Flexible polymer electrode for MRI-guided positioning and radio frequency ablation

Patent metadata

Field	Value
Publication number	US-9675410-B2
Application number	US-96657607-A
Country	US
Kind code	B2
Filing date	Dec 28, 2007
Priority date	Dec 28, 2007
Publication date	Jun 13, 2017
Grant date	Jun 13, 2017

Abstract

An electrode for use on a medical device is disclosed. The electrode may have a main body of electrically conductive material extending along an axis and may have a proximal end and a distal end. The electrode may also include a magnetic resonance imaging (MRI) tracking coil disposed in the body. The MRI tracking coil may comprise electrically insulated wire. A catheter including an electrode, as well as a method for determining the location of an electrode, are also disclosed.

First claim

What is claimed is:

1. An electrode for use on a medical device comprising:
a main body of electrically conductive material extending along an axis and comprising a proximal end, a distal end, and a wall disposed about and defining a lumen extending along said axis;
an electrical conductor having a first end coupled to said body and a second end configured for connection to an energy source, wherein said conductor comprises electrically conductive wire having an insulated portion and an uninsulated portion, the uninsulated portion formed in a plurality of turns, wherein said uninsulated portion of said electrically conductive wire is disposed in said lumen and wherein at least part of said uninsulated portion of said electrically conductive wire is configured to engage said wall; and
a magnetic resonance imaging (MRI) tracking coil comprising electrically insulated wire that is wound in a plurality of turns that each extend circumferentially around said axis, wherein said MRI tracking coil further comprises an opening configured to receive a portion of the medical device that extends along said axis, wherein said MRI tracking coil is one of:
embedded directly within said wall; and
disposed directly within said lumen,
further wherein said MRI tracking coil is electrically coupled with two wires that are configured to transmit an induced electromotive force to an MRI system when the MRI system is activated, said induced electromotive force being indicative of a location of said MRI tracking coil.

2. The electrode of claim 1 , wherein said lumen comprises a blind bore opening toward said proximal end of said body.

3. The electrode of claim 1 , wherein said body comprises a polymer.

4. The electrode of claim 3 , wherein said body comprises electrically conductive particles dispersed therein at a predefined density.

5. The electrode of claim 4 , wherein said particles comprise a material with a magnetic susceptibility less than about 1×10-4.

6. The electrode of claim 1 , further comprising a thermal sensor disposed within a portion of said medical device that is disposed in said lumen, wherein said portion of said medical device is electrically insulative and thermally conductive.

7. The electrode of claim 1 , wherein at least a distal portion of said body is configured for deflection relative to said axis.

8. The electrode of claim 7 , wherein said MRI tracking coil is configured to move in correspondence with said deflection of said distal portion of said body.

9. An electrode for use on a medical device comprising:
a main body of electrically conductive material extending along an axis and comprising a proximal end, a distal end, and a wall disposed about and defining a lumen extending along said axis;
an electrical conductor having a first conductor end and a second conductor end configured for connection to an energy source, said first conductor end electrically connected to one of a screen, a mesh, a braid, or a fabric of electrically conductive material engaging said body, wherein one of said screen, said mesh, said braid, or said fabric of electrically conductive material is disposed in said lumen and wherein at least part of one of said screen, said mesh, said braid, or said fabric of electrically conductive material is configured to engage said wall; and
a magnetic resonance imaging (MRI) tracking coil comprising electrically insulated wire that is wound in a plurality of turns that each extend circumferentially around said axis, wherein said MRI tracking coil further comprises an opening configured to receive a portion of the medical device that extends along said axis, wherein said MRI tracking coil is one of:
embedded directly within said wall; and
disposed directly within said lumen,
further wherein said MRI tracking coil is electrically coupled with two wires that are configured to transmit an induced electromotive force to an MRI system when the MRI system is activated, said induced electromotive force being indicative of a location of said MRI tracking coil.

10. The electrode of claim 9 , wherein said lumen comprises a blind bore opening toward said proximal end of said body.

11. The electrode of claim 9 , wherein said body comprises a polymer.

12. The electrode of claim 11 , wherein said body comprises electrically conductive particles dispersed therein at a predefined density.

13. The electrode of claim 12 , wherein said particles comprise a material with a magnetic susceptibility less than about 1×10-4.

14. The electrode of claim 9 , further comprising a thermal sensor disposed within a portion of said medical device that is disposed in said lumen, wherein said portion of said medical device is electrically insulative and thermally conductive.

15. The electrode of claim 9 , wherein at least a distal portion of said body is configured for deflection relative to said axis.

16. The electrode of claim 15 , wherein said MRI tracking coil is configured to move in correspondence with said deflection of said distal portion of said body.

17. An electrode for use on a medical device comprising:
a main body of electrically conductive material extending along an axis and comprising a proximal end, a distal end, and a wall disposed about and defining a lumen extending along said axis;
an electrical conductor having a first end electrically connected to one of a screen, a mesh, a braid, or a fabric of electrically conductive material engaging said body, and a second end configured for connection to an energy source, wherein said conductor comprises electrically conductive wire having an insulated portion and an uninsulated portion, the uninsulated portion formed in a plurality of turns, wherein one of said screen, said mesh, said braid, or said fabric of electrically conductive material is disposed in said lumen, wherein at least part of one of said screen, said mesh, said braid, or said fabric of electrically conductive material is configured to engage said wall, wherein said uninsulated portion of said electrically conductive wire is disposed in said lumen, and wherein at least part of said uninsulated portion of said electrically conductive wire is configured to engage said screen, said mesh, said braid, or said fabric of electrically conductive material; and
a magnetic resonance imaging (MRI) tracking coil comprising electrically insulated wire that is wound in a plurality of turns that each extend circumferentially around said axis, wherein said MRI tracking coil further comprises an opening configured to receive a portion of the medical device that extends along said axis, wherein said MRI tracking coil is one of:
embedded directly within said wall; and
disposed directly within said lumen,
further wherein said MRI tracking coil is electrically coupled with two wires that are configured to transmit an induced electromotive force to an MRI system when the MRI system is activated, said induced electromotive force being indicative of a location of said MRI tracking coil.

18. The electrode of claim 17 , wherein said lumen comprises a blind bore opening toward said proximal end of said body.

19. The electrode of claim 17 , wherein at least a distal portion of said body is configured for deflection relative to said axis.

20. The electrode of claim 19 , wherein said MRI tracking coil is configured to move in correspondence with said deflection of said distal portion of said body.

Assignees

• Paul Saurav
• Tegg Troy T
• Thao Chou
• Puryear Harry
• St Jude Medical Atrial Fibrillation Div Inc

Inventors

• Paul Saurav
• Tegg Troy T
• Thao Chou
• Puryear Harry

Classifications

• A61B2090/3954

  magnetic, e.g. NMR or MRI · CPC title

• A61B5/06

  Devices, other than using radiation, for detecting or locating foreign bodies {; Determining position of diagnostic devices within or on the body of the patient} · CPC title

• A61B2034/2068

  using pointers, e.g. pointers having reference marks for determining coordinates of body points · CPC title

• A61B2018/00815

  measured by a thermistor · CPC title

• A61B5/055

  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging · CPC title