Endocardial mapping apparatus and cylindrical semiconductor device mounting structure for use therewith and method

• US 5,415,166 A
• Filed: 09/28/1993
• Issued: 05/16/1995
• 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.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Jastrzab, Jeffrey R.
• Application Number:
  US08/127,699
• Time in Patent Office: 595 Days
• Field of Search: 128/642, 607/115, 607/116, 607/122, 607/123, 607/125-128
• US Class Current: 600/374
• 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 2017/22038 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 2018/00357 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 2018/124 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 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 5/6858 : with a distal basket, e.g. expandable basket
• CPC Class Codes: A61N 1/056 : Transvascular endocardial electrode systems

Abstract

An apparatus for mapping the wall of a chamber of the heart. The apparatus includes a flexible elongate tubular member having proximal and distal extremities and at least one lumen extending therethrough. A plurality of longitudinally and radially spaced-apart electrodes are provided. An expandable device is carried by the distal extremity of the flexible elongate tubular member and is movable between a contracted position and an expanded position. The electrodes are mounted on the expandable device so that when the expandable device is moved to its expanded position in the chamber of the heart the electrodes are moved into engagement with the wall forming the chamber of the heart. Leads for conducting electrical energy are in contact with the electrodes and extend into the flexible elongate tubular member. An electrical apparatus is connected to the leads for performing electrical functions with respect to the electrodes and includes at least one semiconductor device carried by the distal extremity of the flexible elongate tubular member in close proximity to the expandable device.

Claims

1. Apparatus for mapping a wall of a chamber of a heart comprising a flexible elongate tubular member having proximal and distal extremities and being provided with at least one lumen extending therethrough, a plurality of longitudinally and radially spaced-apart electrodes, expandable means carried by the distal extremity of the flexible elongate tubular member and being movable between a contracted position and an expanded position, means mounting the electrodes on the expandable means whereby when the expandable means is moved to the expanded position in the chamber of the heart the electrodes are moved into engagement with the wall forming the chamber of the heart, lead means for conducting electrical energy in contact with the electrodes and extending into the flexible elongate tubular member and electrical means connected to the lead means for performing electrical functions with respect to the electrodes, the electrical means including at least one semiconductor device carried by the distal extremity of the flexible elongate tubular member in close proximity to the expandable means.

2. Apparatus as in claim 1 wherein at least twenty electrodes are mounted on said expandable means.

3. Apparatus as in claim 1 wherein said electrical means includes at least two circumferentially spaced-apart semiconductor devices carried by the distal extremity of the flexible elongate tubular member in close proximity to the expandable means.

4. Apparatus as in claim 3 wherein said semiconductor devices include multiplexers.

5. Apparatus as in claim 3 further comprising a longitudinally-extending mandrel carried by said distal extremity and having an outer surface with peripherally spaced-apart cavities formed therein and a longitudinally-extending hollow flexible member concentrically mounted on the mandrel and having an inside, the semiconductor devices being mounted on the inside of the hollow flexible member and disposed in the cavities of the mandrel and conductor means carried by the hollow flexible member for electrically connecting the lead means and the semiconductor devices.

6. Apparatus as in claim 5 wherein said semiconductor devices have contact terminals and wherein solder bumps are formed on the contact terminals and serve to bond the contact terminals to said conductor means carried by the hollow flexible member.

7. Apparatus for mapping a wall of a chamber of a heart comprising a flexible elongate tubular 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 tubular member and being movable between contracted and expanded positions, the basket assembly having a plurality of elongate flexible circumferentially spaced-apart arms with proximal and distal extremities and a plurality of longitudinally spaced-apart first and second electrodes carried by each arm for engaging the wall of the heart, first and second lead means connected to respective first and second electrodes of each arm for conducting electrical energy in contact with the electrodes to the proximal extremities of the arms, a longitudinally-extending hollow flexible member carried by the distal extremity of the flexible elongate tubular member, at least one semiconductor device mounted on the hollow flexible member, the hollow flexible member having a plurality of longitudinally spaced-apart first and second interconnect pads electrically connected to the semiconductor device, and means for electrically connecting the first lead means to the first interconnect pads and for electrically connecting the second lead means to the second interconnect pads.

8. Apparatus as in claim 7 wherein said hollow flexible member has a length ranging from 0.10 to 0.75 inches and a transverse dimension ranging from 0.07 to 0.12 inches.

9. Apparatus as in claim 7 wherein said hollow flexible member has proximal and distal end portions and wherein said first interconnect pads are circumferentially spaced apart around the distal end portion and the second interconnect pads are circumferentially spaced apart around the proximal end portion.

10. Apparatus as in claim 9 wherein said hollow flexible member has an outer surface with said first and second interconnect pads facing outwardly therefrom and wherein said arms include first and second strip portions for carrying said first and second lead means, the first strip portions overlying the first interconnect pads and the second strip portions extending across the outer surface of the hollow flexible member and overlying the second interconnect pads.

11. Apparatus as in claim 10 together with a longitudinally-extending mandrel having an outer surface with a cavity formed therein, wherein said hollow flexible member has an inside and wherein said semiconductor device is mounted on the inside of said hollow flexible member and said hollow flexible member is concentrically mounted on the mandrel with the semiconductor device disposed in the cavity.

12. Apparatus as in claim 7 together with at least one conductor element extending longitudinally through said flexible elongate tubular member and wherein said hollow flexible member has a proximal end portion with a tail portion extending longitudinally therefrom, the tail portion being provided with an additional interconnect pad, and means for electrically connecting the conductor element to the additional interconnect pad.

13. A cylindrical mounting structure for use with a medical apparatus having a flexible elongate tubular member with a distal extremity for insertion into a vessel in a body and a probe device having first and second lead means for conducting electrical energy, the cylindrical mounting structure comprising a mandrel having a segmented outer surface with at least one cavity opening through the segmented outer surface, means for coupling the mandrel to the distal extremity of the flexible elongate tubular member and to the probe device carried by the mandrel and adapted to couple the mandrel to the distal extremity of the flexible elongate tubular member and to the probe device, a flex circuit wrapped about the segmented outer surface of the mandrel and having an inner surface provided with contact pads thereon, at least one semiconductor device mounted on the inner surface of the flex circuit and disposed in the cavity, the semiconductor device having contact terminals in electrical contact with the contact pads on the flex circuit, the flex circuit having longitudinally spaced-apart first and second interconnect pads adapted for electrical connection to the respective first and second lead means and conductor means for electrically connecting the first and second interconnect pads to the contact pads.

14. Apparatus as in claim 13 wherein said flex circuit has an outer surface opposite to said inner surface and wherein at least one of said first and second interconnect pads has a surface which faces outwardly from said outer surface.

15. Apparatus as in claim 13 wherein said flex circuit has an outer surface opposite to said inner surface and has opposite generally parallel first and second longitudinally-extending edges, strips of metal disposed on the outer surface adjacent each edge and a bead of solder disposed on the strips of metal along the edges for connecting the edges together.