Catheter distal end made of plastic tube and flexible printed circuit boards

Patent metadata

Field	Value
Publication number	US-12303190-B2
Application number	US-202318190800-A
Country	US
Kind code	B2
Filing date	Mar 27, 2023
Priority date	Oct 25, 2016
Publication date	May 20, 2025
Grant date	May 20, 2025

Abstract

A catheter includes an insertion tube, a flexible substrate and one or more electrical devices. The insertion tube is configured for insertion into a patient body. The flexible substrate is configured to wrap around a distal end of the insertion tube and includes electrical interconnections. The electrical devices are coupled to the flexible substrate and are connected to the electrical interconnections.

First claim

The invention claimed is:

1. A catheter, comprising:
an internal member having a base connected to a dome support by multiple ribs that extend from the base, the base comprising a distal portion and a proximal portion, an outer circumference of the proximal portion of the base being greater than an outer circumference of the distal portion of the base, the dome support located at an apex of a distal end of the internal member, the internal member configured to be inserted into a patient body;
a first flexible substrate having first and second edges, the first flexible substrate bonded to the outer circumference of the distal portion of the base and configured to wrap around the distal end of the internal member so that the first and second edges of the first flexible substrate are connected to each other to form a tube, and which the first flexible substrate comprises conductive traces connected to one or more electrical devices coupled to the first flexible substrate;
a second flexible substrate bonded to the dome support and configured to wrap around the dome support to define a dome-cover coupled to the tube formed by the first flexible substrate, the dome-cover comprises a tip electrode with irrigation holes disposed on the dome-cover; and
a thermocouple disposed between layers of at least one of the first flexible substrate or the second flexible substrate.

2. The catheter according to claim 1 , wherein the internal member is hollow so as to form an internal lumen.

3. The catheter according to claim 1 , wherein the first flexible substrate or the second flexible substrate comprises a flexible printed circuit board (PCB).

4. The catheter according to claim 1 , wherein the first flexible substrate comprises one or more films so as to form at least some of the conductive traces and the one or more electrical devices.

5. The catheter according to claim 1 , wherein the one or more electrical devices comprise one or more electrodes.

6. The catheter according to claim 1 , wherein the one or more electrical devices comprise one or more thermistors.

7. The catheter according to claim 1 , wherein the one or more electrical devices comprise one or more pressure sensors.

8. The catheter according to claim 1 , wherein the one or more electrical devices comprise one or more position sensors.

9. The catheter according to claim 1 , wherein the respective first and second flexible substrates are fabricated from a single contiguous piece of printed circuit board.

10. The catheter according to claim 1 , wherein the first and second edges of the first flexible substrate are welded to one another when wrapped around the distal end.

11. The catheter according to claim 1 , wherein the dome-cover comprises a liquid crystal polymer (LCP) PCB, which is configured to be formed into a cup shape, and wherein the cup shape is configured to be bonded to the apex of the distal end.

12. The catheter according to claim 1 , wherein the internal member comprises plastic.

13. The catheter according to claim 1 , wherein the dome support comprises a domed distal surface.

14. An end effector for a catheter, comprising:
an internal member having a base and a dome, the dome located at an apex of a distal end of the internal member, the internal member configured to be inserted into a patient body;
a first flexible substrate disposed around an outer circumferential surface of the internal member between the base and the dome, the first flexible substrate comprising conductive traces connected to one or more electrical devices coupled to the first flexible substrate; and
a second flexible substrate disposed on the dome, the dome comprising a tip electrode and non-metalized parts disposed between portions of the tip electrode, the non-metalized parts comprising perforations extending therethrough.

15. The end effector according to claim 14 , the internal member defining a lumen configured to receive an irrigation fluid.

16. The end effector according to claim 15 , the first flexible substrate comprising an irrigation hole configured to receive the irrigation fluid from the lumen.

17. The end effector according to claim 15 , the tip electrode comprising an irrigation hole configured to receive the irrigation fluid from the lumen.

18. The end effector according to claim 14 , the internal member further comprising one or more ribs extending between the base and the dome, the first flexible substrate disposed at least partially around the one or more ribs.

19. The end effector according to claim 14 further comprising a thermocouple disposed between layers of at least one of the first flexible substrate or the second flexible substrate.

20. A catheter, comprising:
an internal member having a base connected to a dome support by multiple ribs that extend from the base, the base comprising a distal portion and a proximal portion, an outer circumference of the proximal portion of the base being greater than an outer circumference of the distal portion of the base, the dome support comprising a domed distal surface located at an apex of a distal end of the internal member, the internal member configured to be inserted into a patient body;
a first flexible substrate having first and second edges, the first flexible substrate bonded to the outer circumference of the distal portion of the base and configured to wrap around the distal end of the internal member so that the first and second edges of the first flexible substrate are connected to each other to form a tube, and wherein the first flexible substrate comprises conductive traces connected to one or more electrical devices coupled to the first flexible substrate; and
a second flexible substrate bonded to the domed distal surface of the dome support and configured to wrap around the dome support to define a dome-cover coupled to the tube formed by the first flexible substrate, the dome-cover comprises a tip electrode with irrigation holes disposed on the dome-cover.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Govari Assaf
• Altmann Andres Claudio
• Algawi Yehuda
• Sitnitsky Ilya
• Beeckler Christopher Thomas
• Keyes Joseph Thomas
• Herrera Kevin Justin

Classifications

• A61M2210/125

  Heart · CPC title

• A61M25/0067

  characterised by the distal end, e.g. tips (A61M25/0054, A61M25/04 take precedence; balloon catheters A61M25/10) · CPC title

• A61B2562/166

  the sensor is mounted on a specially adapted printed circuit board · CPC title

• A61B2562/164

  the sensor is mounted in or on a conformable substrate or carrier · CPC title

• A61B2562/0209

  Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053 · CPC title