Expandable member for an electrophysiology catheter

Patent metadata

Field	Value
Publication number	US-11344259-B2
Application number	US-201815867657-A
Country	US
Kind code	B2
Filing date	Jan 10, 2018
Priority date	Jan 11, 2017
Publication date	May 31, 2022
Grant date	May 31, 2022

Abstract

Expandable electrophysiology catheters having electrodes mounted on splines of an expandable member are described. The splines of the expandable member include subsegments between a proximal location and a distal intersection at a central axis. The subsegments can include respective top-down profiles, and at least one of the top-down subsegment profiles is straight between the central axis and an adjacent top-down subsegment profile. The subsegments can be interconnected to extend continuously about the central axis from the proximal location to the distal intersection. Other embodiments are also described.

First claim

What is claimed is:

1. An expandable member, comprising:
a spline including a first subsegment and a second subsegment, wherein a first top-down profile of the first subsegment viewed in an axial direction along a central axis is linear and in a radial direction between a distal intersection at the central axis and a distal subsegment end of the second subsegment, wherein a second top-down profile of the second subsegment viewed in the axial direction along the central axis is curved between the distal subsegment end and a proximal subsegment end of the second subsegment, and wherein the distal intersection at the central axis is proximal to the distal subsegment end and distal to the proximal subsegment end in the axial direction; and
an electrode mounted on the second subsegment of the spline.

2. The expandable member of claim 1 , wherein the spline includes a third subsegment, wherein a third top-down profile of the third subsegment viewed in the axial direction along the central axis is straight between the proximal subsegment end of the second subsegment and the central axis.

3. The expandable member of claim 2 , wherein the first subsegment intersects the central axis at the distal intersection, wherein the third subsegment intersects the central axis at a proximal intersection, and wherein the distal intersection and the proximal intersection are separated along the central axis by an axial gap.

4. The expandable member of claim 3 , wherein the first top-down profile and the third top-down profile extend in respective radial directions from the central axis, and wherein the radial directions are separated by an angle in a range of 90 to 175 degrees.

5. The expandable member of claim 1 , wherein the spline includes an undeployed state and a deployed state, wherein the first subsegment intersects the central axis at the distal intersection, wherein the first subsegment is coupled to the second subsegment at the distal subsegment end of the second subsegment, and wherein the distal intersection is proximal to the distal subsegment end in the deployed state.

6. The expandable member of claim 5 , wherein the distal intersection is distal to the distal subsegment end in the undeployed state.

7. The expandable member of claim 1 , wherein the expandable member includes a plurality of splines symmetrically disposed about the central axis.

8. The expandable member of claim 1 , wherein a cross-sectional profile of the spline is a rectoval profile having a rectangular shape with rounded corners.

9. The expandable member of claim 1 , wherein the central axis extends within a longitudinal plane, wherein the spline includes a fourth subsegment on an opposite side of the longitudinal plane from the second subsegment, and wherein the first top-down profile is straight between the second subsegment and the fourth subsegment.

10. An electrophysiology catheter, comprising:
a catheter shaft extending along a central axis between a proximal end and a distal end; and
an expandable member coupled to the catheter shaft, wherein the expandable member includes a spline extending from a first proximal location at the distal end of the catheter shaft to a second proximal location at the distal end of the catheter shaft, wherein the spline intersects the central axis at a distal intersection, wherein the spline viewed in an axial direction along the central axis is linear and extends in a transverse direction at the distal intersection, wherein the spline has a radial component orthogonal to the central axis at the distal intersection, wherein the spline includes a first spline segment between the first proximal location and the distal intersection, and a second spline segment between the second proximal location and the distal intersection, wherein the first spline segment has a first distalmost location and the second spline segment has a second distalmost location, and wherein the distal intersection at the central axis is distal to the distal end of the catheter shaft and is proximal to the first distalmost location and the second distalmost location in the axial direction.

11. The electrophysiology catheter of claim 10 , wherein the spline at the distal intersection is oblique to the central axis.

12. The electrophysiology catheter of claim 10 , wherein the central axis extends within a longitudinal plane, wherein the first spline segment is on a first side of the longitudinal plane, and the second spline segment is on a second side of the longitudinal plane.

13. The electrophysiology catheter of claim 12 , wherein the spline includes an arcuate spline segment extending from the first distalmost location to the second distalmost location through the distal intersection.

14. The electrophysiology catheter of claim 13 , wherein the electrophysiology catheter includes an undeployed state and a deployed state, wherein the arcuate spline segment has a concavity, wherein the concavity is concave downward in the undeployed state, and wherein the concavity is concave upward in the deployed state.

15. The electrophysiology catheter of claim 14 , wherein the concavity has an apex on the central axis at the distal intersection.

16. The electrophysiology catheter of claim 12 , wherein a first portion of the first spline segment has a different radiopacity than a second portion of the first spline segment.

17. The electrophysiology catheter of claim 10 , wherein a cross-sectional profile of the spline is a rectoval profile having a rectangular shape with rounded corners.

18. An electrophysiology catheter system, comprising:
a catheter shaft extending along a central axis between a proximal end and a distal end;
an expandable member coupled to the distal end of the catheter shaft, wherein the expandable member includes a spline having a first subsegment and a second subsegment, wherein a first top-down profile of the first subsegment viewed in an axial direction along a central axis is linear and in a radial direction between a distal intersection at the central axis and a distal subsegment end of the second subsegment, wherein a second top-down profile of the second subsegment viewed in the axial direction along the central axis is curved between the distal subsegment end and a proximal subsegment end of the second subsegment, and wherein the distal intersection at the central axis is proximal to the distal subsegment end and distal to the proximal subsegment end in the axial direction; and
a handle coupled to the proximal end of the catheter shaft.

19. The electrophysiology catheter system of claim 18 further comprising:
an electrode on the spline; and
a reference electrode on the catheter shaft.

Assignees

• Abbott Cardiovascular Systems Inc

Inventors

• Mou Julie Pham
• Cobar Hugo Antonio
• Munoz Ernest
• Lee Cynthia R
• Zhou Lei
• Alves David
• Chang Steven

Classifications

• A61B5/6858 Primary

  with a distal basket, e.g. expandable basket · CPC title

• A61B5/287

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

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B5/349

  Detecting specific parameters of the electrocardiograph cycle · CPC title