Spline-based ablation catheter having retainer feature

Patent metadata

Field	Value
Publication number	US-2025064498-A1
Application number	US-202418810110-A
Country	US
Kind code	A1
Filing date	Aug 20, 2024
Priority date	Aug 24, 2023
Publication date	Feb 27, 2025
Grant date	—

Abstract

An ablation catheter includes a tubular shaft having a proximal portion and a distal end and an electrode assembly extending from the distal end of the shaft. The electrode assembly includes a plurality of splines each having a spline proximal portion secured to the shaft, and an opposite spline distal portion. Each spline includes an electrically conductive support member partially disposed within an insulating member. The support member has a proximal end portion disposed within the insulating member and a distal end portion extending distally of the insulating member and terminating at a support member distal end. A plurality of sensing electrodes is disposed along each spline. A spline retainer mechanically engages with at least one of the proximal and distal portions of the splines.

First claim

We claim:

1 . A catheter for ablation of cardiac tissue through irreversible electroporation, the catheter comprising:
a tubular shaft having a proximal portion and a distal end; an electrode assembly extending from the distal end of the shaft, the electrode assembly including a plurality of splines each having a spline proximal portion secured to the shaft, and an opposite spline distal portion, each of the splines comprising:
an electrically conductive support member having a support member proximal portion coupled to the shaft distal end and a support member distal portion terminating at a support member distal end, wherein each of the electrically conductive support members is configured to be operable as a first ablation electrode configured to generate an electric field when a pulsed waveform is delivered to each support member; and
an electrical insulating member covering the support member proximal portion, the insulating member having an insulating member proximal portion coupled to the shaft distal end; and
a plurality of sensing electrodes disposed along the insulating member; and
a spline retainer mechanically engaged with at least one of the support member distal portion or the support member proximal portion of each of the plurality of splines, the spline retainer adapted to mechanically support the splines.

2 . The catheter of claim 1 , wherein the spline retainer includes a distal spline retainer mechanically coupled to the support member distal end of each of the plurality of splines so as to mechanically couple the spline distal portions together.

3 . The catheter of claim 2 , wherein the distal spline retainer is electrically conductive and is electrically coupled to one or more of the support members and configured to form a part of the first ablation electrode.

4 . The catheter of claim 2 , wherein the distal spline retainer is configured to be operable as a distal sensing electrode.

5 . The catheter of claim 4 , wherein the distal spline retainer is disposed at a distal tip of the electrode assembly.

6 . The catheter of claim 5 , wherein the distal spline retainer is a conductive ball.

7 . The catheter of claim 5 , wherein the distal spline retainer includes a first piece proximal to the distal tip mechanically coupled to a second piece distal to the distal tip.

8 . The catheter of claim 1 , wherein the first ablation electrode is configured as a monopolar ablation electrode.

9 . The catheter of claim 1 , further comprising a shaft electrode disposed on the shaft proximate the distal end thereof.

10 . The catheter of claim 9 , wherein the first ablation electrode and the shaft electrode are configured to form an electrode pair for bipolar ablation.

11 . The catheter of claim 1 , wherein at least one of the spline sensing electrodes is configured to be operable as a second ablation electrode.

12 . The catheter of claim 11 , wherein the at least one of the spline sensing electrodes is and the first ablation electrode are configured to operate together as a monopolar ablation electrode.

13 . The catheter of claim 1 , wherein the spline retainer includes a proximal spline retainer mechanically abutted against the support member proximal portions of each of the plurality of splines so as to space apart the spline proximal portions in the expanded and collapsed states.

14 . The catheter of claim 13 , wherein the proximal spline retainer is coupled to and extends from the shaft distal end into an interior space formed by the electrode assembly.

15 . The catheter of claim 13 , wherein the the proximal spline retainer is integral to the shaft distal end.

16 . A catheter for ablation of cardiac tissue through irreversible electroporation, the catheter comprising:
a tubular shaft having a proximal portion and a distal end; an electrode assembly extending from the distal end of the shaft, the electrode assembly including a plurality of splines each having a spline proximal portion secured to the shaft, and an opposite spline distal portion; an electrical insulating member covering the spline proximal portion, the insulating member having an insulating member proximal portion coupled to the shaft distal end; a plurality of sensing electrodes disposed along the insulating member; and
a spline retainer mechanically engaged with at least one of the spline proximal portion and the spline distal portion, the spline retainer adapted to mechanically support the splines.

17 . The catheter of claim 16 , wherein the spline retainer includes a distal spline retainer mechanically coupled to a distal end of each spline distal portion so as to mechanically couple the spline distal portions.

18 . The catheter of claim 17 , wherein the distal spline retainer is electrically conductive and is configured to form a part of the first ablation electrode.

19 . The catheter of claim 18 , wherein the distal spline retainer is a conductive ball.

20 . The catheter of claim 16 , wherein the spline retainer is coupled to and extends from the shaft distal end into an interior space formed by the electrode assembly.

Assignees

• Boston Scient Scimed Inc

Inventors

• Kauphusman James V
• Maierhofer Edward J
• Dekock Andrew L
• Hagstrom Nathan P
• Soltis Brian

Classifications

• A61B2018/00839

  Bioelectrical parameters, e.g. ECG, EEG · CPC title

• A61B2018/00613

  Irreversible electroporation · CPC title

• A61B2018/00577

  Ablation · CPC title

• A61B2018/00351

  Heart · CPC title

• A61B2018/00267

  having a basket shaped structure · CPC title