Split tip electrode catheter

• US 5,836,875 A
• Filed: 10/04/1996
• Issued: 11/17/1998
• Est. Priority Date: 10/06/1995
• Status: Expired due to Term

• Current Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Original Assignee: Cordis Webster, Inc. (Johnson & Johnson)
• Inventors: Webster, Wilton W. Jr.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US08/726,380
• Time in Patent Office: 774 Days
• Field of Search: 600/374, 606/41, 606/50, 607/122
• US Class Current: 600/374
• 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 2018/1497 Electrodes covering only part of the probe circumference
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 5/287 Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
• CPC Class Codes: A61B 5/6855 with a distal curved tip
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/0565 Electrode heads
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

An electrode catheter for cardiac electrophysiology. An elongated body suitable for intravascular insertion surrounds a plurality of electrode lead wires. A composite electrode comprises a plurality of tip electrodes and defines a margin along a proximal edge. Each tip electrode is electrically connected to an associated electrode lead wire and is adjacent to another tip electrode on at least one side along an axis of the elongated body. Each tip electrode is separated from the another tip electrode by insulation. A cup electrode is electrically connected to an associated electrode lead wire and defines a cavity shaped to overlap the margin of the composite electrode. The cup electrode is fixedly secured to the composite electrode and to a distal end of the elongated body and is separated from the composite electrode by insulation.

Claims

1. An electrode catheter for cardiac electrophysiology comprising:

an elongated body suitable for intravascular insertion surrounding a plurality of electrode lead wires and a tip section at a distal end of the catheter body, said tip section comprising;

a composite electrode at a distal end of the tip section having a distal portion comprising an external surface and a proximal portion which forms a recessed stem, said composite electrode comprising a plurality of longitudinally adjacent electrode members, each electrode member having an external surface and a recessed stem portion, each electrode member being electrically connected to an associated electrode lead wire and electrically isolated from adjacent electrode members; and

a cup electrode spaced proximally from a proximal end of the distal portion of the composite electrode, said cup electrode being electrically connected to an associated electrode lead wire and comprising a generally cylindrical side wall that forms a ring electrode and a cavity that receives and fixedly secures at least a portion of the stem of the composite electrode, said cup electrode being electrically isolated from the composite electrode.

2. An electrode catheter according to claim 1, wherein the composite electrode and the cup electrode both have outer dimensions that are substantially equal in size.

3. An electrode catheter according to claim 1, wherein the cup electrode further comprises a stem formed on a proximal end of the cup electrode axially aligned with the elongated body.

4. An electrode catheter according to claim 3, wherein the stem of the cup electrode is cylindrical and comprises an axial bore and a transverse orifice extending through the side of the stem to meet the axial bore, wherein the electrode lead wire electrically connected to the cup electrode is fixedly attached to the stem of the cup electrode.

5. An electrode catheter according to claim 3, wherein the stem of the cup electrode is cylindrical and comprises an axial bore and a transverse orifice extending through the side of the stem to meet the axial bore, the electrode catheter further comprising a pair of safety lines extending through the elongated body, the bore and the orifice of the stem of the cup electrode and being fixedly attached to the exterior of the stem of the cup electrode.

6. An electrode catheter according to claim 1, wherein the cup electrode defines a proximal end comprising a plurality of pass-through bores parallel to the axis of the elongated body, each pass-through bore comprising a meniscus insulator with a hole defined therethrough for preventing electrical contact between an electrode lead wire which extends through each pass-through bore and the cup electrode.

7. An electrode catheter according to claim 1, wherein each electrode member comprises a pair of interior flat sides meeting at a right angle, each such flat side of each electrode member adjacent to a flat side of another electrode member.

8. An electrode catheter according to claim 1, wherein each of the electrode members is substantially symmetrically shaped.

9. An electrode catheter according to claim 1, wherein each of the eletrode members comprises an electrode lead bore at its proximal end parallel to the axis of the elongated body for receiving the distal end of an electrode lead wire.

10. An electrode catheter according to claim 1, wherein the elongated body comprises a flexible and electrically insulating material.

11. An electrode catheter according to claim 1, wherein the tip section is steerable.

12. An electrode catheter according to claim 11, further comprising means for deflecting the tip section comprising a movable puller wire, wherein longitudinal movement of the puller wire deflects the tip section.

13. An electrode catheter according to claim 12, wherein the deflecting means comprises a control handle and a puller wire for deflecting the tip section, the puller wire extending through the elongated body and being fixedly attached at one end to the control handle and at the other end to the tip section, wherein longitudinal movement of the puller wire results in deflection of the tip section.

14. An electrode catheter according to claim 1, wherein the catheter comprises a control handle electrically connected to a connector for connecting the electrode catheter to an external electrical device, each electrode lead wire extending through the control handle and into a proximal end of the connector.

15. An electrode catheter according to claim 1, further comprising a plurality of spaced apart electrodes along the distal end of the elongated body.