Ablation catheter designs and methods with enhanced diagnostic capabilities

Patent metadata

Field	Value
Publication number	US-2024058058-A1
Application number	US-202318499541-A
Country	US
Kind code	A1
Filing date	Nov 1, 2023
Priority date	Oct 28, 2013
Publication date	Feb 22, 2024
Grant date	—

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, and a proximal portion; and a layer of conductive material deposited on an outer surface of the tip portion; 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, 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 further comprising at least one thermal sensor channel located on the outer surface 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 an 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 an 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 and thermally coupled to the thin layer of conductive material.

7 . The tip electrode according to claim 1 further comprising an insulation sleeve configured to circumferentially surround and electrically insulate the proximal portion of the tip electrode.

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

9 . A tip electrode comprising:
an electrically-insulative substrate comprising a receiving lumen, a plurality of irrigation flow holes, and a tip portion; and a plurality of equally spaced longitudinally extending segmented electrodes comprising a layer of conductive material deposited on an outer surface of the tip portion; wherein an inner surface of the electrically-insulative substrate defines the receiving lumen and wherein the irrigation flow holes extend radially through the electrically-insulative substrate and terminate adjacent an outer surface of the electrically-insulative substrate, 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.

10 . The tip electrode according to claim 9 further comprising a at least one thermal sensor channel located on the outer surface of the electrically-insulative substrate.

11 . The tip electrode according to claim 9 further comprising a fluid lumen alignment feature coupled to the inner surface of the electrically-insulative substrate and configured for coupling with an irrigation sleeve.

12 . The tip electrode according to claim 9 further comprising an electrical conductor termination recess configured for coupling to a conductor wire.

13 . The tip electrode according to claim 9 further comprising a through channel extending from the inner surface to an outer surface of the electrically-insulative substrate.

14 . The tip electrode according to claim 13 further comprising a thermal sensor set within the through channel and thermally coupled to the thin layer of conductive material.

15 . The tip electrode according to claim 9 further comprising an insulation sleeve configured to circumferentially surround and electrically insulate a proximal portion of the tip electrode.

16 . The tip electrode according to claim 15 further comprising a deflection pull ring, the deflection pull ring comprising at least one clip lock configured to mate with a relief opening of the insulation sleeve.

17 . The tip electrode according to claim 9 wherein the plurality of equally spaced longitudinally extending segmented electrodes comprise four equally spaced longitudinally extending segmented electrodes.

18 . The tip electrode according to claim 9 wherein the plurality of irrigation flow holes are formed between the plurality of equally spaced longitudinally extending segmented electrodes.

19 . A segmented ring electrode comprising:
an inner electrode support, a conductive material, an outer support segment, a polymeric skin, a plurality of electrode segments, and a plurality of conductor wires; wherein the outer support segment comprises a plurality of notches, wherein the conductive material is deposited on an outer surface of the inner electrode support to form a plurality of printed receivers, the plurality of electrode segments are each electrically coupled to a separate printed receiver, wherein the outer support segment is configured to circumferentially surround the inner electrode support and the plurality of notches of the outer support segment are configured to overlay an electrode ridge on each of the plurality of electrode segments, and wherein the plurality of conductor wires are each configured to electrically couple to a separate printed receiver.

20 . A tip assembly comprising:
an electrically-insulative substrate comprising a receiving lumen, a plurality of irrigation flow holes, and a tip portion; a plurality of equally spaced longitudinally extending segmented electrodes comprising a layer of conductive material deposited on an outer surface of the tip portion; and a conductor grooming component proximal to the electrically-insulative substrate and configured to secure a plurality of conductor wires; wherein an inner surface of the electrically-insulative substrate defines the receiving lumen and wherein the irrigation flow holes extend radially through the electrically-insulative substrate and terminate adjacent an outer surface of the electrically-insulative substrate, 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.

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

• A61B2218/002

  Irrigation · CPC title

• A61B2018/00107

  Coatings on the energy applicator · CPC title

• A61B2018/00148

  with metal · CPC title

• A61B2017/00318

  Steering mechanisms · CPC title