Irrigated high density electrode catheter

Patent metadata

Field	Value
Publication number	US-11540876-B2
Application number	US-201715585859-A
Country	US
Kind code	B2
Filing date	May 3, 2017
Priority date	May 3, 2016
Publication date	Jan 3, 2023
Grant date	Jan 3, 2023

Abstract

An irrigated high density electrode catheter can comprise a catheter shaft. The catheter shaft can include a proximal end and a distal end and can define a catheter shaft longitudinal axis. A flexible tip portion can be located adjacent to the distal end of the catheter shaft. An irrigated coupler can be disposed on the distal end of the catheter shaft and can be configured to discharge fluid over the flexible tip portion.

First claim

What is claimed:

1. An irrigated high density electrode catheter, comprising:
a catheter shaft including a proximal end and a distal end, the catheter shaft defining a catheter shaft longitudinal axis;
a flexible tip portion located adjacent to the distal end of the catheter shaft and comprising a plurality of microelectrodes;
an irrigated coupler disposed on the distal end of the catheter shaft and configured to discharge fluid over the flexible tip portion;
a six degree of freedom sensor assembly; and
a connective stem comprising a top connective stem member and a bottom connective stem member, wherein the top connective stem member and the bottom connective stem member are separate components that are configured to be assembled together with a proximal end portion of the flexible tip portion to house the proximal end portion of the flexible tip portion, wherein the connective stem is configured to be inserted into the distal end of the catheter shaft and connects the proximal end portion of the flexible tip portion to the catheter shaft, wherein the connective stem houses the six degree of freedom sensor assembly, and wherein the connective stem and the irrigated coupler are separate components that are configured to accommodate coupling of the irrigated coupler to the connective stem after insertion of the connective stem into the distal end of the catheter shaft.

2. The irrigated high density electrode catheter of claim 1 , wherein the irrigated coupler is configured to connect the flexible tip portion with the catheter shaft.

3. The irrigated high density electrode catheter of claim 1 , wherein the irrigated coupler is configured to discharge fluid towards targeted portions of the flexible tip portion.

4. The irrigated high density electrode catheter of claim 1 , wherein:
the six degree of freedom sensor assembly includes a pair of five degree of freedom magnetic position sensors;
a first one of the pair of five degree of freedom magnetic position sensors includes a first coil wound about a first sensor longitudinal axis; and
a second one of the pair of five degree of freedom magnetic position sensors includes a second coil wound about a second sensor longitudinal axis.

5. The irrigated high density electrode catheter of claim 4 , wherein:
the first sensor longitudinal axis is divergent with the second sensor longitudinal axis and with the catheter shaft longitudinal axis; and
the second sensor longitudinal axis is divergent with the first sensor longitudinal axis and with the catheter shaft longitudinal axis.

6. The irrigated high density electrode catheter of claim 5 , wherein:
the first sensor longitudinal axis is disposed at an angle with respect to the second sensor longitudinal axis; and
the angle is in a range from 1 to 20 degrees.

7. The irrigated high density electrode catheter of claim 6 , wherein the angle is in a range from 5 to 15 degrees.

8. The irrigated high density electrode catheter of claim 6 , wherein the angle is in a range from 10 to 12 degrees.

9. The irrigated high density electrode catheter of claim 4 , wherein:
the first one of the pair of five degree of freedom magnetic position sensors is disposed in the top connective stem member; and
the second one of the pair of five degree of freedom magnetic position sensors is disposed in the bottom connective stem member.

10. The irrigated high density electrode catheter of claim 9 , wherein:
the top connective stem member defines a first sensor groove in an exterior surface of the top connective stem member, the first one of the pair of five degree of freedom magnetic position sensors being disposed within the first sensor groove; and
the bottom connective stem member defines a second sensor groove in an exterior surface of the bottom connective stem member, the second one of the pair of five degree of freedom magnetic position sensors being disposed within the second sensor groove.

11. The irrigated high density electrode catheter of claim 9 , wherein:
the top connective stem member defines a first sensor lumen therein, the first one of the pair of five degree of freedom magnetic position sensors being disposed within the first sensor lumen; and
the bottom connective stem member defines a second sensor lumen therein, the second one of the pair of five degree of freedom magnetic position sensors being disposed within the second sensor lumen.

12. The irrigated high density electrode catheter of claim 1 , further comprising:
a fluid inlet defined in the top connective stem member; and
an irrigation cross-over defined by the top connective stem member and the bottom connective stem member, wherein the irrigation cross-over is configured to transfer fluid from the top connective stem member to the bottom connective stem member.

13. The irrigated high density electrode catheter of claim 12 , wherein the top connective stem member and the bottom connective stem member are configured to discharge fluid into the irrigated coupler.

14. A catheter, comprising:
an elongate shaft including a proximal end and a distal end, the elongate shaft defining a shaft longitudinal axis;
an electrode assembly comprising a plurality of microelectrodes;
a coupler assembly comprising a coupler and a connective stem, wherein the connective stem extends within a distal end of the elongate shaft, wherein the connective stem defines a first sensor groove and a second sensor groove in an exterior surface of the connective stem, wherein the connective stem comprises a top connective stem member in which the first sensor groove is defined and a bottom connective stem member in which the second sensor groove is defined, wherein the top connective stem member and the bottom connective stem member are separate components that are configured to be assembled together with a proximal end portion of the electrode assembly to house the proximal end portion of the electrode assembly, wherein the top connective stem member is configured to interlock with the bottom connective stem member via longitudinally extending grooves, wherein the connective stem is configured to be inserted into the distal end of the elongate shaft, and wherein the connective stem and the coupler are separate components that are configured to accommodate coupling of the coupler to the connective stem after insertion of the connective stem into the distal end of the elongate shaft;
a first five degree of freedom magnetic position sensor disposed in the first sensor groove and elongated along a first sensor longitudinal axis that is non-parallel to the shaft longitudinal axis; and
a second five degree of freedom magnetic position sensor disposed in the second sensor groove and elongated along a second sensor longitudinal axis that is not parallel to each of the shaft longitudinal axis and the first sensor longitudinal axis.

15. The catheter of claim 14 , wherein the connective stem defines a first placement slot at a distal end of the first sensor groove and a second placement slot at a distal end of the second sensor groove.

16. The catheter of claim 15 , wherein each of the first placement slot and the second placement slot are cross-longitudinal slots defined in the exterior surface of the connective stem.

17. The catheter of claim 16 , wherein:
a distal end of the first five degree of freedom magnetic position sensor is disposed within the first placement slot; and
a distal end of the second five degree of freedom magnetic position sensor is disposed within the second placement slot.

18. A medical device, comprising:

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Oliverius Andrew R
• Buesseler Ryan Kenneth
• Hong John
• Wakefield Jodee
• Ford Brent

Classifications

• A61B18/1492 Primary

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

• A61B2218/002

  Irrigation · CPC title

• A61M25/0068

  Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure · CPC title

• A61B5/287

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

• A61B2018/00351

  Heart · CPC title