Intravascular multielectrode cardiac mapping probe

• US 5,846,196 A
• Filed: 12/12/1996
• Issued: 12/08/1998
• Est. Priority Date: 12/13/1995
• Status: Expired due to Term

• Current Assignee: Cordis Europa NV (Johnson & Johnson)
• Original Assignee: Cordis Europa NV (Johnson & Johnson)
• Inventors: Siekmeyer, Gerd, van Erp, Wilhelmus Petrus Martinus Maria
• Primary Examiner(s): Cohen, Le
• Application Number:
  US08/764,368
• Time in Patent Office: 726 Days
• Field of Search: 600/374, 600/393, 606/41, 607/122, 607/129, 607/138, 607/148
• 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 2017/00053 Mapping
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2562/046 in a matrix array
• CPC Class Codes: A61B 2562/164 the sensor is mounted in or on a conformable substrate or carrier
• 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

Abstract

An intraventricular multielectrode cardiac mapping probe having an electrode array assembly which is initially stored within the distal lumen of a delivery catheter and after placement of the tip of the catheter at a target location within the heart the electrode array may be moved out of its retracted position to expand into a generally planar configuration to position electrodes for mapping of the heart chamber.

Claims

1. An intraventricular multielectrode cardiac mapping probe comprising:

a catheter having an open proximal end, an open distal end, and a lumen confluent with said open proximal end and said open distal end;

an elongate inner tubing slidably received and movable within said lumen of said catheter, said tubing having a distal end, a proximal end and a lumen extending through the length thereof;

a plurality of elongate insulated conductor assemblies mounted within said lumen of said elongate inner tubing; and

,

an electrode array assembly including a flexible electrode carrier mounted on and carried by the distal end of the inner tubing and having a plurality of spaced-apart electrodes mounted on a face of said electrode carrier, each of said electrodes being in electrical continuity with one of said conductor assemblies, said electrode carrier being in a folded configuration and being positioned within the lumen of the catheter, the electrode carrier exhibits the characteristic that upon being released it returns to its original preformed generally planar configuration so that when the distal end of the catheter is placed in a desired position within the heart chamber the inner tubing may be slidably moved toward the distal end of the catheter to thereby cause the electrode array assembly to move out of the distal end of the catheter thereby causing the electrode array to expand from its retracted folded position within the lumen of the catheter to its preformed generally planar configuration outside of the catheter to thereby permit the measurement of electrical potentials at different points along the surface of the endocardial wall of the heart chamber;

wherein the electrode array assembly is comprised of a planar sheet of shape memory material in which the folded state occurs at less than about 45°

centigrade and the unfolded generally planar state occurs at a temperature above about 45°

centigrade.

2. A mapping probe as defined in claim 1, wherein the mapping probe includes heating means for heating the electrode array assembly to thereby cause the array to change from a folded state to an unfolded generally planar shape.

3. A mapping probe as defined in claim 2, wherein the shape memory material is comprised of nitinol.

4. An intraventricular multielectrode cardiac mapping probe comprising:

a catheter having an open proximal end, an open distal end, and a lumen confluent with said open proximal end and said open distal end;

an elongate inner tubing slidably received and movable within said lumen of said catheter said tubing having a distal end, a proximal end and a lumen extending through the length thereof;

a plurality of elongate insulated conductor assemblies mounted within said lumen of said elongate inner tubing; and

an electrode array assembly including a flexible electrode carrier mounted on and carried by the distal end of the inner tubing and having a plurality of spaced-apart electrodes mounted on a face of said electrode carrier, each of said electrodes being in electrical continuity with one of said conductor assemblies, said electrode carrier being in a folded configuration and being positioned within the lumen of the catheter, the electrode carrier exhibits the characteristic that upon being released it returns to its original preformed generally planar configuration so that when the distal end of the catheter is placed in a desired position within the heart chamber the inner tubing may be slidably moved toward the distal end of the catheter to thereby cause the electrode array assembly to move out of the distal end of the catheter thereby causing the electrode array to expand from its retracted folded position within the lumen of the catheter to its preformed generally planar configuration outside of the catheter to thereby permit the measurement of electrical potentials at different points along the surface of the endocardial wall of the heart chamber;

wherein the electrode array assembly is rolled up along a longitudinal axis of the catheter in the folded configuration.

5. An intraventricular multielectrode cardiac mapping probe comprising:

a catheter having an open proximal end, an open distal end, and a lumen confluent with said open proximal end and said open distal end;

an elongate inner tubing slidably received and movable within said lumen of said catheter, said tubing having a distal end, a proximal end and a lumen extending through the length thereof;

a plurality of elongate insulated conductor assemblies mounted within said lumen of said elongate inner tubing; and

an electrode array assembly including a flexible electrode carrier mounted on and carried by the distal end of the inner tubing and having a plurality of spaced-apart electrodes mounted on a face of said electrode carrier, each of said electrodes being in electrical continuity with one of said conductor assemblies, said electrode carrier being in a folded configuration and being positioned within the lumen of the catheter, the electrode carrier exhibits the characteristic that upon being released it returns to its original preformed generally planar configuration so that when the distal end of the catheter is placed in a desired position within the heart chamber the inner tubing may be slidably moved toward the distal end of the catheter to thereby cause the electrode array assembly to move out of the distal end of the catheter thereby causing the electrode array to expand from its retracted folded position within the lumen of the catheter to its preformed generally planar configuration outside of the catheter to thereby permit the measurement of electrical potentials at different points along the surface of the endocardial wall of the heart chamber;

wherein the electrode array assembly includes a resilient, compressible cushion interposed between the electrode carrier and the electrodes to thereby urge the electrodes against the interior wall of the heart when the electrode array assembly is in a performed generally planar configuration.

6. A mapping probe as defined in claim 5, wherein the resilient cushion takes the form of a flexible bag filled with a fluid.

7. An intraventricular multielectrode cardiac mapping probe comprising:

a catheter having an open proximal end, an open distal end, and a lumen confluent with said open proximal end and said open distal end;

an elongate inner tubing slidably received and movable within said lumen of said catheter, said tubing having a distal end, a proximal end and a lumen extending through the length thereof;

a plurality of elongate insulated conductor assemblies mounted within said lumen of said elongate inner tubing; and

an electrode array assembly including a flexible electrode carrier mounted on and carried by the distal end of the inner tubing and having a plurality of spaced-apart electrodes mounted on a face of said electrode carrier, each of said electrodes being in electrical continuity with one of said conductor assemblies, said electrode carrier being in a folded configuration and being positioned within the lumen of the catheter the electrode carrier exhibits the characteristic that upon being released it returns to its original preformed generally planar configuration so that when the distal end of the catheter is placed in a desired position within the heart chamber the inner tubing may be slidably moved toward the distal end of the catheter to thereby cause the electrode array assembly to move out of the distal end of the catheter thereby causing the electrode array to expand from its retracted folded position within the lumen of the catheter to its preformed generally planar configuration outside of the catheter to thereby permit the measurement of electrical potentials at different points along the surface of the endocardial wall of the heart chamber;

wherein the electrode array assembly includes at least two wires with a sheet of foil extending between said wires and the spaced-apart electrodes being mounted on the sheet of foil.

8. A mapping probe as defined in claim 7, wherein the electrode array assembly also includes rotatable pins which are positioned along a central axis and equally spaced between the wires and being attached to the central section of the sheet of foil so that upon rotation of the pin the foil is caused to roll up on the pin thereby causing the wires to be retracted from preformed expanded positions to positions proximate the rotating pin.