Catheter with multiple spines of different lengths arranged in one or more distal assemblies

Patent metadata

Field	Value
Publication number	US-11998357-B2
Application number	US-202016748480-A
Country	US
Kind code	B2
Filing date	Jan 21, 2020
Priority date	Jan 8, 2013
Publication date	Jun 4, 2024
Grant date	Jun 4, 2024

Abstract

A catheter having a distal assembly with multiple spines with proximal ends affixed to the catheter and free distal ends. The spines have different lengths so distal ends of the spines trace different circumferences along an inner tissue surface of a tubular region to minimize risk of vein stenosis. The spine lengths can be configured so that the distal ends trace a helical pattern. The distal assembly may have a plunger which deflects the spines when moved longitudinally relative to the distal assembly. The catheter may include a second distal assembly distal of a first distal assembly wherein the first and second distal assemblies are separated by a fixed distanced or an adjustable distance.

First claim

What is claimed is:

1. A catheter, comprising:
an elongated catheter body; and
a distal assembly distal of the elongated catheter body and comprising at least four spines, each of the at least four spines having a proximal end fixedly attached to a distal end of the elongated catheter body and a free distal end,
wherein each of the at least four spines comprises:
a support arm having shape memory;
a non-conductive covering in surrounding relation to the support arm; and
at least one electrode;

wherein the at least four spines are arranged in a radial pattern about a longitudinal axis of the distal assembly and a length of each of the at least four spines increases in radial progression about the longitudinal axis, and when the distal assembly is in an expanded arrangement, each of the at least four spines extends radially outward from the catheter body, and
wherein the distal assembly is moveable between the expanded arrangement, in which each of the at least four spines extends radially outward from the catheter body, and a collapsed arrangement, in which each of the at least four spines is disposed generally along a longitudinal axis of the catheter body.

2. The catheter of claim 1 , wherein, when the distal assembly is in the expanded arrangement, each of the at least four spines extend radially outwardly from the catheter body and forms a substantially straight line.

3. A catheter, comprising:
an elongated catheter body having a distal end and a proximal end; and
a distal assembly connected to the distal end of the elongated catheter body, the distal assembly comprising at least four spines each having a different length, and each including
a support arm,
an electrode, and
a free distal end,

in which the at least four spines are arranged in a radial pattern about a longitudinal axis of the distal assembly such that the different lengths increase in a radial progression about the longitudinal axis.

4. The catheter of claim 3 , in which each of the at least four spines form a substantially straight line.

5. The catheter of claim 4 , in which each of the at least four spines form a curved shape.

6. The catheter of claim 5 , in which each of the at least four spines together form a cup shape.

7. The catheter of claim 4 , in which each of the at least four spines extends radially outward from the catheter body.

8. The catheter of claim 7 , in which each of the at least four spines are generally equally spaced from each other.

9. The catheter of claim 7 , in which each of the at least four spines comprises a shape memory material.

10. The catheter of claim 7 , in which the electrode of each of the at least four spines comprises a ring electrode.

11. The catheter of claim 7 , in which the electrode of each of the at least four spines comprises a tip electrode and each of the at least four spines comprises a second electrode.

12. The catheter of claim 11 , in which a distance between the tip electrode of each of the at least four spines and the second electrode of each of the at least four spines ranges from about 0.5 mm to about 2 mm.

13. The catheter of claim 11 , in which the second electrode of each of the at least four spines comprises a ring electrode.

14. The catheter of claim 11 , in which each of the at least four spines comprises a location sensor.

15. The catheter of claim 14 , in which the location sensor of each of the at least four spines is at least partially disposed in the tip electrode.

16. The catheter of claim 3 , in which the distal assembly comprises a unibody support structure, the unibody support structure comprising:
a proximal mounting portion; and
the support arms of the at least four spines, the support arms each having a tapered configuration and an enlarged distal portion.

17. The catheter of claim 16 , in which the enlarged distal portion of each of the at least four spines comprises a paddle shape.

18. The catheter of claim 16 , in which an arc of the enlarged distal portion of each of the at least four spines is greater than an arc of a proximal end of at least one of the support arms.

19. The catheter of claim 3 , further comprising a plunger extending centrally from the distal end of the elongated catheter body and in contact with each of the at least four spines.

20. The catheter of claim 19 , further comprising a puller wire anchored in the plunger.

21. The catheter of claim 20 , in which the plunger is biased distally away from the distal end of the elongated catheter body.

22. A method of using a catheter, comprising:
introducing a distal assembly of the catheter into a heart of a patient, the distal assembly comprising at least four spines each having a different length, and each including
a support arm,
an electrode, and
a free distal end,
in which the at least four spines are arranged in collapsed configuration;

and changing the collapsed configuration to an expanded configuration in which the at least four spines are arranged in a radial pattern about a longitudinal axis of the distal assembly such that the different lengths increase in a radial progression about the longitudinal axis.

23. The method of claim 22 , in which the distal assembly comprises a first distal assembly and the catheter further comprises a second distal assembly distal of the first distal assembly.

24. The method of claim 23 , in which the second distal assembly comprises at least four additional spines each having a different length, and each including
an additional support arm,
an additional electrode, and
an additional free end,
in which the at least four additional spines are arranged in an additional collapsed configuration.

25. The method of claim 24 , further comprising changing the additional collapsed configuration to an additional expanded configuration in which the at least four additional spines are arranged in an additional radial pattern about the longitudinal axis such that the different lengths of the at least four additional spines increase in a radial progression about the longitudinal axis.

26. The method of claim 25 , further comprising mapping the heart.

27. The method of claim 25 , further comprising ablating the heart.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Diep Nhut
• Ditter Tom Allen
• Estrada Raymond
• Fuimaono Kristine B
• Grunewald Debby Esther
• Hoitink Ryan
• Jimenez Eduardo
• Manriquez Armida

Classifications

• A61B5/6859 Primary

  with multiple distal splines · CPC title

• A61B5/287

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

• A61B18/1492 Primary

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

• A61B2017/00867

  shape memory effect · CPC title

• A61B2018/0016

  Energy applicators arranged in a two- or three dimensional array · CPC title