Basket catheter with improved spine flexibility

Patent metadata

Field	Value
Publication number	US-2018028084-A1
Application number	US-201715728401-A
Country	US
Kind code	A1
Filing date	Oct 9, 2017
Priority date	Dec 31, 2014
Publication date	Feb 1, 2018
Grant date	—

Abstract

A catheter with basket-shaped electrode assembly with spines configured for hyper-flexing in a predetermined, predictable manner when a compressive force acts on the assembly from either its distal end or its proximal end. At least one spine has at least one region of greater (or hyper) flexibility that allows the electrode assembly to deform, for example, compress, for absorbing and dampening excessive force that may otherwise cause damage or injury to tissue wall in contact with the assembly, without compromising the structure and stiffness of the remaining regions of the spine, including its distal and proximal regions. The one or more regions of greater flexibility in the spine allow the spine to flex into a generally V-shape configuration or a generally U-shape configuration.

First claim

What is claimed is:

1 . A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough; and a basket-shaped electrode assembly at the distal end of the catheter body, the basket-shaped electrode assembly having proximal and distal ends and comprising:
an expander that is longitudinally moveable relative to the catheter body; and
a plurality of spines having proximal and distal ends surrounding the expander, at least one spine having an equatorial region of greater flexibility and proximal and distal regions of lesser flexibility, the basket-shaped electrode assembly being moveable by longitudinal movement of the expander between a collapsed configuration, an expanded configuration in which the spines bow radially outward relative to the catheter body to form a first expanded shape, and a hyper-expanded configuration in which the spines bend at the equatorial region of greater flexibility to thereby deform the first expanded shape, shorten a length of the basket-shaped electrode assembly and assume a V shape with an acute bend in the equatorial region of greater flexibility.

2 . The catheter of claim 1 , wherein the at least one spine has a width dimension and a thickness dimension, and the region of greater flexibility has both a lesser width and a lesser thickness.

3 . The catheter of claim 1 , wherein the plurality of spines comprises 5 to ten spines.

4 . The catheter of claim 1 , wherein each of the spines is attached at its distal end to a distal end of the expander.

5 . A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough; a basket-shaped electrode assembly at the distal end of the catheter body, the basket-shaped electrode assembly having proximal and distal ends and comprising:
an expander that is longitudinally moveable relative to the catheter body; and
a plurality of spines having proximal and distal ends surrounding the expander, at least one spine having first and second regions of greater flexibility and a mid region of lesser flexibility between the first and second regions of greater flexibility, the basket-shaped electrode assembly being movable by longitudinal movement of the expander between a collapsed configuration, an expanded configuration in which the spines bow radially outward relative to the catheter body to form a first expanded shape, and a hyper-expanded configuration in which the spines bend at the first and second regions of greater flexibility to thereby deform the first expanded shape and assume a U shape with first and second acute bends in the first and second regions of greater flexibility.

6 . The catheter of claim 5 , wherein the at least one spine further comprises:
a proximal region proximal of the first and second regions and the mid region, the proximal region having lesser flexibility than the first and second regions; and a distal region distal of the first and second regions and the mid region, the distal region having lesser flexibility than the first and second regions.

7 . The catheter of claim 5 , wherein the at least one spine has a width dimension and a thickness dimension, and each of the first and second regions of greater flexibility has both a lesser width and a lesser thickness.

8 . The catheter of claim 5 , wherein the plurality of spines comprises 5 to ten spines.

9 . The catheter of claim 5 , wherein each of the spines is attached at its distal end to a distal end of the expander.

10 . A catheter comprising:
an elongated catheter body having proximal and distal ends and at least one lumen therethrough; a basket-shaped electrode assembly at the distal end of the catheter body, the basket-shaped electrode assembly having proximal and distal ends and comprising a plurality of spines, at least one spine having:
first and second regions of greater flexibility and a mid region of lesser flexibility between the first and second regions of greater flexibility,
a proximal region proximal of the first and second regions and the mid region, the proximal region having lesser flexibility than the first and second regions, and
a distal region distal of the first and second regions and the mid region, the distal region having lesser flexibility than the first and second regions;
the basket-shaped electrode assembly being movable between a collapsed configuration, an expanded configuration in which the spines bow radially outward relative to the catheter body to form a first expanded shape, and a hyper-expanded configuration in which the spines bend at the first and second regions of greater flexibility to thereby deform the first expanded shape and assume a U shape with first and second acute bends in the first and second regions of greater flexibility.

11 . The catheter of claim 10 , wherein the at least one spine has a thickness dimension and each of the first and second regions has a lesser thickness.

12 . The catheter of claim 10 , wherein the at least one spine has a width dimension and each of the first and second regions has a lesser width.

13 . The catheter of claim 10 , wherein the at least one spine has a width dimension and a thickness dimension, and each of the first and second regions of greater flexibility has both a lesser width and a lesser thickness.

14 . The catheter of claim 10 , wherein each of the first and second regions has a smooth contour.

15 . The catheter of claim 10 , wherein each of the first and second regions has a stepped contour.

16 . The catheter of claim 10 , wherein the plurality of spines comprises 5 to ten spines.

17 . The catheter of claim 10 , wherein each of the spines is attached at its distal end to a distal end of the expander.

18 . The catheter of claim 10 , further comprising at least one tensile member elastically connecting adjacent spines to each other.

19 . The catheter of claim 18 , wherein the at least one tensile member is affixed to equatorial regions of the adjacent spines.

Assignees

• Biosense Webster Israel Ltd

Inventors

• Williams Stuart
• Tran Paul
• Solis Mario A

Classifications

• A61B2018/00577

  Ablation · CPC title

• A61B2018/1465

  Deformable electrodes · CPC title

• A61B5/6858 Primary

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

• A61B2018/00041

  Heating, e.g. defrosting · CPC title

• A61B2018/0016

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