System and method for assessing dimensions and eccentricity of valve annulus for trans-catheter valve implantation

• US 10,582,882 B2
• Filed: 11/20/2017
• Issued: 03/10/2020
• Est. Priority Date: 02/07/2014
• Status: Active Grant

• Current Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Original Assignee: St. Jude Medical Cardiology Division Incorporated (Abbott Laboratories)
• Inventors: Balachandran, Ram Kumar, Venkatasubramanian, Ramji T., Hill, Anthony David, Hauck, John, Saikrishnan, Neelakantan, Thao, Riki
• Primary Examiner(s): Evanisko, George R
• Application Number:
  US15/818,164
• Publication Number:
  US 20180078177A1
• Time in Patent Office: 841 Days
• CPC Class Codes: A61B 2560/0252 using ambient temperature
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6869 Heart
• CPC Class Codes: A61F 2/2496 Devices for determining the dimensions of the prosthetic valve to be implanted, e.g. templates, sizers

Abstract

A system for detecting the dimensions and geometry of a native valve annulus for trans-catheter valve implantation includes a compliant balloon and a shaft within the balloon. One or more drive electrodes may be affixed to a surface of the balloon, and one or more sense electrodes may be affixed to the shaft. After insertion of the balloon into the native valve annulus, the drive electrodes may be energized with a predetermined voltage. Using a trained statistical model and the voltages measured at the sense electrodes, initial estimates of the cross-section of the valve annulus may be obtained. The initial estimates may then be provided to an optimization model of the valve annulus to obtain a highly accurate prediction of the cross-section of the valve annulus.

Claims

1. A system for determining the dimensions and geometry of a native valve annulus for trans-catheter valve implantation, the system comprising:

a balloon extending in a longitudinal direction;

a shaft extending in the longitudinal direction within the balloon;

a first spline connected to the shaft;

a second spline connected to the shaft;

a third spline connected to the shaft;

a first electrode positioned on the first spline;

a second electrode positioned on the second spline; and

a sensing electrode positioned on the third spline;

wherein the first electrode and the second electrode are configured to produce an electrical field upon application of current to the first electrode and the second electrode, the electrical field being detectable by the sensing electrode; and

a central ring electrode located on the shaft and configured to serve as a reference electrode to allow measurement of values associated with the electrical field produced by the first and second electrodes.

2. The system of claim 1, wherein the central ring electrode is located on the shaft at a position on the shaft substantially centered in the longitudinal direction on the shaft between first and second ends of the balloon.

3. The system of claim 1, wherein the first electrode, the second electrode, the sensing electrode, and the central ring electrode are positioned in a same plane.

4. The system of claim 1, wherein the first electrode is configured to function as a source electrode.

5. The system of claim 1, wherein the second electrode is configured to function as a sink electrode.

6. The system of claim 1, wherein the first, second, and third splines each have a retracted condition and an expanded condition.

7. The system of claim 6, wherein the first, second, and third splines each have a first end coupled to the shaft and a second end coupled to a slideable ring positioned on the shaft, the first, second, and third splines being in the retracted condition in a first longitudinal position of the slideable ring and an expanded condition in a second longitudinal position of the slideable ring.

8. The system of claim 6, wherein the first, second, and third splines are formed of a self-expandable material.

9. The system of claim 8, further comprising a spline sheath positioned over the shaft, the spline sheath slideable relative to the shaft in the longitudinal direction, the spline sheath maintaining the first, second, and third splines in the retracted condition in a first longitudinal position of the spline sheath, the first, second, and third splines capable of expanding to the expanded condition in a second longitudinal position of the spline sheath.

10. The system of claim 6, wherein in the expanded condition of the splines, the splines are each spaced at least 15 mm from the shaft in a radial direction transverse the longitudinal direction.

11. The system of claim 1, wherein a circumferential spacing between each pair of adjacent splines is equal to a circumferential spacing between any other pair of adjacent splines.

12. The system of claim 1, wherein a total of eight splines are connected to the shaft and each spline carries an electrode.

13. The system of claim 1, wherein the first, second, and third splines each have a size of between about 1 French and about 3 French.

14. The system of claim 13, wherein the first, second, and third splines each have a size of about 2 French.

15. The system of claim 1, wherein the balloon is an insulative material such that the electrical field is confined to an area inside the balloon.

16. A system for determining the dimensions and geometry of a native valve annulus for trans-catheter valve implantation, the system comprising:

a balloon extending in a longitudinal direction;

a shaft extending in the longitudinal direction within the balloon;

a first spline connected to the shaft;

a second spline connected to the shaft;

a third spline connected to the shaft;

a first electrode positioned on the first spline;

a second electrode positioned on the second spline; and

a sensing electrode positioned on the third spline;

wherein the first electrode and the second electrode are configured to produce an electrical field upon application of current to the first electrode and the second electrode, the electrical field being detectable by the sensing electrode,

wherein the first, second, and third splines each have a retracted condition and an expanded condition, and

wherein the first, second, and third splines each contact an inner wall of the balloon when the balloon is in an inflated condition.