem configured to perform diagnostic and/or therapeutic functions, a medical device, and an interface module disposed therebetween. The medical device comprises a shaft having proximal and distal portions, high- and low-impedance electrical pathways disposed within the shaft, and an electrode disposed at the distal portion of the shaft and electrically coupled to one or both of the high- and low-impedance electrical pathways. The electrode is configured to perform diagnostic and/or therapy delivery functions. The interface module comprises a high-impedance channel configured to couple the high-impedance pathway of the medical device to the subsystem, and to attenuate magnetic resonance RF and gradient field pulses generated by the MRI system. The interface module further comprises a low-impedance channel configured to couple the low-impedance pathway of the medical device to the subsystem.

First claim

What is claimed is:

1. A system comprising:
an electronic control unit (ECU) including a processor; and
a magnetic resonance imaging (MRI) compatible medical device including
an elongate shaft for use in a body having a proximal portion and a distal portion,
a first electrode disposed at said distal portion of said shaft,
a second electrode is disposed at said distal portion of said shaft,
a first electrical conductor comprising a high-impedance electrical pathway disposed within said shaft and extending from said distal portion to said proximal portion of said shaft, and
a second electrical conductor comprising a low-impedance electrical pathway disposed within said shaft and extending from said distal portion to said proximal portion of said shaft,
wherein said first electrode is electrically coupled to said high-impedance electrical pathway, and said second electrode is electrically coupled to said low-impedance electrical pathway, and
wherein the processor is communicatively coupled to the first electrode via the high impedance electrical pathway and the second electrode via the low impedance electrical pathway, and the processor is configured and arranged to perform a diagnostic function using the first electrode, and diagnostic and therapy delivery functions using the second electrode.

2. The MRI-compatible medical device of claim 1 further comprising a temperature sensor disposed at said distal portion of said shaft and electrically coupled to said low-impedance electrical pathway.

3. The MRI-compatible medical device of claim 1 , wherein said high-impedance electrical pathway has an impedance of greater than or equal to 2 kΩ.

4. The MRI-compatible medical device of claim 1 , wherein said high-impedance electrical pathway comprises a non-ferromagnetic electrical conductor having a high impedance.

5. The MRI-compatible medical device of claim 4 , wherein said electrical conductor is constructed of a metal alloy comprising one of:
a nickel-chromium alloy;
a nickel-iron alloy;
a copper-nickel alloy; and
a manganese-nickel-copper alloy.

6. The MRI-compatible medical device of claim 1 , wherein said high-impedance electrical pathway comprises an electrical conductor having a plurality of segments and a resistor element electrically connected in series between a pair of said plurality of conductor segments.

7. The MRI-compatible medical device of claim 1 , wherein said low-impedance electrical pathway comprises an inductive element configured to attenuate magnetic resonance radio frequency pulses generated by the ECU, and to limit a magnitude of radio frequency currents induced in said low-impedance electrical pathway.

8. The MRI-compatible medical device of claim 7 , wherein said inductive element comprises a choke.

9. The MRI-compatible medical device of claim 7 , wherein said low-impedance electrical pathway further comprises a non-ferromagnetic electrical conductor having a plurality of segments and said inductive element is electrically connected in series between a pair of said plurality of conductor segments.

10. The MRI-compatible medical device of claim 1 , wherein said high-impedance electrical pathway is a first high-impedance electrical pathway, and said medical device further comprises a second high-impedance electrical pathway electrically coupled to said low-impedance electrical pathway and extending therefrom to said proximal portion of said shaft.

11. The MRI-compatible medical device of claim 10 , wherein said second high-impedance electrical pathway comprises a non-ferromagnetic electrical conductor having a plurality of segments and an impedance element electrically connected in series between a pair of said plurality of conductor segments.

12. The MRI-compatible medical device of claim 1 , wherein said high-impedance electrical pathway is configured to limit a magnitude of radio frequency currents induced in the high-resistance pathway by magnetic resonance radio frequency pulses generated by the ECU.

13. An electrophysiological laboratory (EP lab) system configured for use with an magnetic resonance imaging (MRI) system, comprising:
a subsystem including an electronic control unit (ECU) with a processor, the subsystem configured to perform at least one of a diagnostic and therapeutic function; and
an MRI-compatible medical device including
an elongate shaft for use in a body having a proximal portion and a distal portion,
a first electrical conductor comprising a high-impedance electrical pathway and a second electrical conductor comprising a low-impedance electrical pathway each disposed within said shaft and extending from said distal portion to said proximal portion thereof,
a first electrode disposed at said distal portion of said shaft, wherein said first electrode is electrically coupled to at least one of said high-impedance and low-impedance electrical pathways, and
a second electrode disposed at said distal portion of said shaft, wherein said second electrode is electrically coupled to at least one of said high-impedance and low-impedance electrical pathways; and

an interface module disposed between said MRI-compatible medical device and said subsystem, said interface module including
a high-impedance channel comprising an electrical pathway configured to electrically couple said high-impedance electrical pathway of said medical device to said subsystem and to attenuate magnetic resonance radio frequency and gradient field pulses generated by the ECU, and
a low-impedance channel comprising a plurality of electrical pathways configured to electrically couple said low-impedance electrical pathway of said medical device to said subsystem, and
wherein the processor is communicatively coupled to the first electrode via the high impedance electrical pathway and the second electrode via the low impedance electrical pathway, and the processor is configured and arranged to perform a diagnostic function using the first electrode, and diagnostic and therapy delivery functions using the second electrode.

14. The EP lab system of claim 13 , wherein said subsystem further comprises one of:
a visualization, navigation, and/or mapping system;
an EP monitoring and recording system;
a tissue contact sensing system;
an ablation system; and
a stimulation system.

15. The EP lab system of claim 13 , wherein said subsystem further comprises at least one patch electrode, and said low-impedance channel of said interface module is a first low-impedance channel, and further wherein said interface module further comprises a second low-impedance channel comprising an electrical pathway configured to electrically couple said patch electrode to said subsystem.

Assignees

• St Jude Medical Atrial Fibrillation Div Inc
• St Jude Medical Atrial Fibrilation Div Inc

Inventors

• Deno D Curtis
• Schweitzer Jeffrey A

Classifications

• G01R33/3685

  Means for reducing sheath currents, e.g. RF traps, baluns · CPC title

• A61B2562/18

  Shielding or protection of sensors from environmental influences, e.g. protection from mechanical damage · CPC title

• A61B2090/374

  NMR or MRI · CPC title

• A61B2034/2051

  Electromagnetic tracking systems · CPC title

• A61B5/7203

  for noise prevention, reduction or removal · CPC title