Apparatus with basket assembly for endocardial mapping

• US 5,345,936 A
• Filed: 06/25/1993
• Issued: 09/13/1994
• Est. Priority Date: 02/15/1991
• Status: Expired due to Fees

• Current Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Original Assignee: Cardiac Pathways Corp. (Boston Scientific Corporation)
• Inventors: Imran, Mir A., Pomeranz, Mark L.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/083,085
• Time in Patent Office: 445 Days
• Field of Search: 128/642, 607/115, 607/116, 607/119, 607/122, 607/123, 607/126, 607/128, 607/130, 606/127, 606/198, 606/199, 606/200
• US Class Current: 600/374
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00357 Endocardium
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00869 Phase
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1435 : Spiral
• CPC Class Codes: A61B 2018/1467 : using more than two electrodes on a single probe
• CPC Class Codes: A61B 2090/3966 : Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 2562/043 : in a linear array
• CPC Class Codes: A61B 5/287 : Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6853 : with a balloon
• CPC Class Codes: A61B 5/6858 : with a distal basket, e.g. expandable basket
• CPC Class Codes: A61B 5/6859 : with multiple distal splines
• CPC Class Codes: A61N 1/056 : Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/3605 : Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: C08L 2201/12 : Shape memory

Abstract

An apparatus for mapping the wall of a chamber of the heart having blood therein. The apparatus includes a flexible elongate tubular member having proximal and distal extremities and at least one lumen extending therethrough. A basket assembly is carried by the distal extremity of the flexible elongate tubular member and is movable between contracted and expanded positions. The basket assembly has a plurality of elongate flexible circumferentially spaced-apart arms with proximal and distal extremities. A plurality of longitudinally spaced-apart electrodes are carried by each arm for engaging the wall of the heart. Spacing members coupled to the arms and extending between the arms are provided for establishing a desired substantially uniform circumferential spacing between the arms when the basket assembly is in expanded position in engagement with the wall of the heart. Openings are provided between the arms and the spacing members through which blood can flow.

Claims

1. Apparatus for mapping a wall of a chamber of a heart having blood therein comprising a flexible elongate member having proximal and distal extremities and at least one lumen extending therethrough, a basket assembly carried by the distal extremity of the flexible elongate member and being movable between contracted and expanded positions, the basket assembly having a plurality of elongate longitudinally-extending flexible circumferentially spaced-apart arms with proximal and distal extremities, a plurality of longitudinally spaced-apart electrodes carried by each arm for engaging the wall of the heart and spacing means coupled to the arms at locations between the proximal and distal extremities of the arms for establishing a predetermined circumferential spacing between the arms when the basket assembly is in an expanded position in engagement with the wall of the heart, the spacing means having openings therebetween through which blood can flow.

2. Apparatus for mapping a wall of a chamber of a heart having blood therein comprising a flexible elongate member having proximal and distal extremities and at least one lumen extending therethrough, a basket assembly carried by the distal extremity of the flexible elongate member and being movable between contracted and expended positions, the basket assembly having a plurality of elongate longitudinally-extending flexible circumferentially spaced-apart arms with proximal and distal extremities, a plurality of longitudinally spaced-apart electrodes carried by each arm for engaging the wall of the heart and spacing means coupled to the arms and extending between the arms for establishing a predetermined circumferential spacing between the arms when the basket assembly is in expanded position in engagement with the wall of the heart, the spacing means having openings therebetween through which blood can flow and including flexible members attached to the arms for preventing one arm from pulling apart from an adjacent arm more than a predetermined distance.

3. Apparatus as in claim 2 wherein said flexible members are fibers.

4. Apparatus as in claim 2 wherein said flexible members are inflatable tubular members extending at an angle with respect to said elongate flexible arms and wherein said apparatus further comprises means for inflating the tubular members to inhibit one arm from moving toward an adjacent arm.

5. Apparatus as in claim 4 wherein said inflatable tubular members are aligned at substantially right angles with respect to said elongate flexible arms when said basket assembly is in its expanded position.

6. Apparatus as in claim 2 wherein said flexible members are attached to said elongate flexible arms in a plurality of locations spaced longitudinally between the proximal and distal extremities of the arms.

7. Apparatus for mapping a wall of a chamber of a heart having blood therein comprising a flexible elongate member having proximal and distal extremities and a fluid conducting lumen extending therethrough, a basket assembly carried by the distal extremity of the flexible elongate member and being movable between contracted and expanded conditions, the basket assembly comprising a plurality of elongate longitudinally-extending flexible inflatable arms having proximal and distal extremities and lumens therein, a plurality of spaced-apart electrodes carried by the arms for engaging the wall of the heart, means carried by the distal extremity of the flexible elongate member for interconnecting the fluid conducting lumen in the flexible elongate member with at least certain of the lumens in the arms and fluid introduction means mounted on the proximal extremity of the flexible elongate member for permitting fluid having a pressure to be introduced into the fluid conducting lumen of the flexible elongate member and thereby into the lumens of the arms.

8. Apparatus as in claim 7 wherein said inflatable arms are formed to bow outwardly when inflated to form an ovoid-like structure and to move said basket assembly to an expanded condition.

9. Apparatus as in claim 8 further comprising interconnecting means for connecting the distal extremities of said inflatable arms and variation means for varying the configuration of said basket assembly to accommodate the configuration of the wall of the heart engaged by the arms.

10. Apparatus as in claim 9 wherein said variation means includes a pull wire slidably extending through said flexible elongate member and having a first end connected to said interconnecting means and a second end accessible at the proximal extremity of the flexible elongate member to permit variations in the configuration of said basket assembly by moving the interconnecting means with respect to said distal extremity of the flexible elongate member to change the outward bowing of said inflatable arms.

11. Apparatus as in claim 7 further comprising spacing means coupled to said inflatable arms and extending circumferentially between the arms for establishing a predetermined circumferential spacing between the arms when said basket assembly is in an expanded condition and in engagement with the wall of the heart.

12. Apparatus as in claim 11 wherein said spacing means includes flexible members attached to said inflatable arms in a plurality of spaced-apart locations for preventing one arm from pulling apart from an adjacent arm more than a predetermined distance.

13. Apparatus as in claim 11 wherein said spacing means includes inflatable cross members extending at an angle with respect to said inflatable arms and having lumens therein and wherein said apparats further comprises means establishing communication between the lumens in the arms and the lumens in the cross members so that the cross members are inflated when the arms are inflated to inhibit one arm moving toward an adjacent arm.

14. Apparatus as in claim 7 wherein said fluid introduction means permits variation in the pressure of the fluid in the lumens of said inflatable arms.

15. Apparatus for mapping a wall of a chamber of a heart having blood therein comprising a flexible elongate member having proximal and distal extremities and a longitudinal axis, a basket assembly carried by the distal extremity of the flexible elongate member and being movable between contracted and expanded positions, the basket assembly having a plurality of elongate flexible circumferentially spaced-apart arms extending longitudinally of the longitudinal axis, the arms having proximal and distal extremities, a plurality of electrodes carried by each arm adapted to engage the wall of the heart and flexible members connected to the arms extending transversely of the arms and interconnecting the arms at locations between the proximal and distal extremities of the arms, the transversely extending flexible members being relatively inextensible so that the transversely extending flexible members serve to establish a maximum circumferential spacing between adjacent arms when the basket assembly is moved toward an expanded position in engagement with the wall of the heart.