Ablation catheter designs and methods with enhanced diagnostic capabilities

Patent metadata

Field	Value
Publication number	US-11839423-B2
Application number	US-201414911474-A
Country	US
Kind code	B2
Filing date	Oct 28, 2014
Priority date	Oct 28, 2013
Publication date	Dec 12, 2023
Grant date	Dec 12, 2023

Abstract

Electrode assemblies include segmented electrodes disposed on a catheter. The segmented electrodes can be constructed at the tip of the catheter or more proximally located. Tip electrodes can be constructed from an electrically-insulative substrate covered with a conductive material. The conductive material can be deposited on the electrically-insulative substrate to form a single tip electrode or multiple segmented electrodes. In some embodiments the tip electrode can include irrigation flow holes for irrigation. A method of manufacturing a tip electrode comprising a thin layer of conductive material deposited on an electrically-insulative substrate is disclosed. Segmented ring electrodes can be constructed from segmented ring electrodes that can be equally separated around a circumference of a catheter. The segmented ring electrodes can be formed into segmented electrode subassemblies that can then be joined to a catheter shaft.

First claim

What is claimed is:

1. A tip electrode comprising:
an electrically-insulative substrate comprising a receiving lumen, a plurality of irrigation flow holes, a tip portion, a proximal portion, and at least two thermal sensor channels defined in a laterally facing exterior surface of the tip portion of the electrically-insulative substrate;
at least two segmented tip electrodes deposited on the outer surface of the tip portion, each of the segmented tip electrodes disposed over a respective one of the thermal sensor channels, thereby covering each respective one of the thermal sensor channels, wherein the at least two segmented tip electrodes are thermally isolated from one another, such that a thermal sensor disposed in each of the at least two thermal sensor channels is configured to obtain an independent temperature reading of a respective segmented tip electrode, the segmented tip electrodes extending from a most proximal edge of the tip portion to a distal end of the tip portion;
an insulation sleeve configured to circumferentially surround and electrically insulate the proximal portion of the segmented tip electrodes, the insulation sleeve comprising at least one recess gap;
a deflection pull ring configured to mate with the insulation sleeve; and
a conductor grooming component proximal to the electrically-insulative substrate and configured to secure a plurality of conductor wires;
wherein a portion of an inner surface of the electrically-insulative substrate defines the receiving lumen and the irrigation flow holes extend radially through the electrically-insulative substrate and terminate adjacent an outer surface of the electrically-insulative substrate, wherein the electrically-insulative substrate electrically insulates the at least two segmented tip electrodes from one another, and
wherein the receiving lumen is fluidly coupled to the plurality of irrigation flow holes and the receiving lumen is configured to be fluidly coupled to a catheter body.

2. The tip electrode according to claim 1 , wherein the thermal sensor channels extend from a most proximal edge of the tip portion of the electrically-insulative substrate, distally along the outer surface of the tip portion of the electrically-insulative substrate.

3. The tip electrode according to claim 1 further comprising a fluid lumen alignment feature coupled to the inner surface of the electrically-insulative substrate and configured for coupling with the irrigation sleeve.

4. The tip electrode according to claim 1 further comprising an electrical conductor termination recess configured for coupling to a conductor wire.

5. The tip electrode according to claim 1 further comprising a through channel extending from the inner surface to the outer surface of the electrically-insulative substrate.

6. The tip electrode according to claim 5 further comprising a thermal sensor disposed within the through channel.

7. The tip electrode according to claim 1 , wherein the deflection pull ring comprises at least one clip lock configured to mate with a relief opening of the insulation sleeve.

8. The tip electrode of claim 1 , wherein the at least two thermal sensor channels terminate proximally with respect to a distal end of the electrically-insulative substrate.

9. The tip electrode of claim 1 , wherein:
the at least two thermal sensor channels are distributed around an outer circumference of the electrically-insulative substrate; and
the plurality of irrigation flow holes are distributed between each of the at least two thermal sensor channels.

10. The tip electrode of claim 1 , wherein the at least two thermal sensor channels define openings that are open to the outer surface of the tip portion along an entirety of their length, wherein the segmented tip electrodes cover the openings of the at least two thermal sensor channels along the entirety of their length.

11. The tip electrode of claim 1 , wherein the conductor grooming component defines a central lumen through which the irrigation sleeve passes and a plurality of lumens connected to the central lumen through which the plurality of conductor wires pass.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Just Dale E
• Deno D Curtis
• Balachandran Ram K
• Tegg Troy T

Classifications

• A61B18/1492 Primary

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

• A61B2017/00318

  Steering mechanisms · CPC title

• A61B2018/00077

  high, i.e. electrically conducting · CPC title

• A61B2018/00083

  low, i.e. electrically insulating · CPC title

• A61B2018/00107

  Coatings on the energy applicator · CPC title