Magnetically guided catheter

• US 10,039,598 B2
• Filed: 05/02/2014
• Issued: 08/07/2018
• Est. Priority Date: 07/03/2007
• Status: Active Grant

• Current Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Original Assignee: St. Jude Medical (Abbott Laboratories Incorporated)
• Inventors: de la Rama, Alan, Wu, Kirk Kochin, Zhang, Yongxing
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): SWANSON, LEAH JENNINGS
• Application Number:
  US14/268,366
• Publication Number:
  US 20140343546A1
• Time in Patent Office: 1,558 Days
• Field of Search: 606 41
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 34/73 Manipulators for magnetic surgery
• CPC Class Codes: A61M 25/0127 Magnetic means; Magnetic markers

Abstract

A catheter includes a flexible tubing having a proximal end and a distal end. The catheter also includes an electrode assembly attached to the distal end of the flexible tubing and having a first magnet therein. The electrode assembly further includes an electrically conductive tip electrode and an electrically nonconductive coupler which is connected between the tip electrode and the distal end of the flexible tubing. The coupler and the tip electrode are coupled by an interlocking connection. The catheter also includes a second magnet spaced from the electrode assembly along a longitudinal axis of the tubing. The first magnet and the second magnet are responsive to an external magnetic field to selectively position and guide the electrode assembly within a body of a patient.

Claims

1. A catheter comprising:

an elongate flexible member;

a longitudinal axis;

a tip assembly including a proximal end and an electrically conductive electrode;

an electrically nonconductive material connecting a distal portion of the elongate flexible member to the tip assembly;

a first magnet having a distal end and a proximal end, the first magnet distal end spaced proximally from the proximal end of the tip assembly along the longitudinal axis by a first distance, wherein no magnet is positioned between the first magnet and the tip assembly proximal end; and

a second magnet spaced from the first magnet along the longitudinal axis by a second distance, the second distance greater than the first distance, wherein the first magnet and the second magnet are responsive to an external magnetic field to selectively position and guide the electrode assembly within a body of a patient, and wherein no magnet is positioned between the first magnet and the second magnet.

2. The catheter in accordance with claim 1, wherein the electrically nonconductive material includes a band electrode on an external surface thereof, the band electrode spaced from the electrically conductive electrode.

3. The catheter in accordance with claim 1, wherein the second magnet has one of a cylindrical shape and an ellipsoidal shape.

4. The catheter in accordance with claim 1, wherein a portion of the flexible member distal to the second magnet is more flexible than another portion of the flexible member proximal to the second magnet.

5. The catheter in accordance with claim 4, wherein the portion of the flexible member distal to the second magnet is thinner than the portion of the flexible tubing member proximal to the second magnet.

6. The catheter in accordance with claim 1, further comprising a lumen passing through the first magnet and the second magnet, and in fluid communication with the tip assembly, wherein the tip assembly has at least one irrigation port.

7. A catheter comprising:

an elongate flexible member including a first portion having a length;

an electrode assembly including a flexible, electrically conductive electrode comprising a longitudinal axis and a sidewall, wherein the sidewall is defined by a member extending about the longitudinal axis, the member including a first plurality of projections extending toward an adjacent section of the member;

a first magnet, wherein the electrode assembly further includes at least a portion of the first magnet, and wherein the first magnet is spaced from a distal tip of the catheter along the longitudinal axis;

an electrically nonconductive material connecting a distal portion of the elongate flexible member to the electrode assembly;

a second magnet spaced from the first magnet by the elongate flexible member first portion, wherein the first magnet and the second magnet are responsive to an external magnetic field to selectively position and guide the electrode assembly within a body of a patient; and

a third magnet separated from the second magnet by a first distance, wherein the first distance is greater than the length of the elongate flexible member first portion, and wherein no magnet is positioned between the second magnet and the third magnet.

8. The catheter in accordance with claim 7, wherein the first plurality of projections form an interlocking arrangement with a second set of projections extending from an adjacent section of the member.

9. The catheter in accordance with claim 7, wherein the first plurality of projections form a first plurality of recesses that are complimentary in shape to the second plurality of projections.

10. The catheter in accordance with claim 7, wherein the sidewall is a substantially cylindrical sidewall provided with at least one elongate gap formed in the wall to provide a freedom of movement and shortening of a length of the electrode under an applied force.

11. The catheter in accordance with claim 7, wherein the sidewall comprises alternating interlocking blocks disposed on opposite sides of an elongate gap, each block having a head and a neck, and the head being wider than the neck.

12. The catheter in accordance with claim 7, further comprising a lumen passing through the first magnet and the second magnet, and in fluid communication with the electrode assembly, wherein the electrode assembly has at least one irrigation port.

13. A catheter comprising:

an elongate flexible member;

an electrode assembly including an electrically conductive electrode;

an electrically nonconductive material connecting a distal portion of the elongate flexible member to the electrode assembly;

a first magnet, wherein the electrode assembly further includes at least a portion of the first magnet, and wherein the first magnet is spaced from a distal tip of the catheter along the longitudinal axis;

a second magnet spaced from the electrode assembly by a first distance, wherein the first magnet and the second magnet are responsive to an external magnetic field to selectively position and guide the electrode assembly within a body of a patient; and

a third magnet separated from the second magnet by a second distance, wherein the second distance is greater than the first distance, and wherein no magnet is positioned between the second magnet and the third magnet.

14. The catheter in accordance with claim 13, wherein a portion of the flexible member distal to the second magnet is thinner than a portion of the flexible member proximal to the second magnet.

15. The catheter in accordance with claim 13, wherein a portion of the flexible member distal to the second magnet includes a material which is more flexible than a different material in a portion of the flexible member proximal to the second magnet.

16. The catheter in accordance with claim 13, wherein the electrode comprises a substantially cylindrical sidewall provided with at least one elongate gap selected from the group consisting of an annular gap around a portion of a circumference of the sidewall and a helical gap forming a helical pattern on the sidewall.

17. The catheter in accordance with claim 13, wherein the electrode comprises a substantially cylindrical sidewall provided with at least one elongate gap formed in the sidewall to provide a freedom of movement and shortening of a length of the electrode under an applied force.

18. The catheter in accordance with claim 13, wherein the electrode comprises alternating interlocking blocks disposed on opposite sides of an elongate gap, each block having a head and a neck, and the head being wider than the neck.

19. The catheter in accordance with claim 13, wherein the electrically nonconductive material includes a band electrode on an external surface thereof, the band electrode spaced from the electrically conductive electrode.

20. The catheter in accordance with claim 13, further comprising a lumen passing through the first magnet and the second magnet, and in fluid communication with the electrode assembly, wherein the electrode assembly has at least one irrigation port.