Catheter with single axial sensors

• US 10,405,774 B2
• Filed: 07/28/2014
• Issued: 09/10/2019
• Est. Priority Date: 12/30/2010
• Status: Active Grant

• Current Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Original Assignee: Biosense Webster Incorporated (Johnson & Johnson)
• Inventors: Esguerra Wilczynski, Maribeth, Maffre, Jennifer, Nguyen, Thanh
• Primary Examiner(s): Thomson, Bill
• Assistant Examiner(s): Mohammed, Shahdeep
• Application Number:
  US14/445,021
• Publication Number:
  US 20150025365A1
• Time in Patent Office: 1,870 Days
• Field of Search: None
• CPC Class Codes: A61B 2017/00044 Sensing electrocardiography, i.e. ECG
• CPC Class Codes: A61B 2017/00053 Mapping
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/00845 of moving parts with respect to each other
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2562/17 Comprising radiolucent components
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/341 Vectorcardiography [VCG]
• CPC Class Codes: A61M 25/005 with embedded materials for reinforcement, e.g. wires, coils, braids
• CPC Class Codes: A61M 25/0136 Handles therefor

Abstract

A catheter has single axis sensors mounted directly along a portion of the catheter whose position/location is of interest. The magnetic based, single axis sensors are on a linear or nonlinear single axis sensor (SAS) assembly. The catheter includes a catheter body and a distal 2D or 3D configuration provided by a support member on which at least one, if not at least three single axis sensors, are mounted serially along a length of the support member. The magnetic-based sensor assembly may include at least one coil member wrapped on the support member, wherein the coil member is connected via a joint region to a respective cable member adapted to transmit a signal providing location information from the coil member to a mapping and localization system. The joint region provides strain relief adaptations to the at least one coil member and the respective cable member from detaching.

Claims

1. A catheter comprising:

an elongated body;

a distal member distal of the elongated body, the distal member having a support member and a configuration;

a control handle proximal of the elongated body;

a magnetic-based sensor assembly including at least one conducting member comprising a wire having first and second ends, the wire comprising;

a coil region that is wrapped on the support member; and

a joint region adjacent the coil region, the joint region comprising;

a first connection of the first end of the wire to a cable member at a first location proximal of the coil region, the first end of the wire forming a first amount of slack in the wire between the proximal end of the coil region and the first connection, and

a second connection of the second end of the wire to the cable member at a second location proximal of the coil region, the second end of the wire extending through the coil region from a distal end of the coil region to the second location proximal of the coil region, and the second end of the wire forming a second amount of slack in the wire between the proximal end of the coil region and the second connection,

the cable member being adapted to transmit a signal providing location information from the conducting member to a mapping and localization system, and the joint region provides strain relief to the coil region and the cable member from detaching.

2. A catheter of claim 1, wherein the sensor assembly includes a heat shrink sleeve.

3. A catheter of claim 1, wherein each of the first and second connections of the first and second ends of the wire and the cable member comprises a solder between the respective first or second end of the wire and the cable member, and the first and second amounts of slack are adjacent the solder.

4. A catheter of claim 1, wherein the cable member is wrapped at least 360 degrees around the support member adjacent the joint region.

5. A catheter of claim 1, wherein the at least one conducting member of the magnetic-based sensor assembly includes at least three conducting members, each of the at least three conducting members comprising a respective wire having respective first and second ends, each respective wire comprising:

a respective coil region wrapped on the support member at a respective location along the length of the support member, and

a respective joint region adjacent its respective coil region, the joint region comprising;

a first respective connection of the first end of the respective wire to a respective cable member at a first respective location proximal of its respective coil region, the first respective end of the respective wire forming a first respective amount of slack in the respective wire between the proximal end of the respective coil region and the first respective connection, and

a second respective connection of the second end of the respective wire to the respective cable member at a second respective location proximal of its respective coil region, the second respective end of the respective wire extending through the respective coil region from a distal end of the respective coil region to the second respective location proximal of the respective coil region, and the second end of the respective wire forming a second respective amount of slack in the respective wire between the proximal end of the respective coil region and the second respective connection, each respective cable member being adapted to transmit a respective signal providing location information from the respective conducting member to the mapping and localization system, and each respective joint region provides strain relief to the respective coil region and the respective cable member from detaching.

6. A catheter of claim 1, wherein the support member includes a polyimide tube.

7. A catheter of claim 1, wherein the support member includes a nitinol member.

8. A catheter of claim 1, wherein the distal member includes a deflectable section comprising a tubing with multiple lumens, wherein the sensor assembly mounted on the support member extends through one of said multiple lumens.

9. A catheter of claim 1, wherein the joint region providing strain relief further includes a winding of the cable around the support member of at least about 720 degrees.

10. A catheter of claim 1, wherein the configuration is generally linear.

11. A catheter of claim 10, wherein the distal member includes a deflectable portion.

12. A catheter of claim 1, wherein the configuration has a generally circular main portion and a generally linear proximal portion that extends transversely from a proximal end of the generally circular main portion.

13. A catheter of claim 12, wherein the distal member includes a mapping assembly.

14. A catheter of claim 1, wherein the sensor assembly further includes a tubing having a sufficient length to cover at least the coil region and the joint region.

15. A catheter of claim 14, wherein the sensor assembly further comprises epoxy occupying a space inside of the tubing.

16. A catheter of claim 15, wherein the epoxy forms end caps at each end of the tubing.

17. A catheter of claim 1, further comprising:

a control assembly comprising a rotational cam, a shaft, and a pulley, the rotational cam being in a circumferential relationship with a portion of the control handle and adapted for rotation about a longitudinal axis of the control handle, the rotational cam having an inner surface with two opposing helical tracks, the portion of the control handle having two opposing linear guide slots extending in parallel with the longitudinal axis, the shaft extending along a diameter of the portion of the control handle generally perpendicular to the longitudinal axis, the shaft having two opposing ends, each of which extends through a respective guide slot and is received in a respective helical track, the pulley being mounted on the shaft; and

a puller member wrapped about the pulley,

wherein rotation of the rotational cam about the longitudinal axis by a user actuates movement of the shaft relative to the control handle along the longitudinal axis, thereby acting on the puller member via the pulley to change the configuration of the distal member.

18. A catheter of claim 17, wherein the distal member is contracted or expanded when the user rotates the rotational cam.

19. A catheter of claim 17, wherein the distal member is deflected upon rotation of the rotational cam.

20. A catheter comprising:

an elongated body;

a distal member distal of the elongated body, the distal member having a configuration;

a control handle proximal of the elongated body;

a sensor assembly having a support member extending through the distal member and at least a proximal magnetic-based sensor and a distal magnetic-based sensor, each of the proximal and distal magnetic-based sensors including a conducting member comprising a wire having first and second ends, the wire comprising;

a coil region that is wrapped on the support member, and

a joint region adjacent its respective coil region, the joint region comprising;

a first connection of the first end of the wire to a cable member at a first location proximal of the coil region, the first end of the wire forming a first amount of slack in the wire between the proximal end of the coil region and the first connection, and

a second connection of the second end of the wire to the cable member at a second location proximal of the coil region, the second end of the wire extending through the coil region from a distal end of the coil region to the second location proximal of the coil region, and the second end of the wire forming a second amount of slack in the wire between the proximal end of the coil region and the second connection,

the cable member being adapted to transmit a respective signal providing respective location information from the respective conducting member to a mapping and localization system,

wherein the proximal magnetic-based sensor includes a nonconductive tubing between the conducting member and the support member, and the cable of the distal sensor extends between the nonconductive tubing and the support member.

21. A catheter comprising:

an elongated body;

a distal member distal of the elongated body, the distal member having a support member and a configuration;

a control handle proximal of the elongated body;

a magnetic-based sensor assembly including at least one conducting member comprising a wire having first and second ends, the wire comprising;

a coil region that is wrapped on the support member; and

a joint region adjacent the coil region, the joint region comprising;

a first connection of the first end of the wire to a cable member at a first location distal of the coil region, the first end of the wire forming a first amount of slack in the wire between the distal end of the coil region and the first connection, and

a second connection of the second end of the wire to the cable member at a second location distal of the coil region, the second end of the wire extending through the coil region from a proximal end of the coil region to the second location distal of the coil region, and the second end of the wire forming a second amount of slack in the wire between the distal end of the coil region and the second connection,

the cable member being adapted to transmit a signal providing location information from the conducting member to a mapping and localization system, and the joint region provides strain relief to the coil region and the cable member from detaching.