Catheter with increased electrode density spine assembly having reinforced spine covers

Patent metadata

Field	Value
Publication number	US-10905347-B2
Application number	US-201815890318-A
Country	US
Kind code	B2
Filing date	Feb 6, 2018
Priority date	Feb 6, 2018
Publication date	Feb 2, 2021
Grant date	Feb 2, 2021

Abstract

An electrophysiology catheter with a distal electrode assembly having covered spine carrying a plurality of microelectrodes. The spines have nonconductive covers that are reinforced with tensile members, e.g., wires or fibers, that extend (or have portions that extend) longitudinally so as to minimize any elongation of the covers and the microelectrodes carried thereon. The tensile members may also have a length greater than the length of the spines so the proximal portions extend proximally from the spines, through the catheter and at least into the control handle for actuation by an operator for deflecting and moving the spines, like “fingers.”

First claim

What is claimed is:

1. An electrophysiology catheter comprising:
an elongated body;
a distal electrode assembly distal of the elongated body and comprising:
a proximal stem;
a plurality of spines emanating from the stem;
a plurality of nonconductive spine covers, each surrounding a respective spine, each spine cover having a plurality of tensile members embedded in a sidewall of the spine cover; and
one or more microelectrodes on each of the plurality of spines.

2. The catheter of claim 1 , wherein the tensile members extend in a longitudinal direction.

3. The catheter of claim 1 , wherein the tensile members have a portion extending in a longitudinal direction.

4. The catheter of claim 1 , wherein the tensile members include wires.

5. The catheter of claim 1 , wherein the tensile members include fibers.

6. The catheter of claim 1 , wherein the microelectrodes on each spine are separated by a distance ranging between about 1 mm and 3 mm, as measured between leading edges of the microelectrodes.

7. The catheter of claim 6 , wherein the distance is about 2 mm.

8. The catheter of claim 1 , wherein the microelectrodes on each spine are arranged as bipole pairs, with leading edges of microelectrodes within a pair separated by a first distance ranging between about 1 mm and 3 mm, and with leading edges of leading microelectrodes between pairs separated by a second distance ranging between 1 mm and 6 mm.

9. The catheter of claim 8 , wherein the first distance is about 2 mm and the second distance is about 6 mm.

10. The catheter of claim 1 , wherein the distal electrode assembly comprises a microelectrode density greater than about 2.5 microelectrodes/cm 2 .

11. An electrophysiology catheter comprising:
an elongated body;
a distal electrode assembly distal of the elongated body and comprising:
a proximal stem;
a plurality of at least eight spines extending from the stem;
a plurality of nonconductive spine covers, each spine cover surrounding a respective spine and having at least one tensile member embedded within a side wall of the spine cover;
a plurality of microelectrodes on each of the plurality of at least eight spines, the plurality of microelectrodes comprising at least about 48 microelectrodes, each microelectrode having a length of about 480 μm.

12. The catheter of claim 11 , wherein the microelectrodes on each spine are separated by a distance ranging between about 1 mm and 3 mm, as measured between leading edges of the microelectrodes.

13. The catheter of claim 12 , wherein the distance is about 2 mm.

14. The catheter of claim 11 , wherein the microelectrodes on each spine are arranged as bipole pairs, with leading edges of microelectrodes within a pair separated by a first distance ranging between about 1 mm and 3 mm, and with leading edges of leading microelectrodes between pairs separated by a second distance ranging between 1 mm and 6 mm.

15. The catheter of claim 14 , wherein the first distance is about 2 mm and the second distance is about 6 mm.

16. The catheter of claim 11 , wherein the plurality of microelectrodes equals about 64.

17. The catheter of claim 11 , wherein the plurality of microelectrodes equals about 72.

18. The catheter of claim 11 , further comprising:
a first ring electrode carried on the proximal stem of the distal electrode assembly; and
a second and a third ring electrodes carried on a distal portion of the elongated body.

19. The catheter of claim 11 , wherein each microelectrode has a length ranging between about 300 μm and 500 μm.

20. The catheter of claim 11 , wherein the distal electrode assembly comprises a microelectrode density greater than about 2.5 microelectrodes/cm 2 .

Assignees

• Biosense Webster Israel Ltd

Inventors

• Fuentes-Ortega Cesar
• Solis Mario A
• Borja Marisa
• Perkins Charles
• Basu Shubhayu
• Williams Stuart
• Gonzalez Veronica
• Shukee Jeburun

Classifications

• A61B5/6859 Primary

  with multiple distal splines · CPC title

• A61B5/062

  using magnetic field · CPC title

• A61B5/287 Primary

  Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS] · CPC title

• A61M25/0147

  with movable mechanical means, e.g. pull wires · CPC title

• A61B5/0422 Primary

  Human Necessities · mapped topic