Magnetically guided catheter with concentric needle port

Patent metadata

Field	Value
Publication number	US-9919131-B2
Application number	US-201514697520-A
Country	US
Kind code	B2
Filing date	Apr 27, 2015
Priority date	May 23, 2007
Publication date	Mar 20, 2018
Grant date	Mar 20, 2018

Abstract

A catheter for ablation, mapping, injection, and directional control by an external magnetic system has a catheter body, an intermediate section, and a tip section having a tip electrode with an omnidirectional distal end and a concentric needle port. The tip electrode houses a magnetic device and a position sensor in an integrated configuration that facilitates a path in the tip section for extension and retraction of a component, including an injection needle, with reduced stress and friction. The integrated configuration is an efficient use of space in the tip electrode that allows the tip section to carry both the position sensor and the necessary volume of magnetic or magnetizable material to accomplish magnetic navigation. The catheter also includes a very soft and flexible intermediate section and an even softer and more flexible distal transitional section carrying additional magnetic members to facilitate remote magnetic navigation.

First claim

What is claimed is:

1. A catheter comprising:
a catheter body;
an intermediate section distal of the catheter body; and
a tip section distal of the intermediate section, the tip section having a tip electrode with an omnidirectional distal tip and a concentric needle port, the tip section also having a modular magnetic device and a position sensor, the modular magnetic device comprising a distal magnetic member, a mid magnetic member, and a proximal magnetic member, at least a portion of at least one of the distal magnetic member, the mid magnetic member and the proximal magnetic member being in a surrounding relationship with the position sensor;
a needle extending through the catheter body, the intermediate section and the tip section; and
a needle control handle adapted to extend and retract the injection needle through the concentric needle port.

2. A catheter of claim 1 , wherein the mid magnetic member of the magnetic device includes a hollow portion and the position sensor is positioned at least partially within the hollow portion of the mid member of the magnetic device.

3. The catheter of claim 1 , wherein each of the mid magnetic member, the distal magnetic member and the proximal magnetic member have a generally cylindrical configuration, and when assembled, the distal magnetic member, the mid magnetic member and the proximal magnetic member define a path between the tip electrode and the intermediate section through which at least one component can pass and circumvent the position sensor.

4. A catheter of claim 3 , wherein the path is in communication with the concentric needle port.

5. A catheter of claim 3 , wherein the at least one component is the needle.

6. A catheter of claim 3 , wherein the at least one component is a lead wire, a thermocouple wire, an electromagnetic sensor cable, an irrigation tube and/or a tip electrode safety wire.

7. A catheter comprising:
a catheter body;
an intermediate section distal of the catheter body;
a tip section distal of the intermediate section, the tip section having a tip electrode with an omnidirectional distal end and a concentric needle port, the tip section also having a magnetic device and a position sensor, both the magnetic device and the position sensor having a hollow configuration such that one of the magnetic device and the position sensor is received in at least a portion of the other of the magnetic device and the position sensor.

8. The catheter of claim 7 , wherein the hollow configuration of the magnetic device and the hollow configuration of the position sensor define a generally linear path between the tip electrode and the intermediate section through which at least one component can pass.

9. The catheter of claim 8 , wherein the generally linear path is in communication and alignment with the concentric needle port.

10. The catheter of claim 7 , wherein:
the hollow configuration of the position sensor comprises a generally cylindrical sensor body having a hollow interior passage;
the hollow configuration of the magnetic device comprises a generally cylindrical magnetic body having a hollow interior passage; and
either:
the position sensor is received in at least a portion of the interior passage of the generally cylindrical magnetic body of the magnetic device, or
the magnetic device is received in at least a portion of the interior passage of the generally cylindrical sensor body of the position sensor.

11. The catheter of claim 10 , wherein the interior passage of the generally cylindrical magnetic body and the interior passage of the generally cylindrical sensor body are axially aligned.

12. The catheter of claim 11 , wherein the interior passage of the generally cylindrical magnetic body and the interior passage of the generally cylindrical sensor body are axially aligned with the concentric needle port.

13. The catheter of claim 1 , wherein the mid magnetic member comprises a generally C-shaped cross section, an outer diameter, a generally cylindrical inner cavity, and an outer channel.

14. The catheter of claim 13 , wherein the position sensor and the proximal magnetic member are both at least partially received in the generally cylindrical inner cavity of the mid magnetic member.

15. The catheter of claim 1 , wherein the distal magnetic member comprises a proximal portion and a neck portion, the proximal portion configured to abut a distal end of the mid magnetic member, and the neck portion configured to be received in a proximal end of the tip electrode.

16. The catheter of claim 15 , wherein the distal magnetic member further comprises a notch along its length such that both the proximal portion and the neck portion have crescent shaped cross sections.

17. The catheter of claim 16 , wherein the distal magnetic member further comprises an inclined channel having proximal and distal ends, the distal end of the inclined channel being deeper in the distal magnetic member than the notch, and the proximal end of the inclined channel being of generally even depth in the distal magnetic member with the notch.

18. The catheter of claim 1 , wherein the position sensor is in the generally surrounding relationship with the mid magnetic member, and the position sensor is situated generally between the proximal magnetic member and the distal magnetic member.

19. The catheter of claim 1 , wherein the proximal magnetic member has an inner passage through which a component can extend.

20. The catheter of claim 17 , wherein:
the mid magnetic member comprises a generally C-shaped cross section, an outer diameter, a generally cylindrical inner cavity, and an outer channel; and
the distal magnetic member is aligned with the mid magnetic member such that the inclined channel and notch of the distal magnetic member are generally aligned with the outer channel of the mid magnetic member.

Assignees

• Biosense Webster Inc

Inventors

• Birchard Christopher J
• Creed Jerett A
• Wong Wai Chung

Classifications

• A61M25/0127 Primary

  Magnetic means; Magnetic markers · CPC title

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61M25/0158

  with magnetic or electrical means, e.g. by using piezo materials, electroactive polymers, magnetic materials or by heating of shape memory materials · CPC title

• A61M25/0068

  Static characteristics of the catheter tip, e.g. shape, atraumatic tip, curved tip or tip structure · CPC title

• A61B34/73

  Manipulators for magnetic surgery · CPC title