Cardiac probe with dynamic support for maintaining constant surface contact during heart systole and diastole

• US 5,293,869 A
• Filed: 09/25/1992
• Issued: 03/15/1994
• Est. Priority Date: 09/25/1992
• Status: Expired due to Fees

• Current Assignee: EP Technology (Boston Scientific Corporation)
• Original Assignee: EP Technology (Boston Scientific Corporation)
• Inventors: Edwards, Stuart D., Jackson, Jerome
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/951,160
• Time in Patent Office: 536 Days
• Field of Search: 128/642, 128/784-786, 128/419 P, 606/41, 607/122, 607/126
• US Class Current: 600/375
• CPC Class Codes: A61B 2562/043 in a linear array
• CPC Class Codes: A61B 5/283 Invasive
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61B 5/6853 with a balloon
• CPC Class Codes: A61B 5/6856 with a distal loop
• CPC Class Codes: A61B 5/6858 with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 with multiple distal splines

Abstract

A cardiac probe employs a dynamic mounting element that supports one or more electrodes at its distal end in relatively constant surface contact against the expanding and contact endocardial surface.

Claims

1. An end assembly attachable to a catheter tube distal end comprising

an array of resilient electrode supports movable from a normal radially expanded position to a radially compressed position in response to an external compression force, and

means for supporting the electrode supports at the distal end of the catheter tube including mounting means connected to the electrode supports and movable in a first direction in response to movement of the array from its expanded position toward its compressed position and movable in a second direction in response to movement of the array from its compressed position toward its expanded position, and biasing means for urging movement of the mounting means in its second direction and for opposing movement of the mounting means in its first direction.

2. An end assembly according to claim 1

wherein the biasing means comprises a spring.

3. An end assembly according to claim 1

wherein the biasing means comprises a constant force spring.

4. A support member attachable to a catheter tube distal end, the support member including

a wall defining a tubular chamber having a distal end,

a mount movable within the chamber,

biasing means for resiliently urging the mount toward the chamber distal end, and

a support member that carries at least one electrode attached to said movable mount.

5. A cardiac probe according to claim 4

wherein the biasing means includes a constant force spring that continuously urges the movable mount toward the chamber distal end.

6. A probe for cardiac diagnosis and treatment comprising:

a catheter for insertion into a heart through a blood vessel, said catheter having a distal end,

support means comprising a flexible three dimensional shape for supporting a plurality of electrodes for contact against an endocardial surface,

movable support means carried by the distal end of the catheter and connected to the support means for continuously urging the electrodes against the endocardial surface during heart systole and heart diastole.

7. A probe according to claim 6

wherein the movable support means includes means for applying an essentially constant biasing force to continuously urge the electrodes against the endocardial surface with an essentially constant contact pressure.

8. A probe for cardiac diagnosis and treatment comprising:

a catheter for insertion into a heart having an endocardial surface, the catheter having a distal end and a proximal end,

an electrode array comprising a plurality of electrodes on the distal end of the catheter, the array comprising a plurality of elongated splines extending distally from the distal end of the catheter, each of the splines being connected at its distal end to a distal end cap and at its proximal end to a base member supported on the distal end of the catheter, the splines flexing inwardly against said endocardial surface during heart systole and outwardly against said endocardial surface during heart diastole, and

the base member comprising a stationary component attached to the catheter and a movable component attached to the splines, the movable component being resiliently biased toward a distally extended direction for movement in one direction against the biasing force when the splines flex inwardly and for movement in the other direction in response to the biasing force as the splines flex outwardly.

9. A probe according to claim 8

wherein the base member includes a constant force spring means to resiliently bias the movable member for maintaining an essentially constant surface pressure between the electrodes and the endocardial surface during heart systole and diastole.